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Catherine M. Desroches - One of the best experts on this subject based on the ideXlab platform.
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Electronic Health Record Adoption in US Hospitals: Progress Continues, But Challenges Persist
Health Affairs, 2015Co-Authors: Julia Adler-milstein, Catherine M. Desroches, Chantal Worzala, Dustin Charles, Peter Kralovec, Gregory Foster, Talisha Searcy, Ashish K. JhaAbstract:Achieving nationwide adoption of electronic health records (EHRs) remains an important policy priority. While EHR adoption has increased steadily since 2010, it is unclear how providers that have not yet adopted will fare now that federal incentives have converted to penalties. We Used 2008–14 national data, which includes the most recently available, to examine hospital EHR trends. We found large gains in adoption, with 75 percent of US hospitals now having adopted at least a basic EHR system—up from 59 percent in 2013. However, small and rural hospitals continue to lag behind. Among hospitals without a basic EHR system, the function most often not yet adopted (in 61 percent of hospitals) was physician notes. We also saw large increases in the ability to meet core stage 2 Meaningful-Use Criteria (40.5 percent of hospitals, up from 5.8 percent in 2013); much of this progress resulted from increased ability to meet Criteria related to exchange of health information with patients and with other physicians d...
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more than half of us hospitals have at least a basic ehr but stage 2 Criteria remain challenging for most
Health Affairs, 2014Co-Authors: Julia Adlermilstein, Catherine M. Desroches, Michael F. Furukawa, Chantal Worzala, Dustin Charles, Peter Kralovec, Samantha StalleyAbstract:The national effort to promote the adoption and Meaningful Use of electronic health records (EHRs) is well under way. However, 2014 marks an important transition: For many hospitals, penalties will be assessed in fiscal year 2015 for failing to meet federal Meaningful-Use Criteria by the end of fiscal year 2014. We Used recent data from the American Hospital Association Annual Survey of Hospitals—IT Supplement to assess progress and challenges. EHR adoption among US hospitals continues to rise steeply: 59 percent now have at least a basic EHR. Small and rural hospitals continue to lag behind their better resourced counterparts. Most hospitals are able to meet many of the stage 2 Meaningful-Use Criteria, but only 5.8 percent of hospitals are able to meet them all. Several Criteria, including sharing care summaries with other providers and providing patients with online access to their data, will require attention from EHR vendors to ensure that the necessary functions are available and additional effort fr...
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More Than Half of U.S. Hospitals Have at Least a Basic EHR, But Stage 2 Criteria Remain Challenging for Most
Mathematica Policy Research Reports, 2014Co-Authors: Julia Adler-milstein, Catherine M. Desroches, Michael F. Furukawa, Chantal Worzala, Dustin Charles, Samantha Stalley, Peter Kralvec, Ashish K. JhaAbstract:The national effort to promote the adoption and Meaningful Use of electronic health records (EHRs) is well under way. However, 2014 marks an important transition: For many hospitals, penalties will be assessed in fiscal year 2015 for failing to meet federal Meaningful-Use Criteria by the end of fiscal year 2014.
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Meeting Meaningful Use Criteria and Managing Patient Populations
Annals of Internal Medicine, 2013Co-Authors: Catherine M. Desroches, Anne-marie Audet, Michael W. Painter, Karen DonelanAbstract:The Centers for Medicare & Medicaid Services provides incentive payments to physicians who meet electronic health record (EHR) Meaningful Use Criteria. Whether most physicians with EHRs are able to...
