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The value of electronic health records in community health centers: policy implications.
Health Aff (Millwood). 2007 Jan-Feb; 26(1):206-14.HA

Abstract

This paper analyzes the costs and benefits of electronic health records (EHRs) in six community health centers (CHCs) that serve disadvantaged patients. EHR-related benefits for most study CHCs did not pay for ongoing EHR costs, yet quality improvement (QI) was substantial. Compared to private practices, CHCs cannot use EHRs to increase visit coding levels and revenues, yet they likely use EHRs more aggressively for QI, which raises equity questions. The evidence suggests that policies are needed that help CHCs to afford EHRs and produce more EHR-related QI gains, including through grants and QI performance rewards.

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Authors+Show Affiliations

Miller RH
Institute for Health and Aging, University of California, San Francisco, USA. robert.miller@ucsf.edu
West CE
No affiliation info available

MeSH

Ambulatory Care Information SystemsCapital FinancingCommunity Health CentersCommunity NetworksCost-Benefit AnalysisDiffusion of InnovationEfficiency, OrganizationalHumansMedical Records Systems, ComputerizedModels, EconometricModels, OrganizationalOrganizational Case StudiesOrganizational PolicyQuality Assurance, Health CareSoftwareUnited StatesVulnerable Populations

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17211030

Citation

Miller, Robert H., and Christopher E. West. "The Value of Electronic Health Records in Community Health Centers: Policy Implications." Health Affairs (Project Hope), vol. 26, no. 1, 2007, pp. 206-14.
Miller RH, West CE. The value of electronic health records in community health centers: policy implications. Health Aff (Millwood). 2007;26(1):206-14.
Miller, R. H., & West, C. E. (2007). The value of electronic health records in community health centers: policy implications. Health Affairs (Project Hope), 26(1), 206-14.
Miller RH, West CE. The Value of Electronic Health Records in Community Health Centers: Policy Implications. Health Aff (Millwood). 2007 Jan-Feb;26(1):206-14. PubMed PMID: 17211030.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The value of electronic health records in community health centers: policy implications. AU - Miller,Robert H, AU - West,Christopher E, PY - 2007/1/11/pubmed PY - 2007/5/9/medline PY - 2007/1/11/entrez SP - 206 EP - 14 JF - Health affairs (Project Hope) JO - Health Aff (Millwood) VL - 26 IS - 1 N2 - This paper analyzes the costs and benefits of electronic health records (EHRs) in six community health centers (CHCs) that serve disadvantaged patients. EHR-related benefits for most study CHCs did not pay for ongoing EHR costs, yet quality improvement (QI) was substantial. Compared to private practices, CHCs cannot use EHRs to increase visit coding levels and revenues, yet they likely use EHRs more aggressively for QI, which raises equity questions. The evidence suggests that policies are needed that help CHCs to afford EHRs and produce more EHR-related QI gains, including through grants and QI performance rewards. SN - 1544-5208 UR - https://www.unboundmedicine.com/medline/citation/17211030/The_value_of_electronic_health_records_in_community_health_centers:_policy_implications_ L2 - https://www.healthaffairs.org/doi/10.1377/hlthaff.26.1.206?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -