Document Detail

Pilot study of meaningful use of electronic health records in radiation oncology.
MedLine Citation:
PMID:  23185145     Owner:  NLM     Status:  MEDLINE    
PURPOSE: Adoption and meaningful use of electronic health record (EHR) systems is an important national goal. We undertook a pilot study to determine the level of adoption and barriers to implementation of meaningful use (MU) of EHR systems as defined by the Centers for Medicare & Medicaid Services (CMS) in US radiation oncology practices.
MATERIALS AND METHODS: We administered a Web-based survey instrument to a convenience sample of 40 departments of radiation oncology. We determined the current status of EHR system use at each facility, attitudes toward EHR systems, knowledge of MU criteria, plans and barriers to implementation, and whether selected interventions would be helpful with regard to compliance with MU criteria.
RESULTS: Twenty-one of 40 radiation oncology facilities completed the survey, for a 53% response rate. Respondents were mostly large academic practices with a median of six (range, one to 32) full-time physicians and 70 (range, eight to 650) patients treated daily. Most facilities (81%) currently used an EHR system. The majority (84%) of facilities were aware of MU criteria, and of these, 67% expected to implement MU-compliant systems by the year 1 reporting deadline of October 1, 2011. The most frequently cited barriers to implementation were high cost, difficulty integrating with hospital systems, and a lack of national guidelines for implementation.
CONCLUSION: Most large academic radiation oncology practices have already incorporated EHR systems into practice and plan to meet MU requirements. Further work should focus on assessment of needs for smaller practices. Radiation oncology-specific guidelines may improve widespread adoption.
Xinglei Shen; Adam P Dicker; Laura Doyle; Timothy N Showalter; Amy S Harrison; Susan I DesHarnais
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2012-03-20
Journal Detail:
Title:  Journal of oncology practice / American Society of Clinical Oncology     Volume:  8     ISSN:  1935-469X     ISO Abbreviation:  J Oncol Pract     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-11-27     Completed Date:  2013-06-20     Revised Date:  2013-07-11    
Medline Journal Info:
Nlm Unique ID:  101261852     Medline TA:  J Oncol Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  219-23     Citation Subset:  IM    
Kimmel Cancer Center and Jefferson School of Population Health, Thomas Jefferson University, Philadelphia, PA 19107, USA.
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MeSH Terms
Attitude to Computers
Cancer Care Facilities
Diffusion of Innovation
Electronic Health Records / utilization*
Pilot Projects
Practice Management, Medical*
Radiation Oncology
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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