Perspect Health Inf Manag. 2022 Jan 1;19(1):1o. eCollection 2022 Winter.
This study compared changes of healthcare quality in a Michigan Medicaid population before and after physician adoption of electronic health records (EHRs) via the Meaningful Use (MU) program for selected Healthcare Effectiveness Data and Information Set (HEDIS) quality of care measures.
Healthcare measures included well-child visits, cancer screening, and chronic illness quality measures. Utilization data were obtained from Medicaid paid claims and encounter data with providers (N=291) receiving their first MU incentive in 2014 and at least one HEDIS-defined outpatient visit with a Michigan Medicaid enrollee. Paired t-tests with a repeated measures design were utilized to analyze the data.
Improvements in quality of infant well-child visits (mean difference = 10.2) and colorectal cancer screening (mean difference = 8.0 percent) were observed. We found no change or slight decreases for the other selected measures.
These outcomes inform the performance and ability of EHRs to improve quality of healthcare standards particularly as technology continues to evolve under the Centers for Medicare & Medicaid Services (CMS) Interoperability and Patient Access final rule.
本研究通过医疗保健效果数据和信息集（HEDIS）中选定的医疗保健质量措施的“有意义的使用”（MU）计划，比较了密歇根州医疗补助人群中医疗质量在医生采用电子健康记录（EHR）前后的变化。
医疗保健措施包括儿童健康检查、癌症筛查和慢性病质量措施。利用医疗补助支付的索赔和与提供者的就诊数据（N=291）获得数据，这些提供者在 2014 年获得了第一个 MU 激励，并且至少有一名密歇根州医疗补助受保人进行了 HEDIS 定义的门诊就诊。采用具有重复测量设计的配对 t 检验来分析数据。
观察到婴儿健康检查（平均差异=10.2）和结直肠癌筛查（平均差异=8.0%）质量的提高。对于其他选定的措施，我们没有发现变化或略有下降。
这些结果为 EHR 提高医疗保健标准质量的绩效和能力提供了信息，特别是随着医疗保健服务中心（CMS）互操作性和患者访问最终规则下技术的不断发展。
