Massachusetts E-Health Project Increased Physicians' Ability To Use Registries, And Signals Progress Toward Better Care

Department of Population Medicine, Harvard Pilgrim Health Care Institute and Harvard Medical School, and Brigham and Women's Hospital, Boston, MA, USA.
Health Affairs (Impact Factor: 4.97). 07/2011; 30(7):1256-64. DOI: 10.1377/hlthaff.2010.1020
Source: PubMed


The ability to generate and use registries--lists of patients with specific conditions, medications, or test results--is considered a measure of physicians' engagement with electronic health record systems and a proxy for high-quality health care. We conducted a pre-post survey of registry capability among physicians participating in the Massachusetts eHealth Collaborative, a four-year, $50 million health information technology program. Physicians who participated in the program increased their ability to generate some types of registries--specifically, for laboratory results and medication use. Our analysis also suggested that physicians who used their electronic health records more intensively were more likely to use registries, particularly in caring for patients with diabetes, compared to physicians reporting less avid use of electronic health records. This statewide project may be a viable model for regional efforts to expand health information technology and improve the quality of care.

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    • "There is also a need for further examination of factors that may facilitate the progressive effect of HIT. As reported by recent studies, [39] a further understanding of how physicians engage with information technology systems, as well as the efficient and effective use of information generated from electronic systems at the point of care and beyond, is essential to optimizing the benefits of HIT. "
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