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Meaningful Use Attestations among US Hospitals: The Growing Rural-Urban Divide

Jones, J. The intent of the EHR Incentive Program was to ensure that hospitals buy cordarone providers are not only adopting EHRs but also using them in a meaningful way to improve clinical outcomes. This program has two components. Active Registrations.

CAHs had a significantly lower proportion of attestations than Buy cordarone hospitals for both the day and one-year demonstration period in metropolitan, micropolitan, and non-CBSA rural buy cordarone see Table 2. McCullough, J. By excluding hospitals that have received AIU payments only, we have limited our results to hospitals that have implemented certified EHR technology and effectively demonstrated using it to achieve meaningful use objectives.

David T. Conclusion Rural and critical access hospitals are attesting to meaningful use and receiving federal incentive payments at a significantly lower rate than their urban counterparts.

February Although this analysis only included Medicare payments, the inclusion of AIU or Medicaid payments would not affect the results. Gabriel, M.

Available at http: The ONC was responsible for administering these training grants and has reported statistics of enrollees in the Community College Consortia programs on their website. The Growing Rural-Urban Divide.

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Jones, J. Charles, D. Non-federal Acute Care Hospitals: United States, 窶

Hospitals are eligible for both Medicare and Medicaid incentive payments. Inbetween 17 and 22 percent of office-based physicians had adopted EHRs. Blumenthal, D. Available at http:

As shown in Buy cordarone 2 and Table 2this difference was present in metropolitan, micropolitan, and non-CBSA rural areas. Joshi, P. Between andthe adoption of basic EHRs increased from 9.

Aciclovir oral suspension results suggest that the gap in meaningful use attestations between rural and urban hospitals is expected to widen. Chi-square tests were used to test associations in the proportion of buy cordarone that attested to meaningful use based on the hospital type, geographic region, and demonstration period with an alpha of 0.

The slower rate of meaningful use demonstration may be a result of this technology adoption lag. US Census Bureau.

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Meaningful Use Attestations among US Hospitals: The Growing Rural-Urban Divide

Active Registrations. Hing, T.

Non-federal Acute Care Hospitals: Methods Data Sources Meaningful use attestation data from Medicare-only incentive payments i.

This program has two components. Charles, M. February Charles, D.

Discussion CAHs are attesting to meaningful use and receiving federal Medicare incentive payments at a significantly lower proportion than their urban counterparts. Recent studies have demonstrated the potential for EHRs to improve caregiver decisions and patient outcomes.

US Census Bureau.

  • Between andthe adoption of basic EHRs increased from 9
  • From until Decemberrural and critical access hospitals were attesting to meaningful use and receiving federal incentive payments at a significantly lower proportion than their urban counterparts
  • CAHs had a significantly lower proportion of attestations than PPS hospitals for both the day and one-year demonstration period in metropolitan, micropolitan, and non-CBSA rural areas see Table 2
  • Worzala, and S
  • The proportion of meaningful use attainment was determined for each CBSA by calculating the proportion of hospitals that were paid for attesting as determined from the CMS meaningful use attestation data relative to the total number of hospitals as determined from the Hospital Compare dataset

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Kralovec, and A. Patel, and M. The ONC was responsible for administering these training grants and has reported statistics of enrollees in the Community College Consortia programs on their website.

The intent of the EHR Incentive Program was to ensure that hospitals and providers are not only adopting EHRs but also using them in a meaningful way to improve clinical outcomes.

This study formally evaluates the current impact of meaningful use on the adoption and use of EHRs across geographic regions and hospital types. This widening gap will make it more difficult for hospitals that are not planning to attest, or at least are unable to do so in a timely fashion, to buy cordarone cost-effective and quality care in their communities and to attract new practitioners, thereby compromising their viability.

Kralovec, and A.

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Our results suggest that the gap in meaningful use attestations between rural and urban hospitals is expected to widen. Moscovice, and M.

McCullough, J. Meaningful use, critical access hospitals, rural, urban Introduction Electronic health records EHRs are touted to have the ability to improve the quality of healthcare and reduce its cost. Hospitals are eligible for both Medicare and Medicaid incentive payments.

Casey Furukawa
American Hospital Association Hing
Kralovec A metropolitan area is defined as an urbanized cluster with a population greater than 50
The proportion of hospitals that attested in micropolitan areas was also significantly greater than the proportion of hospitals that attested in non-CBSA rural areas Kralovec
The slower rate of meaningful use demonstration may be a result of this technology adoption lag The purpose of this study is to compare the proportion of meaningful use attestations across urban and rural hospitals
It is well documented that rural hospitals have been slower to adopt health IT than urban hospitals Buy cordarone use

Casey, I. Scholastica in Duluth, MN. Notes Blumenthal, D. Available at http:

The proportion of hospitals that attested in micropolitan areas was also significantly greater than the proportion of hospitals that attested in non-CBSA rural areas.

A non-CBSA area is defined as a rural cluster with fewer than 10, people. US Government Accountability Office.

Our results suggest that the gap in meaningful use attestations between rural and urban hospitals is expected to widen. In the day demonstration period, approximately 1.

This widening gap will make it more difficult for hospitals that are not planning to attest, or at least are unable to do so in a timely fashion, to provide cost-effective and quality care in their communities differin pump to attract new practitioners, thereby compromising their viability. Final Rule.

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Comment 邃1 about product

Overall, the result of this study suggests that the digital divide between urban and rural hospitals that are adopting EHRs and using the technology is widening, thereby posing a challenge for these hospitals to provide cost-effective and quality care in their communities. A non-CBSA area is defined as a rural cluster with fewer than 10, people. As shown in Figure 2 and Table 2 , this difference was present in metropolitan, micropolitan, and non-CBSA rural areas.


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Comment 邃2 about product

Kralovec, and M. Posted in: The proportions of attestations were compared between metropolitan, micropolitan, and rural hospitals and by whether a hospital was critical access or prospective payment system.


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February Worzala, and S.


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Furukawa, E. Therefore, if disparities exist in the demonstration of meaningful use, patients may be at risk of poorer clinical outcomes. Charles, D.


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Therefore, if disparities exist in the demonstration of meaningful use, patients may be at risk of poorer clinical outcomes. Scholastica in Duluth, MN.


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Worzala, M. Hospitals are eligible for both Medicare and Medicaid incentive payments. US Government Accountability Office.


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