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Progress with Electronic Health Record Adoption Among Emergency and Outpatient Departments in the US, 2006-2011

Problem Statement, Purpose of the Study, Significance, Background, Framework

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Added on  2023-06-13

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This report provides data on the adoption of electronic health record (EHR) systems in hospital emergency departments (EDs) and outpatient departments (OPDs) in the US from 2006 to 2011. The report highlights the increase in adoption of EHR systems and the percentage of hospitals that met the criteria for a basic system. The report also discusses the HITECH Act of 2009 and the federal standards of “meaningful use” of EHRs in three stages.

Progress with Electronic Health Record Adoption Among Emergency and Outpatient Departments in the US, 2006-2011

Problem Statement, Purpose of the Study, Significance, Background, Framework

   Added on 2023-06-13

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NCHS Data Brief ■ No. 187 ■ February 2015
u.s. department of health and human services
centers for disease control and prevention
national center for health statisticsProgress With Electronic Health Record Adoption Among
Emergency and Outpatient Departments:
United States, 2006–2011
Eric Jamoom, Ph.D., M.P.H., M.S.; and Esther Hing, M.P.H.
Key findings
Data from the 2006–
2011 National Hospital
Ambulatory Medical Care
Survey
● In 2011, 84% of hospital
emergency departments (EDs)
used an electronic health record
(EHR) system.
● Adoption of a basic EHR
system with a specific set
of functionalities by EDs
increased from 19% in 2007 to
54% in 2011.
● In 2011, 73% of hospital
outpatient departments (OPDs)
used an EHR system, up from
29% in 2006.
● Adoption of a basic EHR
system with a specific set
of functionalities by OPDs
increased from 9% in 2007 to
57% in 2011.
● From 2007 through 2011,
adoption of Stage 1 Meaningful
Use objectives by EDs and
OPDs increased.
● In 2011, 14% of EDs
and 16% of OPDs had EHR
technology able to support
nine Stage 1 Meaningful Use
objectives.
The Health Information Technology for Economic and Clinical Health
(HITECH) Act of 2009 provides incentive payments to eligible hospitals and
providers that demonstrate the meaningful use of a certified electronic health
record (EHR) system (1,2). This report describes the adoption of EHRs in
hospital emergency departments (EDs) and outpatient departments (OPDs)
from 2006 through 2011 using the National Hospital Ambulatory Medical
Care Survey (NHAMCS).
Keywords: health information technology • National Hospital Ambulatory
Medical Care Survey
Use of an EHR system in EDs increased from 2006 through
2011.
● In 2011, 84% of EDs reported using an EHR system, up from 46% in
2006 (Figure 1).
Figure 1. Hospital emergency departments with an EHR system: United States, 2006–2011
NOTES: All trends were significant (p < 0.05). EHR is electronic health record. “Any EHR system” is a medical or health record
system that is either all or partially electronic. Emergency department estimates are based on a question indicating the
department “uses” an EHR. Estimates for a basic system prior to 2007 were not included, as not all data elements were collected.
A basic system had all of the following functionalities: patient history and demographics, patient problem lists, physician clinical
notes, comprehensive list of patients’ medications and allergies, computerized orders for prescriptions, and ability to view
laboratory and imaging results electronically.
SOURCE: CDC/NCHS, National Hospital Ambulatory Medical Care Survey, 2006–2011.
Percent
0
20
40
60
80
100
201120102009200820072006
46.2
61.6
71.7 73.8 70.8
83.7
18.5 23.8 30.2
45.0
53.6
Any EHR system
Basic system
Progress with Electronic Health Record Adoption Among Emergency and Outpatient Departments in the US, 2006-2011_1
NCHS Data Brief ■ No. 187 ■ February 2015■ 2 ■
● Adoption of a basic EHR system by hospital EDs increased from 19% in 2007 to 54% in
2011.
Use of an EHR system in OPDs increased from 2006 through 2011.
● OPD use of an EHR system increased from 29% in 2006 to 73% in 2011 (Figure 2).
● OPD adoption of a basic EHR system increased from 9% in 2007 to 57% in 2011.
Percent
Figure 2. Hospital outpatient departments with an EHR system: United States, 2006–2011
NOTES: All trends were significant (p < 0.05). EHR is electronic health record. “Any EHR system” is a medical or health record system that is either all or partially
electronic. Outpatient department estimates are based on a question indicating the department “uses” an EHR. Estimates for a basic system prior to 2007 are not
included, as not all data elements were collected. A basic system had all of the following functionalities: patient history and demographics, patient problem lists,
physician clinical notes, comprehensive list of patients’ medications and allergies, computerized orders for prescriptions, and ability to view laboratory and imaging
results electronically.
SOURCE: CDC/NCHS, National Hospital Ambulatory Medical Care Survey, 2006–2011.
29.4
49.8
57.2
63.6
67.5
73.3
8.9
19.0 18.1
34.9
57.4
0
20
40
60
80
2006 2007 2008 2009 2010 2011
Any EHR system
Basic system
Progress with Electronic Health Record Adoption Among Emergency and Outpatient Departments in the US, 2006-2011_2
NCHS Data Brief ■ No. 187 ■ February 2015■ 3 ■
From 2007 through 2011, the percentage of EDs with EHR technology that
supported Stage 1 Meaningful Use objectives increased.
● Information on 5 of 14 Stage 1 Meaningful Use objectives was collected in NHAMCS from
2007 through 2011.
● Over the 5-year period, EDs with an EHR system able to support Stage 1 objectives
increased for the following four objectives: providing warnings of drug interactions or
contraindications (from 28% to 43%), providing reminders for guideline-based interventions
(from 28% to 40%), ordering prescriptions (from 39% to 63%), and recording patient
problem list (from 45% to 65%) (Figure 3).
● In 2011, EDs with an EHR system able to support Stage 1 Meaningful Use objectives
ranged from 40% (providing reminders for guideline-based interventions) to 87% (recording
patient demographics).
Percent
Figure 3. Hospital emergency departments with EHR technology able to support selected Stage 1 Meaningful Use
objectives: United States, 2007–2011
NOTES: All trends were significant (p < 0.05) except for recording patient demographics. EHR is electronic health record. Information on 5 of 14 Stage 1
Meaningful Use objectives was collected in the National Hospital Ambulatory Medical Care Survey from 2007 through 2011. See reference 4 for Stage 1
Meaningful Use objectives.
SOURCE: CDC/NCHS, National Hospital Ambulatory Medical Care Survey, 2007–2011.
82.4
92.4 89.4 88.3 87.0
44.6
42.4
48.9
65.1
38.6
47.0
55.2
61.6
61.1 62.6
28.0
33.9
40.3 44.3 42.9
28.4 31.5 29.0 33.0
39.9
0
20
40
60
80
100
2007 2008 2009 2010 2011
Recording patient history and
demographic information
Recording patient problem list
Ordering prescriptions
Providing warnings of drug
interactions or contraindications
Providing reminders for
guideline-based interventions
Progress with Electronic Health Record Adoption Among Emergency and Outpatient Departments in the US, 2006-2011_3

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