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Just the Facts: How Many Doctors Today are Using Electronic Health Records?

Friday, January 22, 2010




The National Ambulatory Medical Care Survey (NAMCS) conducted by the National Center for Health Statistics (NCHS) is an annual nationally representative survey of patient visits to office-based physicians that collects information on use of electronic medical record/electronic health record (EMR/HER).

Here are some findings:

2008

41.5 percent of physicians reported using all or partial EMR/EHR systems (not including systems solely for billing) in their office-based practices. (The figure for 2007 was 34.8 percent.)

In 2008, about 16.7 percent of physicians reported having systems that met the criteria of a basic system, and about 4.4 percent reported that of a fully functional system. (The figures for 2007 were 11.8 percent with a basic system and 3.8 percent with a fully functional system.)

-Basic systems include: patient demographic information, patient problem lists, clinical notes, orders for prescriptions, and viewing laboratory and imaging results

-Fully functional systems include: all functionalities of basic system plus medical history and follow-up, orders for tests, prescription and test orders sent electronically, warnings of drug interactions or contraindications, highlighting of out-of-range test levels, and reminders for guideline-based interventions

Preliminary 2009

43.9 percent of the physicians reported using all or partial EMR/EHR systems (not including systems solely for billings) in their office-based practices.

About 20.5 percent reported having systems that met the criteria of a basic system, and 6.3 percent reported that of a fully functional system.

Conclusion

These data indicate that physicians have been increasingly adopting EMR/EHR systems. From 2007 to 2008, physicians’ use of any EMR system increased by 18.7 percent. Within the same period, the percentage of physicians reporting having systems that met the criteria of a basic system increased by 41.5 percent. The 2009 preliminary estimates did not change significantly from 2008.

Samples of 3,200 and 2,000 physicians were selected for the core in-person NAMCS and the supplemental mail survey.

(Source: National Center for Health Statistics)

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