Physician Experience With Electronic Health Record Systems That Meet Meaningful Use Criteria: NAMCS Physician Workflow Survey, 2011
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NCHS Data Brief ■ No. 129 ■ September 2013
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
National Center for Health StatisticsKey findings
Data from the National
Ambulatory Medical
Care Survey’s (NAMCS)
Physician Workflow
Survey, 2011
• About three-quarters of
physicians with electronic health
record (EHR) systems have
systems that meet meaningful use
criteria.
• Physicians with EHR systems
that meet meaningful use criteria
were more likely to report that
their system provides time savings
than physicians with systems not
meeting meaningful use criteria,
but only in some areas.
• Physicians with EHR systems
that meet meaningful use criteria
were more likely to report
enhanced confidentiality and less
disruption in their interactions
with patients than physicians with
systems not meeting meaningful
use criteria.
• Physicians with EHR systems
that meet meaningful use criteria
were no more likely to report
financial benefits and selected
clinical benefits than those with
systems not meeting meaningful
use criteria.
Physician Experience With Electronic Health Record Systems
That Meet Meaningful Use Criteria: NAMCS Physician
Workflow Survey, 2011
Eric Jamoom, Ph.D., M.P.H., M.S.; Vaishali Patel, M.P.H., Ph.D.; Jennifer King, Ph.D.; and
Michael F. Furukawa, Ph.D.
The Health Information Technology for Economic and Clinical Health
(HITECH) Act of 2009 provides financial incentives for physicians who
adopt and demonstrate the “meaningful use” of a certified electronic health
record (EHR) system (1,2). EHR systems that meet the meaningful use criteria
have specific capabilities associated with efficient and high-quality patient
care (3). Since enactment of the HITECH Act, nationally representative data
about physician experiences with EHRs have been limited (4,5). This report
describes physician experiences with EHRs, comparing clinical and financial
indicators between physicians with and without EHR systems that meet
meaningful use criteria.
Keywords: health information technology • National Ambulatory Medical
Care Survey
How common are EHR systems that meet meaningful use
criteria in physician practices?
• About three-quarters of EHR adopters (76%) report that they have a
system that meets the Centers for Medicare & Medicaid Services (CMS)
Figure 1. Percentage of physicians with electronic health record systems that meet meaningful
use criteria: United States, 2011
NOTES: Data represent office-based physicians with electronic health record systems (n = 1,793). Missing responses (less than
2%) were excluded. Meaningful use criteria were approved by the federal Centers for Medicare & Medicaid Services. The sample
includes nonfederal, office-based physicians and excludes anesthesiologists, radiologists, and pathologists. Percentages may not
sum to 100 because of rounding.
SOURCE: CDC/NCHS, National Ambulatory Medical Care Survey's Physician Workflow Survey, 2011.
Does not meet
8
Uncertain
15 Meets
76
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
National Center for Health StatisticsKey findings
Data from the National
Ambulatory Medical
Care Survey’s (NAMCS)
Physician Workflow
Survey, 2011
• About three-quarters of
physicians with electronic health
record (EHR) systems have
systems that meet meaningful use
criteria.
• Physicians with EHR systems
that meet meaningful use criteria
were more likely to report that
their system provides time savings
than physicians with systems not
meeting meaningful use criteria,
but only in some areas.
• Physicians with EHR systems
that meet meaningful use criteria
were more likely to report
enhanced confidentiality and less
disruption in their interactions
with patients than physicians with
systems not meeting meaningful
use criteria.
• Physicians with EHR systems
that meet meaningful use criteria
were no more likely to report
financial benefits and selected
clinical benefits than those with
systems not meeting meaningful
use criteria.
Physician Experience With Electronic Health Record Systems
That Meet Meaningful Use Criteria: NAMCS Physician
Workflow Survey, 2011
Eric Jamoom, Ph.D., M.P.H., M.S.; Vaishali Patel, M.P.H., Ph.D.; Jennifer King, Ph.D.; and
Michael F. Furukawa, Ph.D.
