title: Enabling Quality: Electronic Health Record Adoption and Meaningful Use Readiness in Federally Funded Health Centers.
abstract: The Health Resources and Services Administration has supported the adoption of electronic health records (EHRs) by federally funded health centers for over a decade; however, little is known about health centers' current EHR adoption rates, progress toward Meaningful Use, and factors related to adoption. We analyzed cross-sectional data from all 1,128 health centers in 2011, which served over 20 million patients during that year. As of 2011, 80% of health centers reported using an EHR, and high proportions reported using many advanced EHR functionalities. There were no indications of disparities in EHR adoption by census region, urban/rural location, patient sociodemographic composition, physician staffing, or health center funding; however, there were small variations in adoption by total patient cost and percent of revenue from grants. Findings revealed no evidence of a digital divide among health centers, indicating that health centers are implementing EHRs, in keeping with their mission to reduce health disparities.
authors.forename: Michael
authors.initials: M
authors.lastname: Wittie
authors.forename: Quyen
authors.initials: Q
authors.lastname: Ngo-Metzger
authors.forename: Lydie
authors.initials: L
authors.lastname: Lebrun-Harris
authors.forename: Leiyu
authors.initials: L
authors.lastname: Shi
authors.forename: Suma
authors.initials: S
authors.lastname: Nair
mesh_terms: D003430:Cross-Sectional Studies; D057286:Electronic Health Records / Q000592:standards / Q000706:statistics & numerical data*; D035082:Federal Government; D005260:Female; D005843:Geography; D006801:Humans; D008297:Male; D062527:Meaningful Use / Q000706:statistics & numerical data*; D012424:Rural Population / Q000706:statistics & numerical data; D014481:United States; D014488:United States Health Resources and Services Administration / Q000592:standards*; D014505:Urban Population / Q000706:statistics & numerical data