• Dawn Heisey-Grove, Lisa-Nicole Danehy, Michelle Consolazio, Kimberly Lynch, and Farzad Mostashari.
• Department of Health and Human Services, Office of the Secretary, Office of the National Coordinator for Health IT, Washington, DC.
• Med Care. 2014 Feb 1; 52 (2): 144-8.

BackgroundAdoption and implementation of electronic health records (EHRs) has not been without challenges as it infuses technology into what has been a historically manual process of recording patient information. In an effort to identify these challenges, the Office of the National Coordinator for Health Information Technology leveraged the Regional Extension Center population of over 140,000 providers to develop a structured way to track challenges to EHR adoption and Meaningful Use (MU).ObjectivesThis report summarizes challenges to EHR adoption and MU based on nationwide data supplied by 55 Regional Extension Centers reporting over 19,000 issues representing over 43,000 unique health care providers. Practices were grouped on the basis of their place in the lifecycle of EHR adoption and MU achievement.ResultsProvider engagement and administrative issues were among the more common issues reported across all cohorts. The most challenging MU measure was the clinical summaries measure, but MU Measure challenges varied by practice setting.ConclusionsEHR adoption and MU challenges are unique to practice setting and stage of the adoption process.

7 keywords...

hide…