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Electronic Health Records

Physicians today are facing a variety of challenges in a rapidly changing environment, and adoption of EHRs may be one of the most significant. The number of medical practices using EHRs has increased measurably over the past decade. A 2010 CDC report showed that 48% of physicians reported using all or partial EHR systems in their office-based practices; this is increased to 57% in 2011. A study based on 2010 data from the Medical Group Management Association (MGMA) shows 52% of the medical practices responding use an EHR.

EHR adoption rates among allergists have increased as well. A 2011 AAAAI Needs Assessment Survey revealed that 61% of respondents utilized EHRs in their professional practices, with 45% using it constantly. Data from a 2011 survey of allergists from AmericanEHR Partners revealed similar numbers, with 53% of respondents using an EHR in their primary work location. Although there may be some selection bias with electronically disseminated surveys, the trend holds in our own specialty. The EHRs most commonly used by allergists in this survey were: Allscripts, eClinicalWorks, Epic, GE Centricity, Meditab, and NextGen.  

Included here are links on the benefits and challenges of EHR adoption, as well as selection and implementation guidance.

1. New CMS Meaningful Use Time Line (9/24/2014)
2. CMS proposes rule changes to make it possible for more providers to fulfill Meaningful Use Stages l and ll (4/15/2015)

Overview and Benefits
EHR Basics 
Benefits of EHRs 
Health IT Case Studies and Data
• Nir Menachemi and Taleah H Collum. Benefits and drawbacks of electronic health record systems. Risk Manag Healthc Policy. 2011; 4: 47–55

Selection and Implementation
EHR Readiness Assessment— (users must register for full site access; registration is free)
Find an EHR 
Best Practices in the Implementation of an EHR
HiMSS EHR Readiness Assessment Toolkit 
• How do I conduct a practice EHR readiness assessment? 
• Breakout session on EHR selection and implementation EHR readiness assessment toolkit
• Ajami S, Ketabi S, Isfahani SS, Heidari A. Readiness assessment of electronic health records implementation. Acta Inform Med. 2011 Dec;19(4):224-7. doi: 10.5455/aim.2011.19.224-227

Available EHR Selection Tools
Web based EHR Matching System
KLAS offers vendor neutral ratings of healthcare technology
American College of Physicians—EHR Roadmap and Tools

AAAAI Practice Management Resource Guide
Chapter 10: Electronic Medical Records, Electronic Prescribing, Mobile Technology and Practice Management Software

Final Stage 3 EHR rule is out, but HHS signals more changes ahead »

These links are for research only. They are not endorsed by the American Academy of Allergy, Asthma & Immunology (AAAAI).