{"id":"https://openalex.org/W2038096156","doi":"https://doi.org/10.1186/s12911-014-0119-1","title":"Stage 1 of the meaningful use incentive program for electronic health records: a study of readiness for change in ambulatory practice settings in one integrated delivery system","display_name":"Stage 1 of the meaningful use incentive program for electronic health records: a study of readiness for change in ambulatory practice settings in one integrated delivery system","publication_year":2014,"publication_date":"2014-12-01","ids":{"openalex":"https://openalex.org/W2038096156","doi":"https://doi.org/10.1186/s12911-014-0119-1","mag":"2038096156","pmid":"https://pubmed.ncbi.nlm.nih.gov/25495926"},"language":"en","primary_location":{"id":"doi:10.1186/s12911-014-0119-1","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-014-0119-1","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-014-0119-1","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-014-0119-1","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5102820664","display_name":"Christopher M. Shea","orcid":"https://orcid.org/0000-0001-5281-5007"},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Christopher M Shea","raw_affiliation_strings":["Cecil G. Sheps Center for Health Services Research, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA. chris_shea@unc.edu","Department of Health Policy and Management, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA. chris_shea@unc.edu","Department of Health Policy and Management, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cecil G. Sheps Center for Health Services Research, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA. chris_shea@unc.edu","institution_ids":[]},{"raw_affiliation_string":"Department of Health Policy and Management, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA. chris_shea@unc.edu","institution_ids":[]},{"raw_affiliation_string":"Department of Health Policy and Management, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067383835","display_name":"Kristin L. Reiter","orcid":null},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kristin L Reiter","raw_affiliation_strings":["Cecil G. Sheps Center for Health Services Research, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA. reiter@email.unc.edu","Department of Health Policy and Management, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA. reiter@email.unc.edu","Department of Health Policy and Management, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cecil G. Sheps Center for Health Services Research, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA. reiter@email.unc.edu","institution_ids":[]},{"raw_affiliation_string":"Department of Health Policy and Management, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA. reiter@email.unc.edu","institution_ids":[]},{"raw_affiliation_string":"Department of Health Policy and Management, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031174652","display_name":"Mark A. Weaver","orcid":"https://orcid.org/0000-0001-9020-7264"},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mark A Weaver","raw_affiliation_strings":["School of Medicine and Department of Biostatistics, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA. mark_weaver@med.unc.edu","School of Medicine and Department of Biostatistics, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medicine and Department of Biostatistics, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA. mark_weaver@med.unc.edu","institution_ids":[]},{"raw_affiliation_string":"School of Medicine and Department of Biostatistics, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081544898","display_name":"Molly McIntyre","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Molly McIntyre","raw_affiliation_strings":["CareFirst BlueCross BlueShield, Baltimore, MD, USA. mmcintyr@gmail.com","CareFirst BlueCross BlueShield, Baltimore, MD, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"CareFirst BlueCross BlueShield, Baltimore, MD, USA. mmcintyr@gmail.com","institution_ids":[]},{"raw_affiliation_string":"CareFirst BlueCross BlueShield, Baltimore, MD, USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028324824","display_name":"Jason N. Mose","orcid":null},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jason Mose","raw_affiliation_strings":["Department of Health Policy and Management, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA. mose@email.unc.edu","Department of Health Policy and Management, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Policy and Management, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA. mose@email.unc.edu","institution_ids":[]},{"raw_affiliation_string":"Department of Health Policy and Management, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062064214","display_name":"Jonathan Thornhill","orcid":"https://orcid.org/0000-0002-2597-5846"},"institutions":[{"id":"https://openalex.org/I1333535994","display_name":"University of North Carolina Health Care","ror":"https://ror.org/00qz24g20","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1333535994"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jonathan