With the publication of To Err is Human and Crossing the Quality Chasm in 2000 and 2001, the implementation of electronic health records (EHRs) and health IT systems has been a key preoccupation of modern US healthcare systems in an effort to improve quality and reduce costs in healthcare. Yet, the returns on health IT investment vary greatly both among and within healthcare systems. This thesis is an attempt to measure how IT implementation affects productivity, as well as costs and quality. The underlying assumption of this thesis is that, regardless of the size of the organization, innovative leadership, collaboration with physicians, current workflow and process assessment, technology selection and choice of appropriate metrics for evaluation
