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National Electronic Health Records Survey: 2015 State and National Electronic Health Record Adoption Summary Tables

   

Added on  2023-06-13

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National Electronic Health Records Survey: 2015 State and National
Electronic Health Record Adoption Summary Tables

We are pleased to release the most current nationally representative data on electronic health record (EHR)
adoption by office-based physicians in the United States. Statistics are presented on data collected in the
2015 National Electronic Health Records Survey (NEHRS). NEHRS, which is conducted by the National
Center for Health Statistics and sponsored by the Office of the National Coordinator for Health Information
Technology, is a nationally representative mixed mode survey of office-based physicians that collects
information on physician and practice characteristics, including the adoption and use of EHR systems.
NEHRS sampling design allows for both national and state-based estimates of EHR adoption. NEHRS is
conducted annually as a sample survey of nonfederal office-based patient care physicians, excluding
anesthesiologists, radiologists, and pathologists.

The 2015 NEHRS sample consisted of 10,302 office-based physicians. Nonrespondents to the mail survey
received follow-up telephone calls. The 2015 NEHRS data collection took place from August through
December 2015, and used a sequential mixed mode design to collect data through web, mail, and phone.
Using a physician database, email addresses of sampled physicians were identified. Sampled physicians that
did not have an email match were asked to complete the survey by mail or phone. Among those with email
addresses, respondents were randomly assigned to one of four groups: an invitation to take the web survey
through email, US mail, both, or no web survey option. Nonresponse to the web survey resulted in 3
mailings of the questionnaire followed by phone contacts.

Sampled physicians were able to complete the survey through web, mail and phone. The overall unweighted
response rate of the 2015 NEHRS questionnaire was 51.9% (49.2% weighted). A copy of the 2015 NEHRS
questionnaire is available from the NCHS website.

This table provides national and state-based estimates of office-based physicians’ adoption of electronic
health record/electronic medical record (EHR/EMR) systems. A basic system is a system that has 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. A certified system was defined by physicians
answering “yes” to having a current system that “meet meaningful use criteria defined by the Department of
Health and Human Services.” For more information on certified systems and meaningful use criteria go to
the Centers for Medicare & Medicaid Services Official Web site for the Medicare and Medicaid EHR
Incentive Programs (
https://www.cms.gov/Regulations-and-
Guidance/Legislation/EHRIncentivePrograms/index.html?redirect=/ehrincentiveprograms
). National
estimates represent all states and the District of Columbia. Statistically significant differences between
estimates and the national percentage are calculated by using statistical tests with 0.05 significance level.

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