Changes in hospital bond ratings after the transition to a new electronic health record

Journal of the American Medical Informatics Association : JAMIA
Dustin McEvoyAdam Wright

Abstract

To assess the impact of electronic health record (EHR) implementation on hospital finances. We analyzed the impact of EHR implementation on bond ratings and net income from service to patients (NISP) at 32 hospitals that recently implemented a new EHR and a set of controls. After implementing an EHR, 7 hospitals had a bond downgrade, 7 had a bond upgrade, and 18 had no changes. There was no difference in the likelihood of bond rating changes or in changes to NISP following EHR go-live when compared to control hospitals. Most hospitals in our analysis saw no change in bond ratings following EHR go-live, with no significant differences observed between EHR implementation and control hospitals. There was also no apparent difference in NISP. Implementation of an EHR did not appear to have an impact on bond ratings at the hospitals in our analysis.

References

Mar 28, 2012·Journal of Pain & Palliative Care Pharmacotherapy·UNKNOWN Centers for Disease Control and Prevention, Public Health Service, U.S. Department Health
Jul 30, 2016·BMJ : British Medical Journal·Michael L BarnettAnupam B Jena

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Citations

Nov 12, 2020·Applied Clinical Informatics·Chunya HuangRichard Schreiber
Aug 20, 2019·Journal of Infection and Public Health·Zongyin PengWen Liu
Jan 14, 2022·Journal of the American Medical Informatics Association : JAMIA·Dean F SittigHardeep Singh

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