Organizations Influencing Practices in the Decision Whether to Adopt a New Electronic Health Record System
| Practices with EHRs | Practices without EHRs | ||
| Organization | Percent⁎ | Percent⁎ | P Value |
| Your practice group | 69 | 56 | <0.001 |
| Physician Hospital Organization(s) (PHOs) or Independent Practice Association(s) (IPAs) | 40 | 43 | 0.46 |
| Integrated Delivery System(s) | 29 | 33 | 0.27 |
| Managed care plans you work with | 30 | 41 | <0.001 |
| Massachusetts Medical Society | 18 | 34 | <0.001 |
| Your specialty's professional society | 21 | 30 | 0.004 |
| MassPRO or DOQ-IT† | 8 | 22 | <0.001 |
| Massachusetts e-Health Collaborative‡ | 9 | 23 | <0.001 |
| The Leapfrog Group¶ | 6 | 16 | <0.001 |
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EHR = electronic health record.
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↵⁎ N = 1181. Percent reporting that each organization played a role in deciding whether to adopt a new electronic health record system for the practice. All percents are weighted; see text for details.
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↵† MassPRO is the Massachusetts Healthcare Quality Improvement Organization (http://www.masspro.org/). MassPRO participates in the Doctor's Office Quality Information Technology (DOQ-IT) program, a two-year Special Study demonstration that is designed to improve quality of care, patient safety, and efficiency for services provided to Medicare beneficiaries by promoting the adoption of EHRs in primary care physician offices.
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↵‡ The Massachusetts e-Health Collaborative (www.MAeHC.org) was formed in 2004 as an initiative of the physician community to bring together the state's major health care stakeholders for the purpose of establishing an EHR system that would enhance the quality, efficiency and safety of care in Massachusetts.
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↵¶ The Leapfrog Group (http://www.leapfroggroup.org/) is an initiative driven by organizations that buy health care who are working to initiate breakthrough improvements in the safety, quality and affordability of healthcare for Americans.
