The impact of electronic health record implementation and use on performance of the Surgical Care Improvement Project measures

Health Serv Res. 2015 Feb;50(1):273-89. doi: 10.1111/1475-6773.12191. Epub 2014 Jun 26.


Objective: To examine the impact of electronic health record (EHR) deployment on Surgical Care Improvement Project (SCIP) measures in a tertiary-care teaching hospital.

Data sources: SCIP Core Measure dataset from the CMS Hospital Inpatient Quality Reporting Program (March 2010 to February 2012).

Study design: One-group pre- and post-EHR logistic regression and difference-in-differences analyses.

Principal findings: Statistically significant short-term declines in scores were observed for the composite, postoperative removal of urinary catheter and post-cardiac surgery glucose control measures. A statistically insignificant improvement in scores for these measures was noted 3 months after EHR deployment.

Conclusion: The transition to an EHR appears to be associated with a short-term decline in quality. Implementation strategies should be developed to preempt or minimize this initial decline.

Keywords: Quality of care/patient safety (measurement); observational data/quasi-experiments; surgery.

MeSH terms

  • Centers for Medicare and Medicaid Services, U.S.
  • Electronic Health Records*
  • Female
  • Hospitals, Teaching / organization & administration
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • New York
  • Organizational Innovation
  • Quality Improvement*
  • Surgical Procedures, Operative / standards*
  • United States