{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:35:52Z","timestamp":1792787752851,"version":"4.5.0"},"reference-count":30,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"National Institute on Aging","award":["P30AG097158"],"award-info":[{"award-number":["P30AG097158"]}],"id":[{"id":"https:\/\/ror.org\/049v75w11","id-type":"ROR","asserted-by":"crossref"}]},{"name":"National Institute on Aging","award":["R01AG062315"],"award-info":[{"award-number":["R01AG062315"]}],"id":[{"id":"https:\/\/ror.org\/049v75w11","id-type":"ROR","asserted-by":"crossref"}]},{"name":"National Institute on Aging","award":["RF1AG083175"],"award-info":[{"award-number":["RF1AG083175"]}],"id":[{"id":"https:\/\/ror.org\/049v75w11","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Quality of care is essential to an efficient and cost-effective healthcare system. Health information technology (HIT) adoption has emerged as a promising structural solution for improving the quality of clinical processes and patient outcomes at hospitals. The objective of this work was to estimate the association between hospital HIT adoption and performance on quality indicators (QIs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Cross-sectional study linking data from the 2023 American Hospital Association Annual Survey and Information Technology Supplement, the 2021\u20132024 Centers for Medicare and Medicaid Services Hospital Care Compare databases, and the 2023 Area Health Resources Files. Descriptive and regression analyses were run with hospital-level clustering, examining the association between adoption of telehealth (treatment-stage and postdischarge), health information exchange (HIE), and patient engagement (PE) technologies and performance on star ratings (scale of 1\u20135), 30-day readmissions, and 30-day mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among a sample ranging from 1,636 to 2,771 acute care hospitals in the United States (depending on QI outcome and HIT exposure), telehealth, HIE, and PE adoption were found to be associated with higher star ratings (treatment-stage: 0.36 stars; postdischarge: 0.15 stars; HIE: 0.17 stars; PE: 0.12 stars) and lower mortality (treatment-stage: \u22120.31 pp.; postdischarge: \u22120.19 pp.; HIE: \u22120.19 pp.; PE: \u22120.16 pp.). HIE adoption was also associated with lower readmissions (\u22120.07 pp.), whereas the association between PE adoption and readmissions was not statistically significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Hospital HIT adoption is associated with better performance on QIs, suggesting that digital infrastructure may support hospital quality improvement. Policy efforts should focus on alleviating barriers to adoption and promoting access to technology resources.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15305627261490007","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T08:53:50Z","timestamp":1790672030000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Associations Between Hospital Health Information Technology Adoption and Star Ratings, Readmissions, and Mortality"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-5299-2649","authenticated-orcid":false,"given":"Alice S.","family":"Yan","sequence":"first","affiliation":[{"name":"Department of Health Policy and Management, School of Public Health, University of Maryland, College Park, Maryland, USA."},{"name":"Hospital And Public health interdisciPlinarY research (HAPPY) Lab, School of Public Health, University of Maryland, College Park, Maryland, USA."},{"name":"University of Maryland Center on Aging, School of Public Health, University of Maryland, College Park, Maryland, USA."},{"name":"University of Maryland Center for Seniors Uniting Nationwide to Support Health, INtegrated care, and Economics (SUNSHINE), School of Public Health, University of Maryland, College Park, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management, School of Public Health, University of Maryland, College Park, Maryland, USA."},{"name":"Hospital And Public health interdisciPlinarY research (HAPPY) Lab, School of Public Health, University of Maryland, College Park, Maryland, USA."},{"name":"University of Maryland Center on Aging, School of Public Health, University of Maryland, College Park, Maryland, USA."},{"name":"University of Maryland Center for Seniors Uniting Nationwide to Support Health, INtegrated care, and Economics (SUNSHINE), School of Public Health, University of Maryland, College Park, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.882715"},{"key":"e_1_3_3_3_1","unstructured":"2.Centers for Medicare and Medicaid Services. The Hospital Value-Based Purchasing (VBP) Program. Centers for Medicare & Medicaid Services: Baltimore MD; 2025. Available from: https:\/\/www.cms.gov\/medicare\/quality\/value-based-programs\/hospital-purchasing [Last accessed: September2 2026]."},{"key":"e_1_3_3_4_1","unstructured":"3.Centers for Medicare and Medicaid Services. Hospital Readmissions Reduction Program. CMS: Baltimore MD; 2025. Available from: https:\/\/www.cms.gov\/medicare\/quality\/value-based-programs\/hospital-readmissions [Last accessed: September2 2026]."