Review
Progress and Challenges with the Implementation and Use of Electronic Health Records among Critical Access Hospitals
In: ASTP Health IT Data Brief [Internet]. Washington (DC): Office of the Assistant Secretary for Technology Policy; 2012. 12.
2013 Sep.
- PMID: 40127330
- Bookshelf ID: NBK612938
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Review
Progress and Challenges with the Implementation and Use of Electronic Health Records among Critical Access Hospitals
Excerpt
Although electronic health record (EHR) adoption among rural hospitals has increased substantially in recent years, concerns remain regarding the unique challenges they face in adopting and achieving meaningful use (MU) of EHRs. These challenges include resource constraints and infrastructure issues such as limited broadband availability. This data brief describes the progress of Critical Access Hospitals with EHR adoption and MU and highlights the challenges that remain.
Sections
- Almost every Critical Access Hospital plans to attest to Stage 1 Meaningful Use.
- The majority of Critical Access Hospitals used an EHR (89%), and half planned to upgrade or install a new EHR by May 2014.
- EHR implementation costs and workflow changes were significant challenges to Critical Access Hospitals.
- Nearly 6 in 10 Critical Access Hospitals reported significant financial challenges, and many of these hospitals were not receiving assistance from selected Federal programs.
- A third of Critical Access Hospitals reported significant challenges related to broadband.
- 60% of Critical Access Hospitals had 2 or more choices of internet service providers.
- Broadband upload speeds varied widely among Critical Access Hospitals.
- Summary
- Data Source and Methods
- Definitions
- References
- Acknowledgements
References
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- DesRoches CM, Charles D, Furukawa MF, Joshi MS, Kralovec P, Mostashari F, Worzala C, Jha AK. Adoption of Electronic Health Records Grows Rapidly, But Fewer Than Half of US Hospitals Had At Least A Basic System in 2012. Health Affairs.(2013) 32:7. - PubMed
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- American Recovery and Reinvestment Act of 2009, Pub. L. No. 111–5, Pub. L. No. 111–5, div. A, tit. XIII, 123 Stat. 115, 226–279 and div. B, tit. IV, 123 Stat. 115, 467–496 (2009). http://www.gpo.gov/fdsys/pkg/PLAW-111pub15/pdLPLAW-111pub15.pdf
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- Regional Extension Centers. July 30, 2013. http:/www.healthit.gov/providers-professionals/regional-extension-centers-recs
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- Flex Monitoring Team. About the Flex Program and Critical Access Hospitals. July 24, 2013. Access at: http://www.flexmonitoring.org/aboutcahflex.shtml
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- Centers for Medicare & Medicaid Services. Meaningful Use. July 24, 2013. Access at: http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentiveProg...
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