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| Under-users tended to be smaller, nonurban, and Western practices |
RAND Health researchers who contemplated the number of U.S.
medical practices that were using electronic health records (EHRs) discovered
just about a quarter of them using EHR systems to their maximum capacity, while
39% of the practices were using just the basic EHRs. The Survey found that EHR use remains subpar
The investigation was subsidized under the Agency forHealthcare Research and Quality (AHRQ) Comparative Health Systems Performance
Initiative, which provides support for the RAND Center of Excellence on Health
Systems Performance. It discovered wide variety in EHR use, in view of the 2014
Healthcare Information and Management Systems Society (HIMSS) Analytics review.
Districts with the slightest EHR use had a tendency to be in
the West, smaller in size, and situated outside a metropolitan territory. Of
the 38,638 health practices in the HIMSS database, 83.4% had a live andoperational EHR; of these, 93.5% gave overview reactions. Researchers made a
system to rate practices' use of EHR in light of seven spaces of health IT. They
found that:
• 26.6% of
the practices, or 8,003 of them, could be named "super-users." The
odds of being a super-user were sliding down for single specialty,
multispecialty, and united health practices contrasted and essential or family
care clinics.
• 38.9% of
the practices, or 11,706 practices, were health IT "under-users."
notwithstanding being found for the most part in the West, these practices had
less partnered physicians and had a tendency to be situated outside
metropolitan regions.
The RAND creators, Juliet Rumball-Smith, MBChB, PhD; Paul
Shekelle, MD, PhD; and Cheryl L. Damberg, PhD, recognize that conditions may
have changed since the 2014 information gathering. Yet, their discoveries
reverberate protestations to Centers for Medicare and Medicaid Services that
encompassed execution of the Medicare Access and CHIP ReauthorizationAct—littler, rustic practices told officials they would battle with revealing
prerequisites that included interests in innovation.
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