Journal of Healthcare Management - July/August 2014 - (Page 277)

H o s pI ta l c Haracter I st I cs a ssoc I ate D w It H a cHIeve Ment Table 2 breaks down the characteristics of hospitals that did and did not respond to the AHA Annual Survey Information Technology Supplement. Overall, 2,959 (63%) hospitals responded to the supplement. Responders differed from nonresponders on all characteristics except for location, Joint Commission accreditation, and Medicaid incentive eligibility. Responders were more likely to be larger, not-for-profit, teaching, system-member hospitals; be EHR adopters of any level in 2010; and have a single health IT vendor. Hospital Medicare share of inpatient days was also positively associated with responding. In bivariate analyses, hospitals in the East North Central, Middle Atlantic, New England, South Atlantic, and West North Central census divisions were more likely to have responded. Table 3 shows the results from the two logistic regressions. The first regression included the EHR status reported in the EHR Adoption Database using four categories of adoption. After controlling of M eanIngful u se for all variables in the model, hospitals that had an EHR of any status (i.e., basic, basic with notes, or comprehensive) in 2010 were significantly more likely to have received an MU payment than those that had no EHR. This effect was greatest for those hospitals that had a comprehensive EHR in 2010 (OR [odds ratio] = 3.71; marginal effect = +27.7; p < .01). In addition, hospitals with 126 to 399 beds (OR = 1.69; marginal effect = 11.1; p < .01) and those with 400+ beds (OR = 2.20; marginal effect = 16.9; p < .01) achieved MU at higher rates than their smaller hospital counterparts. For-profit hospitals (OR = 1.56; marginal effect = 7.4; p < .01), Joint Commission- accredited hospitals (OR = 1.38; marginal effect = 6.6; p < .01), those with a single EHR vendor (OR = 1.77; marginal effect = 11.8; p < .01), and those eligible for Medicaid incentives (OR = 1.24; marginal effect = 4.4, p < .01) were more likely than their counterparts to receive Medicare MU incentive payments. TA B L E 2 Organizational Characteristics of AHA EHR Supplement Responders and Nonresponders (N = 4,683) Hospitals not responding Hospitals responding to the EHR Supplement to the EHR Supplement (N = 2,959) (N = 1,724) p-Value Location Rural Urban 685 (36.3%) 1,039 (37.2%) 1,204 (63.7%) 1,755 (62.8%) .52 Bed size 1-125 126-399 400+ 1,100 (40.8%) 522 (34%) 102 (22.7%) 1,599 (59.2%) 1,012 (66%) 348 (77.3%) <.001 Continued 277

Table of Contents for the Digital Edition of Journal of Healthcare Management - July/August 2014

Journal of Healthcare Management - July/August 2014
Contents
Interview With Charles R. Evans, FACHE, President of the International Health Services Group and Senior Advisor at Jackson Healthcare
The Most Effective Leadership Style for the New Landscape of Healthcare
Exploring Obstacles to Success for Early Careerists in Healthcare Leadership
Decisions Through Data: Analytics in Healthcare
Sustainable Competitive Advantage for Accountable Care Organizations
Hospital Characteristics Associated With Achievement of Meaningful Use
The Effect of Professional Culture on Intrinsic Motivation Among Physicians in an Academic Medical Center
Abstract from the Academy of Management

Journal of Healthcare Management - July/August 2014