Electronic Health Records

Adoption & Implementation News

EHR Use Fuels Research, Interventions to Close Gaps in Care

Racial, socioeconomic, and geographic disparities are driving gaps in care. New research driven by robust EHR use may be the key to reducing those gaps.

By Sara Heath

- EHR use is helping to drive research aimed at improving racial, socioeconomic, and geographic gaps in care.


In a paper recently published in Health Affairs, researchers detail inequities in quality healthcare and discuss the methods by which providers can overcome those inequities. At the forefront of that research is robust EHR use to help manage key population data.

According to the research team, there are four factors driving care disparities, including individual patient factors, family and friends or social factors, provider or organizational factors, and policy or community factors.

To mitigate those factors, the research team highlighted various initiatives helping to reduce healthcare inequities. These projects utilized EHR use to identify key patient populations and leverage important data for targeting interventions.

  • The ‘Heart’ of Stage 3 Meaningful Use Requirements
  • Telehealth roundup: Insurers expand telemedicine coverage
  • Should your practice invest in bundled EHR, billing software?
  • Role of Health Data Exchange in Advancing Care Information
  • HHS announces official ICD-10 delay
  • Analytics, Smart Workflow Combine for Safety and Savings
  • How Interoperability Is Changing the EHR Incentive Programs
  • Allscripts Sells OneContent EHR Management Solution to Hyland
  • Rural hospitals fall behind on EHR adoption, mortality rates
  • HIM and HIT Fields Team Up on Interoperability Governance
  • Mayo Clinic Begins Launch of $1.5B Integrated Epic EHR System
  • IOM Panel Recommends Addition to Stage 3 Meaningful Use
  • Health IT startup accelerators bring knowhow, mentors, funding
  • Does the ICD-10 Transition Need a Two-Year Grace Period?
  • Meaningful Use Requirements Turn to Delivery System Reform
  • PCORI launches new $15.5-million patient-centered initiative
  • Genome sequencing may be missing big disease clues
  • Keys to Successful EHR Selection in a Value-Based Care System
  • Michigan Launches Anesthesiology Patient Safety Program
  • Minnesota Physician EHR Use to Target HIV Testing
  • Minnesota’s St. Cloud uses Merge for Meaningful Use
  • CMS Guidance for MIPS Advancing Care Information Measures
  • ICD-10 checkpoint: Testing, training, and teamwork in Q1
  • Mass. eHealth Institute opens grants for HIE, interoperability
  • Western NY Beacon boosts HIE, EHR use, care coordination
  • Misuse of EHR Systems and Medical Errors
  • ONC Clarifies Health IT Interoperability Under HIPAA
  • One quarter of Americans trust mHealth apps as much as their doctor
  • What will limit provider success in Stage 2 Meaningful Use?
  • One third of patients want mHealth interactions with docs
  • EHR usability, satisfaction are falling among physicians
  • Study shows need to establish standard practices for CDS
  • Complaints Follow Banner Health Cerner EHR Implementation in AZ
  • Patient Engagement May Reduce Healthcare Reform Anxiety
  • Limited Health Information Exchange to Hinder Care Quality
  • DoD MHS Genesis EHR Implementation Proceeding on Schedule
  • Hospitals Seeing Opportunities to Integrate Workflows
  • UDIs Sought for Meaningful Use, EHR Certification Rules
  • Communication, Health Data Exchange Lags Between Hospitals, PCPs
  • How Stage 2 will impact electronic health records
  • What’s the future of e-prescribing (eRx)?
  • ONC provides HIE toolkit for rural providers
  • Florida Medicare fraud scheme organizer pleads guilty
  • How Population Health Management Could Predict Suicide Risk
  • What hospitals, physicians should know about EHR donations
  • MedPAC Continues to Push for MIPS Repeal, Voluntary Value Program
  • ONC tabs naval captain to oversee HIT Certification Program
  • ICD-10 Improvement for Physicians Requires Fast, Simple Tools
  • Will EHR Incentive Payments Help Integrate Behavioral Health?
  • AMGA Pushes Congress Toward Accelerating Value-Based Care
  • Is interoperability plagued by a lack of limits, pragmatism?
  • NIH Director: mHealth needs to show results
  • iPads improve mental health screening, accountable care
  • ONC Eyes Improvement to Reporting Health IT Safety Events
  • CMS Unveils Draft Plan for Quality Measurement under MACRA
  • Bipartisan Policy Center EHR interoperability recommendations
  • 22% of EPs, 5% of Hospitals Fail Meaningful Use Audits
  • CHIME CIOs still concerned about staff shortages
  • Meaningful use audits: Healthcare CMIO reveals details
  • VA Achieves Interoperability through Joint Legacy Viewer
  • AMA CEO Outlines Problems with EHR Use, Clinical Data
  • HELP Committee Again Seeks Delay of Stage 3 Meaningful Use
  • Medication Data in EHR Provides Basis for Tracking Adherence
  • The doctor will fix your code now- How he developed his own EHR
  • Electronic medical records market to expand by 2017
  • August 1: Meeting of HIT Policy Committee Advisory
  • AMA ‘Appalled’ by Scale of Meaningful Use Penalties for EPs
  • CMS Releases Proposed Quality Payment Program Rule Summary
  • How Interoperability Drove Magruder Hospital to CommonWell
  • Rural California turns to mobile health IT for patient support
  • DE Health Information Exchange Improves EHR Patient Access
  • FSMB announces finalized telehealth licensure model compact
  • Hospital Health Information Exchange by the Numbers
  • 22% of providers don’t even know how to start ICD-10 prep
  • Four ways IT can facilitate ACO success
  • McKesson Reportedly Open to Ending Its Role as EHR Vendor
  • MEDITECH to Deploy CommonWell Interoperability Services in 2018
  • Effective EHR use requires constant assessment
  • First Two Data Registries Accredited for Handling PHI
  • DirectTrust Seeks POTUS Support of EHR Interoperability, HIE
  • Physician to pay $1.5 million in Medicare fraud settlement
  • AHIMA: Revenue, readiness remain among top ICD-10 concerns
  • Docs disapprove of tying Medicare reform to ACA mandate
  • Increased Physician EHR Use Tied to Medication Adherence
  • ICSA Labs receives ANSI accreditation
  • ‘Patients First’ Brings Stage 7 Ambulatory Award
  • HIMSS: Don’t delay schedule for Stage 2 Meaningful Use
  • CMS: We intend to set ICD-10 date for October 1, 2015
  • DoD Health Systems Connected to OK Health Information Exchange
  • VA Cerner Implementation Contract Likely to Top Out at $10B
  • DoD-VA EHR Interoperability Lacks Outcome Metrics, Goals
  • Can the semantic web revolutionize healthcare analytics?
  • Inefficient health IT costs hospitals $8.3 billion a year
  • EHR Optimization Before, During, and After Implementation
  • Are we about to see the end of the complete EHR?
  • How EHR adoption is hindering healthcare big data, analytics
  • Health Information Exchange Tools Needed in Nursing Homes
  • Epic Trails in Black Book Ranking of Inpatient EHR Vendors
  • CMS Proposes Meaningful Use Changes to Promote Interoperability
  • Why is data integration essential to growing health systems?
  • In North Carolina, providers are using EHRs to help improve blood pressure control among minority patient populations in a rural area.

