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Associations between Florida counties’ COVID-19 case and death rates and meaningful use among Medicaid providers: Cross-sectional ecologic study

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  • Katherine Freeman
  • Judith P Monestime

Abstract

Although the Health Information Technology for Economic and Clinical Health (HITECH) Act has accelerated adoption of Electronic Health Records (EHRs) among Medicaid providers, only half achieved Meaningful Use. Furthermore, Meaningful Use’ impact on reporting and/or clinical outcomes remains unknown. To address this deficit, we assessed the difference between Medicaid providers who did and did not achieve Meaningful Use regarding Florida county-level cumulative COVID-19 death, case and case fatality rates (CFR), accounting for county-level demographics, socioeconomic and clinical markers, and healthcare environment. We found that cumulative incidence rates of COVID-19 deaths and CFRs were significantly different between the 5025 Medicaid providers not achieving Meaningful Use and the 3723 achieving Meaningful Use (mean 0.8334/1000 population; SD = 0.3489 vs. mean = 0.8216/1000; SD = 0.3227, respectively) (P = .01). CFRs were .01797 and .01781, respectively, P = .04. County-level characteristics independently associated with increased COVID-19 death rates and CFRs include greater concentrations of persons of African American or Black race, lower median household income, higher unemployment, and higher concentrations of those living in poverty and without health insurance (all P

Suggested Citation

  • Katherine Freeman & Judith P Monestime, 2022. "Associations between Florida counties’ COVID-19 case and death rates and meaningful use among Medicaid providers: Cross-sectional ecologic study," PLOS Digital Health, Public Library of Science, vol. 1(6), pages 1-18, June.
    • Handle: RePEc:plo:pdig00:0000047
    DOI: 10.1371/journal.pdig.0000047
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    1. repec:plo:pmed00:0040296 is not listed on IDEAS
    2. Borgonovi, Francesca & Andrieu, Elodie & Subramanian, S.V., 2021. "The evolution of the association between community level social capital and COVID-19 deaths and hospitalizations in the United States," Social Science & Medicine, Elsevier, vol. 278(C).
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