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Meaningful Use of Electronic Health Records: Experiences From the Field and Future Opportunities

With the aim of improving health care processes through health information technology (HIT), the US government has promulgated requirements for "meaningful use" (MU) of electronic health records (EHRs) as a condition for providers receiving financial incentives for the adoption and use of these syst... Full description

Journal Title: JMIR medical informatics 18 September 2015, Vol.3(3), pp.e30
Main Author: Slight, Sarah Patricia
Other Authors: Berner, Eta S , Galanter, William , Huff, Stanley , Lambert, Bruce L , Lannon, Carole , Lehmann, Christoph U , Mccourt, Brian J , Mcnamara, Michael , Menachemi, Nir , Payne, Thomas H , Spooner, S Andrew , Schiff, Gordon D , Wang, Tracy Y , Akincigil, Ayse , Crystal, Stephen , Fortmann, Stephen P , Bates, David W
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 2291-9694 ; PMID: 26385598 Version:1 ; DOI: 10.2196/medinform.4457
Link: http://pubmed.gov/26385598
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recordid: medline26385598
title: Meaningful Use of Electronic Health Records: Experiences From the Field and Future Opportunities
format: Article
creator:
  • Slight, Sarah Patricia
  • Berner, Eta S
  • Galanter, William
  • Huff, Stanley
  • Lambert, Bruce L
  • Lannon, Carole
  • Lehmann, Christoph U
  • Mccourt, Brian J
  • Mcnamara, Michael
  • Menachemi, Nir
  • Payne, Thomas H
  • Spooner, S Andrew
  • Schiff, Gordon D
  • Wang, Tracy Y
  • Akincigil, Ayse
  • Crystal, Stephen
  • Fortmann, Stephen P
  • Bates, David W
subjects:
  • Electronic Health Records
  • Health Policy
  • Meaningful Use
  • Medical Informatics
ispartof: JMIR medical informatics, 18 September 2015, Vol.3(3), pp.e30
description: With the aim of improving health care processes through health information technology (HIT), the US government has promulgated requirements for "meaningful use" (MU) of electronic health records (EHRs) as a condition for providers receiving financial incentives for the adoption and use of these systems. Considerable uncertainty remains about the impact of these requirements on the effective application of EHR systems. The Agency for Healthcare Research and Quality (AHRQ)-sponsored Centers for Education and Research in Therapeutics (CERTs) critically examined the impact of the MU policy relating to the use of medications and jointly developed recommendations to help inform future HIT policy. We gathered perspectives from a wide range of stakeholders (N=35) who had experience with MU requirements, including academicians, practitioners, and policy makers from different health care organizations including and beyond the CERTs. Specific issues and recommendations were discussed and agreed on as a group. Stakeholders' knowledge and experiences from implementing MU requirements fell into 6 domains: (1) accuracy of medication lists and medication reconciliation, (2) problem list accuracy and the shift in HIT priorities, (3) accuracy of allergy lists and allergy-related standards development, (4) support of safer and effective prescribing for children, (5) considerations for rural communities, and (6) general issues with achieving MU. Standards are needed to better facilitate the exchange of data elements between health care settings. Several organizations felt that their preoccupation with fulfilling MU requirements stifled innovation. Greater emphasis should be placed on local HIT configurations that better address population health care needs. Although MU has stimulated adoption of EHRs, its effects on quality and safety remain uncertain. Stakeholders felt that MU requirements should be more flexible and recognize that integrated models may achieve information-sharing goals in alternate ways. Future certification rules and requirements should enhance EHR functionalities critical for safer prescribing of medications in children.
language: eng
source:
identifier: ISSN: 2291-9694 ; PMID: 26385598 Version:1 ; DOI: 10.2196/medinform.4457
fulltext: fulltext
issn:
  • 22919694
  • 2291-9694
url: Link


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titleMeaningful Use of Electronic Health Records: Experiences From the Field and Future Opportunities
creatorSlight, Sarah Patricia ; Berner, Eta S ; Galanter, William ; Huff, Stanley ; Lambert, Bruce L ; Lannon, Carole ; Lehmann, Christoph U ; Mccourt, Brian J ; Mcnamara, Michael ; Menachemi, Nir ; Payne, Thomas H ; Spooner, S Andrew ; Schiff, Gordon D ; Wang, Tracy Y ; Akincigil, Ayse ; Crystal, Stephen ; Fortmann, Stephen P ; Bates, David W
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subjectElectronic Health Records ; Health Policy ; Meaningful Use ; Medical Informatics
descriptionWith the aim of improving health care processes through health information technology (HIT), the US government has promulgated requirements for "meaningful use" (MU) of electronic health records (EHRs) as a condition for providers receiving financial incentives for the adoption and use of these systems. Considerable uncertainty remains about the impact of these requirements on the effective application of EHR systems. The Agency for Healthcare Research and Quality (AHRQ)-sponsored Centers for Education and Research in Therapeutics (CERTs) critically examined the impact of the MU policy relating to the use of medications and jointly developed recommendations to help inform future HIT policy. We gathered perspectives from a wide range of stakeholders (N=35) who had experience with MU requirements, including academicians, practitioners, and policy makers from different health care organizations including and beyond the CERTs. Specific issues and recommendations were discussed and agreed on as a group. Stakeholders' knowledge and experiences from implementing MU requirements fell into 6 domains: (1) accuracy of medication lists and medication reconciliation, (2) problem list accuracy and the shift in HIT priorities, (3) accuracy of allergy lists and allergy-related standards development, (4) support of safer and effective prescribing for children, (5) considerations for rural communities, and (6) general issues with achieving MU. Standards are needed to better facilitate the exchange of data elements between health care settings. Several organizations felt that their preoccupation with fulfilling MU requirements stifled innovation. Greater emphasis should be placed on local HIT configurations that better address population health care needs. Although MU has stimulated adoption of EHRs, its effects on quality and safety remain uncertain. Stakeholders felt that MU requirements should be more flexible and recognize that integrated models may achieve information-sharing goals in alternate ways. Future certification rules and requirements should enhance EHR functionalities critical for safer prescribing of medications in children.
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0With the aim of improving health care processes through health information technology (HIT), the US government has promulgated requirements for "meaningful use" (MU) of electronic health records (EHRs) as a condition for providers receiving financial incentives for the adoption and use of these systems. Considerable uncertainty remains about the impact of these requirements on the effective application of EHR systems.
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3Stakeholders' knowledge and experiences from implementing MU requirements fell into 6 domains: (1) accuracy of medication lists and medication reconciliation, (2) problem list accuracy and the shift in HIT priorities, (3) accuracy of allergy lists and allergy-related standards development, (4) support of safer and effective prescribing for children, (5) considerations for rural communities, and (6) general issues with achieving MU. Standards are needed to better facilitate the exchange of data elements between health care settings. Several organizations felt that their preoccupation with fulfilling MU requirements stifled innovation. Greater emphasis should be placed on local HIT configurations that better address population health care needs.
4Although MU has stimulated adoption of EHRs, its effects on quality and safety remain uncertain. Stakeholders felt that MU requirements should be more flexible and recognize that integrated models may achieve information-sharing goals in alternate ways. Future certification rules and requirements should enhance EHR functionalities critical for safer prescribing of medications in children.
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abstractWith the aim of improving health care processes through health information technology (HIT), the US government has promulgated requirements for "meaningful use" (MU) of electronic health records (EHRs) as a condition for providers receiving financial incentives for the adoption and use of these systems. Considerable uncertainty remains about the impact of these requirements on the effective application of EHR systems.
doi10.2196/medinform.4457
pmid26385598
date2015-09-18