Health information technology (IT) is regarded as an essential tool to improve patient safety, and a range of initiatives to address patient safety are under way. Using data from a comprehensive, national survey from HIMSS Analytics, we analyzed the extent of health IT adoption for medication safety in U.S. hospitals in 2006. Our findings indicate wide variation in health IT adoption by type of technology and geographic location. Hospital size, ownership, teaching status, system membership, payer mix, and accreditation status are associated with health IT adoption, although these relationships differ by type of technology. Hospitals in states with patient safety initiatives have greater adoption rates.
"This may reflect an ability to negotiate better prices or learn from other system-member's adoption. Furukawa et al.  examined the extent of health IT adoption in US hospitals in 2006. In their paper, they explored how hospital characteristics and geographic location relate to the adoption of health IT with particular focus on medication safety. "
[Show abstract][Hide abstract] ABSTRACT: This work provides prevalence estimates for electronic health record (EHR) systems within U.S. hospitals in 2008. Specifically, we identify the set of information technology (IT) applications that provide the technological pre-conditions for hospitals' achievement of meaningful use. We estimate a set of descriptive and multivariate analyses to identify the organizational attributes that are significantly related to EHR adoption. In addition to considering IT applications individually, we consider the cumulative adoption by hospitals. Our results suggest that most U.S. hospitals continue to lack the technological pre-conditions for achieving meaningful use. Approximately 72% of hospitals had adopted three or fewer of these key applications. Furthermore, we observe some evidence of complementarities between IT and other production inputs. Finally, ownership status, system affiliation, and geographic location are all significantly related to IT adoption. These results provide a useful benchmark for pending IT investments resulting from health reform.
[Show abstract][Hide abstract] ABSTRACT: Health Information Technology (IT) is an important component of healthcare reform. Health IT holds the promise of improving quality while reducing costs. The broader IT literature frequently recognizes that IT payoffs depend on complementary investments in organization and capital. We build on this literature by evaluating the drivers of hospital surgical management software (HSMS) adoption. HSMS can improve operating room (OR) capacity utilization through both scheduling centralization and scheduling pooling. We draw on both the economics and operations literature to develop a theoretical model that reflects the technological and organizational issues underlying HSMS adoption. We posit that HSMS is complementary to hospitals' organizational and capital investments. First, HSMS' centralization effect is complementary to the scope of specialized surgical services. Second, HSMS' pooling effect is complementary to the number of ORs. We test our hypotheses using a comprehensive dataset of hospitals' characteristics and application-level technology adoptions - data not frequently available in other industries. We estimate proportional hazard models to test our hypotheses. We find that both factors are important HSMS adoption determinants. These results demonstrate the importance of understanding the mechanisms through with different types of IT create value. Our findings further suggest that efficient health IT policies require an understanding of individual technologies within an organizational context.
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