Please use this identifier to cite or link to this item:

Sorting out EHR adoption and assimilation in the Meaningful Use incentive program in Hawaii

File Size Format  
paper0423.pdf 999.14 kB Adobe PDF View/Open

Item Summary

Title:Sorting out EHR adoption and assimilation in the Meaningful Use incentive program in Hawaii
Authors:Holden, Kelly
Davidson, Elizabeth
Date Issued:04 Jan 2017
Abstract:Both widespread adoption and meaningful assimilation are needed to achieve the full benefits of EHRs.  In the U.S. the HITECH Act and its Meaningful Use (MU) program have stimulated EHR adoption to historically high levels.  Questions remain about program efficacy and possible unintended consequences.  In this paper, we report our analysis of Meaningful Use attestation data for the period 2011-2014 in the State of Hawai’i.  Findings indicate that the MU program primarily stimulated deeper assimilation of EHRs among existing adopters in 2011, mostly in large practice groups. In subsequent years, EHR adoption and assimilation, evidenced by MU attestation, increased then peaked among small, independent practices.  In the final study year, attestation rates dropped for small practices, although only one third of eligible providers have attested, while attestation among larger practices remained steady as this group shifted to the next MU stage.  Findings suggest small practices, particularly primary care and rural practices, continue to face high barriers to meaningful EHR adoption and assimilation. Findings suggest better targeted policies and incentives may be needed to keep this promising program on track. \
Pages/Duration:10 pages
Rights:Attribution-NonCommercial-NoDerivatives 4.0 International
Appears in Collections: IT Adoption, Diffusion and Evaluation in Healthcare Minitrack

Please email if you need this content in ADA-compliant format.

This item is licensed under a Creative Commons License Creative Commons