Since 2009 more US healthcare organizations and professionals have started to adopt EHR, the rate of adoption has steadily increased to 56%. While the initial EHR adoption has been more related to using EHR to input patient’s related information and many clinical administrative activities, the continuous adoption have been involved in more sophisticated operations on EHR in order to complete advanced clinical tasks that relate to clinical quality improvements, evidence-based practice and clinical decision-making processes. In particular, physician’s participation in Center for Medicare & Medicaid Services (CMS)’s “Meaningful Use (MU)” requires complex reporting generation to provide the detailed evidence for the clinical quality improvement in order to claim the incentives from CMS’ program. The MU’s participation has become an important indicator of EHRs post adoptive behavior to reflect the degree of physician’s participation and their effort in the clinical quality improvement

Today many healthcare organizations have already adopted EHRs for more than five years, and using EHR systems have become the indispensable part of physicians’ daily activities. EHRs system and its functions have become powerful tools which not only replace manual and paperwork in the clinical administrative processing but also analyze and synthesize complex disease diagnosis and treatment for the purpose of improving clinical quality and safety.

This paper will attempt to explore factors that impact the relationship between pediatricians EHRs adoption and their participation in MU as the behavior of EHRs’ post-adoptive through using the publicly available data set called “EHR incentive paid” on CMS site and pediatrician’s daily EHRs description through surveys. The study shows that there have been factors in the EHRs adoption that strongly impact the relationships between pediatrician’s EHRs daily use and pediatrician’s likelihood of participation in MU program.