Adoption of computerized information management systems (CIMS) functions: Urban versus rural primary healthcare providers

Abstract

ABSTRACT This study examined whether there are differences in the adoption of specific Computerized Information Management Systems (CIMS) functionalities between urban and rural primary healthcare providers. A self-administered questionnaire was mailed to 1721 primary healthcare providers in both rural and urban areas in the state of Texas, with a 70 percent response rate (n = 1204). Chi-square goodness of fit was used to determine the frequency of adoption of specific CIMS functions and factor analyses for patterns of adoption. Findings revealed higher rates of adoption of key CIMS functions among urban primary healthcare providers compared with rural providers in the areas of clinical documentation and decision support. As such, many of the functions highlighted in the new Centers for Medicare & Medicaid Services (CMS) Promoting Interoperability (PI) seemingly are already being used by urban primary healthcare providers. Results also showed that higher rates of inadequate interoperability standards are related to clinical documentation, results viewing, and computerized order-entry functionalities by rural and urban primary healthcare providers. Accordingly, widespread technological interoperability inadequacy among rural and urban primary healthcare providers points to future challenges for federal policy makers as they seek to promote interoperability to demonstrate meaningful use of certified electronic health record technology (CEHRT).