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Small practices' experience with EHR, quality measurement, and incentives.

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Summary

Financial incentives in health IT programs like Health eHearts encouraged clinicians to engage more with quality reports and improvement activities, especially in smaller practices.

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Area of Science:

  • Health Information Technology
  • Clinical Quality Improvement
  • Physician Engagement

Background:

  • Health eHearts is a program designed to recognize and incentivize quality care through health information technology.
  • Understanding clinician attitudes and experiences is crucial for optimizing such programs.

Purpose of the Study:

  • To assess clinician attitudes and experiences within the Health eHearts quality recognition and financial incentive program.
  • To compare experiences between practices receiving financial incentives and a control group.

Main Methods:

  • A survey was administered to 140 lead clinicians across participating practices.
  • Survey domains included experiences with cardiovascular quality measures, electronic health records (EHRs), technical assistance, quality reports, and incentive payments.
  • Responses were compared between incentive and control groups.

Main Results:

  • A 74% survey response rate was achieved.
  • Most clinicians reviewed quality reports (89%) and agreed with measure prioritization (89%).
  • Clinicians in the incentive group were more likely to have quality improvement visits (68% vs. 43%) and use clinical decision support alerts (92% vs. 82%).

Conclusions:

  • Clinicians reported positive experiences regardless of incentive status.
  • Financial incentives were associated with increased engagement with performance reports and quality improvement activities.
  • Incentives show potential for engaging small, independent practices in quality improvement initiatives.