Using multi-stakeholder alliances to accelerate the adoption of health information technology by physician practices

Megan McHugh, Yunfeng Shi, Sean R. McClellan, Stephen M. Shortell, Naleef Fareed, Jillian Harvey, Patricia Ramsay, Lawrence P. Casalino

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Multi-stakeholder alliances - groups of payers, purchasers, providers, and consumers that work together to address local health goals - are frequently used to improve health care quality within communities. Under the Aligning Forces for Quality (AF4Q) initiative, multi-stakeholder alliances were given funding and technical assistance to encourage the use of health information technology (HIT) to improve quality. We investigated whether HIT adoption was greater in AF4Q communities than in other communities. Methods: Drawing upon survey data from 782 small and medium-sized physician practices collected as part of the National Study of Physician Organizations during July 2007 - March 2009 and January 2012-November 2013, we used weighted fixed effects models to detect relative changes in four measures representing three domains: use of electronic health records (EHRs), receipt of electronic information from hospitals, and patients' online access to their medical records. Results: Improvement on a composite EHR adoption measure was 7.6 percentage points greater in AF4Q communities than in non-AF4Q communities, and the increase in the probability of adopting all five EHR capabilities was 23.9 percentage points greater in AF4Q communities. There was no significant difference in improvement in receipt of electronic information from hospitals or patients' online access to medical records between AF4Q and non-AF4Q communities. Conclusion: By linking HIT to quality improvement efforts, AF4Q alliances may have facilitated greater adoption of EHRs in small and medium-sized physician practices, but not receipt of electronic information from hospitals or patients' online access to medical records. Implications: Multi-stakeholder alliances charged with promoting HIT to advance quality improvement may accelerate adoption of EHRs.

Original languageEnglish (US)
Pages (from-to)86-91
Number of pages6
JournalHealthcare
Volume4
Issue number2
DOIs
StatePublished - Jun 1 2016

Fingerprint

Medical Informatics
Electronic Health Records
Physicians
Medical Records
Quality Improvement
Quality of Health Care
Organizations
Health

All Science Journal Classification (ASJC) codes

  • Health Policy

Cite this

McHugh, Megan ; Shi, Yunfeng ; McClellan, Sean R. ; Shortell, Stephen M. ; Fareed, Naleef ; Harvey, Jillian ; Ramsay, Patricia ; Casalino, Lawrence P. / Using multi-stakeholder alliances to accelerate the adoption of health information technology by physician practices. In: Healthcare. 2016 ; Vol. 4, No. 2. pp. 86-91.
@article{6e948b8ab5854a4096c97db92580529e,
title = "Using multi-stakeholder alliances to accelerate the adoption of health information technology by physician practices",
abstract = "Background: Multi-stakeholder alliances - groups of payers, purchasers, providers, and consumers that work together to address local health goals - are frequently used to improve health care quality within communities. Under the Aligning Forces for Quality (AF4Q) initiative, multi-stakeholder alliances were given funding and technical assistance to encourage the use of health information technology (HIT) to improve quality. We investigated whether HIT adoption was greater in AF4Q communities than in other communities. Methods: Drawing upon survey data from 782 small and medium-sized physician practices collected as part of the National Study of Physician Organizations during July 2007 - March 2009 and January 2012-November 2013, we used weighted fixed effects models to detect relative changes in four measures representing three domains: use of electronic health records (EHRs), receipt of electronic information from hospitals, and patients' online access to their medical records. Results: Improvement on a composite EHR adoption measure was 7.6 percentage points greater in AF4Q communities than in non-AF4Q communities, and the increase in the probability of adopting all five EHR capabilities was 23.9 percentage points greater in AF4Q communities. There was no significant difference in improvement in receipt of electronic information from hospitals or patients' online access to medical records between AF4Q and non-AF4Q communities. Conclusion: By linking HIT to quality improvement efforts, AF4Q alliances may have facilitated greater adoption of EHRs in small and medium-sized physician practices, but not receipt of electronic information from hospitals or patients' online access to medical records. Implications: Multi-stakeholder alliances charged with promoting HIT to advance quality improvement may accelerate adoption of EHRs.",
author = "Megan McHugh and Yunfeng Shi and McClellan, {Sean R.} and Shortell, {Stephen M.} and Naleef Fareed and Jillian Harvey and Patricia Ramsay and Casalino, {Lawrence P.}",
year = "2016",
month = "6",
day = "1",
doi = "10.1016/j.hjdsi.2016.01.004",
language = "English (US)",
volume = "4",
pages = "86--91",
journal = "Healthcare",
issn = "2213-0764",
publisher = "Elsevier BV",
number = "2",

