Home > EHR, meaningful use, Medicare, research > HHS Announces New ONC Data Brief on EHR Adoption Motivations

HHS Announces New ONC Data Brief on EHR Adoption Motivations

Earlier today, the HHS Office of the National Coordinator for HIT (ONC) announced the publication of the ONC Data Brief No. 21, “Physician Motivations for Adoption of Electronic Health Records.” The data brief attempts to explore stakeholder decisions to move forward (or not) with EHR adoption.

Unfortunately, as with all EHR adoption reports based on the Centers for Disease Control and Prevention (CDC) NAMCS survey and supplemental surveys from 2011-2013, a large chunk of the EHR Incentive Program eligible professional (EP) population (nearly 17% if CMS’ EP denominator is to be believed)—anesthesiologists, pathologists, and radiologists—are explicitly not included. Moreover, the CDC/NAMCS concept of an “EHR” is not always aligned with the ONC’s regulatory concept of “certified EHR technology.” So, while the CDC survey data may be useful for some things, it is not particularly helpful for understanding overall physician views of CMS’ EHR Incentive Program.

This is not new.  The CDC’s annual surveys have omitted anesthesiology, pathology, and radiology data for years because they are based on a pre-ARRA understanding of the world. This kind of data would be more helpful if the surveyed population aligned with the real makeup of CMS and ONC’s stakeholders and better reflected the current, post-ARRA landscape.

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