Meaningful use: Floor or ceiling?
View/ Open
168346/cutler_2014_healthcare_2_pp48_to_52meaningful_use_with_botta.pdf (300.1Kb)
Access Status
Full text of the requested work is not available in DASH at this time ("restricted access"). For more information on restricted deposits, see our FAQ.Published Version
https://doi.org/10.1016/j.hjdsi.2013.12.011Metadata
Show full item recordCitation
Botta, Michael D., and David M. Cutler. 2014. “Meaningful Use: Floor or Ceiling?” Healthcare 2 (1) (March): 48–52. doi:10.1016/j.hjdsi.2013.12.011.Abstract
Background: In 2011, federal incentive payments for meaningful use of electronic health records (EHRs) began. This study evaluates the impact of the program on hospitals and EHR vendors, identifying how it affects EHR planning and development. Specifically, it assesses whether vendors and Chief Information Officers (CIOs) are viewing the meaningful use requirements as a floor – the minimally acceptable level of implementation, upon which development continues – or as a ceiling – the upper-bound on EHR development and implementation.Methods: The study combines interviews with EHR vendors and hospital CIOs with EHR adoption data from American Hospital Association surveys. Results from interviews with 17 hospital and system CIOs (representing 144 individual acute-care hospitals) and 8 EHR development executives (representing twothirds of installations) are detailed. Furthermore, it compares adoption of two key EHR functions, BCMA and CPOE, which are treated differently under stage 1 of the incentive program.
Results: Three key findings emerge from the study. First, meaningful use requirements can serve as either a floor or a ceiling, depending on the abilities of institutions implementing EHRs. Second, the increasing focus on achieving meaningful use across both hospitals and vendors risks missing the forest of health care system change through the trees of meeting discrete requirements. Third, while the meaningful use incentive program has accelerated the development and implementation of some key functions, it has also slowed development of others.
Conclusions: Policy makers should craft subsequent stages of the incentive program to ensure smaller facilities and additional features necessary for health care system change are not left behind.
Other Sources
http://scholar.harvard.edu/files/cutler/files/cutler_2014_healthcare_2_pp48_to_52meaningful_use_with_botta.pdfCitable link to this page
http://nrs.harvard.edu/urn-3:HUL.InstRepos:33471114
Collections
- FAS Scholarly Articles [18292]
Contact administrator regarding this item (to report mistakes or request changes)