health information technology adoption & use john k. iglehart founding editor

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  • Slide 1
  • Health Information Technology Adoption & Use John K. Iglehart Founding Editor
  • Slide 2
  • Health Affairs thanks for its ongoing support of the journal as well as todays briefing
  • Slide 3
  • Keynote Farzad Mostashari, M.D., Sc.M. National Coordinator for Health IT, US Department of Health And Human Services
  • Slide 4
  • Meaningful Use: Where Are We Now? Michael W. Painter, J.D., M.D. Senior Program Officer Robert Wood Johnson Foundation
  • Slide 5
  • Adoption of Electronic Health Records Grows Rapidly But Fewer Than Half of US Hospitals Had At Least a Basic System in 2012 Catherine M. DesRoches, Ph.D. Senior Survey Researcher Mathematica Policy Research
  • Slide 6
  • Methodology 2012 health IT supplement to the AHAs annual survey. Field period: October 2012 January 2013. Analytic sample: 2,796 general, acute care hospitals. Measures: basic and comprehensive EHR, stage 1 MU and stage 2 MU proxies. All results are weighted to adjust for non- response bias.
  • Slide 7
  • Changes In Adoption Of Basic And Comprehensive EHR DesRoches CM, Charles D, Furukawa MF, et al. (2013) Adoption of Electronic Health Records Grows Rapidly, But Fewer Than Half of US Hospitals Had At Least A Basic System in 2012. Health Aff (Millwood). 2013;32(8)
  • Slide 8
  • Meaningful Use 42.2% of hospital met our proxy measure of stage 1 meaningful use Hospitals meeting stage 1 Larger hospitals Major teaching hospitals Private non-profit status Located in urban areas 5.1% of hospitals met our proxy measure for meaningful use stage 2.
  • Slide 9
  • Conclusions And Policy Implications Substantial increases in adoption over prior years. Tremendous amount of activity across all subgroups, although some still lag behind. Challenges remain. Fewer than half of hospitals met stage 1 proxy. Small proportion could meet core criteria for stage 2.
  • Slide 10
  • Continued Effort Is Needed In The Following Areas: Small and rural hospitals Both revenue and workforce challenges Patient access to records Electronic data exchange Among hospitals and providers Public health functions Hospitals that appear to be moving more slowly
  • Slide 11
  • Office-based Physicians Are Responding To Incentives And Assistance By Adopting And Using Electronic Health Records Chun-Ju Hsiao, Ph.D., M.H.S. Ashish K. Jha, M.D., M.P.H Jennifer King, Ph.D. Vaishali Patel, Ph.D. Michael F. Furukawa, Ph.D. Farzad Mostashari, M.D., Sc.M. We would like to thank the Office of the National Coordinator for Health Information Technology for funding the National Ambulatory Medical Care Survey - Electronic Health Records Survey. Dr. Jha was funded by RWJF. The findings and conclusions in this article are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention, or the Office of the National Coordinator.
  • Slide 12
  • Policy Context And Purpose Substantial resources made available through HITECH have been devoted to helping providers achieve meaningful use of EHR systems. To assess who is using the systems and how their adoption has evolved To examine adoption and routine use of specific capabilities related to a Basic EHR system and meaningful-use criteria
  • Slide 13
  • Data And Methods 2010-12 National Ambulatory Medical Care Survey (NAMCS) - Electronic Health Records Survey of office-based physicians Measuring EHR adoption Measuring routine use
  • Slide 14
  • Analysis Descriptive analysis examining the change in the use of any type of EHR system and the adoption of a Basic system between 2010 and 2012 Multivariate analysis assessing characteristics associated with the adoption of a Basic EHR system Descriptive analysis examining trends in adoption of capabilities required for a Basic EHR system and selected stage 1 core criteria for meaningful use Descriptive analysis examining whether physicians routinely used capabilities related to stage 1 core criteria for meaningful use and a Basic EHR system Multivariate analysis assessing characteristics associated with routine use
  • Slide 15
  • Office-based Physicians Adoption Of EHR Systems, 2010-12
  • Slide 16
  • Adoption Of Basic EHR Systems, By Physician Characteristics, 2010 And 2012 Basic EHR adoption rate (adjusted percent) Change in Basic EHR adoption rate 2010 2012 Absolute change (percentage point) Relative change (percent) Age

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