National findings regarding health IT use and participation in health care delivery reform programs among office-based physicians

Abstract

Objective: Our objective was to characterize physicians' participation in delivery and payment reform programs over time and describe how participants in these programs were using health information technology (IT) to coordinate care, engage patients, manage patient populations, and improve quality. Materials and Methods: A nationally representative cohort of physicians was surveyed in 2012 (unweighted N=2567) and 2013 (unweighted N=2399). Regression analyses used those survey responses to identify associations between health IT use and participation in and attrition from patient-centered medical homes (PCMHs), accountable care organizations (ACOs), and pay-for-performance programs (P4Ps). Results: In 2013, 45% of physicians participated in PCMHs, ACOs, or P4Ps. While participation in each program increased (P