To focus on short term effects


To focus on short term effects, our main, adjusted analysis focused on the 90 day periods before and after EHR implementation. We excluded admissions concerning patients without 12 months of enrollment in fee for service Medicare before admission, because of limited availability of data for risk adjustment, and those that resulted in a transfer to another acute care facility.Outcome measuresWe examined two primary outcomes, 30 day mortality and 30 day readmissions, and an additional secondary outcome, the patient safety for selected indicators (PSI) 90 composite measure used by Medicare in the hospital acquired condition reduction program. All outcomes were assessed for admissions in the study hospitals before and after EHR implementation.

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