How Does Electronic Health Information Exchange Affect Hospital Performance Efficiency? The Effects of Breadth and Depth of Information Sharing

This research was motivated by the large investment in health information technology (IT) by hospitals and the inconsistent findings related to the effects of health IT adoption on hospital performance. Building on resource orchestration theory and the information systems literature, the authors dev...

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Published inJournal of healthcare management Vol. 63; no. 3; pp. 212 - 228
Main Authors Cho, Na-Eun, Ke, Weiling, Atems, Bebonchu, Chang, Jongwha
Format Journal Article
LanguageEnglish
Published United States Lippincott Williams & Wilkins Ovid Technologies 01.05.2018
Subjects
American Recovery & Reinvestment Act 2009-US
Cardiovascular disease
Consumer health information
Cost control
Data envelopment analysis
Efficiency
Electronic health records
Health administration
Health care
Health informatics
Hospitals
Information sharing
Information systems
Information technology
Investments
Medicaid
Medical errors
Medicare
Strategic management
Theory
United States > US
Ireland
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Summary:This research was motivated by the large investment in health information technology (IT) by hospitals and the inconsistent findings related to the effects of health IT adoption on hospital performance. Building on resource orchestration theory and the information systems literature, the authors developed a research model to investigate how the configuration strategies for sharing information under health IT systems affect hospital efficiency. The hypotheses were tested using data from the 2010 annual and IT surveys of the American Hospital Association, Centers for Medicare & Medicaid Services case mix index, and U.S. Census Bureau's small-area income and poverty estimates. The study revealed that in health IT systems, the breadth (extent) and depth (level of detail) of digital information sharing among stakeholders each has a curvilinear relationship with hospital efficiency. In addition, breadth and depth reinforce each other's positive effects and attenuate each other's negative effects, and their balance has a positive effect on hospital efficiency. The results of this research have the potential to enrich the literature on the value of adopting health IT systems as well as in providing practitioner guidelines for meaningful use.
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ISSN:1096-9012
1944-7396
DOI:10.1097/JHM-D-16-00041