The Health Information Technology for Economic and Clinical Health
(HITECH) Act of 2009 provides financial incentives for physicians who
adopt and demonstrate the “meaningful use” of a certified electronic health
record (EHR) system (1,2). EHR systems that meet the meaningful use criteria
have specific capabilities associated with efficient and high-quality patient
care (3). Since enactment of the HITECH Act, nationally representative data
about physician experiences with EHRs have been limited (4,5). This report
describes physician experiences with EHRs, comparing clinical and financial
indicators between physicians with and without EHR systems that meet
meaningful use criteria.
Keywords: health information technology • National Ambulatory Medical
Care Survey
How common are EHR systems that meet meaningful use
criteria in physician practices?
• About three-quarters of EHR adopters (76%) report that they have a
system that meets the Centers for Medicare & Medicaid Services (CMS)
Figure 1. Percentage of physicians with electronic health record systems that meet meaningful
use criteria: United States, 2011
NOTES: Data represent office-based physicians with electronic health record systems (n = 1,793). Missing responses (less than
2%) were excluded. Meaningful use criteria were approved by the federal Centers for Medicare & Medicaid Services. The sample
includes nonfederal, office-based physicians and excludes anesthesiologists, radiologists, and pathologists. Percentages may not
sum to 100 because of rounding.
SOURCE: CDC/NCHS, National Ambulatory Medical Care Survey's Physician Workflow Survey, 2011.
Does not meet
8
Uncertain
15 Meets
76
NCHS Data Brief ■ No. 129 ■ September 2013■ 2 ■
meaningful use criteria, whereas 8% have a system that does not meet the meaningful use
criteria. About 15% of respondents are uncertain whether their system meets the meaningful
use criteria (Figure 1).
Are physicians who have EHR systems that meet meaningful use criteria
more likely to report time savings?
Figure 2. Percentage of physicians using electronic health record systems who report agreement with selected efficiency
indicators, by whether the systems meet meaningful use criteria: United States, 2011
1 Differences between physicians with systems that meet meaningful use criteria and those with systems not meeting these criteria were significant (p < 0.05).
NOTES: EHR is electronic health record. Data represent office-based physicians with EHR systems (n = 1,793). Missing responses (less than 6%) were excluded
for each of the items.
SOURCE: CDC/NCHS, National Ambulatory Medical Care Survey's Physician Workflow Survey, 2011.
Percent
EHR does not
meet meaningful
use criteria or
uncertain
EHR meets
meaningful use
criteria
0 20 40 60 80 100
Amount of time spent responding
to pharmacy calls increased
My practice receives
laboratory results faster
Amount of time spent to plan,
review, order, and document
care has increased
Sending prescriptions
electronically saves me time
1 82
67
76
78
1
75
61
28
34
• Eighty-two percent of physicians with an EHR system that meets meaningful use criteria
agree that electronic prescribing saves them time, compared with 67% of physicians whose
EHR system did not meet meaningful use criteria (Figure 2).
• Seventy-five percent of physicians with an EHR system that meets meaningful use criteria
agree that their practice receives laboratory results faster, compared with 61% of physicians
whose EHR system did not meet meaningful use criteria (Figure 2).
• Approximately one-third of physicians with an EHR system judged that it increases the
time taken to answer pharmacy calls, regardless of whether the system met meaningful use
criteria (Figure 2).
• Regardless of whether their EHR system met meaningful use criteria, over three-quarters of
these physicians reported that the amount of time taken to plan, review, order, and document
care has increased due to using the system (Figure 2).
meaningful use criteria, whereas 8% have a system that does not meet the meaningful use
criteria. About 15% of respondents are uncertain whether their system meets the meaningful
use criteria (Figure 1).
Are physicians who have EHR systems that meet meaningful use criteria
more likely to report time savings?
