Table 2.
Barriers to Pursuing Meaningful Use Incentive Payments
| No EHR Use, | Partial EHR | Full EHR Use, | ||
|---|---|---|---|---|
| Survey Question | n (%) | Use, n (%) | n (%) | p-value |
| Why are you not pursuing or unsure whether you will pursue Medicare/Medicaid meaningful use incentivepayments? | N = 93 | N = 145 | N = 30 | |
| Cost | 53 (57.0 | 62 (42.8) | 10 (33.3) | .030 |
| Lack of access to capital | 40 (43.0) | 43 (29.7) | 6 (20.0) | .027 |
| Resistance to implementation | 20 (21.5) | 34 (23.4) | 2 (6.7) | .118 |
| Concerns about security or | 11 (11.8) | 12 (8.3) | 2 (6.7) | .569 |
| liability for privacy breaches | ||||
| Uncertainty about certification | 25 (26.9) | 51 (35.2) | 12 (40.0) | .279 |
| process | ||||
| Lack of vendor capacity | 10 (10.8) | 21 (14.5) | 4 (13.3) | .706 |
| Lack of adequate information | 36 (38.7) | 41 (28.3) | 1 (3.3) | .001 |
| technology (IT) personnel in the hospital to support implementation/maintenance | ||||
| Challenge of meeting all meaningful use criteria within implementation timeline | 43 (46.2) | 79 (54.5) | 11 (36.7) | .149 |
| Other | 25 (26.9) | 46 (31.7 | 14 (46.7) | .129 |