Health, 2021, 13, 81-89
https://www.scirp.org/journal/health
ISSN Online: 1949-5005
ISSN Print: 1949-4998
DOI: 10.4236/health.2021.132008 Feb. 2, 2021 81 Health
Correlation between an Independent Electronic
Health Record & External Ranking of Children’s
Hospitals
Lane F. Donnelly
1,2,3*
, David Scheinker
1,2
,
Natalie M. Pageler
1,2
, Andrew Y. Shin
1,2
1
Lucile Packard Children’s Hospital, Stanford, Stanford Children’s Health, Stanford, California, USA
2
Department of Pediatrics, School of Medicine, Stanford University, Stanford, California, USA
3
Department of Radiology, School of Medicine, Stanford University, Stanford, California, USA
Abstract
Introduction: To evaluate the correlation between the presence of an inde-
pendent EHR (compared to a shared EHR system within an adult hospital
system) and an externally-derived third party ranking of children’s hospitals.
Methods: Children’s hospitals that ranked in the top fifty of the 2019-2020
US News and World Report (USNWR) were included in the analysis. The
mean and median ranking of children’s hospitals with independent versus a
shared EHR was evaluated. The 2019-2020 USNWR rankings of the top twenty
adult hospitals in the United States were then evaluated. For each children’s
hospital with an associated adult hospital that was both ranked, it was noted
as to whether the EHR for the children’s hospital was independent or shared
and statistical differences in rankings compared. Results: Among the top 50
children’s hospitals included, the median USNWR ranking for hospitals was
statistically different with an independent EHR than with a shared EHR (13
vs. 30.0) (p = 0.002). The 21 top ranked adult hospitals were associated with
17 children’s hospitals ranked in the top 50. The median ranking for those
with an independent EHR was statistically different for those with indepen-
dent EHR versus shared EHR (7 vs. 28) (p = 0.002). Conclusion: Children’s
hospitals with an independent EHR are associated with higher scores on an
independent external ranking of hospital quality compared to those which
share an EHR with a partner adult hospital.
Keywords
Electronic Health Record, Quality, Pediatrics
How to cite this paper: Donnelly, L.F.,
Scheinker, D., Pageler, N.M. and Shin, A.Y.
(2021) Correlation between an Indepen-
dent Electronic Health Record & External
Ranking of Children’s Hospitals. Health,
13, 81-89.
https://doi.org/10.4236/health.2021.132008
Received: December 30, 2020
Accepted: January 30, 2021
Published: February 2, 2021
Copyright © 2021 by author(s) and
Scientific Research Publishing Inc.
This work is licensed under the Creative
Commons Attribution International
License (CC BY 4.0).
http://creativecommons.org/licenses/by/4.0/
Open Access