A business case for HIT adoption: Effects of "meaningful use" EHR financial incentives on clinic revenue

Nima A. Behkami, David A. Dorr, Stuart Morrice

Research output: Chapter in Book/Report/Conference proceedingConference contribution

5 Scopus citations

Abstract

The goal of this study is to describe a framework that allows decision makers to efficiently evaluate factors that affect Electronic Health Record (EHR) adoption and test suitable interventions; specifically financial incentives. The United States healthcare delivery system is experiencing a transformation to improve population health. There is strong agreement that "meaningful use" of Health Information Technology (HIT) is a major enabler in this effort. However it's also understood that the high cost of implementing an EHR is an obstacle for adoption. To help understand these complexities we developed a simulation model designed to capture the dynamic nature of policy interventions that affect the adoption of EHR. We found that "Effective" use of HIT approaches break-even-point and larger clinic revenue many times faster that "average" or "poor" use of HIT. This study uses a systems perspective to the evaluate EHR adoption process through the "meaningful use" redesign as proposed in the American Reinvestment and Recovery Act 2009 in the United States healthcare industry by utilizing the System Dynamics methodology and Scenario Analysis.

Original languageEnglish (US)
Title of host publicationMedinfo 2010 - Proceedings of the 13th World Congress on Medical Informatics
PublisherIOS Press
Pages779-783
Number of pages5
EditionPART 1
ISBN (Print)9781607505877
DOIs
StatePublished - Jan 1 2010
Event13th World Congress on Medical and Health Informatics, Medinfo 2010 - Cape Town, South Africa
Duration: Sep 12 2010Sep 15 2010

Publication series

NameStudies in Health Technology and Informatics
NumberPART 1
Volume160
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Other

Other13th World Congress on Medical and Health Informatics, Medinfo 2010
CountrySouth Africa
CityCape Town
Period9/12/109/15/10

Keywords

  • Adoption
  • Care management plus
  • Care managers
  • Diffusion
  • EHR
  • Electronic health record
  • Financial incentives
  • HIT
  • Health information technology
  • Meaningful use
  • National healthcare
  • Physicians
  • Policy
  • Revenue
  • Scenario analysis
  • System dynamics

ASJC Scopus subject areas

  • Biomedical Engineering
  • Health Informatics
  • Health Information Management

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  • Cite this

    Behkami, N. A., Dorr, D. A., & Morrice, S. (2010). A business case for HIT adoption: Effects of "meaningful use" EHR financial incentives on clinic revenue. In Medinfo 2010 - Proceedings of the 13th World Congress on Medical Informatics (PART 1 ed., pp. 779-783). (Studies in Health Technology and Informatics; Vol. 160, No. PART 1). IOS Press. https://doi.org/10.3233/978-1-60750-588-4-779