Thornhill","raw_affiliation_strings":["UNC Faculty Physicians, Department of Practice Quality and Innovation, UNC Health Care, Chapel Hill, NC, USA. jonathan_thornhill@unchealthcare.org","UNC Faculty Physicians, Department of Practice Quality and Innovation, UNC Health Care, Chapel Hill, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"UNC Faculty Physicians, Department of Practice Quality and Innovation, UNC Health Care, Chapel Hill, NC, USA. jonathan_thornhill@unchealthcare.org","institution_ids":[]},{"raw_affiliation_string":"UNC Faculty Physicians, Department of Practice Quality and Innovation, UNC Health Care, Chapel Hill, NC, USA","institution_ids":["https://openalex.org/I1333535994"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109930745","display_name":"Robb Malone","orcid":null},"institutions":[{"id":"https://openalex.org/I1333535994","display_name":"University of North Carolina Health Care","ror":"https://ror.org/00qz24g20","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1333535994"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Robb Malone","raw_affiliation_strings":["UNC Faculty Physicians, Department of Practice Quality and Innovation, UNC Health Care, Chapel Hill, NC, USA. robb_malone@unchealthcare.org","UNC Faculty Physicians, Department of Practice Quality and Innovation, UNC Health Care, Chapel Hill, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"UNC Faculty Physicians, Department of Practice Quality and Innovation, UNC Health Care, Chapel Hill, NC, USA. robb_malone@unchealthcare.org","institution_ids":[]},{"raw_affiliation_string":"UNC Faculty Physicians, Department of Practice Quality and Innovation, UNC Health Care, Chapel Hill, NC, USA","institution_ids":["https://openalex.org/I1333535994"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5007359139","display_name":"Bryan J. Weiner","orcid":"https://orcid.org/0000-0002-6996-9480"},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Bryan J Weiner","raw_affiliation_strings":["Cecil G. Sheps Center for Health Services Research, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA. weiner@email.unc.edu","Department of Health Policy and Management, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA. weiner@email.unc.edu","Lineberger Comprehensive Cancer Center, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA. weiner@email.unc.edu","Cecil G. Sheps Center for Health Services Research, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cecil G. Sheps Center for Health Services Research, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA. weiner@email.unc.edu","institution_ids":[]},{"raw_affiliation_string":"Department of Health Policy and Management, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA. weiner@email.unc.edu","institution_ids":[]},{"raw_affiliation_string":"Lineberger Comprehensive Cancer Center, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA. weiner@email.unc.edu","institution_ids":[]},{"raw_affiliation_string":"Cecil G. Sheps Center for Health Services Research, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA","institution_ids":["https://openalex.org/I114027177"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":8,"corresponding_author_ids":["https://openalex.org/A5102820664"],"corresponding_institution_ids":["https://openalex.org/I114027177"],"apc_list":{"value":1570,"currency":"GBP","value_usd":1925},"apc_paid":{"value":1570,"currency":"GBP","value_usd":1925},"fwci":8.3053,"has_fulltext":true,"cited_by_count":24,"citation_normalized_percentile":{"value":0.97184619,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"14","issue":"1","first_page":"119","last_page":"119"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9372000098228455,"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":0.9372000098228455,"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/T12790","display_name":"Nursing Diagnosis and Documentation","score":0.014000000432133675,"subfield":{"id":"https://openalex.org/subfields/2910","display_name":"Issues, ethics and legal aspects"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.006399999838322401,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"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/respondent","display_name":"Respondent","score":0.6931093335151672},{"id":"https://openalex.org/keywords/specialty","display_name":"Specialty","score":0.6069157719612122},{"id":"https://openalex.org/keywords/incentive","display_name":"Incentive","score":0.5700903534889221},{"id":"https://openalex.org/keywords/health-informatics","display_name":"Health informatics","score":0.560566782951355},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.5524069666862488},{"id":"https://openalex.org/keywords/incentive-program","display_name":"Incentive program","score":0.4891722500324249},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.48771366477012634},{"id":"https://openalex.org/keywords/family-medicine","display_name":"Family