Longitudinal Analysis of EHR Adoption

Study Overview Community health centers (CHCs) have long faced clinical staffing challenges especially in rural areas of the US due to providers perceiving a lack of socioeconomic opportunities. A recent study found that CHCs are adaptable and manage to maintain productivity levels across different staffing configurations by leveraging the clinical staff available. What is unknown is how two major changes in the health care landscape—adoption of an electronic health record (EHR) system and recognition of being a patient-centered medical home (PCMH)—have impacted staffing in CHCs, which may in turn have productivity implications. This study investigates how EHR and PCMH adoption have impacted staffing mix over time in CHCs. Understanding factors that may contribute or inhibit the productivity of CHCs is important as CHCs face increasing pressure to see more patients during Medicaid expansion under the Affordable Care Act of 2010 (ACA). Published Article: Frogner B, Wu X, Park J, Pittman P. 2017. The Association of Electronic Health Record Adoption with Staffing Mix in Community Health Centers . Health Services Research, 52(S1): 407-421. You May Also Be Interested In: • CHCs Use Diverse Staffing and Can Provide Lessons for Other Medical Practices • CEO Perspectives on Factors Determining Medical Staff Configurations in CHCs • Do Years of Experience with Electronic Health Records Matter for Productivity in CHCs? • The Changing Community Health Center Workforce: 2007-2013 • The Effects of the Implementation of Patient-Centered Medical Homes on Staffing and Productivity in Community Health Centers • Perceptions of Electronic Health Records Effects on Staffing, Workflow, & Productivity in Community Health Centers • Does Liberalizing State Nurse Practitioner Scope of Practice Laws Affect Staffing and Productivity in Community Health Centers? • The Impact of Medicaid Expansion on Community Health Center Staffing • Contribution of the National Health Service Corps Providers and Recent Alumni to Medicare Beneficiaries in 2015

For questions regarding this study, please contact: Bianca Frogner, PhD The University of Washington Associate Professor, Family Medicine Director, UW Center for Health Workforce Studies Phone: (206) 616-9657 E-mail: bfrogner@uw.edu

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