The goal of this mixed methods project was to assess, among primary care practices, the readiness, feasibility, and perceived impact of achieving proposed Stage 3 Meaningful Use criteria related to care coordination. This study included a statewide survey of practices in Michigan, as well as three rounds of qualitative interviews with 12 primary care practices that were working with their local Regional Extension Center to attempt proposed Stage 3 care coordination criteria. Specifically, the study sought to achieve the following three aims:
Aim 1. Assess current readiness of eligible primary care practices to achieve proposed Stage 3 care coordination criteria in order to inform policy-driven improvement strategies.
Aim 2. Identify barriers and associated facilitators to meeting proposed Stage 3 care coordination criteria in order to help primary care practices overcome gaps to criteria achievement.
Aim 3. Assess the potential impact of proposed Stage 3 care coordination criteria, and identify strategies to increase the value of the criteria to primary care practices.
The findings sought to offer specific guidance to policymakers on how to refine currently proposed criteria in ways that are likely to improve care coordination. For EHR vendors, the findings point to technology barriers that impede care coordination as well as EHR innovations that would address them. For primary care providers, the findings inform the design of effective strategies to meet the criteria in ways that facilitate more coordinated care.