Small practices' experience with EHR, quality measurement, and incentives

Rohima Begum, Mandy Smith Ryan, Chloe H. Winther, Jason J. Wang, Naomi S. Bardach, Amanda H. Parsons, Sarah C. Shih, Adams Dudley

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

OBJECTIVES: To assess clinician attitudes and experiences in Health eHearts, a quality recognition and financial incentive program using health information technology.

STUDY DESIGN: Survey of physicians.

METHODS: A survey was administered to 140 lead clinicians at each participating practice. Survey domains included clinicians' experiences and attitudes toward the selected clinical quality measures focused on cardiovascular care, use of electronic health records (EHRs), technical assistance visits, quality measurement reports, and incentive payments. Responses were compared across groups of practices receiving financial incentives with those in the control (no financial rewards).

RESULTS: Survey response rate was 74%. The majority of respondents reported receiving and reviewing the quality reports (89%), agreed with the prioritization of measures (89%), and understood the information given in the quality reports (95%). Over half of the respondents had a quality improvement visit (56%), with incentive clinicians more likely to have had a visit compared with the control group (68% vs 43%, P = .01). The incentive group respondents (92%) were more likely to report using clinical decision support system alerts than control group respondents (82%, P = .11).

CONCLUSIONS: Clinicians in both incentive and control groups reported positive experiences with the program. No differences were detected between groups regarding agreement with selected clinical measures or their relevance to the patient population. However, clinicians in the incentive group were more likely to review quarterly performance reports and access quality improvement visits. Incentives may be used to further engage clinicians operating in small independently owned practices to participate in quality improvement activities.

Original languageEnglish (US)
Pages (from-to)eSP12-eSP18
JournalThe American journal of managed care
Volume19
Issue number10
StatePublished - Nov 1 2013
Externally publishedYes

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Electronic Health Records
Motivation
Quality Improvement
Control Groups
Clinical Decision Support Systems
Medical Informatics
Group Practice
Surveys and Questionnaires
Practice (Psychology)
Reward
Physicians
Health
Population

Cite this

Begum, R., Smith Ryan, M., Winther, C. H., Wang, J. J., Bardach, N. S., Parsons, A. H., ... Dudley, A. (2013). Small practices' experience with EHR, quality measurement, and incentives. The American journal of managed care, 19(10), eSP12-eSP18.

Small practices' experience with EHR, quality measurement, and incentives. / Begum, Rohima; Smith Ryan, Mandy; Winther, Chloe H.; Wang, Jason J.; Bardach, Naomi S.; Parsons, Amanda H.; Shih, Sarah C.; Dudley, Adams.

In: The American journal of managed care, Vol. 19, No. 10, 01.11.2013, p. eSP12-eSP18.

Research output: Contribution to journalArticle

Begum, R, Smith Ryan, M, Winther, CH, Wang, JJ, Bardach, NS, Parsons, AH, Shih, SC & Dudley, A 2013, 'Small practices' experience with EHR, quality measurement, and incentives', The American journal of managed care, vol. 19, no. 10, pp. eSP12-eSP18.
Begum R, Smith Ryan M, Winther CH, Wang JJ, Bardach NS, Parsons AH et al. Small practices' experience with EHR, quality measurement, and incentives. The American journal of managed care. 2013 Nov 1;19(10):eSP12-eSP18.
Begum, Rohima ; Smith Ryan, Mandy ; Winther, Chloe H. ; Wang, Jason J. ; Bardach, Naomi S. ; Parsons, Amanda H. ; Shih, Sarah C. ; Dudley, Adams. / Small practices' experience with EHR, quality measurement, and incentives. In: The American journal of managed care. 2013 ; Vol. 19, No. 10. pp. eSP12-eSP18.
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