John L. Adams, PhD

A national study of electronic health record (EHR) adoption and hospital quality finds that existing measures may be inappropriate for assessing the effect of EHR adoption on quality.

In a health plan–sponsored e-prescribing initiative, participating PCPs' mean e-prescribing rate was 1 prescription per 4 pharmacy claims, but some PCPs achieved high use.

Typical health plan data provide limited information for benchmarking physician performance using even a less stringent rule for attributing patient measures to physicians.

At least 50 quality events per physician are needed to reach a minimum level of reliability for most quality measures calculated from administrative data.

We present findings about the prevalence and predictors of financial incentives for quality reported by oncologists and surgeons in Los Angeles County, California.