medicine","score":0.48094815015792847},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.4645070731639862},{"id":"https://openalex.org/keywords/ambulatory","display_name":"Ambulatory","score":0.45668306946754456},{"id":"https://openalex.org/keywords/ambulatory-care","display_name":"Ambulatory care","score":0.4280143976211548},{"id":"https://openalex.org/keywords/public-health","display_name":"Public health","score":0.25341618061065674}],"concepts":[{"id":"https://openalex.org/C2776640315","wikidata":"https://www.wikidata.org/wiki/Q7315941","display_name":"Respondent","level":2,"score":0.6931093335151672},{"id":"https://openalex.org/C20387591","wikidata":"https://www.wikidata.org/wiki/Q930752","display_name":"Specialty","level":2,"score":0.6069157719612122},{"id":"https://openalex.org/C29122968","wikidata":"https://www.wikidata.org/wiki/Q1414816","display_name":"Incentive","level":2,"score":0.5700903534889221},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.560566782951355},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5524069666862488},{"id":"https://openalex.org/C3859990","wikidata":"https://www.wikidata.org/wiki/Q382996","display_name":"Incentive program","level":3,"score":0.4891722500324249},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.48771366477012634},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.48094815015792847},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.4645070731639862},{"id":"https://openalex.org/C35785553","wikidata":"https://www.wikidata.org/wiki/Q756720","display_name":"Ambulatory","level":2,"score":0.45668306946754456},{"id":"https://openalex.org/C124306116","wikidata":"https://www.wikidata.org/wiki/Q2512965","display_name":"Ambulatory care","level":3,"score":0.4280143976211548},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.25341618061065674},{"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/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"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/C175444787","wikidata":"https://www.wikidata.org/wiki/Q39072","display_name":"Microeconomics","level":1,"score":0.0},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000553","descriptor_name":"Ambulatory Care","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D000553","descriptor_name":"Ambulatory Care","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D000553","descriptor_name":"Ambulatory Care","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D000553","descriptor_name":"Ambulatory Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D000553","descriptor_name":"Ambulatory Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D000553","descriptor_name":"Ambulatory Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D000553","descriptor_name":"Ambulatory Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D000553","descriptor_name":"Ambulatory Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D000553","descriptor_name":"Ambulatory Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D001291","descriptor_name":"Attitude of Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001291","descriptor_name":"Attitude of Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001291","descriptor_name":"Attitude of Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006284","descriptor_name":"Health Plan Implementation","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D006284","descriptor_name":"Health Plan Implementation","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D006284","descriptor_name":"Health Plan Implementation","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D006284","descriptor_name":"Health Plan Implementation","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D006284","descriptor_name":"Health Plan Implementation","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D006284","descriptor_name":"Health Plan Implementation","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D006284","descriptor_name":"Health Plan Implementation","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D006284","descriptor_name":"Health Plan Implementation","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D006284","descriptor_name":"Health Plan Implementation","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009657","descriptor_name":"North Carolina","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009657","descriptor_name":"North Carolina","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009657","descriptor_name":"North Carolina","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009936","descriptor_name":"Organizational Innovation","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D009936","descriptor_name":"Organizational Innovation","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D009936","descriptor_name":"Organizational Innovation","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D012052","descriptor_name":"Reimbursement, Incentive","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012052","descriptor_name":"Reimbursement, Incentive","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012052","descriptor_name":"Reimbursement, Incentive","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"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":"D014487","descriptor_name":"Centers