Hospital implementation of health information technology and quality of care: are they related?

Restuccia, Joseph D; Cohen, Alan B; Horwitt, Jedediah N; Shwartz, Michael

doi:10.1186/1472-6947-12-109

BMC Medical Informatics and Decision Making

Table 3 Multivariable Model Parameter Estimates

From: Hospital implementation of health information technology and quality of care: are they related?

Covariate*	QI Strategies and Practices			Composite HQA Process of Care			Observed to Expected Mortality Rate
Covariate*	Beta	95% CI	P	Beta	95% CI	P	Beta	95% CI	P
bed-size category			0.285			0.022			0.972
25-99 beds	−0.177	−0.398, 0.045	0.119	−0.04	−0.07, -0.010	0.009	0.007	−0.123, 0.137	0.916
100-399 beds	−0.057	−0.205, 0.091	0.453	−0.011	−0.032, 0.010	0.308	−0.004	−0.103, 0.095	0.940
ownership type			0.438			0.001			0.626
government	−0.159	−0.404, 0.086	0.204	−0.003	−0.046, 0.039	0.881	−0.017	−0.205, 0.170	0.856
not-for-profit	−0.122	−0.334, 0.090	0.260	0.034	−0.006, 0.073	0.093	−0.053	−0.229, 0.124	0.557
urban	0.079	−0.078, 0.236	0.323	−0.009	−0.029, 0.010	0.353	−0.098	−0.181, -0.014	0.022
non-teaching	0.046	−0.113, 0.205	0.569	0.006	−0.017, 0.029	0.607	0.050	−0.056, 0.156	0.350
HIT category			0.003			0.257			0.005
low	−0.378	−0.610, -0.146	0.001	−0.021	−0.049, 0.008	0.157	0.065	−0.061, 0.191	0.312
medium	−0.084	−0.236, 0.068	0.277	−0.016	−0.037, 0.004	0.122	−0.076	−0.172, 0.020	0.121
commitment	0.123	−0.091, 0.336	0.261	0.03	0.002, 0.058	0.037	−0.029	−0.155, 0.096	0.646
resources	0.090	−0.085, 0.265	0.312	0.007	−0.015, 0.029	0.545	−0.010	−0.109, 0.089	0.842
R²	0.109			0.136			0.072
	*HCAHPS Patient Satisfaction*			*Quality Manager Assessment of Patient Care Quality*			*Front-line Clinicians’ Assessment of Patient Care Quality*
Covariate*	Beta	95% CI	P	Beta	95% CI	P	Beta	95% CI	P
bed-size category			0.002			0.153			0.006
25-99 beds	2.390	−1.493, 6.273	0.227	0.119	−0.186, 0.424	0.443	0.112	0.004, 0.220	0.042
100-399 beds	−2.256	−4.977, 0.466	0.104	−0.082	−0.316, 0.153	0.493	−0.011	−0.094, 0.072	0.797
ownership type			0.001			0.613			0.094
government	8.952	3.467, 14.437	0.001	0.207	−0.221, 0.634	0.343	0.168	0.015, 0.320	0.031
not-for-profit	9.373	4.400, 14.347	0.000	0.199	−0.203, 0.601	0.331	0.130	−0.013, 0.274	0.075
urban	−0.149	−2.569, 2.271	0.903	0.056	−0.137, 0.249	0.570	−0.021	−0.089, 0.048	0.557
non-teaching	−1.220	−4.030, 1.590	0.393	−0.030	−0.280, 0.220	0.813	−0.097	−0.186, -0.008	0.032
HIT category			0.000			0.006			0.392
low	−7.208	−11.047, -3.680	0.000	−0.439	−0.730, -0.147	0.003	−0.067	−0.170, 0.036	0.202
medium	−1.177	−3.776, 1.421	0.370	−0.342	−0.567, -0.117	0.003	−0.022	−0.102, 0.058	0.586
commitment	2.686	−0.889, 6.261	0.140	0.337	0.050, 0.623	0.021	0.370	0.268, 0.473	0.000
resources	2.814	0.029, 5.599	0.048	0.022	−0.209, 0.253	0.851	0.354	0.271, 0.436	0.000
R²	0.228			0.078			0.579+

* The reference category is excluded for each covariate, e.g. estimates for non-teaching hospitals are relative to teaching hospitals.
+ High R² is due to the strong relationship between the commitment question and the quality performance measure question.

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ISSN: 1472-6947

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