Three Essays on Innovations in Healthcare Information Technology

Three Essays on Innovations in Healthcare Information Technology
Author: Fang Wan (Business researcher)
Publisher:
Total Pages: 0
Release: 2022
Genre: Medical care
ISBN:

"This thesis contains three essays on innovations in healthcare information technology (IT). The first essay examines the impact of health information exchange (HIE) on the service quality of long-term care (LTC) facilities based on a five-year (2013-2017) panel data set of the U.S. LTC facilities. Our results show that the readmission rate of an LTC facility with an operational HIE is reduced by 2% on average as compared to the rate of a facility without an operational HIE. We also find that EHR or Telemedicine do not report significant performance enhancement with the combination of HIE on reducing readmission rate since LTC facilities do not use EHR and Telemedicine to their full potential. Our findings empirically demonstrate the importance of promoting effective data exchange in LTC facilities as well as improving the rudimentary use of EHR and Telemedicine to increase the value that HIE can create. The second essay analyzes artificial intelligence (AI) patents in healthcare IT granted by the U.S. Patent and Trademark Office (USPTO). We use network analysis to examine co-patenting collaborations among organizations and analyze technological knowledge inflows and outflows in inter-organizational citation networks. The radical factors of patents are also identified to evaluate the level of the patent impact in the AI research of health IT. Our findings provide managers with actionable guidance on how they should adjust their innovation management plan with respect to AI innovation types. The third essay investigates the impact of effort cost on implementing advanced IT on an on-demand platform with heterogeneous service options. A principal-agent model is developed to find the optimal service policy of both the agent and the principal in the context of healthcare system. We also show that the incentive misalignment issue between the principal and the agent can be solved by offering extra compensation for the less preferred service type of the agent, which in turn affects the agent's strategy and the principal's rewards."--Pages ix-x.

Voices of Innovation

Voices of Innovation
Author: Edward W. Marx
Publisher: CRC Press
Total Pages: 323
Release: 2023-07-17
Genre: Business & Economics
ISBN: 1000903850

Everyone talks innovation and we can all point to random examples of innovation inside of healthcare information technology, but few repeatable processes exist that make innovation more routine than happenstance. How do you create and sustain a culture of innovation? What are the best practices you can refine and embed as part of your organization’s DNA? What are the potential outcomes for robust healthcare transformation when we get this innovation mystery solved? Through timely essays from leading experts, the first edition showcased the widely adopted healthcare innovation model from HIMSS and how providers could leverage to increase their velocity of digital transformation. Regardless of its promise, innovation has been slow in healthcare. The second edition takes the critical lessons learned from the first edition, expands and refreshes the content as a result of changes in the industry and the world. For example, the pandemic really shifted things. Now providers are more ready and interested to innovate. In the past year alone, significant disruptors (such as access to digital health) have entered the provider space threatening the existence of many hospitals and practices. This has served as a giant wake-up call that healthcare has shifted. And finally, there is more emphasis today than before on the concept of patient and clinician experience. Perhaps hastened by the pandemic, the race is on for innovations that will help address clinician burnout while better engaging patients and families. Loaded with numerous case studies and stories of successful innovation projects, this book helps the reader understand how to leverage innovation to help fulfill the promise of healthcare information technology in enabling superior business and clinical outcomes.

Essays on Healthcare Delivery Innovation

Essays on Healthcare Delivery Innovation
Author: Ari Bronsoler
Publisher:
Total Pages: 0
Release: 2022
Genre:
ISBN:

With a primary interest in how innovative approaches can improve healthcare delivery quality, this dissertation focuses on the crucial role that widely available technologies and improving organizational schemes can have on health outcomes. In the first paper, I analyze the effect of introducing common group chat apps on heart attack treatment coordination across hospitals. I document a large effect among hospitals that have a higher survival gap relative to the specialized centers they send patients to: survival rates increase by 29% (12 percentage points) and transfers by 85% (5 percentage points). In the second paper, in collaboration with Jonathan Gruber and Enrique Seira, we implement a novel deniers randomization evaluation of a private one-stop-shop model of care for one of the world's deadliest health problems, diabetes. We estimate enormous impacts of the private supplement, increasing the share of those treated who are under control by 69%. The returns to private care do not appear to reflect more productive delivery but rather more attachment to medical care. Finally, the third paper presents a review of the medical and economic literature on HICT adoption. We find that HICT improves clinical outcomes and lowers healthcare costs, but (i) the effects are modest so far, (ii) it takes time for these effects to materialize, and (iii) there is much variation in the impact. Our own analysis on a novel labor market level dataset finds an increase in employment after HICT adoption, with managers benefiting more, and no negative effects on income.

Healthcare Technology Innovation Adoption

Healthcare Technology Innovation Adoption
Author: Tugrul U. Daim
Publisher: Springer
Total Pages: 0
Release: 2018-04-07
Genre: Business & Economics
ISBN: 9783319792422

This book aims to study the factors effecting the adoption and diffusion of Health Information Technology (HIT) innovation. It analyses the adoption processes of various tools and applications, particularly Electronic Health Records (EHR), highlighting the impact on various sectors of the healthcare system, such as physicians, administration and patient care, while also identifying the various pitfalls and gaps in the literature. With the various challenges currently facing the United States healthcare system, the study, adoption and diffusion of healthcare technology innovation, particularly HIT, is imperative to achieving national goals. This book is organized into three sections. Section one reviews theories and applications for the diffusion of Health Care Technologies. Section two evaluates EHR technology, including the barriers and enables in adoption and alternative technologies. Finally, section three examines the factors impacting the adoption of EHR systems. This book will be a key source for students, academics, researchers, practitioners, professionals and policy-makers.

