Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Maternal and Child Health Journal
Published in: Maternal and Child Health Journal 4/2016

01-04-2016 | Original Paper

Electronic Medical Record Use and Maternal and Child Care and Health

Authors: Cristian I. Meghea, William Corser, Zhiying You

Published in: Maternal and Child Health Journal | Issue 4/2016

Login to get access

Abstract

Objectives To evaluate effects of EHR adoption and use during pregnancy on maternal and child health care utilization and health among pregnant mothers and their infants. Methods The study population was comprised of all Medicaid-insured pregnant women who delivered a singleton birth in Michigan between 1/1/2009 and 12/31/2012 and their infants (N = 226,558). Linked data included birth records, maternal and infant medical claims, and EHR adoption, implementation, upgrading and meaningful use data. Pre-post comparisons with a control group (difference-in-difference) took advantage of a natural experiment of EHR adoption and use among providers in Michigan. Women and infants who received care from providers who adopted and used EHR were compared with those who received care from other providers, in a quasi-experimental framework. Results Over 34 % of all women in the analytic sample received perinatal care from providers who adopted and used EHR. Multivariate regressions indicate that women who received prenatal care mainly from a provider who adopted and used EHR were more likely to have any well-child visits (0.05, p = 0.04), and the appropriate number of well-child visits during the first year of life (0.03, p < 0.01). Conclusions The findings of this study are consistent with EHR adoption and use supporting improved child health care utilization. The findings have the potential to provide Medicaid and other healthcare program officials with evidence of the potential gains to be derived from EHRs for vulnerable low-income women and infants.
Literature
1.
United States House of Representatives. (2009). 111th congress: American recovery and reinvestment act of 2009. www.​GovTrack. Accessed 14 Nov 2014.
2.
Blumenthal, D., & Tavenner, M. (2010). The “meaningful use” regulation for electronic health records. NEJM, 363(6), 501–504.CrossRefPubMed
3.
4.
Department of Health and Human Services. (2012). Health information technology: Standards, implementation specifications, and certification criteria for electronic health record technology, 2014 edition; revisions to the permanent certification program for health information technology. Final rule. Federal Register, 77(171), 54163–54292 (Accessed 14 Nov 2014).
5.
Carter, M. C., Corry, M., Delbanco, S., Foster, T. C., Friedland, R., Gabel, R., et al. (2010). 2020 vision for a high-quality, high-value maternity care system. Women’s Health Issues, 20(1), S7–S17.CrossRefPubMed
6.
Angood, P. B., Armstrong, E. M., Ashton, D., Burstin, H., Corry, M. P., Delbanco, S. F., et al. (2010). Blueprint for action: Steps toward a high-quality, high-value maternity care system. Women’s Health Issues, 20(1), S18–S49.CrossRefPubMed
7.
Finitzo, T., Daussant, L., & Tolley, T. (2010). Healthcare information technology (HIT) reform: The challenge for maternal and child health. Association of Maternal and Child Health Programs. www.​amchp.​org/​. Accessed 14 Nov 2014.
8.
Heisey-Grove, D., Danehy, L. N., Consolazio, M., Lynch, K., & Mostashari, F. (2014). A national study of challenges to electronic health record adoption and meaningful use. Medical Care, 52(2), 144–148.CrossRefPubMed
9.
Bedford, H., & Chalmers, J. (2003). A new vision for maternity records in Scotland: The Scottish Women-Held Maternity Record (SWHMR) project and the electronic Scottish Women-Held Maternity Record (eSWHMR) project. Journal Institute of Health Record Information and Management, 444(2), 21–24.
10.
Black, A. D., Car, J., Pagliari, C., Anandan, C., Cresswell, K., Bokun, T., et al. (2011). The impact of ehealth on the quality and safety of health care: A systematic review. PLoS Medicine, 8(1), e1000387. (Accessed November 14th, 2014).CrossRefPubMedPubMedCentral
11.
Berry, S. A., Laam, L. A., Wary, A. A., Mateer, H. O., Cassagnol, H. P., McKinley, K. E., et al. (2011). ProvenCare perinatal: A model for delivering evidence/guideline-based care for perinatal populations. Joint Commission Journal on Quality and Patient Safety, 37(5), 229–239.PubMed
12.
13.
Lindberg, S. M., & Anderson, C. K. (2014). Improving gestational weight gain counseling through meaningful use of an electronic medical record. Maternal and Child Health Journal, 18, 2188–2194.CrossRefPubMedPubMedCentral
14.
Chi, B. H., Vwalika, B., Killam, W. P., Wamalume, C., Giganti, M. J., Mbewe, R., et al. (2011). Implementation of the Zambia electronic perinatal record system for comprehensive prenatal and delivery care. International Journal of Gynecology and Obstetrics, 113(2), 131–136.CrossRefPubMedPubMedCentral
15.
