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. 2017 Aug;52(4):1349-1363.
doi: 10.1111/1475-6773.12531. Epub 2016 Jul 26.

Meaningful Use of the Indian Health Service Electronic Health Record

Gina R Kruse  1 , Howard Hays  2 , E John Orav  3 , Martha Palan  4 , Thomas D Sequist  5   6
Affiliations

Meaningful Use of the Indian Health Service Electronic Health Record

Gina R Kruse et al. Health Serv Res. 2017 Aug.

Abstract

Objective: To understand the use of electronic health record (EHR) functionalities by physicians practicing in an underserved setting.

Data source/study setting: A total of 333 Indian Health Service physicians (55 percent response rate) in August 2012.

Study design: Cross-sectional.

Data collection: The survey assessed routine use of EHR functionalities, perceived usefulness, and barriers to adoption.

Principal findings: Physicians routinely used a median 7 of 10 EHR functionalities targeted by the Meaningful Use program, but only 5 percent used all 10. Most (63 percent) felt the EHR improved quality of care. Many (76 percent) reported increased documentation time and poorer quality patient-physician interactions (45 percent). Primary care specialty and time using the EHR were positively associated with use of EHR functionalities, while perceived productivity loss was negatively associated.

Conclusions: Significant opportunities exist to increase use of EHR functionalities and preserve physician-patient interactions and productivity in a resource-limited environment.

Keywords: Electronic health record; Indian Health Service; Meaningful Use; underserved.

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