for Medicare and Medicaid Services, U.S.","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D014487","descriptor_name":"Centers for Medicare and Medicaid Services, U.S.","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D014487","descriptor_name":"Centers for Medicare and Medicaid Services, U.S.","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D014487","descriptor_name":"Centers for Medicare and Medicaid Services, U.S.","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D014487","descriptor_name":"Centers for Medicare and Medicaid Services, U.S.","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D014487","descriptor_name":"Centers for Medicare and Medicaid Services, U.S.","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D019033","descriptor_name":"Delivery of Health Care, Integrated","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D019033","descriptor_name":"Delivery of Health Care, Integrated","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D019033","descriptor_name":"Delivery of Health Care, Integrated","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D019033","descriptor_name":"Delivery of Health Care, Integrated","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D019033","descriptor_name":"Delivery of Health Care, Integrated","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D019033","descriptor_name":"Delivery of Health Care, Integrated","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D019033","descriptor_name":"Delivery of Health Care, Integrated","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D019033","descriptor_name":"Delivery of Health Care, Integrated","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D019033","descriptor_name":"Delivery of Health Care, Integrated","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D019538","descriptor_name":"Health Care Surveys","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019538","descriptor_name":"Health Care Surveys","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019538","descriptor_name":"Health Care Surveys","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D062527","descriptor_name":"Meaningful Use","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D062527","descriptor_name":"Meaningful Use","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D062527","descriptor_name":"Meaningful Use","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D062527","descriptor_name":"Meaningful Use","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D062527","descriptor_name":"Meaningful Use","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D062527","descriptor_name":"Meaningful Use","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1186/s12911-014-0119-1","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-014-0119-1","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-014-0119-1","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},{"id":"pmid:25495926","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25495926","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":"BMC medical informatics and decision making","raw_type":null},{"id":"pmh:oai:europepmc.org:3239001","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4272806","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1186/s12911-014-0119-1","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-014-0119-1","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-014-0119-1","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Partnerships for the goals","score":0.4399999976158142,"id":"https://metadata.un.org/sdg/17"}],"awards":[{"id":"https://openalex.org/G250336164","display_name":null,"funder_award_id":"KL2TR001109","funder_id":"https://openalex.org/F4320337472","funder_display_name":"National Center for Advancing Translational Sciences"},{"id":"https://openalex.org/G4019004667","display_name":null,"funder_award_id":"UL1 TR001111","funder_id":"https://openalex.org/F4320337472","funder_display_name":"National Center for Advancing Translational Sciences"},{"id":"https://openalex.org/G6037500606","display_name":null,"funder_award_id":"KL2TR001109","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"},{"id":"https://openalex.org/G7174653904","display_name":null,"funder_award_id":"UL1TR001111","funder_id":"https://openalex.org/F4320337375","funder_display_name":"National Center for Research Resources"},{"id":"https://openalex.org/G7329924225","display_name":null,"funder_award_id":"UL1TR001111","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"},{"id":"https://openalex.org/G745638588","display_name":null,"funder_award_id":"KL2 TR001109","funder_id":"https://openalex.org/F4320337472","funder_display_name":"National Center for Advancing Translational Sciences"},{"id":"https://openalex.org/G7815191771","display_name":null,"funder_award_id":"UL1TR001111","funder_id":"https://openalex.org/F4320337472","funder_display_name":"National Center for Advancing Translational Sciences"}],"funders":[{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337375","display_name":"National