Effect of Electronic Health Record Use on Preventive Screening for Comorbid Medicaid Adults (Michigan)

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Summary:

Since the passage of the Health Information Technology for Economic and Clinical Health (HITECH) Act in 2009, the Federal Government has offered financial incentives for health care providers to increase use of federally certified electronic health records (EHRs). The related goal for the Medicaid EHR Incentive Program was to improve the quality, safety, and efficiency of health care provided to Medicaid-covered beneficiaries.

The purpose of this project was to examine the influence of Medicaid provider EHR adoption on completion of six guidelines for prevention and screening services for: (1) cervical cancer screening, (2) colorectal cancer screening, (3) diabetes screening, (4) hyperlipidemia screening, (5) influenza vaccination, and (6) pneumococcal vaccination. All approved Medicaid claims from 2009 to 2012 were extracted from the Michigan Medicaid Data Warehouse for these analyses.

The specific aims of this project are as follows:

  • Compare covariate-adjusted completion rates of six key preventive and screening services among comorbid Medicaid beneficiary-primary care provider (PCP) dyads 12 months before and 12 months after their PCP’s full Stage 1 Medicaid Meaningful Use (MU) adoption of an EHR. 
  • Compare adjusted completion rates of six preventive and screening services from a group of comorbid adult Medicaid beneficiaries receiving consistent primary care from Stage 1 Medicaid MU PCPs with an equivalent group of adults receiving care from PCPs who have never applied for Medicaid MU EHR incentives. 

The study sample included 10,149 continuously covered Michigan Medicaid adult beneficiaries. A pre-post study design found statistically significant improvement in the completion rates of colorectal cancer screening, hyperlipidemia screening, diabetes screening, and influenza vaccination. However, rates were lower for cervical cancer and pneumococcal vaccination. The results indicate that adoption of a federally certified EHR is associated with mixed-rate changes for a set of major preventive and screening services.

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Effect of Electronic Health Record Use on Preventive Screening for Comorbid Medicaid Adults - Final Report

Citation:
Corser W. Effect of Electronic Health Record Use on Preventive Screening for Comorbid Medicaid Adults - Final Report. (Prepared by Michigan State University under Grant No. R03 HS022559). Rockville, MD: Agency for Healthcare Research and Quality, 2015. (PDF, 344.26 KB)

The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.
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