Publications

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February 2021
Article

Assessment of Electronic Health Record Use Between U.S. and Non-U.S. Health Systems

By: A Jay Holmgren, Lance Downing, David W. Bates, Tait D. Shanafelt, Arnold Milstein, Christopher Sharp, David Cutler, Robert S. Huckman and Kevin A. Schulman

Importance: Understanding how the electronic health record (EHR) system changes clinician work, productivity, and well-being is critical. Little is known regarding global variation in patterns of use.
Objective: To provide insights into which EHR... View Details

Keywords: Electronic Health Records; Health Care and Treatment; Online Technology; Health Industry; Information Technology Industry

Article

National Trends in the Safety Performance of Electronic Health Record Systems From 2009 to 2018

By: David Classen, A Jay Holmgren, Zoe Co, Lisa Newmark, Diane Seger, Melissa Danforth and David Bates

Importance Despite the broad adoption of electronic health record (EHR) systems across the continuum of care, safety problems persist. Objective To measure the safety performance of operational EHRs in hospitals across the country during a 10-year period. Design,... View Details

Keywords: Electronic Health Record Systems; Health Care and Treatment; Information Technology; Performance; Safety; Measurement and Metrics; United States

2013
Article

The Impact of Electronic Health Record Use on Physician Productivity

By: Julia Adler-Milstein and Robert S. Huckman

To examine the impact of the degree of electronic health record (EHR) use and delegation of EHR tasks on clinician productivity in ambulatory settings.
Study Design: We examined EHR use in primary care practices that implemented a web-based EHR from athenahealth... View Details

Keywords: Electronic Health Records; Health Care; Productivity; Healthcare IT; Information Technology; Performance Productivity; Health Care and Treatment; Health Industry

March 2022
Article

Assessing the Impact of the COVID-19 Pandemic on Clinician Ambulatory Electronic Health Record Use

By: A Jay Holmgren, Lance Downing, Mitchell Tang, Christopher Sharp, Christopher Longhurst and Robert S. Huckman

Objective: The COVID-19 pandemic changed clinician electronic health record (EHR) work in a multitude of ways. To evaluate how, we measure ambulatory clinician EHR use in the United States throughout the COVID-19 pandemic.

Materials and Methods: We use EHR... View Details

Keywords: Health Care; Electronic Health Records; Productivity; COVID-19 Pandemic; Health Care and Treatment; Health Pandemics; Information Technology; Performance Productivity; United States

July 2021
Article

Electronic Trace Data and Legal Outcomes: The Effect of Electronic Medical Records on Malpractice Claim Resolution Time

By: Sam Ransbotham, Eric Overby and Michael C. Jernigan

Information systems generate copious trace data about what individuals do and when they do it. Trace data may affect the resolution of lawsuits by, for example, changing the time needed for legal discovery. Trace data might speed resolution by clarifying what events... View Details

Keywords: Analytics and Data Science; Lawsuits and Litigation; Digital Transformation; Welfare; Health Industry

Purchase

Electronic Trace Data and Legal Outcomes: The Effect of Electronic Medical Records on Malpractice Claim Resolution Time

Information systems generate copious trace data about what individuals do and when they do it. Trace data may affect the resolution of lawsuits by, for... View Details

26 Mar 2014
Research & Ideas

How Electronic Patient Records Can Slow Doctor Productivity

new study of physician offices transitioning to electronic health records (EHRs) used in managing patient care. In general, larger offices in the study that employed EHRs View Details

Keywords: by Dina Gerdeman; Health

2022
Working Paper

The Effects of Electronic Medical Records on Hospital Utilization Costs

By: Susanna Gallani, Luminita Enache, Xue Guo and Eddie Riedl

20 Feb 2018
News

Electronic health records don’t cut administrative costs

20 Feb 2018
News

Electronic Health Records Don’t Reduce Administrative Costs

07 Mar 2018
Research & Ideas

Electronic Health Records Were Supposed to Cut Medical Costs. They Haven't.

spreadsheet,” says Kaplan. Related Reading: Consumer-centered Health Care Depends on Accessible Medical Records Research Paper: Identifying Sources of Inefficiency in Health Care A Good Thing Happens When... View Details

Keywords: by Roberta Holland; Health

June 2020
Article

Evaluation of Prescription Drug Monitoring Program Integration with Hospital Electronic Health Records by US County-Level Opioid Prescribing Rates

By: A Jay Holmgren and Nate Apathy

Prescription drug monitoring programs (PDMPs) have become a widely embraced policy solution to the opioid epidemic in the US. PDMPs offer prescribers a comprehensive view of patients’ controlled substance prescription history and can be used to monitor and reduce... View Details

Keywords: Prescription Drug Monitoring Programs; PDMPs; Electronic Health Records; Hospitals; Health Care and Treatment; Information Technology; Integration; Performance Evaluation

11 Dec 2014
News

Revolutionizing digital medical records

A two-time entrepreneur at 79 years old, Merle Bushkin (MBA 1960) created MedKaz, a unique system that encapsulates a lifetime of medical data on a keychain device. It gives patients control over their complete View Details

January 2020
Article

Assessing the Safety of Electronic Health Records: A National Longitudinal Study of Medication-related Decision Support

By: A Jay Holmgren, Zoe Co, Lisa Newmark, Melissa Danforth, David Classen and David Bates

Background Electronic health records (EHR) can improve safety via computerised physician order entry with clinical decision support, designed in part to alert providers and prevent potential adverse drug events at entry and before they reach the patient.... View Details

Keywords: Hospital; Electronic Health Records; Health Care and Treatment; Information Technology; Safety; Performance; Quality; Performance Improvement

26 Mar 2014
News

How Electronic Patient Records Can Slow Doctor Productivity

29 Jun 2015
HBS Case

Consumer-centered Health Care Depends on Accessible Medical Records

to $2 million to hospitals serving Medicare patients that adopted electronic medical records (EMRs). Quelch and HBS research associate Margaret L. Rodriguez released a case... View Details

Keywords: by Dina Gerdeman; Health; Technology

29 Jun 2015
News

Consumer-centered Health Care Depends on Accessible Medical Records

November 2023
Article

Federated Electronic Health Records for the European Health Data Space

By: René Raab, Arne Küderle, Anastasiya Zakreuskaya, Ariel Dora Stern, Jochen Klucken, Georgios Kaissis, Daniel Rueckert, Susanne Boll, Roland Eils, Harald Wagener and Bjoern Eskofier

The European Commission's draft for the European Health Data Space (EHDS) aims to empower citizens to access their personal health data and share it with physicians and other health-care providers. It further defines procedures for the secondary use of electronic... View Details

Keywords: Analytics and Data Science; Cybersecurity; Information Management; Knowledge Sharing; Knowledge Use and Leverage; Health Industry

2012
Mimeo

Electronic Health Record Use, Delegation, and Physician Productivity

By: Julia Adler-Milstein and Robert S. Huckman