Quality improvement teams, super-users, and nurse champions: a recipe for meaningful use?
This study assessed whether having an electronic health record (EHR) super-user, nurse champion for meaningful use (MU), and quality improvement (QI) team leading MU implementation is positively associated with MU Stage 1 demonstration.



Data on MU demonstration of 596 providers in 37 ambulatory care clinics came from the clinical data warehouse and administrative systems of UNC Health Care. We surveyed the 37 clinics about champions, super-users, and QI teams. We used generalized estimating equation methods with an independence working correlation matrix to account for clustering within clinics and to weight contributions from each clinic according to clinic size.



Having a QI team lead MU implementation was significantly associated with MU demonstration (odds ratio, OR = 3.57, 95% CI, 1.83-6.96, P < .001, Table 2). Having neither a nurse champion nor an EHR super-user was significant.



Our findings support the alignment of MU with QI efforts by having the QI team lead MU implementation.
Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA chris_shea@unc.edu.
Christopher M
CM
Shea
Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Kristin L
KL
Reiter
UNC School of Medicine; research assistant professor, Department of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Mark A
MA
Weaver
Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Jordan
J
Albritton
D057286:Electronic Health Records / Q000458:organization & administration* / Q000592:standards / Q000706:statistics & numerical data; D006801:Humans; D007857:Leadership; D062527:Meaningful Use / Q000458:organization & administration*; D009726:Nurses; D058996:Quality Improvement / Q000458:organization & administration*
electronic health records; meaningful use; nurse champion; quality improvement; super-user