Most primary care providers (PCPs) (i e. physicians, physician assistants and nurse practitioners) now struggle to meet the complex needs of those adults with two or more chronic health conditions (i e. those who are comorbid) healthcare consumers under typical office visit constraints.1-6 Research has demonstrated that PCPs frequently lack adequate time to monitor consumers'completion of recommended preventive or screening services under traditional medical record systems.2,3,7-10 Although it's well-established that completion rates of most preventive/screening services under paper-based systems are inadequate, our knowledge of how the use of ambulatory electronic health records (EHR) may affect these completion rates for more comorbid adults is virtually non-existent.2,11-17 According to the AHRQ and numerous other groups, this understanding will be crucial to refine better targeted ambulatory EHR functionalities (e g. automatic reminders for indicated tests and procedures, structured data reporting) and guide sustainable policies and practices to impact preventive/screening service completion among vulnerable comorbid adults.10-20 The purpose of these pre-post controlled analyses is to examine the impact of Stage One Medicaid MU adoption of an EHR on changes over time in completion of six preventive/screening services recommended by the U.S. Preventive Services Task Force (USPSTF) 28 for over 3,500 continuously-covered comorbid adult Medicaid beneficiaries and their respective PCPs.

Public Health Relevance

Research has demonstrated that our nation's primary care providers caring for adults with numerous chronic health conditions frequently lack adequate time to monitor consumers'completion of recommended preventive or screening services under traditional medical record systems.2,3,7-10. Although it's well-established that completion rates of most preventive/screening services under paper-based systems are inadequate, our knowledge of how the use of ambulatory electronic health records (EHR) may affect these completion rates for more comorbid adults is virtually non-existent.2,11-17. The results from these controlled analyses used to design better targeted ambulatory EHR screens/modules and primary care policies/practices based on the main factors impeding the completion rates of major preventive/screening services for our nation's comorbid low-income adults.8,12-14,33-38

Agency
National Institute of Health (NIH)
Type
Small Research Grants (R03)
Project #
1R03HS022559-01
Application #
8617455
Study Section
Health Care Technology and Decision Science (HTDS)
Program Officer
White, Jon
Project Start
Project End
Budget Start
Budget End
Support Year
1
Fiscal Year
2014
Total Cost
Indirect Cost
Name
Michigan State University
Department
Public Health & Prev Medicine
Type
Schools of Medicine
DUNS #
City
East Lansing
State
MI
Country
United States
Zip Code
48824