Overcoming challenges to achieving meaningful use: Insights from hospitals that successfully received centers for medicare and medicaid services payments in 2011

Chris Harle, Timothy R. Huerta, Eric W. Ford, Mark L. Diana, Nir Menachemi

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Objective: In an effort to understand better the federal electronic health record (EHR) incentive programme's challenges, this study compared hospitals that did and did not receive meaningful use (MU) payments in the programme's first year based on the challenges they anticipated a year before. Materials and Methods: This cross-sectional study used 2010 American Hospital Association survey data and 2011 Centers for Medicare and Medicaid Services data that identify hospitals receiving MU payments. Multivariate regression analysis assessed differences in 2010 anticipated challenges to MU for hospitals that were successful in earning 2011 MU payment compared to hospitals that intended to participate in the programme but were not yet successful. Results: The study sample consisted of 2475 hospitals, 313 of which received MU payments in 2011. Controlling for standard hospital characteristics, hospitals that reported the computerized provider order entry (CPOE) MU criterion as a primary challenge were 18% less likely to receive a 2011 MU payment compared to hospitals that reported other criteria as primary challenges. Discussion: CPOE was the main challenge among hospitals that failed to achieve MU in the first year of the programme. In order to maximize the incentive programme's effectiveness, policymakers, healthcare organizations, and EHR vendors may benefit from increased attention to hospitals' challenges with CPOE. Conclusion: As the EHR incentive programme matures, policymakers and other stakeholders should consider strategies that maintain the critical elements of MU while adequately supporting hospitals that desire to become MU but are impeded by specific technological, cultural, and organizational adoption and use challenges.

Original languageEnglish (US)
Pages (from-to)233-237
Number of pages5
JournalJournal of the American Medical Informatics Association
Volume20
Issue number2
DOIs
StatePublished - Mar 13 2013
Externally publishedYes

Fingerprint

Centers for Medicare and Medicaid Services (U.S.)
Medical Order Entry Systems
Electronic Health Records
Motivation
American Hospital Association
Program Evaluation
Multivariate Analysis
Cross-Sectional Studies
Regression Analysis
Organizations

ASJC Scopus subject areas

  • Health Informatics

Cite this

@article{d25e62f904b747afb58fea4227812427,
title = "Overcoming challenges to achieving meaningful use: Insights from hospitals that successfully received centers for medicare and medicaid services payments in 2011",
abstract = "Objective: In an effort to understand better the federal electronic health record (EHR) incentive programme's challenges, this study compared hospitals that did and did not receive meaningful use (MU) payments in the programme's first year based on the challenges they anticipated a year before. Materials and Methods: This cross-sectional study used 2010 American Hospital Association survey data and 2011 Centers for Medicare and Medicaid Services data that identify hospitals receiving MU payments. Multivariate regression analysis assessed differences in 2010 anticipated challenges to MU for hospitals that were successful in earning 2011 MU payment compared to hospitals that intended to participate in the programme but were not yet successful. Results: The study sample consisted of 2475 hospitals, 313 of which received MU payments in 2011. Controlling for standard hospital characteristics, hospitals that reported the computerized provider order entry (CPOE) MU criterion as a primary challenge were 18{\%} less likely to receive a 2011 MU payment compared to hospitals that reported other criteria as primary challenges. Discussion: CPOE was the main challenge among hospitals that failed to achieve MU in the first year of the programme. In order to maximize the incentive programme's effectiveness, policymakers, healthcare organizations, and EHR vendors may benefit from increased attention to hospitals' challenges with CPOE. Conclusion: As the EHR incentive programme matures, policymakers and other stakeholders should consider strategies that maintain the critical elements of MU while adequately supporting hospitals that desire to become MU but are impeded by specific technological, cultural, and organizational adoption and use challenges.",
author = "Chris Harle and Huerta, {Timothy R.} and Ford, {Eric W.} and Diana, {Mark L.} and Nir Menachemi",
year = "2013",
month = "3",
day = "13",
doi = "10.1136/amiajnl-2012-001142",
language = "English (US)",
volume = "20",
pages = "233--237",
journal = "Journal of the American Medical Informatics Association : JAMIA",
issn = "1067-5027",
publisher = "Oxford University Press",
number = "2",

}

TY - JOUR

T1 - Overcoming challenges to achieving meaningful use

T2 - Insights from hospitals that successfully received centers for medicare and medicaid services payments in 2011

AU - Harle, Chris

AU - Huerta, Timothy R.

