Adoption of electronic health records and perceptions of financial and clinical outcomes among ophthalmologists in the United States

Michele C. Lim, Michael V. Boland, Colin A. McCannel, Arvind Saini, Michael F. Chiang, K. David Epley, Flora Lum

Research output: Contribution to journalArticle

  • 1 Citations

Abstract

Importance: Assessing the rate of electronic health record (EHR) adoption and ophthalmologists' perceptions on financial and clinical productivity is important in understanding how to direct future design and health care policy. Objective: To assess adoption rate and perceptions of financial and clinical outcomes of EHRs among ophthalmologists in the United States. Design, Setting, and Participants: Population-based, cross-sectional study. A random sample of 2000 ophthalmologists was generated on the basis of mailing address zip codes from the 2015 American Academy of Ophthalmology US active membership database, which included more than 18 000 ophthalmologists. A survey was sent by email to assess adoption rate of EHRs, perceptions of financial and clinical productivity, and engagement with Medicare and Medicaid programs that incentivize the use of EHRs. The survey was conducted between 2015 and 2016. Main Outcomes and Measures: Adoption rate of EHRs and perceptions of financial and clinical productivity. Results: The adoption rate of EHRs among surveyed ophthalmologists (348 respondents) was 72.1%. The responding ophthalmologists perceived that their net revenues and productivity have declined and that practice costs are higher with EHR use. Of those who attested for stage 1 of the EHR incentive program, 83%had already or were planning to attest to stage 2, but 9% had no plans. Conclusions and Relevance: The adoption of EHRs by ophthalmologists has more than doubled since a 2011 survey and is similar to that of primary care physicians (79%). In comparison with 2 previous surveys of ophthalmologists, respondents had more negative perceptions of EHR productivity outcomes and effect on practice costs, although financial data were not collected in this survey to support these opinions. These negative perceptions suggest that more attention should be placed on improving the efficiency and usability of EHR systems.

LanguageEnglish (US)
Pages164-170
Number of pages7
JournalJAMA Ophthalmology
Volume136
Issue number2
DOIs
StatePublished - Feb 1 2018

Fingerprint

Electronic Health Records
Costs and Cost Analysis
Ophthalmologists
Medicaid
Primary Care Physicians
Medicare
Health Policy
Surveys and Questionnaires
Motivation
Cross-Sectional Studies
Outcome Assessment (Health Care)
Databases
Delivery of Health Care
Population

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Adoption of electronic health records and perceptions of financial and clinical outcomes among ophthalmologists in the United States. / Lim, Michele C.; Boland, Michael V.; McCannel, Colin A.; Saini, Arvind; Chiang, Michael F.; Epley, K. David; Lum, Flora.

In: JAMA Ophthalmology, Vol. 136, No. 2, 01.02.2018, p. 164-170.

Research output: Contribution to journalArticle

Lim, Michele C. ; Boland, Michael V. ; McCannel, Colin A. ; Saini, Arvind ; Chiang, Michael F. ; Epley, K. David ; Lum, Flora. / Adoption of electronic health records and perceptions of financial and clinical outcomes among ophthalmologists in the United States. In: JAMA Ophthalmology. 2018 ; Vol. 136, No. 2. pp. 164-170
@article{8bbbfa866c934de6a6bd756e417826eb,
title = "Adoption of electronic health records and perceptions of financial and clinical outcomes among ophthalmologists in the United States",
abstract = "Importance: Assessing the rate of electronic health record (EHR) adoption and ophthalmologists' perceptions on financial and clinical productivity is important in understanding how to direct future design and health care policy. Objective: To assess adoption rate and perceptions of financial and clinical outcomes of EHRs among ophthalmologists in the United States. Design, Setting, and Participants: Population-based, cross-sectional study. A random sample of 2000 ophthalmologists was generated on the basis of mailing address zip codes from the 2015 American Academy of Ophthalmology US active membership database, which included more than 18 000 ophthalmologists. A survey was sent by email to assess adoption rate of EHRs, perceptions of financial and clinical productivity, and engagement with Medicare and Medicaid programs that incentivize the use of EHRs. The survey was conducted between 2015 and 2016. Main Outcomes and Measures: Adoption rate of EHRs and perceptions of financial and clinical productivity. Results: The adoption rate of EHRs among surveyed ophthalmologists (348 respondents) was 72.1{\%}. The responding ophthalmologists perceived that their net revenues and productivity have declined and that practice costs are higher with EHR use. Of those who attested for stage 1 of the EHR incentive program, 83{\%}had already or were planning to attest to stage 2, but 9{\%} had no plans. Conclusions and Relevance: The adoption of EHRs by ophthalmologists has more than doubled since a 2011 survey and is similar to that of primary care physicians (79{\%}). In comparison with 2 previous surveys of ophthalmologists, respondents had more negative perceptions of EHR productivity outcomes and effect on practice costs, although financial data were not collected in this survey to support these opinions. These negative perceptions suggest that more attention should be placed on improving the efficiency and usability of EHR systems.",
author = "Lim, {Michele C.} and Boland, {Michael V.} and McCannel, {Colin A.} and Arvind Saini and Chiang, {Michael F.} and Epley, {K. David} and Flora Lum",
year = "2018",
month = "2",
day = "1",
doi = "10.1001/jamaophthalmol.2017.5978",
language = "English (US)",
volume = "136",
pages = "164--170",
journal = "JAMA Ophthalmology",
issn = "2168-6165",
publisher = "American Medical Association",
number = "2",

