Incomplete EHR | Advanced EHR | |||||
---|---|---|---|---|---|---|
Percent of patients cared for by a hospitalist |
Admission | Predicted average LOS (SE)b |
Admission | Predicted average LOS (SE)b |
Difference | P |
Higher 50% | 15,908 | 4.62 (0.002) | 3690 | 4.58 (0.004) | 0.04 | .278 |
EHR indicates electronic health record; LOS, length of stay.
Advanced EHR includes clinical data repository; clinical decision support; computerized physician order entry; physician documents; Electronic Medication Administration Record (eMAR); nursing documents.
Adjusted for age, sex, race, low socioeconomic status, comorbidity, Major Diagnosis Category (MDC) group, diagnosis-related group weight, number of hospitalizations in the year before admission, number of doctor visits in the year before admission, emergency department admission, weekend admission, admission with subsequent intensive care unit use, geographic region, metropolitan-area size, type of hospital, hospital size, and medical school affiliation.
The main difference between Table 2 and eAppendix Table 1 is the definition of EHR. eAppendix Table 1 defines an Advanced EHR to include 6 applications. Table 2 defines a Complete EHR to include 4 applications.