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Meeting Meaningful Use Criteria and Managing Patient Populations: A National Survey of Practicing Physicians
Mathematica Policy Research Reports, 2013Co-Authors: Catherine M. Desroches, Anne-marie Audet, Michael W. Painter, Karen DonelanAbstract:More than 40 percent of the nation’s physicians have access to a basic electronic health record (EHR) system; however, implementation of advanced functions for patient management and care coordination is not widespread, according to a study led by Mathematica and the Mongan Institute for Health Policy at MassachUsetts General Hospital. Furthermore, when these tools are available, physicians report they are complicated and difficult to Use. Many EHR functions, such as electronic data exchange, will be required for physicians to meet the Meaningful Use Criteria of the Centers for Medicare & Medicaid Services (CMS) for EHRs. CMS established these Criteria to ensure that physicians Use EHRs to improve patient care; physicians participating in the Meaningful Use program receive financial incentives when they meet the Criteria.
’jon (sean) Jasperson - One of the best experts on this subject based on the ideXlab platform.
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Factors Associated with Health Information Exchange System Usage in a Safety-Net Ambulatory Care Clinic Setting
Journal of Medical Systems, 2012Co-Authors: Joshua R. Vest, Larry D. Gamm, Robert L. Ohsfeldt, Hongwei Zhao, ’jon (sean) JaspersonAbstract:The Meaningful Use Criteria promises to make health information exchange (HIE) much more widespread. However, the usage of the information systems made available by existing HIE efforts tends to be very low. This study sought to examine the factors associated with usage of an operational HIE system during ambulatory care visits to safety-net clinics. Overall the HIE system was accessed for 21% of encounters. However, system access took on two distinct forms. In general, usage was more likely for patients with recent emergency department visits and chronic conditions. This study indicates the organizational commitment to engage in HIE does not necessarily mean that the information systems will be always Used. In addition, system usage will take on various forms for different reasons. These results reveal considerations for the development, operation and evaluation of HIE efforts.
Julia Adlermilstein - One of the best experts on this subject based on the ideXlab platform.
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are all certified ehrs created equal assessing the relationship between ehr vendor and hospital Meaningful Use performance
Journal of the American Medical Informatics Association, 2018Co-Authors: Jay A Holmgren, Julia Adlermilstein, Jeffrey McculloughAbstract:The federal electronic health record (EHR) certification process was intended to ensure a baseline level of system quality and the ability to support Meaningful Use Criteria. We sought to assess whether there was variation across EHR vendors in the degree to which hospitals using products from those vendors were able to achieve high levels of performance on Meaningful Use Criteria.We created a cross-sectional national hospital sample from the Office of the National Coordinator for Health Information Technology EHR Products Used for Meaningful Use Attestation public Use file and the Centers for Medicare & Medicaid Services Medicare EHR Incentive Program Eligible Hospitals public Use file. We Used regression models to assess the relationship between vendor and hospital performance on 6 Stage 2 Meaningful Use Criteria, controlling for hospital characteristics. We also calculated how much variation in performance is explained by vendor choice.We found significant associations between specific vendor and level of hospital performance for all 6 Meaningful Use Criteria. Epic was associated with significantly higher performance on 5 of the 6 Criteria; relationships for other vendors were mixed, with some associated with significantly worse performance on multiple Criteria. EHR vendor choice accounted for between 7% and 34% of performance variation across the 6 Criteria.A nontrivial proportion of variation in hospital Meaningful Use performance is explained by vendor choice, and certain vendors are more often associated with better Meaningful Use performance than others. Our results suggest that policy-makers should improve the certification process by including more "real-world" scenario testing and provider feedback or ratings to reduce this variation. Hospitals can Use these results to guide interactions with vendors.Vendor choice accounts for a Meaningful proportion of variation in hospital Meaningful Use performance, and specific vendors are consistently associated with higher or lower performance across Criteria.
