Health Information Technology Adoption and Clinical Performance in Federally Qualified Health Centers.
Journal
Journal for healthcare quality : official publication of the National Association for Healthcare Quality
ISSN: 1945-1474
Titre abrégé: J Healthc Qual
Pays: United States
ID NLM: 9202994
Informations de publication
Date de publication:
Historique:
pubmed:
9
11
2019
medline:
20
1
2021
entrez:
9
11
2019
Statut:
ppublish
Résumé
A national sample (N = 982) of federally qualified health centers (FQHCs) for the period 2011-2016 was examined regarding the relationship between the age and extent of health information technology (HIT) use and clinical performance. We found that each additional year of HIT use was associated with an approximate 4 percent increase in both process and outcome measures of clinical performance. Furthermore, FQHCs that fully adopted HIT had 7 percent higher clinical performance on hypertension control than those that did not adopt HIT. This study's findings can assist stakeholders to make informed decisions for improving care and sustaining a competitive advantage.
Identifiants
pubmed: 31703021
doi: 10.1097/JHQ.0000000000000231
pii: 01445442-202010000-00005
doi:
Types de publication
Journal Article
Langues
eng
Pagination
287-293Références
Gold MR, McLaughlin CG, Devers KJ, Berenson RA, Bovbjerg RR. Obtaining providers' “buy-in” and establishing effective means of information exchange will be critical to HITECH's success. Health Aff (Millwood). 2012;31(3):514-526.
Blumenthal D. Launching HITECH. N Engl J Med. 2010;362(5):382-385.
DesRoches CM, Charles D, Furukawa MF, et al. Adoption of electronic health records grows rapidly, but fewer than half of US hospitals had at least a basic system in 2012. Health Aff (Millwood). 2013;32(8):1478-1485.
Hsiao CJ, Jha AK, King J, Patel V, Furukawa MF, Mostashari F. Office-based physicians are responding to incentives and assistance by adopting and using electronic health records. Health Aff (Millwood). 2013;32(8):1470-1477.
Jones E, Wittie M. Accelerated adoption of advanced health information technology in Beacon Community Health Centers. J Am Board Fam Med. 2015;28(5):565-575.
Bahensky JA, Jaana M, Ward MM. Health care information technology in rural America: Electronic medical record adoption status in meeting the national agenda. J Rural Health. 2008;24(2):101-105.
Miller RH, D'Amato K, Oliva N, West CE, Adelson JW. California's digital divide: Clinical information systems for the haves and have-nots. Health Aff (Millwood). 2009;28(2):505-516.
Altman S, Lewin ME, eds. America's Health Care Safety Net: Intact but Endangered. Washington, DC: National Academies Press; 2000:3.
Falik M, Needleman J, Wells BL, Korb J. Ambulatory care sensitive hospitalizations and emergency visits: Experiences of medicaid patients using federally qualified health centers. Med Care. 2001;39(6):551-561.
Hawkins D, Groves D. The future role of community health centers in a changing health care landscape. J Ambul Care Manage. 2011;34(1):90-99.
Braun BI, Owens LK, Bartman BA, Berkeley L, Wineman N, Daly CA. Quality-related activities in federally supported health centers: Do they differ by organizational characteristics? J Ambul Care Manage. 2008;31(4):303-318.
Chin MH, Kirchhoff AC, Schlotthauer AE, et al. Sustaining quality improvement in community health centers: Perceptions of leaders and staff. J Ambul Care Manage. 2008;31(4):319-329.
Fiscella K, Geiger HJ. Health information technology and quality improvement for community health centers. Health Aff (Millwood). 2006;25(2):405-412.
Frimpong JA, Jackson BE, Stewart LM, Singh KP, Rivers PA, Bae S. Health information technology capacity at federally qualified health centers: A mechanism for improving quality of care. BMC Health Serv Res. 2013;13:35.
Henry J, Pylypchuk Y, Searcy T, Patel V. Adoption of electronic health record systems among US non-federal acute care hospitals: 2008–2015. ONC Data Brief. 2016;35:1-9.
Office of the National Coordinator for Health Information Technology. Office-based Physician Electronic Health Record Adoption. Health IT Quick-Stat #50. 2019. http://dashboard.healthit.gov/quickstats/pages/physician-ehr-adoption-trends.php. Accessed May 16, 2019.
