Readiness for Meaningful Use of Health Information Technology and Patient Centered Medical Home Recognition Survey Results

Shin, Peter; Sharac, Jessica

doi:10.5600/mmrr.003.04.b01

Cited by 12 publications

(14 citation statements)

References 4 publications

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“…Given that the success rate for the Navigator calls was low (only 19 of 152 (12.5 %) patients targeted completed a FIT in the subsequent 3 months), our results suggest the benefits of outreach can be largely realized through simple methods that leverage EHR data. EHRs are now used by the majority of CHCs in the U.S., 13 and most have the ability to deliver the automated elements of the outreach intervention under study here. Unlike previous studies, ours occurred in a CHC with established point-of-care strategies to improve CRC screening, including performance feedback, financial incentives, and use of FIT.…”

Section: Discussionmentioning

confidence: 99%

“…[5][6][7][8][9][10][11][12] Expanded use of FOBT, a modality with fewer barriers, may be a viable approach to address CRC screening disparities, especially with single-sample fecal immunochemical tests (FIT), which do not require dietary restrictions. 13 Several randomized trials have reported that outreach with FOBT can improve CRC screening rates. [14][15][16][17][18][19][20] However, most were conducted in integrated health plans.…”

Section: Introductionmentioning

confidence: 99%

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Comparative Effectiveness of Multifaceted Outreach to Initiate Colorectal Cancer Screening in Community Health Centers: A Randomized Controlled Trial

et al. 2015

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INTRODUCTION:Colorectal cancer (CRC) screening rates are low among vulnerable populations. Fecal immunochemical tests (FITs) are one screening modality with few barriers. Studies have shown that outreach can improve CRC screening, but little is known about its effectiveness among individuals with no CRC screening history. We sought to determine whether outreach increases FIT uptake among patients with no CRC screening history compared to usual care. METHODS: This study was a patient-level randomized controlled trial, including 420 patients who had never completed CRC screening and were eligible for FIT; 66 % were female, 62.1 % were Latino, and 70.7 % were uninsured. The main outcome measure was FIT completion within 6 months of the randomization date. We assessed FIT completion at different time points corresponding to receipt of outreach components. All analyses were re-run with 12-month data. RESULTS: Patients who received outreach were more likely to complete FIT than those in usual care (36.7 % vs. 14.8 %; p<0.001). FIT completion was more common among patients with increased clinic visits. The difference in FIT completion between the outreach and usual care groups decreased over time. DISCUSSION: The intervention improved FIT uptake among patients with no CRC screening history. However, the intervention was less effective than in a previous trial targeting patients due for repeat screening. Additional research is needed to determine the best methods for improving CRC screening among this hard-to-reach group.KEY WORDS: health disparities; cancer prevention; care delivery system.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparative Effectiveness of Multifaceted Outreach to Initiate Colorectal Cancer Screening in Community Health Centers: A Randomized Controlled Trial

et al. 2015

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“…[15][16][17] However, fewer than half of health centers used electronic records systems in all sites in 2011, instead of a mix of electronic and paper records systems. 18,19 This study sought to answer the following questions. First, how did health center adoption and use of EHR systems change from 2010 (the year before the start of the incentives) to 2012 (the second year of incentive payments)?…”

mentioning

confidence: 99%

Adoption And Use Of Electronic Health Records Among Federally Qualified Health Centers Grew Substantially During 2010–12

Jones

Furukawa

2014

Health Affairs

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Federally qualified health centers play an important role in providing health care to underserved populations. Recent substantial federal investments in health information technology have enabled health centers to expand their use of electronic health record (EHR) systems, but factors associated with adoption are not clear. We examined 2010-12 administrative data from the Health Resources and Services Administration's Uniform Data System for more than 1,100 health centers. We found that in 2012 nine out of ten health centers had adopted a EHR system, and half had adopted EHRs with basic capabilities. Seven in ten health centers reported that their providers were receiving meaningful-use incentive payments from the Centers for Medicare and Medicaid Services (CMS). Only one-third of health centers had EHR systems that could meet CMS's stage 1 meaningful-use core requirements. Health centers that met the stage 1 requirements had more than twice the odds of receiving quality recognition, compared with centers with less than basic EHRs. Policy initiatives should focus assistance on EHR capabilities with slower uptake; connect providers with technical assistance to support implementation; and leverage the connection between meaningful use and quality recognition programs.

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“…Five studies used a mixed-methods approach to collect EHR use data. 33,37,46,52,55 Quantitative data collection methods were most frequently used, and included surveys (n ¼ 21) administered by mail, phone, or the Internet. Five studies used electronic data extraction or reporting.…”

Section: Data Collection Methodsmentioning

confidence: 99%

“…Ten studies did not specify a setting, but included primary care physicians or practices in their analyses. Some specified a particular category of health organization, such as patientcentered medical homes (n ¼ 2), 31,46 small-to mediumsized practices (n ¼ 4), 33,40,45,56 and rural primary care practices (n ¼ 2). 22,54 The perspectives of the studies reviewed varied in whether they measured EHR use at the level of the practice/clinic (n ¼ 16) or at the level of the individual physician (n ¼ 15).…”

Section: Settingmentioning

confidence: 99%

Measuring Electronic Health Record Use in Primary Care: A Scoping Review

Huang¹,

Gibson²,

Terry³

2018

Appl Clin Inform

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Readiness for Meaningful Use of Health Information Technology and Patient Centered Medical Home Recognition Survey Results

Cited by 12 publications

References 4 publications

Comparative Effectiveness of Multifaceted Outreach to Initiate Colorectal Cancer Screening in Community Health Centers: A Randomized Controlled Trial

Comparative Effectiveness of Multifaceted Outreach to Initiate Colorectal Cancer Screening in Community Health Centers: A Randomized Controlled Trial

Adoption And Use Of Electronic Health Records Among Federally Qualified Health Centers Grew Substantially During 2010–12

Measuring Electronic Health Record Use in Primary Care: A Scoping Review

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