Electronic health records and health care quality over time in a federally qualified health center

Journal of the American Medical Informatics Association : JAMIA
Lisa M KernRainu Kaushal

Abstract

The longitudinal effects of electronic health records (EHRs) on ambulatory quality are not clear. It is not known whether adoption and meaningful use of EHRs result in a brief period of quality improvement that then plateaus, or whether with ongoing use quality improvement continues. We studied health care quality at six sites of a Federally Qualified Health Center in New York State over 3 years (2008-2010) for 25 290 unique patients. Patients were twice as likely to receive recommended care on a set of 12 quality measures (11 of which are included in Stage 1 Meaningful Use) 3 years post-EHR implementation, compared to 1-year post-implementation (odds ratio 1.97; 95% confidence interval, 1.91-2.03). The magnitude of absolute improvement ranged from 5% to 20% per measure. EHRs were associated with continuing improvement in health care quality for at least 3 years post-implementation in the safety-net setting of a Federally Qualified Health Center.

References

Dec 11, 2002·BMC Health Services Research·Carlos M SotoSteven R Simon
Mar 10, 2005·JAMA : the Journal of the American Medical Association·Amit X GargR Brian Haynes
Mar 12, 2005·BMJ : British Medical Journal·Terhilda GarridoLouise Liang
May 17, 2006·Annals of Internal Medicine·Basit ChaudhryPaul G Shekelle
Jul 11, 2007·Archives of Internal Medicine·Jeffrey A LinderRandall S Stafford
Mar 21, 2009·Medical Care·Salomeh KeyhaniAlbert L Siu
Apr 25, 2009·Journal of the American Medical Informatics Association : JAMIA·Li ZhouSteven R Simon
Apr 28, 2009·Journal of Health Care for the Poor and Underserved·Esther Hing, Catharine W Burt
Jul 29, 2009·Joint Commission Journal on Quality and Patient Safety·Lisa M KernRainu Kaushal
Apr 7, 2010·American Heart Journal·Mary Norine WalshGregg C Fonarow
Jul 22, 2010·The New England Journal of Medicine·David Blumenthal, Marilyn Tavenner
Jan 26, 2011·Archives of Internal Medicine·Max J Romano, Randall S Stafford
Sep 2, 2011·The New England Journal of Medicine·Randall D CebulChristopher J Hebert
Oct 12, 2012·Journal of General Internal Medicine·Lisa M KernUNKNOWN HITEC Investigators
Apr 13, 2013·Journal of the American Medical Informatics Association : JAMIA·Erika L AbramsonRainu Kaushal

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Citations

Jan 28, 2017·Health Services Research·Bianca K FrognerPatricia Pittman
Sep 24, 2015·Journal of Evaluation in Clinical Practice·Matthew G CrowsonRose J Eapen
Oct 16, 2016·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Zachary M GrinspanLisa M Kern
Jun 4, 2019·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Kevin BrooksKathleen Oberst
Sep 17, 2019·BMJ Open Ophthalmology·Stephen R KellyDavid P Crabb
May 11, 2017·Applied Clinical Informatics·Judith W DexheimerS Andrew Spooner

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