New York, NY, January 26, 2009—A study published today in the Archives of Internal Medicine , finds that when physicians in hospitals use health information technology (health IT) to its full potential there are fewer deaths, fewer complications, and lower health care costs. The study, supported by The Commonwealth Fund and led by Ruben Amarasingham M.D., M.B.A., Associate Chief of Medicine at Parkland Health & Hospital System and Assistant Professor of Medicine at UT Southwestern Medical School and Neil Powe, M.D., M.P.H., M.B.A., Professor of Medicine at the Johns Hopkins University School of Medicine, surveyed physicians from 41 hospitals in Texas treating a diverse group of patients across a variety of conditions including heart attack, heart failure, and pneumonia.
The survey directly measures physicians using health IT in a hospital setting. Respondents were asked about their use of several different types of health IT including electronic notes and records, order entry, and clinical decision support. Researchers found that relatively modest increases in technology use had dramatic results—a 10 point increase in the use of electronic notes and medical records was associated with a 15 percent reduction in the likelihood of patient death. And, when physicians electronically entered their instructions for patient care, there was a 55 percent reduction in the likelihood of death for some procedures. Increased use of health IT was also linked to lower costs: hospitals with automated test results, order entry, and decision support experienced lower costs for all hospital admissions (-$110, -$132, and -$538, respectively per admission).
"These findings tell us, straight from the physicians using it, that this technology works to improve quality of care for patients—the first priority of health information technology," said Commonwealth Fund Vice President for Quality Improvement and Efficiency Anne-Marie Audet, M.D. "But, in order to save lives and keep costs downs, health information technology has to be used to its fullest extent. As President Obama and his health care team consider investing in this technology for the nation, it would make sense to factor in on-going support and training for health care providers so that the technology can live up to its potential."
Two additional Commonwealth Fund publications, also released today and available at www.commonwealthfund.org , expand on how health IT can be successfully integrated to help the U.S. create a truly high performing health care system:
The Commonwealth Fund is a private foundation supporting independent research on health policy reform and a high performance health system.
Archives of Internal Medicine