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 language | English (US) |
|---|---|
| Title of host publication | Studies in Health Technology and Informatics |
| Pages | 779-783 |
| Number of pages | 5 |
| Volume | 160 |
| Edition | PART 1 |
| DOIs | |
| State | Published - 2010 |
| Event | 13th World Congress on Medical and Health Informatics, Medinfo 2010 - Cape Town, South Africa Duration: Sep 12 2010 → Sep 15 2010 |
Other
| Other | 13th World Congress on Medical and Health Informatics, Medinfo 2010 |
|---|---|
| Country | South Africa |
| City | Cape Town |
| Period | 9/12/10 → 9/15/10 |
Fingerprint
Keywords
- Adoption
- Care management plus
- Care managers
- Diffusion
- EHR
- Electronic health record
- Financial incentives
- Health information technology
- HIT
- Meaningful use
- National healthcare
- Physicians
- Policy
- Revenue
- Scenario analysis
- System dynamics
ASJC Scopus subject areas
- Biomedical Engineering
- Health Informatics
- Health Information Management
Cite this
A business case for HIT adoption : Effects of "meaningful use" EHR financial incentives on clinic revenue. / Behkami, Nima A.; Dorr, David; Morrice, Stuart.
Studies in Health Technology and Informatics. Vol. 160 PART 1. ed. 2010. p. 779-783.Research output: Chapter in Book/Report/Conference proceeding › Conference contribution
}
TY - GEN
T1 - A business case for HIT adoption
T2 - Effects of "meaningful use" EHR financial incentives on clinic revenue
AU - Behkami, Nima A.
AU - Dorr, David
AU - Morrice, Stuart
PY - 2010
Y1 - 2010
N2 - 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.
AB - 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.
KW - Adoption
KW - Care management plus
KW - Care managers
KW - Diffusion
KW - EHR
KW - Electronic health record
KW - Financial incentives
KW - Health information technology
KW - HIT
KW - Meaningful use
KW - National healthcare
KW - Physicians
KW - Policy
KW - Revenue
KW - Scenario analysis
KW - System dynamics
UR - http://www.scopus.com/inward/record.url?scp=78649529238&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=78649529238&partnerID=8YFLogxK
U2 - 10.3233/978-1-60750-588-4-779
DO - 10.3233/978-1-60750-588-4-779
M3 - Conference contribution
C2 - 20841792
AN - SCOPUS:78649529238
SN - 9781607505877
VL - 160
SP - 779
EP - 783
BT - Studies in Health Technology and Informatics
ER -