Measuring the Impact of Electronic Health Record Adoption on Charge Capture

2016 ◽  
Vol 74 (5) ◽  
pp. 582-594 ◽  
Author(s):  
Nicholas Edwardson ◽  
Bita A. Kash ◽  
Ramkumar Janakiraman
Keyword(s):  
Primary Care ◽  
Electronic Health Record ◽  
Fixed Effects ◽  
Pediatric Primary Care ◽  
Health Record ◽  
Care Network ◽  
Collection Data ◽  
Ehr Adoption ◽  
Electronic Health ◽  
The Impact

We examine the impact of electronic health record (EHR) adoption on charge capture—the ability of providers to properly ensure that billable services are accurately recorded and reported for payment. Drawing on billing and practice management data from a large, integrated pediatric primary care network that was previously a paper-based organization, monthly encounter, charge, and collection data were collected from 2008 through 2013. Two-level fixed effects models were built to test the impact of EHR adoption on charge capture. The introduction of the EHR to the pediatric primary care network was independently associated with an $11.09 increase in average per patient charges, an $11.49 increase in average per patient collections, and an improvement in physicians’ charge-to-collection ratios. Despite high initial outlays and operating costs related to EHR adoption, these results suggest organizations may recoup many of these costs over the long term.

Identifying Factors Predicting Immunization Delay for Children Followed in an Urban Primary Care Network Using an Electronic Health Record

PEDIATRICS ◽  
2006 ◽  
Vol 118 (6) ◽  
pp. e1680-e1686 ◽  
Author(s):  
A. G. Fiks ◽  
E. A. Alessandrini ◽  
A. A. Luberti ◽  
S. Ostapenko ◽  
X. Zhang ◽  
...  
Keyword(s):  
Primary Care ◽  
Electronic Health Record ◽  
Health Record ◽  
Care Network ◽  
Electronic Health

scholarly journals Measuring Electronic Health Record Use in Primary Care: A Scoping Review

2018 ◽  
Vol 09 (01) ◽  
pp. 015-033 ◽  
Author(s):  
Michael Huang ◽  
Candace Gibson ◽  
Amanda Terry
Keyword(s):  
Primary Care ◽  
Electronic Health Record ◽  
Scoping Review ◽  
Web Sites ◽  
Health Record ◽  
Current State ◽  
Level Of Use ◽  
Ehr Adoption ◽  
Electronic Health ◽  
Citation Databases

Background Simple measures of electronic health record (EHR) adoption may be inadequate to evaluate EHR use; and positive outcomes associated with EHRs may be better gauged when varying degrees of EHR use are taken into account. In this article, we aim to assess the current state of the literature regarding measuring EHR use. Objective This article conducts a scoping review of the literature to identify and classify measures of primary care EHR use with a focus on the Canadian context. Methods We conducted a scoping review. Multiple citation databases were searched, as well as gray literature from relevant Web sites. Resulting abstracts were screened for inclusion. Included full texts were reviewed by two authors. Data from the articles were extracted; we synthesized the findings. Subsequently, we reviewed these results with seven EHR stakeholders in Canada. Results Thirty-seven articles were included. Eighteen measured EHR function use individually, while 19 incorporated an overall level of use. Eight frameworks for characterizing overall EHR use were identified. Conclusion There is a need to create standardized frameworks for assessing EHR use.

scholarly journals Differences in Clinician Electronic Health Record Use Across Adult and Pediatric Primary Care Specialties

2021 ◽  
Vol 4 (7) ◽  
pp. e2116375
Author(s):  
Lisa S. Rotenstein ◽  
A. Jay Holmgren ◽  
N. Lance Downing ◽  
Christopher A. Longhurst ◽  
David W. Bates
Keyword(s):  
Primary Care ◽  
Electronic Health Record ◽  
Pediatric Primary Care ◽  
Health Record ◽  
Electronic Health

Effect of an Electronic Health Record Transition on the Provision of Recommended Well Child Services in Pediatric Primary Care Practices

2019 ◽  
Vol 59 (2) ◽  
pp. 188-197 ◽  
Author(s):  
Geoffrey Binney ◽  
Tamalie Cole-Poklewski ◽  
Tamar Roomian ◽  
Emily K. Trudell ◽  
Jonathan Hatoun ◽  
...  
Keyword(s):  
Primary Care ◽  
Electronic Health Record ◽  
Preventive Care ◽  
Pediatric Primary Care ◽  
Health Record ◽  
Child Services ◽  
Age Appropriate ◽  
Care Practices ◽  
Electronic Health ◽  
Primary Care Practices

We sought to determine the effect of transitioning between electronic health record (EHR) systems on the quality of preventive care in a large pediatric primary care network. To study this, we performed a retrospective chart analysis of 42 primary care practices from the Pediatric Physicians’ Organization at Children’s who transitioned EHRs. We reviewed 24 random encounters per week distributed evenly across 6 age categories before, during, and after a transition period. We reviewed encounter documentation for age-appropriate well child services, per American Academy of Pediatrics/Bright Futures guidelines. Logistic regression and statistical process control analysis were used. In the pretransition period, 84.5% of all recommended elements were documented versus 86.4% posttransition ( P = .04). Documentation of age-appropriate anticipatory guidance showed significant positive change (69.0% to 80.2%, P = .005), but it was the only subdomain with a statistically significant increase. These increases suggest that EHR transitions have the opportunity to affect the delivery of preventive care.

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