Impact of health information technology optimization on clinical quality performance in health centers: A national cross-sectional study

Abstract

Background Delivery of preventive care and chronic disease management are key components of a high functioning primary care practice. Health Centers (HCs) funded by the Health Resources and Services Administration (HRSA) have been delivering affordable and accessible primary health care to patients in underserved communities for over fifty years. This study examines the association between health center organization's health information technology (IT) optimization and clinical quality performance. Methods and findings Using 2016 Uniform Data System (UDS) data, we performed bivariate and multivariate analyses to study the association of Meaningful Use (MU) attestation as a proxy for health IT optimization, patient centered medical home (PCMH) recognition status, and practice size on performance of twelve electronically specified clinical quality measures (eCQMs). Bivariate analysis demonstrated performance of eleven out of the twelve preventive and chronic care eCQMs was higher among HCs attesting to MU Stage 2 or above. Multivariate analysis demonstrated that Stage 2 MU or above, PCMH status, and larger practice size were positively associated with performance on cancer screening, smoking cessation counseling and pediatric weight assessment and counseling eCQMs. Conclusions Organizational advancement in MU stages has led to improved quality of care that augments HCs patient care capacity for disease prevention, health promotion, and chronic care management. However, rapid technological advancement in health care acts as a potential source of disparity, as considerable resources needed to optimize the electronic health

Evaluating the effects of electronic health records system adoption on the performance of Malaysian health care providers

“…In essence, interoperability means an EHR system's capability to access, use, transmit, and exchange EHRs from multiple integrated systems [25]. The interoperability of systems enables timely access to patient records for the benefits of cost reduction, speedy treatment, prevention of duplicated tests, and gradual improvement of doctor-patient relationships [26]. In a clinical setting, system security is HIS capability to protect the users and records from unauthorized access and against virus and bug threats [27].…”

Evaluating the Effects of Electronic Health Records System Adoption on the Performance of Malaysian Health Care Providers

“…This study determined that system quality is the most important construct in uencing the effective use of an EHR system. An EHR system can perform patient care and record diagnosis results simultaneously if it is compatible with the work ows of the CPGs and clinicians [28]. If treatment notes are available in a user-friendly template, they enable an easy data entry process, allowing more time for doctors and nurses to communicate with their patients.…”

“…In essence, interoperability means the capability of an EHR system to access, use, transmit, and exchange EHRs from multiple integrated systems [27]. The interoperability of systems enables timely access to patient records for the bene ts of cost reduction, speedy treatment, prevention of duplicated tests, and gradual improvement of doctor-patient relationships [16,28].…”

Evaluating The Performance Of Malaysian Health Care Providers With Partial Least Squares Path Modeling

“…The study determined that system quality is the most important construct in in uencing the effective use of an EHR system. An EHR system can perform patient care and record of diagnosis results simultaneously if it is compatible with the work ows of the CPGs and clinicians [27]. If treatment notes are available in a user-friendly template, they enable an easy data entry process and therefore allow more time for the doctors and nurses to communicate with their patients.…”

“…In essence, interoperability means the capability of an EHR system to access, use, transmit, and exchange EHRs from multiple integrated systems [26]. The interoperability of systems will enable a timely access to patient records for the bene ts of cost reduction, speedy treatment, prevention of duplicated tests, and gradual improvement of doctor-and-patient relationships [21,27].…”