AU - Ford, Eric W.

AU - Diana, Mark L.

AU - Menachemi, Nir

PY - 2013/3/13

Y1 - 2013/3/13

N2 - Objective: In an effort to understand better the federal electronic health record (EHR) incentive programme's challenges, this study compared hospitals that did and did not receive meaningful use (MU) payments in the programme's first year based on the challenges they anticipated a year before. Materials and Methods: This cross-sectional study used 2010 American Hospital Association survey data and 2011 Centers for Medicare and Medicaid Services data that identify hospitals receiving MU payments. Multivariate regression analysis assessed differences in 2010 anticipated challenges to MU for hospitals that were successful in earning 2011 MU payment compared to hospitals that intended to participate in the programme but were not yet successful. Results: The study sample consisted of 2475 hospitals, 313 of which received MU payments in 2011. Controlling for standard hospital characteristics, hospitals that reported the computerized provider order entry (CPOE) MU criterion as a primary challenge were 18% less likely to receive a 2011 MU payment compared to hospitals that reported other criteria as primary challenges. Discussion: CPOE was the main challenge among hospitals that failed to achieve MU in the first year of the programme. In order to maximize the incentive programme's effectiveness, policymakers, healthcare organizations, and EHR vendors may benefit from increased attention to hospitals' challenges with CPOE. Conclusion: As the EHR incentive programme matures, policymakers and other stakeholders should consider strategies that maintain the critical elements of MU while adequately supporting hospitals that desire to become MU but are impeded by specific technological, cultural, and organizational adoption and use challenges.

AB - Objective: In an effort to understand better the federal electronic health record (EHR) incentive programme's challenges, this study compared hospitals that did and did not receive meaningful use (MU) payments in the programme's first year based on the challenges they anticipated a year before. Materials and Methods: This cross-sectional study used 2010 American Hospital Association survey data and 2011 Centers for Medicare and Medicaid Services data that identify hospitals receiving MU payments. Multivariate regression analysis assessed differences in 2010 anticipated challenges to MU for hospitals that were successful in earning 2011 MU payment compared to hospitals that intended to participate in the programme but were not yet successful. Results: The study sample consisted of 2475 hospitals, 313 of which received MU payments in 2011. Controlling for standard hospital characteristics, hospitals that reported the computerized provider order entry (CPOE) MU criterion as a primary challenge were 18% less likely to receive a 2011 MU payment compared to hospitals that reported other criteria as primary challenges. Discussion: CPOE was the main challenge among hospitals that failed to achieve MU in the first year of the programme. In order to maximize the incentive programme's effectiveness, policymakers, healthcare organizations, and EHR vendors may benefit from increased attention to hospitals' challenges with CPOE. Conclusion: As the EHR incentive programme matures, policymakers and other stakeholders should consider strategies that maintain the critical elements of MU while adequately supporting hospitals that desire to become MU but are impeded by specific technological, cultural, and organizational adoption and use challenges.

UR - http://www.scopus.com/inward/record.url?scp=84874787694&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84874787694&partnerID=8YFLogxK

U2 - 10.1136/amiajnl-2012-001142

DO - 10.1136/amiajnl-2012-001142

M3 - Article

C2 - 23002111

AN - SCOPUS:84874787694

VL - 20

SP - 233

EP - 237

JO - Journal of the American Medical Informatics Association : JAMIA

JF - Journal of the American Medical Informatics Association : JAMIA

SN - 1067-5027

IS - 2

ER -