Essays on the Economic and Clinical Impact of Health Information Technology

Essays on the Economic and Clinical Impact of Health Information Technology
Author: Chenzhang Bao
Publisher:
Total Pages:
Release: 2019
Genre: Medical care
ISBN:

The U.S. healthcare system is characterized as inefficient, with excessive expenditure but low care quality. Recent healthcare reform aims to address these concerns and advocates health information technology (IT) as a key component to assist in this goal. In this dissertation, we study the role of health IT innovations under the value-based care structure in reducing cost, boosting quality of care, and improving healthcare efficiency. In the first essay, we focus on the Medicare Accountable Care Organization (ACO) program, which is a major healthcare payment reform initiative. We find that electronic health record (EHR) as an enabler of health information exchange enhances the association between ACO efficiency and quality of care. Our results indicate that meaningful use of EHR contributes to the capability to pursue both performance dimensions with respect to delivery of high-quality care in an efficient manner. In the second essay, we further verify that health information sharing is beneficial in terms of shorter emergency department wait time, reduced inpatient expense, and lower length of stay. However, it is not easy to exchange patient health records across providers. We empirically show that hospitals that adopt electronic medical records (EMR) from commercial vendors are more likely to exchange clinical data when compared to hospitals that use self-developed EMR systems. We also find that both participating in a health information exchange (HIE) and using the same EMR as other regional peer hospitals contribute to the capability of communicating patient data. In the third essay, we focus on patient-centric health IT, termed “patient portals”. We examine the impact of effective usage of patient portal technologies on health outcomes of congestive heart failure patients. We observe that frequent usage of clinical-oriented features, including viewing lab results, requesting medication refills and advice, and interactive messaging with providers, is associated with improvements in several health outcome measures with respect to the frequency of inpatient and emergency visits, readmission risk, and length of hospital stay. Collectively, this dissertation reveals the impact and the mechanism through which health IT systems are improving healthcare delivery, thereby providing a foundation to better understand the role of health IT in the era of healthcare reform. We posit that our findings provide implications associated with the adoption and usage of health IT for healthcare practitioners and policy makers, in an endeavor to revive the U.S. healthcare system.

Innovation with Information Technologies in Healthcare

Innovation with Information Technologies in Healthcare
Author: Lyle Berkowitz
Publisher: Springer Science & Business Media
Total Pages: 312
Release: 2012-11-13
Genre: Medical
ISBN: 1447143272

This book provides an extensive review of what innovation means in healthcare, with real-life examples and guidance on how to successfully innovate with IT in healthcare.

Essays on Health Information Technology, Social Media, and Care Quality

Essays on Health Information Technology, Social Media, and Care Quality
Author: Danish Hasnain Saifee
Publisher:
Total Pages:
Release: 2018
Genre: Econometrics
ISBN:

This dissertation consists of five chapters. Chapter 1 provides introduction to the research framework and questions examined in Chapters 2, 3 and 4. In Chapter 5, I conclude by summarizing the key findings and implications. The main focus of this dissertation is technology, such as health information technology (IT) and social media, and their relationship with care quality and provider performance. In Chapter 2, I examine the association between care quality (outcomes), health IT usage, and Medicare reimbursements for congestive heart failure cases. This examination was done using a three-year hospital-level panel dataset. The main finding is that hospitals with a higher level of technology usage tend to experience higher reimbursements. Although this finding supports the idea that technology improves efficiency, I do not observe any effectiveness gains, that is, there is no reason to believe that improvements are happening because of improvements in clinical outcomes. This is one of the first studies to look at reimbursements and how technology impacts them in comprehensive way. In Chapter 3, I study whether online reviews of physicians can provide reliable signals for the actual clinical outcomes experienced by their patients. To study this question, I leveraged a granular patient-admission-discharge dataset alongside physician reviews scraped from a public website, Vitals.com. Contrary to findings in recent research, my study finds that there is no clear relationship between online reviews of physicians and their patients’ clinical outcomes, such as the readmission or the ER visit rate. Hence, online reviews may not be as helpful in the context of healthcare services ridden with credence qualities as they usually are for experience goods such as books, movies, or hotels. So, patients, providers, and policy makers should be careful when inferring physician performance from online physician reviews. In Chapter 4, I empirically investigate whether online reviews truly capture a physician’s adherence to clinical guidelines. In addition, I examine whether the reviews indeed reflect the benefits expected from using an electronic health records (EHR) system. The findings from this investigation suggest that there is no significant relationship between adherence to clinical guidelines by physicians and their online reviews, but there exists a positive relationship between EHR usage and some dimensions of online reviews. The implication of these findings is that, although the credence nature of healthcare services might obscure the quality of care delivery and make online reviews somewhat unreliable, efficiency improvements from increased use of health IT translates into positive patient perceptions, providing a natural motivation for a greater adoption. The above-mentioned findings have important implications for several stakeholders including healthcare providers, patients, and policymakers. In Chapter 5, I summarize them alongside conclusions that can be drawn from Chapters 2, 3 and 4.

Technology, Innovation and Healthcare

Technology, Innovation and Healthcare
Author: Richards, Bernadette J.
Publisher: Edward Elgar Publishing
Total Pages: 192
Release: 2022-02-15
Genre: Law
ISBN: 1788973143

This timely book emphasizes the importance of regulation in enabling and channelling innovation at a time when technology is increasingly embedded in healthcare. It considers the adequacy of current regulatory approaches, identifying apparent gaps, risks and liabilities, and discusses how these might be collectively addressed. The authors present possible solutions that balance the protection and promotion of public trust in healthcare against enabling technological progress and disruptive innovation.