Electronic health record implementation and hospitals' total factor productivity

Timothy R. Huerta, Mark A. Thompson, Eric W. Ford, William F. Ford

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


The adoption and implementation of electronic health record (EHR) systems have been widely promoted as a means for improving health care delivery and controlling costs in U.S. hospitals. To date, the results of efforts to adopt such systems have been mixed and often unsuccessful. This paper uses frontier analysis to measure hospitals' Total Factor Productivity (TFP) during 2006-2008 and compare it to nine different stages of EHR implementation. Overall, we find that hospitals implementing EHR systems have lower TFP gains relative to those facilities that have as yet to adopt. In particular, hospitals that attempt to fully implement an EHR in one year, the 'Big Bang' strategy, have relatively low TFP levels. Therefore, the anticipated savings from increased EHR use may not be realized in the near-term for EHR system adopters. Moreover, an evidence-based approach to developing the 'Meaningful Use' incentive and reward program for EHR implementation is warranted.

Original languageEnglish (US)
Pages (from-to)450-458
Number of pages9
JournalDecision Support Systems
Issue number2
StatePublished - May 2013
Externally publishedYes


  • Data envelopment analysis
  • EHR
  • HIT implementation
  • Hospitals
  • Meaningful use

ASJC Scopus subject areas

  • Management Information Systems
  • Information Systems
  • Information Systems and Management
  • Arts and Humanities (miscellaneous)
  • Developmental and Educational Psychology


Dive into the research topics of 'Electronic health record implementation and hospitals' total factor productivity'. Together they form a unique fingerprint.

Cite this