}

TY - JOUR

T1 - Adoption of electronic health records and perceptions of financial and clinical outcomes among ophthalmologists in the United States

AU - Lim,Michele C.

AU - Boland,Michael V.

AU - McCannel,Colin A.

AU - Saini,Arvind

AU - Chiang,Michael F.

AU - Epley,K. David

AU - Lum,Flora

PY - 2018/2/1

Y1 - 2018/2/1

N2 - Importance: Assessing the rate of electronic health record (EHR) adoption and ophthalmologists' perceptions on financial and clinical productivity is important in understanding how to direct future design and health care policy. Objective: To assess adoption rate and perceptions of financial and clinical outcomes of EHRs among ophthalmologists in the United States. Design, Setting, and Participants: Population-based, cross-sectional study. A random sample of 2000 ophthalmologists was generated on the basis of mailing address zip codes from the 2015 American Academy of Ophthalmology US active membership database, which included more than 18 000 ophthalmologists. A survey was sent by email to assess adoption rate of EHRs, perceptions of financial and clinical productivity, and engagement with Medicare and Medicaid programs that incentivize the use of EHRs. The survey was conducted between 2015 and 2016. Main Outcomes and Measures: Adoption rate of EHRs and perceptions of financial and clinical productivity. Results: The adoption rate of EHRs among surveyed ophthalmologists (348 respondents) was 72.1%. The responding ophthalmologists perceived that their net revenues and productivity have declined and that practice costs are higher with EHR use. Of those who attested for stage 1 of the EHR incentive program, 83%had already or were planning to attest to stage 2, but 9% had no plans. Conclusions and Relevance: The adoption of EHRs by ophthalmologists has more than doubled since a 2011 survey and is similar to that of primary care physicians (79%). In comparison with 2 previous surveys of ophthalmologists, respondents had more negative perceptions of EHR productivity outcomes and effect on practice costs, although financial data were not collected in this survey to support these opinions. These negative perceptions suggest that more attention should be placed on improving the efficiency and usability of EHR systems.

AB - Importance: Assessing the rate of electronic health record (EHR) adoption and ophthalmologists' perceptions on financial and clinical productivity is important in understanding how to direct future design and health care policy. Objective: To assess adoption rate and perceptions of financial and clinical outcomes of EHRs among ophthalmologists in the United States. Design, Setting, and Participants: Population-based, cross-sectional study. A random sample of 2000 ophthalmologists was generated on the basis of mailing address zip codes from the 2015 American Academy of Ophthalmology US active membership database, which included more than 18 000 ophthalmologists. A survey was sent by email to assess adoption rate of EHRs, perceptions of financial and clinical productivity, and engagement with Medicare and Medicaid programs that incentivize the use of EHRs. The survey was conducted between 2015 and 2016. Main Outcomes and Measures: Adoption rate of EHRs and perceptions of financial and clinical productivity. Results: The adoption rate of EHRs among surveyed ophthalmologists (348 respondents) was 72.1%. The responding ophthalmologists perceived that their net revenues and productivity have declined and that practice costs are higher with EHR use. Of those who attested for stage 1 of the EHR incentive program, 83%had already or were planning to attest to stage 2, but 9% had no plans. Conclusions and Relevance: The adoption of EHRs by ophthalmologists has more than doubled since a 2011 survey and is similar to that of primary care physicians (79%). In comparison with 2 previous surveys of ophthalmologists, respondents had more negative perceptions of EHR productivity outcomes and effect on practice costs, although financial data were not collected in this survey to support these opinions. These negative perceptions suggest that more attention should be placed on improving the efficiency and usability of EHR systems.

UR - http://www.scopus.com/inward/record.url?scp=85041694580&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85041694580&partnerID=8YFLogxK

U2 - 10.1001/jamaophthalmol.2017.5978

DO - 10.1001/jamaophthalmol.2017.5978

M3 - Article

VL - 136

SP - 164

EP - 170

JO - JAMA Ophthalmology

T2 - JAMA Ophthalmology

JF - JAMA Ophthalmology

SN - 2168-6165

IS - 2

ER -