title: Enhancing patient and family engagement through Meaningful Use Stage 3: opportunities and barriers to implementation.
abstract: OBJECTIVE
  The proposed Patient and Family Engagement objectives for Meaningful Use Stage 3 (MU3) seek to provide patients with increased access to, and control over, the content and dissemination of their electronic health record (EHR) information.
  
  
  METHODS
  Implementation study conducted from 2013-2014.
  
  
  METHODS
  In this study, 2 leading US health systems attempted to implement 4 draft MU3 objectives within their current EHR system. Senior staff provided qualitative feedback on their implementation experience; researchers used content analysis to identify major themes and implementation challenges.
  
  
  RESULTS
  We found that the draft objectives would support the MU3 Patient and Family Engagement goals, but that all objectives would benefit from the following: changes in policy language to promote flexibility in implementation; training and workflow adaptions, as well as patient education, by healthcare organizations; and new EHR functionalities.
  
  
  CONCLUSIONS
  In the short term, a semi-automated approach is likely necessary to support MU3 objective implementation. These challenges are not unique to MU3 and underscore gaps in the current health information infrastructure.
authors.affiliation: Abt Associates Inc, 55 Wheeler St, Cambridge, MA 02139. E-mail: jaclyn_rappaport@abtassoc.com.
authors.forename: Jaclyn
authors.initials: J
authors.lastname: Rappaport
authors.forename: Sara
authors.initials: S
authors.lastname: Galantowicz
authors.forename: Andrea
authors.initials: A
authors.lastname: Hassol
authors.forename: Anisha
authors.initials: A
authors.lastname: Illa
authors.forename: Sid
authors.initials: S
authors.lastname: Thornton
authors.forename: Shan
authors.initials: S
authors.lastname: He
authors.forename: Jean
authors.initials: J
authors.lastname: Adams
authors.forename: Charlie
authors.initials: C
authors.lastname: Sawyer
mesh_terms: D022126:Access to Information; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D005195:Family Relations; D005260:Female; D006284:Health Plan Implementation / Q000458:organization & administration; D006801:Humans; D033181:Information Dissemination / Q000379:methods*; D008297:Male; D062527:Meaningful Use / Q000706:statistics & numerical data*; D010358:Patient Participation / Q000706:statistics & numerical data; D015397:Program Evaluation; D017749:Total Quality Management; D014481:United States