Measuring Meaningful Use

Hogan, Sean; Kissam, Stephanie

doi:10.1377/hlthaff.2009.1023

Cited by 42 publications

(24 citation statements)

References 8 publications

(9 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Since the PACIC’s development in 2005, primary care services have undergone significant redesign in many health care systems, driven in part by the widespread implementation of Patient-Centered Medical Home (PCMH) principles [26], and by the widespread adoption and meaningful use of electronic health records [EHRs; 27]. The passage of the Affordable Care Act in 2010 accelerated these changes [28].…”

Section: Introductionmentioning

confidence: 99%

Patient Experience in an Era of Primary Care Transformation: Revisiting the PACIC

Noël¹,

Parchman²

2016

EJPCH

View full text Add to dashboard Cite

Rationale-Aims and Objective: The validation study of the Patient Assessment of Chronic Illness Care (PACIC) questionnaire suggested a 5-factor structure determined a priori, but subsequent analyses have questioned the validity of the original factor structure. This study analyzed the factor structure of the PACIC using a large and diverse patient sample, and evaluated the identified factors through the lens of recent transformational initiatives in primary care.Methods-Convenience samples of adults completed surveys in waiting rooms during clinic visits. Primary care patients with 1 or more chronic illnesses with complete PACIC responses at baseline from 39 clinics (n=1,567) and at follow-up from 36 clinics (n=1,536) participated. Exploratory and confirmatory factor analyses were conducted on baseline and follow-up patient questionnaire data from a cluster randomized controlled trial. Identified factors were evaluated in terms of item loadings, content, reliability, and the extent to which items reflected advances in the delivery of chronic illness care.Results-Analyses supported the use of the PACIC summary score. Although a 5-factor model was retained, factor loadings were different from the original PACIC validation study. All factors had sufficient reliability, but findings suggested potential revisions to enhance the factor structure.Conclusions-It may be time to revise the PACIC to enhance the stability of the subscales (factors) and better reflect recent transformations in the delivery of chronic illness care.

show abstract

Section: Introductionmentioning

confidence: 99%

Patient Experience in an Era of Primary Care Transformation: Revisiting the PACIC

Noël¹,

Parchman²

2016

EJPCH

View full text Add to dashboard Cite

show abstract

“…[3, 21–25] However, those studies do not reveal what facilitates or impedes EHR use once EHR has been made available at a hospital or clinic. Given that limitation and the recent focus on “meaningful use” (rather than mere acquisition) of EHR,[26, 27] this study aimed to identify and describe the perceived facilitators of and barriers to physicians' EHR use.…”

Section: Introductionmentioning

confidence: 99%

What Stands in the Way of Technology-Mediated Patient Safety Improvements? A Study of Facilitators and Barriers to Physicians’ Use of Electronic Health Records

Holden

2011

Journal of Patient Safety

View full text Add to dashboard Cite

Objectives For electronic health records (EHR) systems to have a positive impact on patient safety, clinicians must be able to use these systems effectively after they are made available. This study's objective is to identify and describe facilitators and barriers to physicians' use of EHR systems. Methods Twenty research interviews were conducted with attending physicians who were using EHR at one of two Midwest community hospitals and/or at their respective outpatient clinics. Results Analyses yielded over 200 perceived facilitators and barriers, comprising 19 distinct categories. Categories of facilitators/barriers related to user attributes included learning, typing proficiency, understanding the EHR system, motivation/initiative, and strategies/workarounds. Categories related to system attributes were supporting hardware/software and system speed, functionality, and usability. Categories related to support from others were formal technical support, formal training, and informal support from colleagues. Categories of organizational facilitators/barriers were time allowance and inter-institutional integration. Categories of environmental facilitators/barriers were physical space, electricity, wireless connectivity, and the social environment. Conclusion Together, the broad set of discovered facilitators and barriers confirms and expands prior research on the facilitators and barriers to health information technology use. The depth of reported information on each facilitator and barrier made possible by qualitative interview methods contributes to the theoretical understanding of facilitators and barriers to EHR use. Equally as important, this study provides an information base from which relevant policy and design interventions can be launched in order to improve the use of EHR systems and, thus, patient safety.

show abstract

“…Our findings highlight the need for outreach and training, particularly targeting older psychiatrists and those working in solo- or small group practices. Federally funded Regional Extension Centers (RECs) effectively provided technical assistance and promoted use of EHRs among primary care physicians [3, 41] although long periods of engagement were needed to show an effect on quality [42]. In addition to technical assistance, financial incentives other than the current CMS programs may be needed to enhance EHR adoption among psychiatrists.…”

Section: Limitationsmentioning

confidence: 99%

Psychiatrists’ Comfort Using Computers and Other Electronic Devices in Clinical Practice

et al. 2015

View full text Add to dashboard Cite

This report highlights findings from the Study of Psychiatrists’ Use of Informational Resources in Clinical Practice, a cross-sectional Web- and paper-based survey that examined psychiatrists’ comfort using computers and other electronic devices in clinical practice. One-thousand psychiatrists were randomly selected from the American Medical Association Physician Masterfile and asked to complete the survey between May and August, 2012. A total of 152 eligible psychiatrists completed the questionnaire (response rate 22.2 %). The majority of psychiatrists reported comfort using computers for educational and personal purposes. However, 26 % of psychiatrists reported not using or not being comfortable using computers for clinical functions. Psychiatrists under age 50 were more likely to report comfort using computers for all purposes than their older counterparts. Clinical tasks for which computers were reportedly used comfortably, specifically by psychiatrists younger than 50, included documenting clinical encounters, prescribing, ordering laboratory tests, accessing read-only patient information (e.g., test results), conducting internet searches for general clinical information, accessing online patient educational materials, and communicating with patients or other clinicians. Psychiatrists generally reported comfort using computers for personal and educational purposes. However, use of computers in clinical care was less common, particularly among psychiatrists 50 and older. Information and educational resources need to be available in a variety of accessible, user-friendly, computer and non-computer-based formats, to support use across all ages. Moreover, ongoing training and technical assistance with use of electronic and mobile device technologies in clinical practice is needed. Research on barriers to clinical use of computers is warranted.

show abstract

Measuring Meaningful Use

Cited by 42 publications

References 8 publications

Patient Experience in an Era of Primary Care Transformation: Revisiting the PACIC

Patient Experience in an Era of Primary Care Transformation: Revisiting the PACIC

What Stands in the Way of Technology-Mediated Patient Safety Improvements? A Study of Facilitators and Barriers to Physicians’ Use of Electronic Health Records

Psychiatrists’ Comfort Using Computers and Other Electronic Devices in Clinical Practice

Contact Info

Product

Resources

About