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Q: projected adoption trends for EHR and EMR? ( Answered 5 out of 5 stars,   1 Comment )
Subject: projected adoption trends for EHR and EMR?
Category: Health
Asked by: msgirl38111-ga
List Price: $20.00
Posted: 27 Nov 2006 07:43 PST
Expires: 27 Dec 2006 07:43 PST
Question ID: 785923
What are the current and projected adoption trends for EHR and EMR in
doctors offices? in hospitals?

Clarification of Question by msgirl38111-ga on 27 Nov 2006 09:44 PST
Wonder when might receive answer???
Subject: Re: projected adoption trends for EHR and EMR?
Answered By: bobbie7-ga on 27 Nov 2006 10:14 PST
Rated:5 out of 5 stars
HEllo Msgirl38111,

According to the report called "Health Information Technology in the
United States: The Information Base for Progress," one in four doctors
(24.9 percent) use EHRs to improve how they deliver care to patients.

?The report provides a look at how doctors and hospitals are using
information systems to drive improvements in quality.  It shows that
EHR adoption rates remain very low due to multiple financial,
technical and legal barriers. The report authors say these barriers
will need to be lifted if the health sector is to meet President
Bush's desired goal of ensuring that most Americans have their medical
information collected, stored, and organized in an EHR by 2014.?

?In the most comprehensive study to date that reliably measures the
state of electronic health record (EHR) use by doctors and hospitals,
researchers from Massachusetts General Hospital (MGH) and George
Washington University (GWU) estimate that one in four doctors (24.9
percent) use EHRs to improve how they deliver care to patients. 
However, less than one in 10 are using what experts define as a "fully
operational" system that collects patient information, displays test
results, allows providers to enter medical orders and prescriptions,
and helps doctors make treatment decisions.?

?The report was commissioned to set a benchmark for where the U.S.
stands on EHR adoption.  It reflects one year of examination of dozens
of studies and surveys by some of the nation's leading experts on
health IT and illustrates the EHR adoption environment among
physicians and hospitals, what predicts whether or not a provider will
adopt an EHR, where the gaps in adoption are, how much adoption
depends on location, practice size, specialty, or kinds of patients
treated; and how the U.S. can collect more precise and timely data on
adoption to better enlighten policymakers.?

Robert Wood Johnson Foundation:  Oct 11, 2006

?Current rates of EHR adoption make President Bush's goal of providing
most U.S. residents with EHRs by 2014 unlikely?

?24% of physicians used an EHR system. However, that number drops to
about 9% when EHR is identified as a "fully operational" system ?

?The report also found that physicians who treat a higher number of
Medicaid beneficiaries are half as likely to have EHRs, according
Blumenthal. In addition, 8.6% of community health centers have a full
EHR, and 15.9% have a partial EHR system.?

?...between 5% and 10% of hospitals have adopted computerized
physician order entry systems, which can reduce medical errors and
facilitate care delivery.?

?According to the report, four factors influencing EHR adoption are:
Financial incentives and barriers;

Laws and regulations;
Technology barriers; and
Organizational influences.?

iHealthBeat: October 12, 2006

Findings and Future Directions

?Based on existing, high quality survey data on EHR adoption, we
estimate that 17 to 24 percent of physicians in ambulatory settings
use EHRs to some extent. Our best estimate, based on the most recent
data, is that the proportion of physicians with access to EHRs in 2005
was closer to 24 than to 17 percent. Also, 4 to 24 percent of
hospitals have adopted computerized physician order entry (CPOE), the
best proxy in current studies for EHR adoption in the inpatient
setting. Our best estimate is that, as of 2005, the proportion of
hospitals with functioning CPOE systems was closer to 4 than to 21
percent, and was possibly as low as 5 percent. Our review of the 36
surveys conducted in the past decade on the state of the science on
EHR adoption in the United States also found that these surveys vary
widely in the functionalities they measure, the respondents they
target, the clinical settings they examine, the quality of their
methodology, and, not surprisingly, their estimates of EHR adoption.?

Table 4. 
EHR Adoption Based on Best estimates Data (through 2005)
                         Range from Medium or  Best Estimates Based  
                         High Quality Surveys	on High Quality Surveys
EHRs in physician offices      17 to 25%               24%
Solo practitioners             13 to 16%               16%
Large physician offices       19 to 57%                39%
CPOE in hospitals              4 to 21%                 5%

Figure 1: 
EHR Adoption Among U.S. Physicians and Health Centers (2005-2006)
                      Physicians            Health Centers   
Full EMR              11.2%                 8.6%
Partial EMR           12.7%                 15.9%
None                  76.1%                 75.5%

Figure2  (See page 38)
Percent of physicians using electronic medical records and percent of
physicians using electronic medical record systems by practice size:
United States, 2005
?The primary driver of EHR adoption was practice size, with a clear
linear relationship between practice size and EHR use?

Download the full report  here:

Facts and Figures: Healthcare IT Use in Primary Care
EMR Systems	                       Percent	
Currently in use at the practice:	28%	
Plan to implement in the next year:	31%	

Source: Health Affaire  25, no. 6 (2006)

According to a Commonwealth study, 57% of large group practices of 50
or more physicians are using an EHR, but only 13% of solo physicians
are doing so.

Remarks by David Brailer, MD PhD
National Coordinator for Health Information Technology 
February 17, 2005


?The majority of US hospitals are in the early stages of EMR adoption.
Currently, approximately 61 percent of the US hospital market has some
level of EMR applications installed to support care delivery.?

EMR Adoption Model
2005 Final
Stage                                        % of 3917
                                             total Hospitals
Stage 0   All 3 Ancillaries not installed     19.25%
Stage 1   Lab, Rad and Pharmacies             20.53%
Stage 2   CDR, CMV, CDSS inference engine, 
          may have document imaging           49.66%
Stage 3   Clinical documentation, CDSS, 
          PACS available outside radiology     8.12%
Stage 4   CPOE,CDSS (clinical protocols)       1.86%
Stage 5   Closed loop medication 
          administration                       0.46%
Stage 6   Physician documentation, full CDSS
          full PACS                            0.13%
Stage 7   Medical Record fully electronic      0.00%

Download here:

?Most Physicians are Not Using EMRs, Especially in Small Practices?

?Practices between 1-9 physicians account for over 80% of physicians?
?In practices larger than 9 physicians, adoption rates are significantly higher?  

ASPE: October 2006

Download Presentation for additional detailscharts and statistics:

Search terms:
EMR HER adoption percent

I hope the information provided is helpful!

Best regards,
msgirl38111-ga rated this answer:5 out of 5 stars and gave an additional tip of: $5.00

Subject: Re: projected adoption trends for EHR and EMR?
From: bobbie7-ga on 27 Nov 2006 10:55 PST
Thank you very much for the rating and tip!

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