Information Technology and Medical Missteps: Evidence from a Randomized Trial

43 Pages Posted: 16 Oct 2007 Last revised: 30 Jul 2012

See all articles by Jonathan Javitt

Jonathan Javitt

Potomac Institute for Policy Studies - National Security Health Policy Center; Georgetown University - School of Medicine; Johns Hopkins University - Johns Hopkins Medical Institutions

James B. Rebitzer

Boston University School of Management; National Bureau of Economic Research (NBER); IZA Institute of Labor Economics; Bard College - The Levy Economics Institute

Lonny Reisman

affiliation not provided to SSRN

Date Written: October 2007

Abstract

We analyze the effect of a decision support tool designed to help physicians detect and correct medical "missteps". The data comes from a randomized trial of the technology on a population of commercial HMO patients. The key findings are that the new information technology lowers average charges by 6% relative to the control group. This reduction in resource utilization was the result of reduced in-patient charges (and associated professional charges) for the most costly patients. The rate at which identified issues were resolved was generally higher in the study group than in the control group, suggesting the possibility of improvements in care quality along measured dimensions and enhanced diffusion of new protocols based on new clinical evidence.

Suggested Citation

Javitt, Jonathan and Rebitzer, James B. and Reisman, Lonny, Information Technology and Medical Missteps: Evidence from a Randomized Trial (October 2007). NBER Working Paper No. w13493. Available at SSRN: https://ssrn.com/abstract=1021971

Jonathan Javitt

Potomac Institute for Policy Studies - National Security Health Policy Center ( email )

Arlington, VA 22203
United States

HOME PAGE: http://www.potomacinstitute.org/aboutus/staff/javitt.htm

Georgetown University - School of Medicine

Medical Dental Building
3900 Reservoir Road, N.W.
Washington, DC 20057-1409
United States

Johns Hopkins University - Johns Hopkins Medical Institutions

550 N. Broadway
Baltimore, MD 21205
United States

James B. Rebitzer (Contact Author)

Boston University School of Management ( email )

595 Commonwealth Avenue
Boston, MA MA 02215
United States
617 353 4605 (Phone)

National Bureau of Economic Research (NBER)

1050 Massachusetts Avenue
Cambridge, MA 02138
United States

IZA Institute of Labor Economics

P.O. Box 7240
Bonn, D-53072
Germany

Bard College - The Levy Economics Institute

Blithewood
Annandale-on-Hudson, NY 12504
United States

Lonny Reisman

affiliation not provided to SSRN

No Address Available

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