{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T10:49:09Z","timestamp":1761562149683,"version":"3.37.3"},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"2","funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes And Digestive And Kidney Diseases","doi-asserted-by":"publisher","award":["K23DK097187"],"award-info":[{"award-number":["K23DK097187"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Institutional National Research Service Award","award":["T32HP10251"],"award-info":[{"award-number":["T32HP10251"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,3,1]]},"abstract":"<jats:p>Background: The Centers for Medicare and Medicaid Services (CMS) canceled Meaningful Use (MU), replacing it with Advancing Care Information, which preserves many MU elements. Therefore, transitioning from MU stage 1 to MU stage 2 has important implications for the new policy, yet the quality of care provided by physicians transitioning from MU1 to MU2 is unknown.<\/jats:p>\n               <jats:p>Methods: Retrospective longitudinal evaluation of the quality of care delivered by outpatient physicians at an academic medical center in the transition between MU1 and MU2.<\/jats:p>\n               <jats:p>Results: Between MU1 and MU2, 4 measures improved: hypertension control (35% vs 40%), influenza immunization (63% vs 68%), tobacco use assessment\/counseling (86% vs 96%), and diabetes control (93% vs 96%; P all &amp;lt;.01). One worsened: senior weight screening\/follow-up (54% vs 49%; P\u2009&amp;lt;\u2009.01). Two were unchanged: chlamydia screening and adult weight screening\/follow-up.<\/jats:p>\n               <jats:p>Conclusion: In this single-site study, when clinicians progressed from MU1 to MU2, 4 quality measures improved, 2 were unchanged, and 1 worsened. Analysis of national data should guide policy decisions about the content of MU\u2019s successor.<\/jats:p>","DOI":"10.1093\/jamia\/ocw127","type":"journal-article","created":{"date-parts":[[2016,8,28]],"date-time":"2016-08-28T00:18:24Z","timestamp":1472343504000},"page":"394-397","source":"Crossref","is-referenced-by-count":11,"title":["Changes in the quality of care during progress from stage 1 to stage 2 of Meaningful Use"],"prefix":"10.1093","volume":"24","author":[{"given":"David M","family":"Levine","sequence":"first","affiliation":[{"name":"Division of General Internal Medicine and Primary Care, Brigham and Women\u2019s Hospital, Boston, Massachusetts, USA"},{"name":"Harvard Medical School, Boston"}]},{"given":"Michael J","family":"Healey","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Primary Care, Brigham and Women\u2019s Hospital, Boston, Massachusetts, USA"}]},{"given":"Adam","family":"Wright","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Primary Care, Brigham and Women\u2019s Hospital, Boston, Massachusetts, USA"},{"name":"Harvard Medical School, Boston"}]},{"given":"David W","family":"Bates","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Primary Care, Brigham and Women\u2019s Hospital, Boston, Massachusetts, USA"},{"name":"Harvard Medical School, Boston"}]},{"given":"Jeffrey A","family":"Linder","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Primary Care, Brigham and Women\u2019s Hospital, Boston, Massachusetts, USA"},{"name":"Harvard Medical School, Boston"}]},{"given":"Lipika","family":"Samal","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Primary Care, Brigham and Women\u2019s Hospital, Boston, Massachusetts, USA"},{"name":"Harvard Medical School, 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