ArticleJournal of the American Medical Informatics Association : JAMIA2018
Are all certified EHRs created equal? Assessing the relationship between EHR vendor and hospital meaningful use performance.
Article in Journal of the American Medical Informatics Association : JAMIA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.
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Who cites it
34 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Transitioning from One Electronic Health Record to Another: A Systematic Review.Journal of general internal medicine · 2023Pooled it
- Fragmented care and chronic illness patient outcomes: A systematic review.Nursing open · 2023Pooled it
- Which Electronic Health Record System Should We Use? A Systematic Review.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2022Pooled it
- "Most of what I do is a workaround now": Clinician Use of Workarounds Following an EHR Transition.Journal of general internal medicine · 2026Article
- A problem of Epic proportion.PLOS digital health · 2026Article
- Electronic health record market consolidation and implications for cybersecurity.Health affairs scholar · 2025Article
- Interoperability of health-related social needs data at US hospitals.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- A perspective on digital health platform design and its implementation at national level.Frontiers in digital health · 2024Article
- Experiences with information blocking in the United States: a national survey of hospitals.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Trends in US Hospital Electronic Health Record Vendor Market Concentration, 2012-2021.Journal of general internal medicine · 2023Article
- Status of the health information system in Ireland and its fitness to support health system performance assessment: a multimethod assessment based on stakeholder involvement.Health research policy and systems · 2022Article
- Relationship between electronic health records strategy and user satisfaction: a longitudinal study using clinicians' online reviews.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Electronic health record developer market segmentation contributes to divide in physician interoperable exchange.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Hospital organizational strategies associated with advanced EHR adoption.Health services research · 2022Article
- Development, Validation, and Assessment of Clinical Impact of Real-time Alerts to Detect Inpatient As-Needed Opioid Orders With Duplicate Indications: Prospective Study.Journal of medical Internet research · 2021Article
- Observational
- Assessing hospital electronic health record vendor performance across publicly reported quality measures.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Association between ICU interruptions and physicians trainees' electronic health records efficiency.Informatics for health & social care · 2021Article
- Barriers to using clinical decision support in ambulatory care: Do clinics in health systems fare better?Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Practice and market factors associated with provider volume of health information exchange.Journal of the American Medical Informatics Association : JAMIA · 2021Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: The federal electronic health record (EHR) certification process was intended to ensure a baseline level of system quality and the ability to support meaningful use criteria. We sought to assess whether there was variation across EHR vendors in the degree to which hospitals using products from those vendors were able to achieve high levels of performance on meaningful use criteria. Materials and Methods: We created a cross-sectional national hospital sample from the Office of the National Coordinator for Health Information Technology EHR Products Used for Meaningful Use Attestation public use file and the Centers for Medicare & Medicaid Services Medicare EHR Incentive Program Eligible Hospitals public use file. We used regression models to assess the relationship between vendor and hospital performance on 6 Stage 2 Meaningful Use criteria, controlling for hospital characteristics. We also calculated how much variation in performance is explained by vendor choice. Results: We found significant associations between specific vendor and level of hospital performance for all 6 meaningful use criteria. Epic was associated with significantly higher performance on 5 of the 6 criteria; relationships for other vendors were mixed, with some associated with significantly worse performance on multiple criteria. EHR vendor choice accounted for between 7% and 34% of performance variation across the 6 criteria. Discussion: A nontrivial proportion of variation in hospital meaningful use performance is explained by vendor choice, and certain vendors are more often associated with better meaningful use performance than others. Our results suggest that policy-makers should improve the certification process by including more "real-world" scenario testing and provider feedback or ratings to reduce this variation. Hospitals can use these results to guide interactions with vendors. Conclusion: Vendor choice accounts for a meaningful proportion of variation in hospital meaningful use performance, and specific vendors are consistently associated with higher or lower performance across criteria.
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