Project Details - Ended
- Grant Number:R18 HS022674
- Funding Mechanism:
- AHRQ Funded Amount:$494,370
- Principal Investigator:
- Project Dates:9/1/2013 to 8/31/2014
- Care Setting:
- Type of Care:
This is one of twelve projects funded by the Agency for Healthcare Research and Quality (AHRQ) to inform Stage 3 Meaningful Use (MU) requirements through evidence. Facilitating care coordination is a key area in which the use of electronic health records (EHRs) is expected to improve quality of care. Stage 3 MU criteria focus on summary care record exchange and reconciliation of medications, medication allergies, and problems. They pose unique challenges because they require providers to participate in health information exchange, to be able to generate key pieces of information from their EHRs, and to be able to receive and incorporate data from other settings into clinical decisions. Little research has been conducted on the current readiness of primary care practices to meet these criteria or on what enables primary care practices to successfully use EHRs to support care coordination and meet these MU criteria.
The specific aims of this project are to:
- Assess current readiness of eligible primary care practices to achieve proposed Stage 3 care coordination criteria in order to inform policy-driven improvement strategies.
- Identify barriers and associated facilitators to meeting proposed Stage 3 care coordination criteria in order to help primary care practices overcome gaps to criteria achievement.
- Assess the potential impact of proposed Stage 3 care coordination criteria and identify strategies to increase the value of the criteria to primary care practices.
The study will conduct a survey of primary care practices that have attested to Stage 1 MU; conduct qualitative and quantitative analyses on experiences in implementing Stage 3 care coordination measures; and evaluate the perceived impact on care coordination. The findings are expected to ensure that final Stage 3 care coordination criteria are evidence-based and set targets that are both achievable and result in substantial gains. They will also guide practices on optimal strategies for using EHRs to improve care coordination. This project will fill critical knowledge gaps to inform MU policy and practice implementation.