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improving ehr capabilities to facilitate stage 3 Meaningful Use care coordination Criteria
American Medical Informatics Association Annual Symposium, 2015Co-Authors: Dori A. Cross, Genna R. Cohen, Paige Nong, Anya Victoria Day, Danielle Vibbert, Ramya Naraharisetti, Julia AdlermilsteinAbstract:Primary care practices have been limited in their ability to leverage electronic health records (EHRs) and health information exchange (HIE) to improve care coordination, but will soon be incentivized to do so under proposed Stage 3 Meaningful Use Criteria. We Use mixed methods to understand how primary care practices manage, share and reconcile electronic patient information across care settings, and identify innovations in EHR design to support enhanced care coordination. Opportunities identified by practices focUsed on availability and usability of features that facilitate (1) generation of customized summary of care records, (2) team-based care approaches, and (3) management of the increased volume of electronic information generated and exchanged during care transitions. More broadly, vendors and policymakers need to continue to work together to improve interoperability as the key to effective care coordination. If these EHR innovations were widespread, the value of meeting the proposed Stage 3 care coordination Criteria would be substantially enhanced.
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more than half of us hospitals have at least a basic ehr but stage 2 Criteria remain challenging for most
Health Affairs, 2014Co-Authors: Julia Adlermilstein, Catherine M. Desroches, Michael F. Furukawa, Chantal Worzala, Dustin Charles, Peter Kralovec, Samantha StalleyAbstract:The national effort to promote the adoption and Meaningful Use of electronic health records (EHRs) is well under way. However, 2014 marks an important transition: For many hospitals, penalties will be assessed in fiscal year 2015 for failing to meet federal Meaningful-Use Criteria by the end of fiscal year 2014. We Used recent data from the American Hospital Association Annual Survey of Hospitals—IT Supplement to assess progress and challenges. EHR adoption among US hospitals continues to rise steeply: 59 percent now have at least a basic EHR. Small and rural hospitals continue to lag behind their better resourced counterparts. Most hospitals are able to meet many of the stage 2 Meaningful-Use Criteria, but only 5.8 percent of hospitals are able to meet them all. Several Criteria, including sharing care summaries with other providers and providing patients with online access to their data, will require attention from EHR vendors to ensure that the necessary functions are available and additional effort fr...
Peter Kralovec - One of the best experts on this subject based on the ideXlab platform.
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Electronic Health Record Adoption in US Hospitals: Progress Continues, But Challenges Persist
Health Affairs, 2015Co-Authors: Julia Adler-milstein, Catherine M. Desroches, Chantal Worzala, Dustin Charles, Peter Kralovec, Gregory Foster, Talisha Searcy, Ashish K. JhaAbstract:Achieving nationwide adoption of electronic health records (EHRs) remains an important policy priority. While EHR adoption has increased steadily since 2010, it is unclear how providers that have not yet adopted will fare now that federal incentives have converted to penalties. We Used 2008–14 national data, which includes the most recently available, to examine hospital EHR trends. We found large gains in adoption, with 75 percent of US hospitals now having adopted at least a basic EHR system—up from 59 percent in 2013. However, small and rural hospitals continue to lag behind. Among hospitals without a basic EHR system, the function most often not yet adopted (in 61 percent of hospitals) was physician notes. We also saw large increases in the ability to meet core stage 2 Meaningful-Use Criteria (40.5 percent of hospitals, up from 5.8 percent in 2013); much of this progress resulted from increased ability to meet Criteria related to exchange of health information with patients and with other physicians d...
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more than half of us hospitals have at least a basic ehr but stage 2 Criteria remain challenging for most
Health Affairs, 2014Co-Authors: Julia Adlermilstein, Catherine M. Desroches, Michael F. Furukawa, Chantal Worzala, Dustin Charles, Peter Kralovec, Samantha StalleyAbstract:The national effort to promote the adoption and Meaningful Use of electronic health records (EHRs) is well under way. However, 2014 marks an important transition: For many hospitals, penalties will be assessed in fiscal year 2015 for failing to meet federal Meaningful-Use Criteria by the end of fiscal year 2014. We Used recent data from the American Hospital Association Annual Survey of Hospitals—IT Supplement to assess progress and challenges. EHR adoption among US hospitals continues to rise steeply: 59 percent now have at least a basic EHR. Small and rural hospitals continue to lag behind their better resourced counterparts. Most hospitals are able to meet many of the stage 2 Meaningful-Use Criteria, but only 5.8 percent of hospitals are able to meet them all. Several Criteria, including sharing care summaries with other providers and providing patients with online access to their data, will require attention from EHR vendors to ensure that the necessary functions are available and additional effort fr...
