Differences in Electronic Medical Record Implementation and Use According to Geographical Location and Organizational Characteristics of US Federally Qualified Health Centers

Authors:
Janice Probst;Charles S. Beverley;Edith M. Williams;Patrick Rivers;Saundra H. Glover
Affiliations:
University of South Carolina, USA;University of South Carolina, USA;University of South Carolina, USA;Southern Illinois University Carbondale, USA;University of South Carolina, USA
Venue:
International Journal of Healthcare Information Systems and Informatics
Year:
2012

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Abstract

Electronic medical records EMRs are at the forefront of the national healthcare agenda and this paper examines EMR implementation and usage based on data from the 2009 Commonwealth Fund National Survey of Federally Qualified Health Centers FQHC. Chi-square analysis was used to examine differences in EMR implementation and usage. Logistic regression analysis was used to understand the adjusted associations between EMR implementation and usage. A significant finding of this study was that simple EMRs were implemented in more than half of FQHCs in the Northeast, Southern, and Western regions of the United States and EMRs in more than half of the FQHCs in the Southern and Western regions are not even utilized. These findings indicate simple EMR usage and full EMR implementation need improvement to meet the requirements of the American Recovery and Reinvestment Act by 2014, or face reduction in Medicare and Medicaid reimbursements.