Changes in hospital bond ratings after the transition to a new electronic health record

Citation:

McEvoy D, Barnett Ml, Sittig DF, Aaron S, Mehrotra A, and Wright A. 2018. “Changes in hospital bond ratings after the transition to a new electronic health record.” J Am Med Inform Assoc, 25, 5, Pp. 572-574.

Abstract:

OBJECTIVE:

To assess the impact of electronic health record (EHR) implementation on hospital finances.

MATERIALS AND METHODS:

We analyzed the impact of EHR implementation on bond ratings and net income from service to patients (NISP) at 32 hospitals that recently implemented a new EHR and a set of controls.

RESULTS:

After implementing an EHR, 7 hospitals had a bond downgrade, 7 had a bond upgrade, and 18 had no changes. There was no difference in the likelihood of bond rating changes or in changes to NISP following EHR go-live when compared to control hospitals.

DISCUSSION:

Most hospitals in our analysis saw no change in bond ratings following EHR go-live, with no significant differences observed between EHR implementation and control hospitals. There was also no apparent difference in NISP.

CONCLUSIONS:

Implementation of an EHR did not appear to have an impact on bond ratings at the hospitals in our analysis.

Last updated on 05/22/2019