Table 1.
Outcome measures from the longitudinal study included in the qualitative analysis.
| Type of measurement | Measure | Description | Significant impact observed at the respondents’ settings |
|---|---|---|---|
| Primary care quality measures | Blood pressure control | Rate of diabetes patients with blood pressure in control | Decreased immediately after the go live with no recovery to the baseline level |
| Diabetes bundle | Composite measure for rate of diabetes control | Decreased immediately after the go live with no recovery to the baseline level | |
| Primary care productivity measures | Laboratory orders | Number of laboratory test orders | Decreased immediately after the go live with no recovery to the baseline level |
| New patient visits | Rate of new patient visits to ambulatory settings | Decreased immediately after the go live with no recovery to the baseline level | |
| Patient visits | Number of patient visits to ambulatory settings | Decreased immediately after the go live followed by a recovery to the baseline level within 11 months | |
| Time documenting after hours | Time spent by provider documenting in electronic health records after 6 p.m. | Increased per month after the go live* | |
| Hospital quality measure | Readmission rate | Rate of heart failure patients readmitted within 30 days | Decreased immediately after the go live with no recovery to the baseline level |
| Hospital productivity measures | ED LOS | Length of stay of patients in the emergency department | Increased immediately after the go live followed by a recovery to the baseline level within 12 months |
| ED visits | Number of patient visits to the emergency department | Decreased immediately after the go live followed by a recovery to the baseline level within 1 month | |
| ED wait time | Mean time between patient arrival and seen by provider in the emergency department | Increased immediately after the go live followed by a recovery to the baseline level within 6 months | |
| Employee turnover | Rate of employee contracts terminated | Increased immediately after the go live followed by a recovery to the baseline level within 12 months | |
| Hospital safety measures | Abdominal hysterectomy infection rate | Rate of hospital-acquired surgical site infections for abdominal hysterectomy | Increased per month after the go live with no recovery to the baseline level |
| Colon surgery infection rate | Rate of hospital-acquired surgical site infections for colon surgeries | Increased per month after the go live followed by a recovery to the baseline level within 6 months | |
| Hospital-acquired CDiff infection rate | Rate of hospital-acquired infections of Clostridium Difficile | Decreased per month after the go live with no recovery to the baseline level | |
| Hospital-acquired infection MRSA rate | Rate of hospital-acquired infections of Methicillin-resistant Staphylococcus aureus | Decreased immediately after the go live followed by a recovery to the baseline level within 10 months | |
Abbreviations: LOS: length of stay; EHR: electronic health records; ED: emergency department; CDiff: Clostridium Difficile; MRSA: Methicillin-resistant Staphylococcus aureus. * Time documenting after hours was assessed without baseline data for comparison.