Table 4.
Meaningful Use Objectives | High Quality (N = 166) | Intermediate Quality (N = 1318) | Low Quality (N = 153) | Difference (high - low) | p-value* |
---|---|---|---|---|---|
Core Set | Percent | ||||
Computerized Order Entry | 43 | 35 | 30 | 13 | 0.05 |
Implement Drug-Drug, Drug-Allergy Checks | 25 | 17 | 13 | 12 | 0.02 |
Maintain Up-to-date Problem Lists | 61 | 54 | 48 | 13 | 0.08 |
Maintain Active Medication Lists | 88 | 78 | 73 | 15 | <0.01 |
Give Patients an Electronic Copy of Discharge Summaries | 80 | 74 | 70 | 10 | 0.16 |
Record Key Demographics | 96 | 94 | 91 | 5 | 0.21 |
Report Hospital Quality Measures to State or CMS | 41 | 30 | 34 | 7 | 0.02 |
Implement at Least One of Four Clinical Decision Rules | 84 | 72 | 63 | 21 | <0.001 |
Have Capability to Exchange Key Clinical Information | 60 | 54 | 42 | 18 | <0.01 |
All nine core criteria | 2.1 | 3.5 | 1.1 | 1.0 | 0.13 |
Menu Set | |||||
Incorporate Clinical Lab-Test Results Into EHR As Structured Data | 93 | 96 | 95 | −2 | 0.50 |
Perform Medication Reconciliation | 68 | 63 | 57 | 11 | 0.5 |
Record Advanced Directives | 67 | 58 | 52 | 15 | 0.02 |
All 3 menu criteria | 50.2 | 42.1 | 33.8 | 16.4 | 0.01 |
All 9 core and all 3 menu criteria | 1.6 | 2.7 | 1.1 | 0.5 | 0.28 |
P-values for comparisons across all three groups.