Temporal Impacts of Health Information Technology on Hospitals’ Financial Performance

Investments in health information technology (HIT) are known to improve financial and operational performance in hospitals. However, it is less understood whether this improvement is short-term, medium-term, or long-term. This paper investigates the effect of HIT investments on hospitals’...

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Bibliographic Details
Main Authors: Sahir, Shah, Durga Prasad, Somarouthu, Ano, Bhattacherjee
Format: Article
Language:English
Published: INTI International University 2023
Subjects:
Online Access:http://eprints.intimal.edu.my/1786/
http://eprints.intimal.edu.my/1786/1/jods2023_09.pdf
Description
Summary:Investments in health information technology (HIT) are known to improve financial and operational performance in hospitals. However, it is less understood whether this improvement is short-term, medium-term, or long-term. This paper investigates the effect of HIT investments on hospitals’ cost-to-charge ratio, a financial metric that accounts for both costs and revenues, at different time lags after the initial investment. Using panel data on U.S.hospitals from 2010 to 2021, we report that the impact of HIT on hospital cost-to-charge ratio is realized with a lag of zero to four years, when controlled for hospital differences such as rural vs urban location, public vs private ownership, proportion of uncompensated care, and year-over-year variations. This effect becomes non-significant after four years as the effect of HIT wears out. We also quantify the returns from HIT investment. A 100% increase in HIT investment results in a reduction of 3.3 to 6.0% in cost-to-charge ratio between years 0 through 4 after the HIT investment. Implications of these findings for research and practice are described