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Am J Med Qual. 2015 Nov-Dec;30(6):512-9. doi: 10.1177/1062860614546547. Epub 2014 Aug 13.

The meaningful use of electronic health records and health care quality.

Author information

  • 1Weill Cornell Medical College, New York, NY Health Information Technology Evaluation Collaborative, New York, NY lmk2003@med.cornell.edu.
  • 2Weill Cornell Medical College, New York, NY Health Information Technology Evaluation Collaborative, New York, NY.
  • 3Weill Cornell Medical College, New York, NY Health Information Technology Evaluation Collaborative, New York, NY New York-Presbyterian Hospital, New York, NY.

Abstract

The federal government is investing approximately $30 billion in incentives for adoption and meaningful use (MU) of electronic health records (EHRs). Whether achieving MU improves quality of care is unclear. The researchers conducted a longitudinal study of 514 primary care physicians in New York State from 2010 to 2011. Quality of care provided by those who achieved stage 1 MU was compared with the quality provided by those who used EHRs but did not achieve stage 1 MU. Generalized estimating equations were used to determine whether receipt of MU incentives was independently associated with performance on 9 MU quality measures. In 2011, 44% of physicians achieved MU and 56% did not. No difference in quality was found between those who achieved stage 1 MU and those who were using EHRs but had not achieved MU. Longer follow-up is needed to observe the full effects of this multistage national policy.

© The Author(s) 2014.

KEYWORDS:

ambulatory care; electronic health records; quality of care

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PMID:
25122006
[PubMed - in process]
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