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Research Letter
June 2014

Meaningful Use and Quality of Care

Author Affiliations
  • 1Harvard Medical School, Boston, Massachusetts
  • 2Division of General Medicine and Primary Care, Brigham and Women’s Hospital, Boston, Massachusetts
  • 3Harvard School of Public Health, Boston, Massachusetts
JAMA Intern Med. 2014;174(6):997-998. doi:10.1001/jamainternmed.2014.662

The American Recovery and Reinvestment Act of 2009 included $30 billion for implementation of the Electronic Health Record (EHR) Meaningful Use (MU) incentive program with a goal of increasing EHR adoption and improving quality of care. Stage 1 of the EHR MU incentive program specified required core objectives, menu objectives, and clinical quality measures.1 We assessed if being a “meaningful user” (defined as meeting 15 core objectives, eg, computerized order entry, safe electronic prescribing, clinical decision support, and providing health information to patients, as well as meeting 5 of 10 optional menu objectives) was associated with improved quality on 7 measures for 5 chronic diseases. (See the eAppendix and eReferences in the Supplement.)

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