},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.focus.2022.100027"},{"key":"e_1_3_3_6_1","unstructured":"5.Wager E Telesford I Rakshit S et al. How does the quality of the U.S. health system compare to other countries? Peterson-Kaiser Family Foundation: San Francisco CA; 2024. Available from: https:\/\/www.healthsystemtracker.org\/chart-collection\/quality-u-s-healthcare-system-compare-countries"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.43398"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2025.1118"},{"key":"e_1_3_3_9_1","unstructured":"8.Claxton G Cox C Gonzales S et al. Measuring the quality of healthcare in the U.S. Peterson-Kaiser Family Foundation: San Francisco CA; 2015. Available from: https:\/\/www.healthsystemtracker.org\/brief\/measuring-the-quality-of-healthcare-in-the-u-s"},{"key":"e_1_3_3_10_1","unstructured":"9.Levinson Z Hulver S Godwin J et al. Key Facts About Hospitals Kaiser Family Foundation: San Francisco CA; 2025. Available from: https:\/\/www.kff.org\/key-facts-about-hospitals"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-023-08511-x"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-023-08220-5"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2019.05.029"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2022.04.030"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-022-07872-z"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.1402"},{"key":"e_1_3_3_17_1","unstructured":"16.Centers for Medicare and Medicaid Services. Promoting Interoperability Programs. Centers for Medicare & Medicaid Services: Baltimore MD; 2025. Available from: https:\/\/www.cms.gov\/medicare\/regulations-guidance\/promoting-interoperability-programs [Last accessed: September02 2026]."},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.14165"},{"key":"e_1_3_3_19_1","unstructured":"18.American Hospital Association. AHA Annual Survey Database. 2025 American Hospital Association: Chicago IL. Available from: https:\/\/www.ahadata.com\/aha-annual-survey-database [Last accessed: September 02 2026]."},{"key":"e_1_3_3_20_1","unstructured":"19.American Hospital Association. AHA Healthcare IT Database. AHA: Chicago IL; 2025. Available from: https:\/\/www.ahadata.com\/aha-healthcare-it-database [Last accessed: September02 2026]."},{"key":"e_1_3_3_21_1","unstructured":"20.Centers for Medicare and Medicaid Services. Hospitals: About the Data. Centers for Medicare & Medicaid Services: Baltimore MD; 2025. Available from: https:\/\/data.cms.gov\/provider-data\/topics\/hospitals\/about-data [Last accessed: September02 2026]."},{"key":"e_1_3_3_22_1","unstructured":"21.Health Resources and Services Administration. Area Health Resources Files. HRSA: Rockville MD; 2025. Available from: https:\/\/data.hrsa.gov\/data\/download [Last accessed: September02 2026]."},{"key":"e_1_3_3_23_1","unstructured":"22.Gabriel MH Richwine C Strawley C et al. Interoperable Exchange of Patient Health Information Among U.S. Hospitals: 2023. Office of the National Coordinator for Health Information Technology: Washington DC. Available from: https:\/\/www.healthit.gov\/sites\/default\/files\/2024-05\/Interoperable-Exchange-of-Patient-Health-Information-Among-U.S.-Hospitals-2023.pdf"},{"key":"e_1_3_3_24_1","unstructured":"23.Barker W Charles D. Hospital Capabilities to Enable Patient Electronic Access to Health Information 2021. Office of the National Coordinator for Health Information Technology: Washington DC; 2022. Available from: https:\/\/www.healthit.gov\/sites\/default\/files\/2022-11\/hospital_capabilities_to_enable_patient_access_ONC_DB2021-Updated.pdf."},{"key":"e_1_3_3_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.70100"},{"key":"e_1_3_3_26_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2025.3035"},{"key":"e_1_3_3_27_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.37783"},{"key":"e_1_3_3_28_1","doi-asserted-by":"publisher","DOI":"10.3389\/fdgth.2024.1441334"},{"key":"e_1_3_3_29_1","doi-asserted-by":"publisher","DOI":"10.1287\/mnsc.2022.4378"},{"key":"e_1_3_3_30_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2023-079775"},{"key":"e_1_3_3_31_1","doi-asserted-by":"publisher","DOI":"10.2196\/40959"}],"container-title":["Telemedicine and e-Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15305627261490007","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15305627261490007","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15305627261490007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T13:16:33Z","timestamp":1791033393000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15305627261490007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,29]]},"references-count":30,"alternative-id":["10.1177\/15305627261490007"],"URL":"https:\/\/doi.org\/10.1177\/15305627261490007","relation":{},"ISSN":["1530-5627","1556-3669"],"issn-type":[{"value":"1530-5627","type":"print"},{"value":"1556-3669","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,29]]},"article-number":"15305627261490007"}}