Electronic health records and technical assistance to improve quality of primary care: Lessons for regional extension centers
| Autor: | Sarah C. Shih, Tara F. Bishop, Andrew M. Ryan, Lawrence P. Casalino, Samuel J. Boas |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Quality management business.industry Health information technology Health Policy Public health media_common.quotation_subject Information technology Primary care medicine.disease Data science Health informatics Regional Extension medicine Quality (business) Medical emergency business media_common |
| Zdroj: | Healthcare (Amsterdam, Netherlands). 2(2) |
| ISSN: | 2213-0772 |
| Popis: | Background In 2009, the American Recovery and Reinvestment Act apportioned $643 million for a Health Information Technology Extension Program, which established Regional Extension Centers (RECs) to support the implementation and use of electronic health records (EHRs). Problem Little is known, however, about how RECs should assist in EHR implementation and how they should structure ongoing support. Goals The purpose of this paper is to describe physicians' experiences with the Primary Care Information Project (PCIP), an REC run by the New York City Department of Health and Mental Hygiene. Strategy We interviewed 17 physicians enrolled in PCIP to understand the role of the EHRon quality of care and their experience with technical assistance from PCIP. Results All physicians stated that they felt that the EHR improved the quality of care they delivered to their patients particularly because it helped them track patients. All the physicians found technical assistance helpful but most wanted ongoing assistance months or years after they adopted the EHR. Implications • Physicians believe that both the EHR and ongoing technical assistance are important determinants of quality improvement. • RECs should consider models that provide ongoing technical assistance at regular intervals. |
| Databáze: | OpenAIRE |
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