@article {635812,
	title = {Changes in hospital bond ratings after the transition to a new electronic health record},
	journal = {J Am Med Inform Assoc},
	volume = {25},
	number = {5},
	year = {2018},
	pages = {572-574},
	abstract = {OBJECTIVE:To assess the impact of\&nbsp;electronic\&nbsp;health\&nbsp;record\&nbsp;(EHR) implementation on\&nbsp;hospital\&nbsp;finances.MATERIALS AND METHODS:We analyzed the impact of EHR implementation on\&nbsp;bond\&nbsp;ratings\&nbsp;and net income from service to patients (NISP) at 32 hospitals that recently implemented a\&nbsp;new\&nbsp;EHR and a set of controls.RESULTS:After\&nbsp;implementing an EHR, 7 hospitals had a\&nbsp;bond\&nbsp;downgrade, 7 had a\&nbsp;bond\&nbsp;upgrade, and 18 had no\&nbsp;changes. There was no difference in the likelihood of\&nbsp;bond\&nbsp;rating\&nbsp;changes\&nbsp;or in\&nbsp;changes\&nbsp;to NISP following EHR go-live when compared to control hospitals.DISCUSSION:Most hospitals in our analysis saw no change in\&nbsp;bond\&nbsp;ratings\&nbsp;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\&nbsp;bond\&nbsp;ratings\&nbsp;at the hospitals in our analysis.},
	author = {McEvoy D and Ml, Barnett and Sittig DF and Aaron S and Mehrotra A and Wright A}
}
