Limits...
The Association between eHealth Capabilities and the Quality and Safety of Health Care in the Netherlands: Comparison of HIMSS Analytics EMRAM data with Elsevier's 'The Best Hospitals' data.

van Poelgeest R, Heida JP, Pettit L, de Leeuw RJ, Schrijvers G - J Med Syst (2015)

Bottom Line: To test the hypothesis that advanced electronic medical record (EMR) capabilities are associated with better quality and safety of hospital care.There is no statistically significant association found between a hospital's EMRAM score and their overall quality/safety performance in the Elsevier hospital scoring model.There is no evidence found to support the research hypothesis at this point in time.

View Article: PubMed Central - PubMed

Affiliation: Researcher at Julius Center, Public Health, UMC Utrecht, Utrecht, The Netherlands, rube.van.poelgeest@planet.nl.

ABSTRACT

Objective: To test the hypothesis that advanced electronic medical record (EMR) capabilities are associated with better quality and safety of hospital care.

Methods and findings: We used data from the HIMSS Analytics EMR Adoption Model (EMRAM(SM)) to measure the adoption and use of information technology in Dutch hospitals. To measure the quality and safety of healthcare in Dutch Hospitals we used select data from the publicly available basic set and the safety set of the Health Care Inspectorate (IGZ) and the Dutch Health Care Transparency Program 'Zichtbare Zorg' (ZIZO) program. The quality and safety measures selected reflect the measures used to score Dutch hospitals as presented in Elsevier's annual 'The Best Hospitals' publication. The scores of this publication are based upon 542 of the 1516 available indicators from this basic set and safety set. Almost all indicators from the hospital-wide indicator sets are included in the selection, as are a large portion of indicators for acute care delivered by all hospitals. Of the 84 non-academic hospitals in the Netherlands, 67 (80 %) were included in this study.

Results: There is no statistically significant association found between a hospital's EMRAM score and their overall quality/safety performance in the Elsevier hospital scoring model.

Conclusion: There is no evidence found to support the research hypothesis at this point in time. This outcome maybe the result of a multiplicity of factors to include the (limited) use of the methodologies used in this study, the fact that no fully digitalized hospital (EMRAM stage 7) is yet present in the NL, and/or the organizational competency of the NL hospitals in fully leveraging the EMR to facilitate patient care. Further research is needed to explore these findings.

No MeSH data available.


Structure of Elsevier scores based upon 542 indicators of publicity available hospital wide indicator sets
© Copyright Policy - OpenAccess
Related In: Results  -  Collection


getmorefigures.php?uid=PMC4525186&req=5

Fig1: Structure of Elsevier scores based upon 542 indicators of publicity available hospital wide indicator sets

Mentions: To measure the quality and safety of healthcare in Dutch Hospitals we used select data from the publicly available basic set and the safety set of the Health Care Inspectorate (IGZ) and the Dutch Health Care Transparency Program ‘Zichtbare Zorg’ (ZIZO) program (both sets survey year 2013). The quality and safety measures selected reflect the measures used to score Dutch hospitals as presented in Elsevier’s annual ‘The Best Hospitals’ publication. As the discussions about the transparency of the healthcare delivered in Dutch hospitals lasts, these are the best available data at this moment. Comparable reports are published, discussed and disputed in other countries [14–16]. The scores of Elsevier are, as opposed to other reports in the Netherlands, based upon publicly available indicators and based upon a scientific method to construct composite indicators [17]. This method has been prepared jointly by the OECD and the Applied Statistics and Econometrics Unit of the Joint Research Centre of the European Commission in Ispra, Italy. The scores of the Elsevier publication (Fig. 1) are based upon 542 of the 1516 publicly available indicators from the above mentioned datasets (IGZ and ZIZO).Fig. 1


The Association between eHealth Capabilities and the Quality and Safety of Health Care in the Netherlands: Comparison of HIMSS Analytics EMRAM data with Elsevier's 'The Best Hospitals' data.

van Poelgeest R, Heida JP, Pettit L, de Leeuw RJ, Schrijvers G - J Med Syst (2015)

Structure of Elsevier scores based upon 542 indicators of publicity available hospital wide indicator sets
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4525186&req=5

Fig1: Structure of Elsevier scores based upon 542 indicators of publicity available hospital wide indicator sets
Mentions: To measure the quality and safety of healthcare in Dutch Hospitals we used select data from the publicly available basic set and the safety set of the Health Care Inspectorate (IGZ) and the Dutch Health Care Transparency Program ‘Zichtbare Zorg’ (ZIZO) program (both sets survey year 2013). The quality and safety measures selected reflect the measures used to score Dutch hospitals as presented in Elsevier’s annual ‘The Best Hospitals’ publication. As the discussions about the transparency of the healthcare delivered in Dutch hospitals lasts, these are the best available data at this moment. Comparable reports are published, discussed and disputed in other countries [14–16]. The scores of Elsevier are, as opposed to other reports in the Netherlands, based upon publicly available indicators and based upon a scientific method to construct composite indicators [17]. This method has been prepared jointly by the OECD and the Applied Statistics and Econometrics Unit of the Joint Research Centre of the European Commission in Ispra, Italy. The scores of the Elsevier publication (Fig. 1) are based upon 542 of the 1516 publicly available indicators from the above mentioned datasets (IGZ and ZIZO).Fig. 1

Bottom Line: To test the hypothesis that advanced electronic medical record (EMR) capabilities are associated with better quality and safety of hospital care.There is no statistically significant association found between a hospital's EMRAM score and their overall quality/safety performance in the Elsevier hospital scoring model.There is no evidence found to support the research hypothesis at this point in time.

View Article: PubMed Central - PubMed

Affiliation: Researcher at Julius Center, Public Health, UMC Utrecht, Utrecht, The Netherlands, rube.van.poelgeest@planet.nl.

ABSTRACT

Objective: To test the hypothesis that advanced electronic medical record (EMR) capabilities are associated with better quality and safety of hospital care.

Methods and findings: We used data from the HIMSS Analytics EMR Adoption Model (EMRAM(SM)) to measure the adoption and use of information technology in Dutch hospitals. To measure the quality and safety of healthcare in Dutch Hospitals we used select data from the publicly available basic set and the safety set of the Health Care Inspectorate (IGZ) and the Dutch Health Care Transparency Program 'Zichtbare Zorg' (ZIZO) program. The quality and safety measures selected reflect the measures used to score Dutch hospitals as presented in Elsevier's annual 'The Best Hospitals' publication. The scores of this publication are based upon 542 of the 1516 available indicators from this basic set and safety set. Almost all indicators from the hospital-wide indicator sets are included in the selection, as are a large portion of indicators for acute care delivered by all hospitals. Of the 84 non-academic hospitals in the Netherlands, 67 (80 %) were included in this study.

Results: There is no statistically significant association found between a hospital's EMRAM score and their overall quality/safety performance in the Elsevier hospital scoring model.

Conclusion: There is no evidence found to support the research hypothesis at this point in time. This outcome maybe the result of a multiplicity of factors to include the (limited) use of the methodologies used in this study, the fact that no fully digitalized hospital (EMRAM stage 7) is yet present in the NL, and/or the organizational competency of the NL hospitals in fully leveraging the EMR to facilitate patient care. Further research is needed to explore these findings.

No MeSH data available.