American College of Obstetricians and Gynecologists. (2010). Patient safety and the electronic health record. Committee opinion no. 472. Obstetrics and Gynecology, 116, 1245–1247.CrossRef
16.
Menschemi, N., Lee, S. C., Shepard, J. E., & Brooks, R. G. (2006). Proliferation of electronic health records among obstetricians-gynecologists. Quality Management in Healthcare, 15, 150–156.CrossRef
17.
Hakkinen, H., & Korpela, M. (2007). A participatory assessment of IS integration needs in maternity clinics using action theory. International Journal of Medical Informatics, 76(11–12), 843–849.CrossRefPubMed
18.
Trick, W. E., Linn, E. S., Jones, Z., Caquelin, C., Kee, R., & Morita, J. Y. (2010). Using computer decision support to increase maternal postpartum tetanus, diphtheria and acelullar pertussis vaccination. Obstetrics and Gynecology, 116(1), 51–57.CrossRefPubMed
19.
Eden, K. B., Messina, R., Li, H., Osterweil, P., Hendersen, C. R., & Guise, J. M. (2008). Examining the value of electronic health records on labor and delivery. American Journal of Obstetrics and Gynecology, 199(307), e1–e9.PubMed
20.
Metz, J. P., Son, S. J., Winter, R. O., & Chae, S. (2011). Increasing timely and available prenatal studies by electronic health records. The Journal of the American Board of Family Medicine, 24, 344–350.CrossRefPubMed
21.
Pham-Thomas, N., Pereira, N., Powell, A. M., Croft, D. J., Guilfoil, D. S., & Montgomery, O. C. (2014). Outcomes of effective transmission of electronic prenatal records from the office to the hospital. Obstetrics and Gynecology, 124(2 Pt 1), 317–322.CrossRefPubMed
22.
Haberman, S., Rotas, M., Perlman, K., & Feldman, J. (2007). Variations in compliance with documentation using computerized obstetric records. Obstetrics and Gynecology, 110(1), 141–145.CrossRefPubMed
23.
Haberman, S., Feldman, J., Merhgi, Z. O., Markensen, G., Cohen, W., & Minkhoff, H. (2009). Effect of clinical-decision support on documentation compliance in an electronic medical record. Obstetrics and Gynecology, 114(2), 311–317.CrossRefPubMed
24.
Bernstein, P. S., Farinelli, C., & Merkatz, I. R. (2005). Using an electronic medical record to improve communication within a prenatal care network. Obstetrics and Gynecology, 105(3), 607–612.CrossRefPubMed
25.
Salam, R. A., Lassi, Z. S., Das, J. K., & Bhutta, Z. A. (2014). Evidence form district level inputs to improve quality of care for maternal and newborn health: Interventions and findings. Reproductive Health, 11(Suppl 2), 53.CrossRef
26.
Hawley, G., Janamian, T., Jackson, C., & Wilkinson, S. A. (2014). In a maternity shared-care environment, what do we know about the paper hand-held and electronic health record: A systematic literature review. BMC Pregnancy and Childbirth, 14, 52.CrossRefPubMedPubMedCentral
27.
28.
Roman, L. A., Raffo, J. E., Zhu, Q., & Meghea, C. I. (2014). A statewide Medicaid enhanced prenatal care program: Impact on birth outcomes. JAMA Pediatrics, 168(3), 220–227.CrossRefPubMed
29.
Meghea, C. I., Raffo, J. E., Zhu, Q., & Roman, L. (2013). Medicaid home visitation and maternal and infant healthcare utilization. American Journal of Preventive Medicine, 45(4), 441–447.CrossRefPubMed
30.
Kotelchuck, M. (1994). An evaluation of the Kessner adequacy of prenatal care index and a proposed adequacy of prenatal care utilization index. American Journal of Public Health, 84(9), 1414–1420.CrossRefPubMedPubMedCentral
31.
32.
33.
34.
35.
36.
Ashenfelter, O., & Card, D. (1985). Using the longitudinal structure of earnings to estimate the effects of training programs. Review of Economics and Statistics, 67, 648–660.CrossRef
37.
Jung, H. Y., Unruh, M. A., Kaushal, R., & Vest, J. R. (2015). Growth of new york physician participation in meaningful use of electronic health records was variable, 2011–12. Health Affairs (Millwood), 34(6), 1035–1043.CrossRef
Metadata
Title
Electronic Medical Record Use and Maternal and Child Care and Health
Authors
Cristian I. Meghea
William Corser
Zhiying You
Publication date
01-04-2016
Publisher
Springer US
Published in
Maternal and Child Health Journal / Issue 4/2016
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-015-1912-x

Other articles of this Issue 4/2016

Maternal and Child Health Journal 4/2016 Go to the issue

OriginalPaper

Unmet Need for Therapy Among Children with Autism Spectrum Disorder: Results from the 2005–2006 and 2009–2010 National Survey of Children with Special Health Care Needs

Original Paper

The Comorbidity of Physical, Mental, and Developmental Conditions Associated with Childhood Adversity: A Population Based Study

OriginalPaper

Relationship Between Current Substance Use and Unhealthy Weight Loss Practices Among Adolescents

OriginalPaper

Surveillance of Medication Use During Pregnancy in the Mini-Sentinel Program

Original Paper

Parents’ Depressive Symptoms and Gun, Fire, and Motor Vehicle Safety Practices

OriginalPaper

Parent-Reported Health Consequences and Relationship to Expenditures in Children with ADHD