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Meaningful Use

Does Physician Participation Move the Needle on Quality Metrics?

Brooks, Kevin; Sarzynski, Erin; Houdeshell-Putt, Laura; Polverento, Molly; Given, Charles; Oberst, Kathleen

doi: 10.1097/JHQ.0000000000000210
Original Article

Introduction: To determine the association between pattern of participation in the Meaningful Use (MU) initiative and self-reported clinical quality metrics.

Methods: We used state-level Medicaid electronic health record (EHR) incentive program data to categorize physicians based on receipt of MU payments (single year vs. multiple years) and self-reported quality metrics from 2011 to 2016.

Results: Among 4,198 participating physicians, only 36% received more than one EHR incentive payment. Physicians participating for a single year had better cancer-screening metrics. By comparison, physicians who participated for multiple years reported better medication-related metrics and chronic disease management metrics.

Conclusions: Nature of participation may have varying degrees of influence on types of clinical quality metrics. Sustained participation may support management of chronic conditions. Administrative claims data will help to elucidate our findings.

For more information on this article, contact Kevin Brooks at

Supported by the Michigan Department of Health and Human Services Contract #E20182788-00 (HIT Resource Center) and Michigan State University Institute for Health Policy. The sponsor had no role in the study concept or design, methods, data collection, analysis, or preparation of this paper.

Data Acquisition: Jason Werner, Stacey Kolarik, Julie Dupuis. All authors: study concept and design. K. Brooks, L. Houdeshell, and K. Oberst: acquisition of data. K. Brooks, E. Sarzynski, L. Houdeshell, and M. Polverento: analysis and interpretation of data. K. Brooks, E. Sarzynski, and M. Polverento: drafting of manuscript. All authors: critical revision and approval of paper for publication.

E. Sarzynski reports income from the Center for Medical Education for her role as a commentator in Continuing Medical Education (CME) audio publications. The remaining authors declare no conflicts of interest.

© 2019 National Association for Healthcare Quality
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