}

McHugh, M, Shi, Y, McClellan, SR, Shortell, SM, Fareed, N, Harvey, J, Ramsay, P & Casalino, LP 2016, 'Using multi-stakeholder alliances to accelerate the adoption of health information technology by physician practices', Healthcare, vol. 4, no. 2, pp. 86-91. https://doi.org/10.1016/j.hjdsi.2016.01.004

Using multi-stakeholder alliances to accelerate the adoption of health information technology by physician practices. / McHugh, Megan; Shi, Yunfeng; McClellan, Sean R.; Shortell, Stephen M.; Fareed, Naleef; Harvey, Jillian; Ramsay, Patricia; Casalino, Lawrence P.

In: Healthcare, Vol. 4, No. 2, 01.06.2016, p. 86-91.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Using multi-stakeholder alliances to accelerate the adoption of health information technology by physician practices

AU - McHugh, Megan

AU - Shi, Yunfeng

AU - McClellan, Sean R.

AU - Shortell, Stephen M.

AU - Fareed, Naleef

AU - Harvey, Jillian

AU - Ramsay, Patricia

AU - Casalino, Lawrence P.

PY - 2016/6/1

Y1 - 2016/6/1

N2 - Background: Multi-stakeholder alliances - groups of payers, purchasers, providers, and consumers that work together to address local health goals - are frequently used to improve health care quality within communities. Under the Aligning Forces for Quality (AF4Q) initiative, multi-stakeholder alliances were given funding and technical assistance to encourage the use of health information technology (HIT) to improve quality. We investigated whether HIT adoption was greater in AF4Q communities than in other communities. Methods: Drawing upon survey data from 782 small and medium-sized physician practices collected as part of the National Study of Physician Organizations during July 2007 - March 2009 and January 2012-November 2013, we used weighted fixed effects models to detect relative changes in four measures representing three domains: use of electronic health records (EHRs), receipt of electronic information from hospitals, and patients' online access to their medical records. Results: Improvement on a composite EHR adoption measure was 7.6 percentage points greater in AF4Q communities than in non-AF4Q communities, and the increase in the probability of adopting all five EHR capabilities was 23.9 percentage points greater in AF4Q communities. There was no significant difference in improvement in receipt of electronic information from hospitals or patients' online access to medical records between AF4Q and non-AF4Q communities. Conclusion: By linking HIT to quality improvement efforts, AF4Q alliances may have facilitated greater adoption of EHRs in small and medium-sized physician practices, but not receipt of electronic information from hospitals or patients' online access to medical records. Implications: Multi-stakeholder alliances charged with promoting HIT to advance quality improvement may accelerate adoption of EHRs.

AB - Background: Multi-stakeholder alliances - groups of payers, purchasers, providers, and consumers that work together to address local health goals - are frequently used to improve health care quality within communities. Under the Aligning Forces for Quality (AF4Q) initiative, multi-stakeholder alliances were given funding and technical assistance to encourage the use of health information technology (HIT) to improve quality. We investigated whether HIT adoption was greater in AF4Q communities than in other communities. Methods: Drawing upon survey data from 782 small and medium-sized physician practices collected as part of the National Study of Physician Organizations during July 2007 - March 2009 and January 2012-November 2013, we used weighted fixed effects models to detect relative changes in four measures representing three domains: use of electronic health records (EHRs), receipt of electronic information from hospitals, and patients' online access to their medical records. Results: Improvement on a composite EHR adoption measure was 7.6 percentage points greater in AF4Q communities than in non-AF4Q communities, and the increase in the probability of adopting all five EHR capabilities was 23.9 percentage points greater in AF4Q communities. There was no significant difference in improvement in receipt of electronic information from hospitals or patients' online access to medical records between AF4Q and non-AF4Q communities. Conclusion: By linking HIT to quality improvement efforts, AF4Q alliances may have facilitated greater adoption of EHRs in small and medium-sized physician practices, but not receipt of electronic information from hospitals or patients' online access to medical records. Implications: Multi-stakeholder alliances charged with promoting HIT to advance quality improvement may accelerate adoption of EHRs.

UR - http://www.scopus.com/inward/record.url?scp=84960976403&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84960976403&partnerID=8YFLogxK

U2 - 10.1016/j.hjdsi.2016.01.004

DO - 10.1016/j.hjdsi.2016.01.004

M3 - Article

C2 - 27343156

AN - SCOPUS:84960976403

VL - 4

SP - 86

EP - 91

JO - Healthcare

JF - Healthcare

SN - 2213-0764

IS - 2

ER -