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Purpose

Our study investigates the observable patterns related to the implementation of electronic medical records (EMR) and their subsequent effects on hospital performance.

Design/methodology/approach

We conducted a comprehensive analysis utilizing longitudinal hospital-level data from 2008 to 2017, employing the Naïve Bayes and Euclidean distance approaches.

Findings

We identified false-positive cases among hospitals initially classified as having completed EMR adoption. We provide statistical evidence supporting immediate EMR component adoption for these cases. We also suggest more effective EMR adoption patterns based on the characteristics of hospitals and find that the recommended patterns yield a potential increase in hospital performance in terms of net patient revenue and the number of discharges.

Originality/value

Our analysis revealed that there were differences in hospital performance depending on the specific EMR adoption patterns they followed. This study offers substantial evidence and rationale to academia and practitioners, emphasizing not only the importance of complete EMR adoption but also the manner in which EMR adoption is executed.

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