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Research Letter |

Meaningful Use and Quality of Care

Lipika Samal, MD, MPH1,2; Adam Wright, PhD1,2; Michael J. Healey, MD1,2; Jeffrey A. Linder, MD, MPH1,2; David W. Bates, MD, MSc1,2,3
[+] Author Affiliations
1Harvard Medical School, Boston, Massachusetts
2Division of General Medicine and Primary Care, Brigham and Women’s Hospital, Boston, Massachusetts
3Harvard School of Public Health, Boston, Massachusetts
JAMA Intern Med. 2014;174(6):997-998. doi:10.1001/jamainternmed.2014.662.
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The American Recovery and Reinvestment Act of 2009 included $30 billion for implementation of the Electronic Health Record (EHR) Meaningful Use (MU) incentive program with a goal of increasing EHR adoption and improving quality of care. Stage 1 of the EHR MU incentive program specified required core objectives, menu objectives, and clinical quality measures.1 We assessed if being a “meaningful user” (defined as meeting 15 core objectives, eg, computerized order entry, safe electronic prescribing, clinical decision support, and providing health information to patients, as well as meeting 5 of 10 optional menu objectives) was associated with improved quality on 7 measures for 5 chronic diseases. (See the eAppendix and eReferences in the Supplement.)

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