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Implementing specific policies can accelerate utilization of EMRs in the United States.Electronic Health Record Systems: the Vehicle for Implementing Performance Measures Author(s): O'Toole MF, Kmetik KS, Bossley H, Cahill JM, Kotsos TP, Schwamberger PA, Bufalino VJSource: Am Heart Hosp J 2005 Spring; 3(2):88-93.CCHIT certified products also meet requirements set forth by HHS in final physician self-referral law and anti-kickback statute rules, providing access to external means of implementing EHR systems.

The recent American Recovery and Reinvestment Act (ARRA) of 2009 (PDF, 1 MB ) authorizes billion to be distributed starting in 2011 as adoption incentives through Medicare and Medicaid to qualified providers who adopt and use certified EMRs.

In addition, several States have recently promoted EMR adoption by mandates, initiatives, or funding programs through the disbursement of grants and loans within their States: AHRQ has funded organizations across the country that are implementing and evaluating electronic medical and health record systems.

We performed a cost-benefit study to analyze the financial effects of electronic medical record systems in ambulatory primary care settings from the perspective of the health care organization.

The reference strategy for comparisons was the traditional paper-based medical record.

Summary: The purpose of this study was to estimate the net financial benefit or cost of implementing electronic medical record systems in primary care.

Much of the data and conclusions are based on expert opinion and assumptions, with a minority of data from actual studies.Implementation of an electronic medical record system in primary care can result in a positive financial return on investment to the health care organization. Although robust EMRs are now available, only about 5 percent of U. Substantial benefits realizable through routine use of EMRs include improved quality, safety, and efficiency, along with increased ability to conduct education and research.Nevertheless, barriers to adoption exist and must be overcome.Despite these benefits, widespread adoption of EMRs in the United States is low; a recent survey indicated that only 4 percent of ambulatory physicians reported having an extensive, fully functional electronic records system and 13 percent reported having a basic system.[2] Among the most significant barriers to adoption are: Recognizing the role that EMRs can play in transforming health care, in 2003, the Institute of Medicine issued a group of eight key functions for safety, quality, and care efficiency that EMRs should support.Some of these include: Title: Ambulatory Electronic Medical Record and Shared Access Principal Investigator: Michael De Luca State: IL Title: An Interactive Preventive Health Record (IPHR) to Promote Patient-Centered Care Principal Investigator: Alexander Krist State: VA Title: A Partnership for Clinician EHR Use and Quality of Care Principal Investigator: Joanne Pohl State: MI Title: Bringing Measurement to the Point of Care Principal Investigator: Winfred Wu State: NY Title: Can Risk Score Alerts Improve Office Care for Chest Pain?