title: Toward understanding EHR use in small physician practices.
abstract: This article presents insights into the use of electronic health records (EHRs) by small physician practices participating in a CMS pay-for-performance demonstration. Site visits to four States reveal slow movement toward improved EHR use. Factors facilitating use of EHRs include customization of EHR products and being owned by a larger organization. Factors limiting use of EHRs include system limitations, cost, and lack of strong incentives to improve. Practices in one State were moving more vigorously toward improved EHR use than those in the other States. Many practices also increased use of medical assistants after implementing EHRs.
authors.affiliation: Mathematica Policy Research, Washington, DC 20024, USA. sfelt-lisk@mathematica-mpr.com
authors.forename: Suzanne
authors.initials: S
authors.lastname: Felt-Lisk
authors.forename: Lorraine
authors.initials: L
authors.lastname: Johnson
authors.forename: Christopher
authors.initials: C
authors.lastname: Fleming
authors.forename: Rachel
authors.initials: R
authors.lastname: Shapiro
authors.forename: Brenda
authors.initials: B
authors.lastname: Natzke
mesh_terms: D057171:American Recovery and Reinvestment Act; D014487:Centers for Medicare and Medicaid Services, U.S.; D004059:Diffusion of Innovation; D016347:Medical Records Systems, Computerized / Q000706:statistics & numerical data*; D011216:Practice Management, Medical; D011785:Quality Assurance, Health Care; D012052:Reimbursement, Incentive; D014481:United States