Chaudhry B, Wang J, Wu S, et al. Systematic review: Impact of health information technology on quality, efficiency, and costs of medical care. Ann Intern Med. 2006;144(10):742-752.
Dexter PR, Perkins SM, Maharry KS, Jones K, McDonald CJ. Inpatient computer-based standing orders vs physician reminders to increase influenza and pneumococcal vaccination rates: A randomized trial. JAMA. 2004;292(19):2366-2371.
Kucher N, Koo S, Quiroz R, et al. Electronic alerts to prevent venous thromboembolism among hospitalized patients. N Engl J Med. 2005;352(10):969-977.
Pizziferri L, Kittler AF, Volk LA, et al. Primary care physician time utilization before and after implementation of an electronic health record: A time-motion study. J Biomed Inform. 2005;38(3):176-188.
Zhou L, Soran CS, Jenter CA, et al. The relationship between electronic health record use and quality of care over time. J Am Med Inform Assoc. 2009;16(4):457-464.
Keyhani S, Hebert PL, Ross JS, Federman A, Zhu CW, Siu AL. Electronic health record components and the quality of care. Med Care. 2008;46:1267-1272.
Romano MJ, Stafford RS. Electronic health records and clinical decision support systems: Impact on national ambulatory care quality. Arch Intern Med. 2011;171(10):897-903.
Poon EG, Wright A, Simon SR, et al. Relationship between use of electronic health record features and health care quality: Results of a statewide survey. Med Care. 2010;48:203-209.
Short JC, Palmer TB, Ketchen DJ. Resource-based and strategic group influences on hospital performance. Health Care Manage Rev. 2002;27(4):7-17.
Barney J. Firm resources and sustained competitive advantage. J Manag. 1991;17(1):99-120.
Peteraf MA. The cornerstones of competitive advantage: A resource-based view. Strateg Manag J. 1993;14(3):179-191.
Tarafdar M, Gordon SR. Understanding the influence of information systems competencies on process innovation: A resource-based view. J Strateg Inf Syst. 2007;16(4):353-392.
Day DL. Raising radicals: Different processes for championing innovative corporate ventures. Organ Sci. 1994;5(2):148-172.
GuideStar USA, Inc. GuideStar nonprofit reports and forms 990 for donors, grantmakers, and businesses. https://www.guidestar.org/. Accessed May 16, 2019.
Agency for Health Resources & Quality. Types of Health Care Quality Measures. https://www.ahrq.gov/talkingquality/measures/types.html. Accessed May 16, 2019.
Bureau of Primary Health Care. Clinical and Financial Performance Measures. https://bphc.hrsa.gov/qualityimprovement/performancemeasures/index.html. Accessed May 16, 2019.
Agency for Health Resources & Quality. Understanding Quality Measurement. https://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/understand/index.html. Accessed May 16, 2019.
Garg AX, Adhikari NKJ, McDonald H, et al. Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: A systematic review. JAMA. 2005;293(10):1223-1238.
Hillestad R, Bigelow J, Bower A, et al. Can electronic medical record systems transform health care? Potential health benefits, savings, and costs. Health Aff (Millwood). 2005;24(5):1103-1117.
Kaushal R, Shojania KG, Bates DW. Effects of computerized physician order entry and clinical decision support systems on medication safety: A systematic review. Arch Intern Med. 2003;163(12):1409-1416.
Bright TJ, Wong A, Dhurjati R, et al. Effect of clinical decision-support systems: A systematic review. Ann Intern Med. 2012;157(1):29-43.
Himmelstein DU, Wright A, Woolhandler S. Hospital computing and the costs and quality of care: A national study. Am J Med. 2010;123(1):40-46.
Buntin MB, Burke MF, Hoaglin MC, Blumenthal D. The benefits of health information technology: A review of the recent literature shows predominantly positive results. Health Aff (Millwood). 2011;30(3):464-471.
Weech-Maldonado R, Neff G, Mor V. The relationship between quality of care and financial performance in nursing homes. J Health Care Finance. 2003;29(3):48-60.
Bello AK, Hemmelgarn B, Lin M, et al. Impact of remote location on quality care delivery and relationships to adverse health outcomes in patients with diabetes and chronic kidney disease. Nephrol Dial Transplant. 2012;27(10):3849-3855.