Skip to Main Content
HBS Home
  • About
  • Academic Programs
  • Alumni
  • Faculty & Research
  • Baker Library
  • Giving
  • Harvard Business Review
  • Initiatives
  • News
  • Recruit
  • Map / Directions
Faculty & Research
  • Faculty
  • Research
  • Featured Topics
  • Academic Units
  • …→
  • Harvard Business School→
  • Faculty & Research→
Publications
Publications
  • 2013
  • Article
  • American Journal of Managed Care

The Impact of Electronic Health Record Use on Physician Productivity

By: Julia Adler-Milstein and Robert S. Huckman
  • Format:Print
ShareBar

Abstract

To examine the impact of the degree of electronic health record (EHR) use and delegation of EHR tasks on clinician productivity in ambulatory settings.
Study Design: We examined EHR use in primary care practices that implemented a web-based EHR from athenahealth (n = 42) over 3 years (695 practice-month observations). Practices were predominantly small and spread throughout the country. Data came from the athenahealth practice management system and EHR task logs.
Methods: We developed monthly measures of EHR use and delegation to support staff from task logs. Productivity was measured using work relative value units (RVUs). Using fixed effects models, we assessed the independent impacts on productivity of EHR use and delegation. We then explored the interaction between these 2 strategies and the role of practice size.
Results: Greater EHR use and greater delegation were independently associated with higher levels of productivity. An increase in EHR use of 1 standard deviation resulted in a 5.3% increase in RVUs per clinician workday; an increase in delegation of EHR tasks of 1 standard deviation resulted in an 11.0% increase in RVUs per clinician workday (P <.05 for both). Further, EHR use and delegation had a positive joint impact on productivity in large practices (coefficient, 0.058; P <.05), but a negative joint impact on productivity in small practices (coefficient, –0.142; P <.01).
Conclusions: Clinicians in practices that increased EHR use and delegated EHR tasks were more productive, but practice size determined whether the 2 strategies were complements or substitutes.

Keywords

Electronic Health Records; Health Care; Productivity; Healthcare IT; Information Technology; Performance Productivity; Health Care and Treatment; Health Industry

Citation

Adler-Milstein, Julia, and Robert S. Huckman. "The Impact of Electronic Health Record Use on Physician Productivity." Special Issue on Health Information Technology. American Journal of Managed Care 19, no. SP10 (2013): SP345–SP352.
  • Read Now

About The Author

Robert S. Huckman

Technology and Operations Management
→More Publications

More from the Authors

    • February 2025
    • Health Services Research

    Variation in Batch Ordering of Imaging Tests in the Emergency Department and the Impact on Care Delivery

    By: Jacob C. Jameson, Soroush Saghafian, Robert S. Huckman and Nicole Hodgson
    • July 2024
    • Faculty Research

    Hospital for Special Surgery: Returning to a New Normal? (B)

    By: Robert S. Huckman, Michael Lingzhi Li and Camille Gregory
    • June 2024 (Revised August 2024)
    • Faculty Research

    Hospital for Special Surgery: Returning to a New Normal? (A)

    By: Robert S. Huckman, Michael Lingzhi Li and Camille Gregory
More from the Authors
  • Variation in Batch Ordering of Imaging Tests in the Emergency Department and the Impact on Care Delivery By: Jacob C. Jameson, Soroush Saghafian, Robert S. Huckman and Nicole Hodgson
  • Hospital for Special Surgery: Returning to a New Normal? (B) By: Robert S. Huckman, Michael Lingzhi Li and Camille Gregory
  • Hospital for Special Surgery: Returning to a New Normal? (A) By: Robert S. Huckman, Michael Lingzhi Li and Camille Gregory
ǁ
Campus Map
Harvard Business School
Soldiers Field
Boston, MA 02163
→Map & Directions
→More Contact Information
  • Make a Gift
  • Site Map
  • Jobs
  • Harvard University
  • Trademarks
  • Policies
  • Accessibility
  • Digital Accessibility
Copyright © President & Fellows of Harvard College.