    “Practices were taught how to abstract and respond to race-specific data on blood pressure control within electronic health records (EHRs), implement standardized hypertension visit protocols, devise and use blood pressure medication algorithms to help patients with persistently uncontrolled hypertension get their blood pressure under control, and engage all clinic staff members in health disparities education,” the researchers explained.

    This method was successful in retaining better care for African American patients, as well in reducing and controlling the population’s blood pressure.

    Another initiative, called Project ReD CHiP, sought to improve the quality of blood pressure data used to deliver care. The approach also sought to improve coordination between members of the care team and added pharmacists and dietitians to the care team.

    Project leaders used EHR data to create a new patient dashboard taking into account information about various race populations. This helped support care team approaches by highlighting healthcare disparities between different races.

    Overall, this project resulted in better cardiovascular care for minority patient populations because it helped bring to light the inequities in minority patient care through the enhanced EHR dashboard.

    Intervention projects also focused on cancer care, another aspect of healthcare which introduces significant racial inequities. Project CLIQ sought to highlight inequities in lung cancer prevention and care by implementing an EHR system to highlight current smokers in low-income, minority populations.

    The EHR use helped researchers target their care coordination interventions to improve care for these populations.

    Healthcare professionals must continue to leverage EHR data to help inform their care interventions. Although past interventions may have left some care gaps, these most recent initiatives have proven successful at targeting at-risk patient populations.

    “Past interventions designed to reduce health care disparities have had important shortcomings, but recent interventions show promise in addressing fundamental knowledge and translation gaps,” the research team concluded.

    Going forward, these interventions should continue to utilize EHR data to improve informed care decisions and gear these initiatives to the proper patient population.

    “Practical and scalable multilevel interventions, guided by transdisciplinary research collaborations and broad stakeholder engagement, may be the most effective approach and lead to more sustainable community- and system-level changes than single-target interventions that do not engage stakeholders from several sectors of society.”

    Dig Deeper:



    Sign up to continue reading and gain Free Access to all our resources.

    Sign up for our free newsletter and join 60,000 of
    your peers to stay up to date with tips and advice on:

    EHR Optimization
    EHR Interoperability
    EHR Replacement

    White Papers, Webcasts, Featured Articles and Exclusive Interviews

    Our privacy policy

    no, thanks

    Continue to site...