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Adoption of Electronic Health Records Grows Rapidly, But Fewer Than Half of US Hospitals had at Least a Basic System in 2012
Mathematica Policy Research Reports, 2013Co-Authors: Catherine M. Desroches, Michael F. Furukawa, Dustin Charles, Maulik S. Joshi, Peter Kralovec, Farzad Mostashari, Chantal Worzala Ashish K. JhaAbstract:This article measured current hospital Use of electronic health record (EHR) systems using data from the 2012 health IT supplement to the American Hospital Association’s annual survey. According to the data, 44 percent of hospitals report having at least a basic EHR system, a 17 percent increase from 2011 and a near-tripling of the 2010 adoption rate. Also, large urban hospitals continued to outpace rural and nonteaching hospitals. Although 42.2 percent of all hospitals met all the stage 1 Meaningful-Use Criteria, only 5.1 percent had advanced to stage 2. While considerable progress has been made, findings suggest a need for a focus on hospitals still trailing behind, notably small and rural institutions. This focus is especially important as stage 2 Meaningful-Use Criteria become the rule, and positive incentives are replaced by penalties for noncompliance.
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Adoption Of Electronic Health Records Grows Rapidly, But Fewer Than Half Of US Hospitals Had At Least A Basic System In 2012
Health Affairs, 2013Co-Authors: Catherine M. Desroches, Michael F. Furukawa, Chantal Worzala, Dustin Charles, Maulik S. Joshi, Peter Kralovec, Farzad Mostashari, Ashish K. JhaAbstract:The US health care system is in the midst of an enormous change in the way health care providers and hospitals document, monitor, and share information about health and care delivery. Part of this transition involves a wholesale, but currently uneven, shift from paper-based records to electronic health record (EHR) systems. We Used the most recent longitudinal survey of US hospitals to track how they are adopting and using EHR systems. Only 44 percent of hospitals report having and using what we define as at least a basic EHR system. And although 42.2 percent meet all of the federal stage 1 “Meaningful-Use” Criteria, only 5.1 percent could meet the broader set of stage 2 Criteria. Large urban hospitals continue to outpace rural and nonteaching hospitals in adopting EHR systems. The increase in adoption overall suggests that the positive and negative financial incentives currently in place across the US health care system are working as intended. However, achieving a nationwide health information technolog...
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a progress report on electronic health records in u s hospitals
Health Affairs, 2010Co-Authors: Catherine M. Desroches, Peter Kralovec, Maulik S. JoshiAbstract:Given the substantial federal financial incentives soon to be available to providers who make “Meaningful Use” of electronic health records, tracking the progress of this health care technology conversion is a policy priority. Using a recent survey of U.S. hospitals, we found that the share of hospitals that had adopted either basic or comprehensive electronic records has risen modestly, from 8.7 percent in 2008 to 11.9 percent in 2009. Small, public, and rural hospitals were less likely to embrace electronic records than their larger, private, and urban counterparts. Only 2 percent of U.S. hospitals reported having electronic health records that would allow them to meet the federal government’s “Meaningful Use” Criteria. These findings underscore the fact that the transition to a digital health care system is likely to be a long one.
Michael F. Furukawa - One of the best experts on this subject based on the ideXlab platform.
