Online Program

Perceptions of eligible professionals on meaningful use: A large provider survey

Monday, November 4, 2013

Benjamin Keeney, PhD, Orthopaedics, Geisel School of Medicine, Dartmouth College, Lebanon, NH
Douglas Conrad, PhD, MBA, MHA, Health Services, University of Washington, Seattle, WA
Quincy Moore, BS, Department of Epidemiology, University of Washington, Seattle, WA
Douglas Weeks, PhD, Beacon Community of the Inland Northwest, Inland Northwest Health Services, Spokane, WA

Meaningful use (MU) was designed to encourage providers to use electronic health records meaningfully in order to directly enhance patient care. Even with financial incentives for meeting MU objectives, the rate of provider attestation for MU has been slow. Little published research has studied perspectives of eligible professionals (EPs) about MU to gain their sense of barriers and facilitators for achieving MU.


We administered a survey in Washington State and Idaho that aimed to capture EP perceptions of MU.


We developed separate 69-item surveys for providers who have, and have not, attested for MU. Items gathered information on demographics, perceptions of MU, and progress and difficulty in attaining the stated MU Objectives. The confidential survey was conducted by mail with a prepaid incentive. The study sample is 800 EPs in the Pacific Northwest, including 400 that attested and 400 that have not. EPs were identified from Medicare attestation qualifying lists. The surveys were sent to EPs in December, 2012, with two follow-up waves in January and February, 2013.


Currently, we have received 189 completed surveys. Early trends indicate that a substantial proportion of EPs have concerns about the long-term standing of MU, MU incentives, and whether MU measures capture care improvement and will contribute to improved care quality. Many EPs have not pursued MU, despite being qualified and having financial incentives to do so.


EPs offer a variety of opinions concerning MU. Many have worries about whether MU offers a valid, effective way of measuring and improving healthcare. Understanding differences in the characteristics of attested and non-attested EPs will contribute significantly to MU policy and implementation.

Learning Areas:

Administer health education strategies, interventions and programs
Communication and informatics
Other professions or practice related to public health
Planning of health education strategies, interventions, and programs
Public health or related laws, regulations, standards, or guidelines
Public health or related research

Learning Objectives:
Identify early trends of provider perceptions of meaningful use. Compare perceptions among providers who have attested for meaningful use and those who have not. Discuss provider concerns about whether meaningful use measures capture care improvement and contributes to care quality.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a co-evaluator on the Beacon Communities project (the overarching intervention that this presentation joins) for 3 years. Meaningful use, related informatics issues, and aspects of health reform are a scientific interest that have resulted in papers.
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.