Although the intent of the federal Meaningful Use (MU) program is to improve the health of children and adults through adoption and use of electronic health records (EHRs), pediatricians face unique obstacles to participation in this program.1 In addition to known problems with EHR functionality to support pediatric care and the alignment of MU incentives with child health priorities, evidence suggests that the current structure of the MU program puts pediatricians at a disadvantage compared with clinicians caring for adults, leading to wide variability in pediatrician participation in the program across states.2 Specifically, despite a national mean participation rate of <20% in 2012, pediatrician registration in the MU program varied considerably across states, from <10% in New Jersey, Georgia, and Hawaii to nearly 70% in North Dakota (Fig 1). By synthesizing participation data with a detailed policy analysis, the present commentary addresses potential causes of this...
Increasing Pediatrician Participation in EHR Incentive Programs
FINANCIAL DISCLOSURE: Dr Fiks is the co-inventor of the Care Assistant, software that supports workflow and decision support. He holds no patent, no licensing agreement exists, and he has earned no income from this software. Ms Miller, Ms Noonan, and Dr Lehmann have indicated they have no financial relationships relevant to this article to disclose.
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Dorothy Miller, Kathleen Noonan, Alexander G. Fiks, Christoph U. Lehmann; Increasing Pediatrician Participation in EHR Incentive Programs. Pediatrics January 2015; 135 (1): e1–e4. 10.1542/peds.2014-2438
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