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more than half of us hospitals have at least a basic ehr but stage 2 Criteria remain challenging for most
Health Affairs, 2014Co-Authors: Julia Adlermilstein, Catherine M. Desroches, Michael F. Furukawa, Chantal Worzala, Dustin Charles, Peter Kralovec, Samantha StalleyAbstract:The national effort to promote the adoption and Meaningful Use of electronic health records (EHRs) is well under way. However, 2014 marks an important transition: For many hospitals, penalties will be assessed in fiscal year 2015 for failing to meet federal Meaningful-Use Criteria by the end of fiscal year 2014. We Used recent data from the American Hospital Association Annual Survey of Hospitals—IT Supplement to assess progress and challenges. EHR adoption among US hospitals continues to rise steeply: 59 percent now have at least a basic EHR. Small and rural hospitals continue to lag behind their better resourced counterparts. Most hospitals are able to meet many of the stage 2 Meaningful-Use Criteria, but only 5.8 percent of hospitals are able to meet them all. Several Criteria, including sharing care summaries with other providers and providing patients with online access to their data, will require attention from EHR vendors to ensure that the necessary functions are available and additional effort fr...
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More Than Half of U.S. Hospitals Have at Least a Basic EHR, But Stage 2 Criteria Remain Challenging for Most
Mathematica Policy Research Reports, 2014Co-Authors: Julia Adler-milstein, Catherine M. Desroches, Michael F. Furukawa, Chantal Worzala, Dustin Charles, Samantha Stalley, Peter Kralvec, Ashish K. JhaAbstract:The national effort to promote the adoption and Meaningful Use of electronic health records (EHRs) is well under way. However, 2014 marks an important transition: For many hospitals, penalties will be assessed in fiscal year 2015 for failing to meet federal Meaningful-Use Criteria by the end of fiscal year 2014.
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Clinical Benefits of Electronic Health Record Use: National Findings
Health Services Research, 2013Co-Authors: Jennifer King, Eric Jamoom, Vaishali Patel, Michael F. FurukawaAbstract:Objective To assess whether physicians’ reported electronic health record (EHR) Use provides clinical benefits and whether benefits depend on using an EHR meeting Meaningful Use Criteria or length of EHR experience.
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Physician experience with electronic health record systems that meet Meaningful Use Criteria: NAMCS physician workflow survey, 2011.
NCHS data brief, 2013Co-Authors: Eric Jamoom, Vaishali Patel, Jennifer King, Michael F. FurukawaAbstract:KEY FINDINGS Data from the National Ambulatory Medical Care Survey's (NAMCS) Physician Workflow Survey, 2011. About three-quarters of physicians with electronic health record (EHR) systems have systems that meet Meaningful Use Criteria. Physicians with EHR systems that meet Meaningful Use Criteria were more likely to report that their system provides time savings than physicians with systems not meeting Meaningful Use Criteria, but only in some areas. Physicians with EHR systems that meet Meaningful Use Criteria were more likely to report enhanced confidentiality and less disruption in their interactions with patients than physicians with systems not meeting Meaningful Use Criteria. Physicians with EHR systems that meet Meaningful Use Criteria were no more likely to report financial benefits and selected clinical benefits than those with systems not meeting Meaningful Use Criteria.
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Adoption of Electronic Health Records Grows Rapidly, But Fewer Than Half of US Hospitals had at Least a Basic System in 2012
Mathematica Policy Research Reports, 2013Co-Authors: Catherine M. Desroches, Michael F. Furukawa, Dustin Charles, Maulik S. Joshi, Peter Kralovec, Farzad Mostashari, Chantal Worzala Ashish K. JhaAbstract:This article measured current hospital Use of electronic health record (EHR) systems using data from the 2012 health IT supplement to the American Hospital Association’s annual survey. According to the data, 44 percent of hospitals report having at least a basic EHR system, a 17 percent increase from 2011 and a near-tripling of the 2010 adoption rate. Also, large urban hospitals continued to outpace rural and nonteaching hospitals. Although 42.2 percent of all hospitals met all the stage 1 Meaningful-Use Criteria, only 5.1 percent had advanced to stage 2. While considerable progress has been made, findings suggest a need for a focus on hospitals still trailing behind, notably small and rural institutions. This focus is especially important as stage 2 Meaningful-Use Criteria become the rule, and positive incentives are replaced by penalties for noncompliance.