Table 3.
Adjusted relationships between 2010 reported MU challenges and 2011 receipt of MU payment (marginal effects† are presented)
| CDS rule challenge | CPOE challenge | Information exchange challenge | Medication reconciliation challenge | Patient access to data challenge | Codified problem lists challenge | Quality reporting challenge | |
|---|---|---|---|---|---|---|---|
| MU payment | |||||||
| No | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
| Yes | −2.5% | −18.3%*** | +3.3% | −3.7% | +7.0%* | +0.8% | +12.1%*** |
| Location | |||||||
| Rural | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
| Urban | −3.2% | −2.1% | −5.0% | +8.7%*** | −1.5% | +3.9%* | +0.007% |
| Bed size | |||||||
| 1–125 | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
| 126–399 | −3.6% | +2.4% | −3.6% | +0.1% | −5.9%** | +3.4% | +4.2% |
| 400+ | −5.1% | +5.7% | −8.4%* | −0.04% | −7.1%* | +6.4% | +6.6% |
| For-profit hospital | |||||||
| No | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
| Yes | +3.8% | +11.2%** | −2.0% | −4.3% | +9.7%** | −7.2%*** | −15.3%*** |
| Teaching hospital | |||||||
| No | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
| Yes | +2.8% | −29.8%*** | +6.0% | +2.2% | +3.0% | +1.7% | +14.1%** |
| System hospital | |||||||
| No | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
| Yes | −0.2% | −4.4%* | −5.2%* | +3.6%* | +2.7% | +2.7% | −0.1% |
*p<0.05; **p<0.01; ***p<0.001. Ref. is reference category. Each column presents the results of a logistic regression for given MU challenge. N=2370 due to missing data.
†Marginal effects represent the difference in the probability of an outcome occurring between a given category and the reference group.
CDS, clinical decision support; CPOE, computerized provider order entry; MU, meaningful use.