{"id":"https://openalex.org/W2768571739","doi":"https://doi.org/10.1093/jamia/ocx135","title":"Are all certified EHRs created equal? Assessing the relationship between EHR vendor and hospital meaningful use performance","display_name":"Are all certified EHRs created equal? Assessing the relationship between EHR vendor and hospital meaningful use performance","publication_year":2017,"publication_date":"2017-10-21","ids":{"openalex":"https://openalex.org/W2768571739","doi":"https://doi.org/10.1093/jamia/ocx135","mag":"2768571739","pmid":"https://pubmed.ncbi.nlm.nih.gov/29186508"},"language":"en","primary_location":{"id":"doi:10.1093/jamia/ocx135","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocx135","pdf_url":"https://academic.oup.com/jamia/article-pdf/25/6/654/24969626/ocx135.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://academic.oup.com/jamia/article-pdf/25/6/654/24969626/ocx135.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5027068804","display_name":"A Jay Holmgren","orcid":"https://orcid.org/0000-0002-7939-6831"},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"A Jay Holmgren","raw_affiliation_strings":["Harvard Business School, Harvard University, Boston, MA 02163, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Harvard Business School, Harvard University, Boston, MA 02163, USA","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023154530","display_name":"Julia Adler\u2010Milstein","orcid":"https://orcid.org/0000-0002-0262-6491"},"institutions":[{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Julia Adler-Milstein","raw_affiliation_strings":["School of Medicine, University of California, San Francisco, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medicine, University of California, San Francisco, CA, USA","institution_ids":["https://openalex.org/I180670191"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5072182204","display_name":"Jeffrey S. McCullough","orcid":"https://orcid.org/0000-0001-6155-980X"},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jeffrey McCullough","raw_affiliation_strings":["School of Public Health, University of Michigan, Ann Arbor, MI, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Public Health, University of Michigan, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5027068804"],"corresponding_institution_ids":["https://openalex.org/I136199984"],"apc_list":{"value":3967,"currency":"USD","value_usd":3967},"apc_paid":null,"fwci":10.8853,"has_fulltext":true,"cited_by_count":64,"citation_normalized_percentile":{"value":0.98089277,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":96,"max":99},"biblio":{"volume":"25","issue":"6","first_page":"654","last_page":"660"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.8100000023841858,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.8100000023841858,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.0502999983727932,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T14400","display_name":"Medical Coding and Health Information","score":0.01940000057220459,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/vendor","display_name":"Vendor","score":0.8042281866073608},{"id":"https://openalex.org/keywords/meaningful-use","display_name":"Meaningful use","score":0.7397172451019287},{"id":"https://openalex.org/keywords/certification","display_name":"Certification","score":0.6451694965362549},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.46849948167800903},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.4199450612068176},{"id":"https://openalex.org/keywords/statistics","display_name":"Statistics","score":0.3661498427391052},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.35951390862464905},{"id":"https://openalex.org/keywords/database","display_name":"Database","score":0.3559300899505615},{"id":"https://openalex.org/keywords/medical-physics","display_name":"Medical physics","score":0.3437288701534271},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.19015514850616455},{"id":"https://openalex.org/keywords/mathematics","display_name":"Mathematics","score":0.13694921135902405},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.09117817878723145}],"concepts":[{"id":"https://openalex.org/C2777338717","wikidata":"https://www.wikidata.org/wiki/Q1762621","display_name":"Vendor","level":2,"score":0.8042281866073608},{"id":"https://openalex.org/C3019659195","wikidata":"https://www.wikidata.org/wiki/Q5690566","display_name":"Meaningful use","level":3,"score":0.7397172451019287},{"id":"https://openalex.org/C46304622","wikidata":"https://www.wikidata.org/wiki/Q374814","display_name":"Certification","level":2,"score":0.6451694965362549},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.46849948167800903},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.4199450612068176},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","level":1,"score":0.3661498427391052},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.35951390862464905},{"id":"https://openalex.org/C77088390","wikidata":"https://www.wikidata.org/wiki/Q8513","display_name":"Database","level":1,"score":0.3559300899505615},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.3437288701534271},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.19015514850616455},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.13694921135902405},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.09117817878723145},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D002568","descriptor_name":"Certification","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002568","descriptor_name":"Certification","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002568","descriptor_name":"Certification","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012044","descriptor_name":"Regression Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012044","descriptor_name":"Regression Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012044","descriptor_name":"Regression Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016347","descriptor_name":"Medical Records Systems, Computerized","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D016347","descriptor_name":"Medical Records Systems, Computerized","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D016347","descriptor_name":"Medical Records Systems, Computerized","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D016347","descriptor_name":"Medical Records Systems, Computerized","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D016347","descriptor_name":"Medical Records Systems, Computerized","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D016347","descriptor_name":"Medical Records Systems, Computerized","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D057171","descriptor_name":"American Recovery and Reinvestment Act","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057171","descriptor_name":"American Recovery and Reinvestment Act","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057171","descriptor_name":"American Recovery and Reinvestment Act","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D062527","descriptor_name":"Meaningful Use","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D062527","descriptor_name":"Meaningful Use","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D062527","descriptor_name":"Meaningful Use","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1093/jamia/ocx135","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocx135","pdf_url":"https://academic.oup.com/jamia/article-pdf/25/6/654/24969626/ocx135.