Center for Research Resources","ror":"https://ror.org/04pw6fb54"},{"id":"https://openalex.org/F4320337472","display_name":"National Center for Advancing Translational Sciences","ror":"https://ror.org/04pw6fb54"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2038096156.pdf","grobid_xml":"https://content.openalex.org/works/W2038096156.grobid-xml"},"referenced_works_count":17,"referenced_works":["https://openalex.org/W59899296","https://openalex.org/W1963918827","https://openalex.org/W2011592435","https://openalex.org/W2029966033","https://openalex.org/W2056425387","https://openalex.org/W2065185587","https://openalex.org/W2104215943","https://openalex.org/W2104851531","https://openalex.org/W2105489923","https://openalex.org/W2108084236","https://openalex.org/W2120817231","https://openalex.org/W2139579837","https://openalex.org/W2143136499","https://openalex.org/W2149485222","https://openalex.org/W2169695716","https://openalex.org/W2170135023","https://openalex.org/W4247002863"],"related_works":["https://openalex.org/W2946634001","https://openalex.org/W2029658431","https://openalex.org/W3121283758","https://openalex.org/W2189346480","https://openalex.org/W2012468686","https://openalex.org/W3210342590","https://openalex.org/W2410920395","https://openalex.org/W4232474270","https://openalex.org/W1504831459","https://openalex.org/W172871"],"abstract_inverted_index":{"BACKGROUND:":[0],"Meaningful":[1],"Use":[2],"(MU)":[3],"provides":[4],"financial":[5],"incentives":[6],"for":[7,17,26,32,38,68,103,116,131,231,324],"electronic":[8],"health":[9],"record":[10],"(EHR)":[11],"implementation.":[12,349],"EHR":[13,41],"implementation":[14,211,304],"holds":[15],"promise":[16],"improving":[18],"healthcare":[19],"delivery,":[20],"but":[21],"also":[22],"requires":[23],"substantial":[24],"changes":[25,34,61],"providers":[27,74,192],"and":[28,54,75,91,111,118,128,140,193,221,295,335],"staff.":[29],"Establishing":[30],"readiness":[31,67,102,122,139],"these":[33,342],"may":[35],"be":[36,299,345],"important":[37],"realizing":[39],"potential":[40],"benefits.":[42],"Our":[43],"study":[44],"assesses":[45],"whether":[46,88,245],"provider/staff":[47,242,331],"perceptions":[48,243,332,343],"about":[49,244,333],"the":[50,141],"appropriateness":[51,125,334],"of":[52,121,126,144,338],"MU":[53,104,127,167,210,232,246,262,303],"their":[55,65,205,228,279,296,318],"departments'":[56],"ability":[57,112,207],"to":[58,107,113,164,183,190,200,208,222,226,260,277,293,301,313,320,347],"support":[59,130,282,337],"MU-related":[60,69,283,339],"are":[62],"associated":[63,99,316],"with":[64,100,248,317],"reported":[66,101,138],"changes.":[70],"METHODS:":[71],"We":[72,86,133],"surveyed":[73],"staff":[76],"representing":[77],"47":[78],"ambulatory":[79],"practices":[80,230],"within":[81],"an":[82],"integrated":[83],"delivery":[84],"system.":[85],"assessed":[87,135],"respondent's":[89],"role":[90],"practice-setting":[92],"type":[93],"(primary":[94],"versus":[95],"specialty":[96,159],"care)":[97],"were":[98,161,197,315],"(i.e.,":[105,123],"willingness":[106,225,319],"change":[108,227,284,321],"practice":[109,322],"behavior":[110,323],"document":[114],"actions":[115],"MU)":[117],"hypothesized":[119,142],"predictors":[120,143],"perceived":[124],"department":[129,280,297],"MU).":[132],"then":[134],"associations":[136],"between":[137],"readiness.":[145],"RESULTS:":[146],"In":[147],"total,":[148],"400":[149],"providers/staff":[150],"responded":[151],"(response":[152],"rate":[153],"approximately":[154],"25%).":[155],"Individuals":[156],"working":[157],"in":[158,185,204],"settings":[160],"more":[162],"likely":[163,199],"report":[165,223],"that":[166],"will":[168,263,281,298],"divert":[169,264],"attention":[170,265],"from":[171,266],"other":[172,267],"patient-care":[173,268],"priorities":[174,269],"(12.6%":[175],"vs.":[176,214,216,234,236],"4.4%,":[177],"p":[178,218,238],"=":[179,219,252,258,271,275,287,291,307,311],"0.019),":[180],"as":[181,341],"compared":[182,189],"those":[184],"primary-care":[186],"settings.":[187],"As":[188],"advanced-practice":[191],"nursing":[194],"staff,":[195],"physicians":[196],"less":[198],"have":[201],"strong":[202,224],"confidence":[203,255],"department's":[206],"solve":[209,302],"problems":[212,305],"(28.4%":[213],"47.1%":[215],"42.6%,":[217],"0.023)":[220],"work":[229],"(57.9%":[233],"83.3%":[235],"82.0%,":[237],"<":[239],"0.001).":[240],"Finally,":[241],"aligns":[247],"departmental":[249],"goals":[250],"(OR":[251,270,286,306],"3.99,":[253,288],"95%":[254,273,289,309],"interval":[256],"(CI)":[257],"2.13":[259,292],"7.48);":[261,294],"2.26,":[272,308],"CI":[274,290,310],"1.26":[276,312],"4.06);":[278],"efforts":[285],"able":[300],"4.06)":[314],"MU.":[325],"CONCLUSIONS:":[326],"Organizational":[327],"leaders":[328],"should":[329],"gauge":[330],"management":[336],"change,":[340],"might":[344],"related":[346],"subsequent":[348]},"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":2},{"year":2017,"cited_by_count":8},{"year":2016,"cited_by_count":3},{"year":2015,"cited_by_count":2}],"updated_date":"2026-06-24T13:16:06.693445","created_date":"2025-10-10T00:00:00"}