Modest Associations between Electronic Health Record Use and Acute Myocardial Infarction Quality of Care and Outcomes: Results from the National Cardiovascular Data Registry

Jonathan R. Enriquez, James A de Lemos, Shailja V. Parikh, Dajuanicia N. Simon, Laine E. Thomas, Tracy Y. Wang, Paul S. Chan, John A. Spertus, Sandeep R Das

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background-In 2009, national legislation promoted wide-spread adoption of electronic health records (EHRs) across US hospitals; however, the association of EHR use with quality of care and outcomes after acute myocardial infarction (AMI) remains unclear. Methods and Results-Data on EHR use were collected from the American Hospital Association Annual Surveys (2007-2010) and data on AMI care and outcomes from the National Cardiovascular Data Registry Acute Coronary Treatment and Interventions Outcomes Network Registry-Get With The Guidelines. Comparisons were made between patients treated at hospitals with fully implemented EHR (n=43 527), partially implemented EHR (n=72 029), and no EHR (n=9270). Overall EHR use increased from 82.1% (183/223) hospitals in 2007 to 99.3% (275/277) hospitals in 2010. Patients treated at hospitals with fully implemented EHRs had fewer heparin overdosing errors (45.7% versus 72.8%; P

Original languageEnglish (US)
Pages (from-to)576-585
Number of pages10
JournalCirculation: Cardiovascular Quality and Outcomes
Volume8
Issue number6
DOIs
StatePublished - Dec 1 2015

Fingerprint

Electronic Health Records
Quality of Health Care
Registries
Myocardial Infarction
American Hospital Association
Legislation
Heparin
Guidelines

Keywords

  • acute coronary syndrome
  • electronic health records
  • myocardial infarction
  • quality improvement
  • registries

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Modest Associations between Electronic Health Record Use and Acute Myocardial Infarction Quality of Care and Outcomes : Results from the National Cardiovascular Data Registry. / Enriquez, Jonathan R.; de Lemos, James A; Parikh, Shailja V.; Simon, Dajuanicia N.; Thomas, Laine E.; Wang, Tracy Y.; Chan, Paul S.; Spertus, John A.; Das, Sandeep R.

In: Circulation: Cardiovascular Quality and Outcomes, Vol. 8, No. 6, 01.12.2015, p. 576-585.

Research output: Contribution to journalArticle

Enriquez, Jonathan R. ; de Lemos, James A ; Parikh, Shailja V. ; Simon, Dajuanicia N. ; Thomas, Laine E. ; Wang, Tracy Y. ; Chan, Paul S. ; Spertus, John A. ; Das, Sandeep R. / Modest Associations between Electronic Health Record Use and Acute Myocardial Infarction Quality of Care and Outcomes : Results from the National Cardiovascular Data Registry. In: Circulation: Cardiovascular Quality and Outcomes. 2015 ; Vol. 8, No. 6. pp. 576-585.
@article{97fedae37e3b469eb384c2780117f9ff,
title = "Modest Associations between Electronic Health Record Use and Acute Myocardial Infarction Quality of Care and Outcomes: Results from the National Cardiovascular Data Registry",
abstract = "Background-In 2009, national legislation promoted wide-spread adoption of electronic health records (EHRs) across US hospitals; however, the association of EHR use with quality of care and outcomes after acute myocardial infarction (AMI) remains unclear. Methods and Results-Data on EHR use were collected from the American Hospital Association Annual Surveys (2007-2010) and data on AMI care and outcomes from the National Cardiovascular Data Registry Acute Coronary Treatment and Interventions Outcomes Network Registry-Get With The Guidelines. Comparisons were made between patients treated at hospitals with fully implemented EHR (n=43 527), partially implemented EHR (n=72 029), and no EHR (n=9270). Overall EHR use increased from 82.1{\%} (183/223) hospitals in 2007 to 99.3{\%} (275/277) hospitals in 2010. Patients treated at hospitals with fully implemented EHRs had fewer heparin overdosing errors (45.7{\%} versus 72.8{\%}; P",
keywords = "acute coronary syndrome, electronic health records, myocardial infarction, quality improvement, registries",
author = "Enriquez, {Jonathan R.} and {de Lemos}, {James A} and Parikh, {Shailja V.} and Simon, {Dajuanicia N.} and Thomas, {Laine E.} and Wang, {Tracy Y.} and Chan, {Paul S.} and Spertus, {John A.} and Das, {Sandeep R}",
year = "2015",
month = "12",
day = "1",
doi = "10.1161/CIRCOUTCOMES.115.001837",
language = "English (US)",
volume = "8",
pages = "576--585",
journal = "Circulation: Cardiovascular Quality and Outcomes",
issn = "1941-7713",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - Modest Associations between Electronic Health Record Use and Acute Myocardial Infarction Quality of Care and Outcomes

T2 - Results from the National Cardiovascular Data Registry

AU - Enriquez, Jonathan R.

AU - de Lemos, James A

AU - Parikh, Shailja V.

AU - Simon, Dajuanicia N.

AU - Thomas, Laine E.

AU - Wang, Tracy Y.

AU - Chan, Paul S.

AU - Spertus, John A.

AU - Das, Sandeep R

PY - 2015/12/1

Y1 - 2015/12/1

N2 - Background-In 2009, national legislation promoted wide-spread adoption of electronic health records (EHRs) across US hospitals; however, the association of EHR use with quality of care and outcomes after acute myocardial infarction (AMI) remains unclear. Methods and Results-Data on EHR use were collected from the American Hospital Association Annual Surveys (2007-2010) and data on AMI care and outcomes from the National Cardiovascular Data Registry Acute Coronary Treatment and Interventions Outcomes Network Registry-Get With The Guidelines. Comparisons were made between patients treated at hospitals with fully implemented EHR (n=43 527), partially implemented EHR (n=72 029), and no EHR (n=9270). Overall EHR use increased from 82.1% (183/223) hospitals in 2007 to 99.3% (275/277) hospitals in 2010. Patients treated at hospitals with fully implemented EHRs had fewer heparin overdosing errors (45.7% versus 72.8%; P

AB - Background-In 2009, national legislation promoted wide-spread adoption of electronic health records (EHRs) across US hospitals; however, the association of EHR use with quality of care and outcomes after acute myocardial infarction (AMI) remains unclear. Methods and Results-Data on EHR use were collected from the American Hospital Association Annual Surveys (2007-2010) and data on AMI care and outcomes from the National Cardiovascular Data Registry Acute Coronary Treatment and Interventions Outcomes Network Registry-Get With The Guidelines. Comparisons were made between patients treated at hospitals with fully implemented EHR (n=43 527), partially implemented EHR (n=72 029), and no EHR (n=9270). Overall EHR use increased from 82.1% (183/223) hospitals in 2007 to 99.3% (275/277) hospitals in 2010. Patients treated at hospitals with fully implemented EHRs had fewer heparin overdosing errors (45.7% versus 72.8%; P

KW - acute coronary syndrome

KW - electronic health records

KW - myocardial infarction

KW - quality improvement

KW - registries

UR - http://www.scopus.com/inward/record.url?scp=84947747980&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84947747980&partnerID=8YFLogxK

U2 - 10.1161/CIRCOUTCOMES.115.001837

DO - 10.1161/CIRCOUTCOMES.115.001837

M3 - Article

C2 - 26487739

AN - SCOPUS:84947747980

VL - 8

SP - 576

EP - 585

JO - Circulation: Cardiovascular Quality and Outcomes

JF - Circulation: Cardiovascular Quality and Outcomes

SN - 1941-7713

IS - 6

ER -