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},{"id":"pmid:29186508","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/29186508","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association : JAMIA","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:7646986","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7646986","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Am Med Inform Assoc","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/jamia/ocx135","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocx135","pdf_url":"https://academic.oup.com/jamia/article-pdf/25/6/654/24969626/ocx135.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.49000000953674316,"display_name":"Partnerships for the goals","id":"https://metadata.un.org/sdg/17"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2768571739.pdf","grobid_xml":"https://content.openalex.org/works/W2768571739.grobid-xml"},"referenced_works_count":32,"referenced_works":["https://openalex.org/W1556662545","https://openalex.org/W1589422100","https://openalex.org/W1965688308","https://openalex.org/W1976110061","https://openalex.org/W2034898504","https://openalex.org/W2041386778","https://openalex.org/W2094761352","https://openalex.org/W2103889389","https://openalex.org/W2113344082","https://openalex.org/W2115538514","https://openalex.org/W2120641316","https://openalex.org/W2136630605","https://openalex.org/W2153483129","https://openalex.org/W2155407584","https://openalex.org/W2157069442","https://openalex.org/W2160528017","https://openalex.org/W2161081164","https://openalex.org/W2162040788","https://openalex.org/W2265839064","https://openalex.org/W2341071282","https://openalex.org/W2471694075","https://openalex.org/W2519842966","https://openalex.org/W2591107316","https://openalex.org/W2614473659","https://openalex.org/W2860515844","https://openalex.org/W2921898231","https://openalex.org/W2980569095","https://openalex.org/W2995274133","https://openalex.org/W4247002863","https://openalex.org/W6633247642","https://openalex.org/W6641877894","https://openalex.org/W6771735784"],"related_works":["https://openalex.org/W2478661203","https://openalex.org/W2004830053","https://openalex.org/W3008115697","https://openalex.org/W2066052364","https://openalex.org/W2145175947","https://openalex.org/W3124949371","https://openalex.org/W2120643196","https://openalex.org/W1567555513","https://openalex.org/W2471694075","https://openalex.org/W2224296908"],"abstract_inverted_index":{"Objective:":[0],"The":[1],"federal":[2],"electronic":[3],"health":[4],"record":[5],"(EHR)":[6],"certification":[7,248],"process":[8,249],"was":[9,33,166],"intended":[10],"to":[11,22,29,41,51,113,261,270],"ensure":[12],"a":[13,66,280],"baseline":[14],"level":[15,155],"of":[16,55,74,156,174,203,214,283],"system":[17],"quality":[18],"and":[19,62,92,119,154,201,226,256,290],"the":[20,39,72,75,93,115,175,207,247],"ability":[21],"support":[23],"meaningful":[24,58,162,218,235,281,287],"use":[25,59,90,107,163,219,236,267,288],"criteria.":[26,60,164,193,209,302],"We":[27,64,109,133,147],"sought":[28],"assess":[30,114],"whether":[31],"there":[32],"variation":[34,138,205,215,284],"across":[35,206,301],"EHR":[36,82,101,194],"vendors":[37,48,181,228,292],"in":[38,139,216,285],"degree":[40],"which":[42],"hospitals":[43],"using":[44],"products":[45],"from":[46,71],"those":[47],"were":[49,182],"able":[50],"achieve":[52],"high":[53],"levels":[54],"performance":[56,121,140,158,171,190,204,220,237,300],"on":[57,122,172,191],"Materials":[61],"Methods:":[63],"created":[65],"cross-sectional":[67],"national":[68],"hospital":[69,120,131,157,217,286],"sample":[70],"Office":[73],"National":[76],"Coordinator":[77],"for":[78,85,95,130,159,179,198,279],"Health":[79],"Information":[80],"Technology":[81],"Products":[83],"Used":[84],"Meaningful":[86,126],"Use":[87,127],"Attestation":[88],"public":[89,106],"file":[91],"Centers":[94],"Medicare":[96,100],"&":[97],"Medicaid":[98],"Services":[99],"Incentive":[102],"Program":[103],"Eligible":[104],"Hospitals":[105,265],"file.":[108],"used":[110],"regression":[111],"models":[112],"relationship":[116],"between":[117,151,199],"vendor":[118,144,153,195,224],"6":[123,161,176,208],"Stage":[124],"2":[125],"criteria,":[128],"controlling":[129],"characteristics.":[132],"also":[134],"calculated":[135],"how":[136],"much":[137],"is":[141,221],"explained":[142,222],"by":[143,223,250],"choice.":[145],"Results:":[146],"found":[148],"significant":[149],"associations":[150],"specific":[152,291],"all":[160],"Epic":[165],"associated":[167,186,232,295],"with":[168,184,187,233,273,296],"significantly":[169,188],"higher":[170,297],"5":[173],"criteria;":[177],"relationships":[178],"other":[180],"mixed,":[183],"some":[185],"worse":[189],"multiple":[192],"choice":[196,277],"accounted":[197],"7%":[200],"34%":[202],"Discussion:":[210],"A":[211],"nontrivial":[212],"proportion":[213,282],"choice,":[225],"certain":[227],"are":[229,293],"more":[230,252],"often":[231],"better":[234],"than":[238],"others.":[239],"Our":[240],"results":[241,269],"suggest":[242],"that":[243],"policy-makers":[244],"should":[245],"improve":[246],"including":[251],"\"real-world\"":[253],"scenario":[254],"testing":[255],"provider":[257],"feedback":[258],"or":[259,298],"ratings":[260],"reduce":[262],"this":[263],"variation.":[264],"can":[266],"these":[268],"guide":[271],"interactions":[272],"vendors.":[274],"Conclusion:":[275],"Vendor":[276],"accounts":[278],"performance,":[289],"consistently":[294],"lower":[299]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":5},{"year":2023,"cited_by_count":9},{"year":2022,"cited_by_count":8},{"year":2021,"cited_by_count":14},{"year":2020,"cited_by_count":7},{"year":2019,"cited_by_count":10},{"year":2018,"cited_by_count":5}],"updated_date":"2026-05-30T09:04:40.226872","created_date":"2025-10-10T00:00:00"}
