Productivity of Information Systems in the Healthcare Industry
Information Systems Research
Contribution of institutional DSS to organizational performance: evidence from a longitudinal study
Decision Support Systems
Information technology payoff in the health-care industry: a longitudinal study
Journal of Management Information Systems - Special issue: Impacts of information technology investment on organizational performance
The Differential Performance Effects of Healthcare Information Technology Adoption
Information Systems Management
Differential Effects of the Two Types of Information Systems: A Hospital-Based Study
Journal of Management Information Systems
Research Commentary---The Digital Transformation of Healthcare: Current Status and the Road Ahead
Information Systems Research
Evolving Work Routines: Adaptive Routinization of Information Technology in Healthcare
Information Systems Research
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The impact of health information technologies (HIT) on the quality of healthcare delivery is a topic of significant importance and recent research has yielded mixed evidence. We use archival data on HIT usage in combination with data on quality of care processes to conduct a three-year longitudinal study of a large panel of U.S. hospitals. Our analysis extends earlier research on the association between HIT and healthcare quality among healthcare providers that have previously focused on outcomes associated with cost reduction. We study the impact of HIT applications, not only on hospital operating expenses, but also on the process quality associated with evidence-based measures for treatment of four major health conditions. Our results indicate a positive association between usage of clinical information systems and patient scheduling applications and conformance with best practices for treatment of heart attacks, heart failures, and pneumonia. Our results also suggest that usage of financial management systems is associated with lower hospital operating expenses. Furthermore, we find that not-for-profits and urban hospitals are more likely to exhibit greater conformance with process quality metrics, while for-profits exhibit lower operational expenses. Our results have important policy implications for investments in health IT and studying their cost and quality implications.