Volume 52 | Number 1 | February 2017

Abstract List

Dawn Heisey‐Grove M.P.H., Jennifer A. King Ph.D.


To identify physician and practice characteristics that are markers of success for meaningful use of electronic health records (s).

Data Sources

American Medical Association survey, Centers for Medicare & Medicaid Services' () Incentive, Pioneer Accountable Care Organization, and Programs, the Office of the National Coordinator for Health 's Regional Extension Center Program, and National Committee for Quality Assurance Patient‐centered Medical Home certification program.

Study Design

Retrospective analysis of 865,370 physicians' participation in 's Incentive Program and progress to stage 1 Meaningful Use between 2011 and 2013. Physician specialty, age, practice size, geographic markers, delivery reform participation, and technical assistance receipt were predictive elements.

Principal Findings

Medicaid physicians were progressing more slowly to Meaningful Use than Medicare physicians: by 2013, 8 in 10 physicians registered with Medicare had achieved meaningful use, compared to one‐third of Medicaid‐registered physicians. The strongest predictors of meaningful use were technical assistance (79 percent more likely) and delivery reform participation (34 percent more likely).


Continued outreach and technical assistance that demonstrates strong interactions between meaningful use of health and delivery reform may facilitate further adoption of both initiatives.