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CATEGORIES:Conferences/Seminars/Lectures
DESCRIPTION:Kelsey Moran\nTitle: Costs of Technological Frictions: Evidence
  from EHR (Non)-Interoperability\nAbstract: Interoperability - the ability 
 of different systems to work together - is an increasingly vital component 
 of product markets\, particularly that for Electronic Health Records (EHR) 
 systems. While adoption of EHR systems in US healthcare organizations is hi
 gh\, interoperability remains low particularly across systems built by diff
 erent EHR vendors. We examine whether this technological friction has an in
 fluence on patient flows between providers and patient outcomes. Using even
 t studies\, we find that hospitals share 8% more inpatient transfers and 9-
 10% more referrals after switching to the same EHR vendor. We then show tha
 t interoperability affects patient outcomes through two channels: (1) the r
 eallocation across hospitals\, and (2) the more direct benefits of improved
  health information exchange. Allocatively\, patients have better health ou
 tcomes when their sending hospital switches to a vendor used by better qual
 ity hospitals in the market\; they have worse outcomes when the opposite oc
 curs. Directly\, patient costs\, tests\, images\, and readmission rates dec
 rease when sending and receiving hospitals share the same vendor. Finally\,
  we estimate a demand model of patient flows to quantify the trade-offs bet
 ween interoperability and other characteristics of receiving hospitals. We 
 show that eliminating all interoperability frictions would result in 4% of 
 patients being sent to different hospitals and would increase joint hospita
 l-patient welfare by the equivalent of a 60-kilometer reduction in travel d
 istance.
DTEND:20240923T213000Z
DTSTAMP:20260412T202428Z
DTSTART:20240923T200000Z
GEO:42.360565;-71.084446
LOCATION:Building E51\, E51-151
SEQUENCE:0
SUMMARY:Public Finance/Labor Seminar
UID:tag:localist.com\,2008:EventInstance_47321969658302
URL:https://calendar.mit.edu/event/public-financelabor-seminar-5257
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