title: Improving EHR Capabilities to Facilitate Stage 3 Meaningful Use Care Coordination Criteria.
abstract: Primary care practices have been limited in their ability to leverage electronic health records (EHRs) and health information exchange (HIE) to improve care coordination, but will soon be incentivized to do so under proposed Stage 3 meaningful use criteria. We use mixed methods to understand how primary care practices manage, share and reconcile electronic patient information across care settings, and identify innovations in EHR design to support enhanced care coordination. Opportunities identified by practices focused on availability and usability of features that facilitate (1) generation of customized summary of care records, (2) team-based care approaches, and (3) management of the increased volume of electronic information generated and exchanged during care transitions. More broadly, vendors and policymakers need to continue to work together to improve interoperability as the key to effective care coordination. If these EHR innovations were widespread, the value of meeting the proposed Stage 3 care coordination criteria would be substantially enhanced.
authors.affiliation: School of Public Health, University of Michigan, Ann Arbor, MI.
authors.forename: Dori A
authors.initials: DA
authors.lastname: Cross
authors.affiliation: School of Public Health, University of Michigan, Ann Arbor, MI.
authors.forename: Genna R
authors.initials: GR
authors.lastname: Cohen
authors.affiliation: School of Public Health, University of Michigan, Ann Arbor, MI.
authors.forename: Paige
authors.initials: P
authors.lastname: Nong
authors.affiliation: Altarum Institute, Ann Arbor, MI.
authors.forename: Anya-Victoria
authors.initials: AV
authors.lastname: Day
authors.affiliation: Altarum Institute, Ann Arbor, MI.
authors.forename: Danielle
authors.initials: D
authors.lastname: Vibbert
authors.affiliation: Altarum Institute, Ann Arbor, MI.
authors.forename: Ramya
authors.initials: R
authors.lastname: Naraharisetti
authors.affiliation: School of Public Health, University of Michigan, Ann Arbor, MI; School of Information, University of Michigan, Ann Arbor, MI.
authors.forename: Julia
authors.initials: J
authors.lastname: Adler-Milstein
mesh_terms: D001291:Attitude of Health Personnel; D003266:Continuity of Patient Care / Q000458:organization & administration; D057286:Electronic Health Records / Q000458:organization & administration*; D066275:Health Information Exchange; D006801:Humans; D062527:Meaningful Use / Q000458:organization & administration*; D009934:Organization and Administration; D010348:Patient Care Team / Q000458:organization & administration; D011216:Practice Management, Medical / Q000458:organization & administration*; D011320:Primary Health Care / Q000458:organization & administration*