256003 Differences in electronic medical record implementation and use according to geographical location and organizational characteristics of US federally qualified health centers

Tuesday, October 30, 2012

Charles Beverley Jr. , Arnold School of Public Health, University of South Carolina, Columbia, SC
Electronic medical records (EMRs) are at the forefront of the national health care agenda. This paper examines EMR implementation and usage based on data from the 2009 Commonwealth Fund National Survey of Federally Qualified Health Centers (FQHCs). Chi-square analysis was used to examine differences in EMR implementation and usage. Logistic regression analysis was used to understand the adjusted associations between EMR implementation and usage. A significant finding of this study was that simple EMRs were implemented in more than half of FQHCs in the Northeast, Southern, and Western regions of the United States. However, EMRs in more than half of the FQHCs in the Southern and Western regions are not even utilized. These findings indicate the need to improve simple EMR usage and full EMR implementation in order to meet the requirements of the American Recovery and Reinvestment Act by 2014, or else face a reduction in Medicare and Medicaid reimbursements.

Learning Areas:
Communication and informatics
Public health or related laws, regulations, standards, or guidelines
Public health or related research

Learning Objectives:
Identify differences in EMR implementation and usage of simple, full, and no EMR systems in federally qualified health centers. Analyze associations between organizational characteristics and EMR implementation and usage to determine where improvements are needed.

Keywords: Health Information Systems, Community Health Centers

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the first author of multiple manuscripts focusing on electronic medical record usage in health care organizations. Among my research interests has been the development of strategies for improving EMR implementation and usage in health care organizations.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.