Figure 2. Percentage of physicians using electronic health record systems who report agreement with selected efficiency
indicators, by whether the systems meet meaningful use criteria: United States, 2011
1 Differences between physicians with systems that meet meaningful use criteria and those with systems not meeting these criteria were significant (p < 0.05).
NOTES: EHR is electronic health record. Data represent office-based physicians with EHR systems (n = 1,793). Missing responses (less than 6%) were excluded
for each of the items.
SOURCE: CDC/NCHS, National Ambulatory Medical Care Survey's Physician Workflow Survey, 2011.
Percent
EHR does not
meet meaningful
use criteria or
uncertain
EHR meets
meaningful use
criteria
0 20 40 60 80 100
Amount of time spent responding
to pharmacy calls increased
My practice receives
laboratory results faster
Amount of time spent to plan,
review, order, and document
care has increased
Sending prescriptions
electronically saves me time
1 82
67
76
78
1
75
61
28
34
• Eighty-two percent of physicians with an EHR system that meets meaningful use criteria
agree that electronic prescribing saves them time, compared with 67% of physicians whose
EHR system did not meet meaningful use criteria (Figure 2).
• Seventy-five percent of physicians with an EHR system that meets meaningful use criteria
agree that their practice receives laboratory results faster, compared with 61% of physicians
whose EHR system did not meet meaningful use criteria (Figure 2).
• Approximately one-third of physicians with an EHR system judged that it increases the
time taken to answer pharmacy calls, regardless of whether the system met meaningful use
criteria (Figure 2).
• Regardless of whether their EHR system met meaningful use criteria, over three-quarters of
these physicians reported that the amount of time taken to plan, review, order, and document
care has increased due to using the system (Figure 2).
NCHS Data Brief ■ No. 129 ■ September 2013■ 3 ■
Are physicians who have EHR systems that meet meaningful use criteria
more likely to report clinical and financial benefits?
Figure 3. Percentage of physicians using electronic health record systems who report agreement with selected clinical and
financial benefits indicators, by whether the system meets meaningful use criteria: United States, 2011
1 Differences between physicians with systems that meet meaningful use criteria and those with systems not meeting these criteria were significant (p < 0.05).
NOTES: EHR is electronic health record. Data represent office-based physicians with EHR systems (n = 1,793). Missing responses (less than 6%) were excluded
for each of the items.
SOURCE: CDC/NCHS, National Ambulatory Medical Care Survey's Physician Workflow Survey, 2011.
Percent of EHR adopters
0 20 40 60 80 100
EHR does not
meet meaningful
use criteria or
uncertain
EHR meets
meaningful use
criteria
Billing for services is less complete
My EHR disrupts the way
I interact with my patients
My EHR enhances data confidentiality
My EHR allows me to deliver
better patient care
My EHR makes records more readily
available at the point of care
My practice saves on costs
associated with managing and
storing paper records
Financial benefits
Clinical benefits
94
91
75
69
1 70
60
1
50
61
75
72
22
18
• Sixty-one percent of physicians with an EHR system not meeting meaningful use criteria
believed that it disrupts the way they interact with patients, compared with 50% of
physicians with an EHR system that meets meaningful use criteria (Figure 3).
• Seventy percent of physicians with an EHR system that meets meaningful use criteria
agreed that their system enhances patient data confidentiality, compared with 60% of
physicians whose EHR system did not meet the criteria (Figure 3).
• Physicians with an EHR system largely agreed that the system makes records more readily
available at the point of care (94% meeting meaningful use, 91% not meeting meaningful
use), and allows them to deliver better patient care (75% meeting meaningful use, 69% not
meeting meaningful use), regardless of whether the system met the CMS criteria (Figure 3).
• Almost three-quarters of physicians with an EHR system (75% meeting meaningful use,
72% not meeting meaningful use) judged that it saves on costs associated with managing
and storing paper records, regardless of whether the system met meaningful use criteria
(Figure 3).
Are physicians who have EHR systems that meet meaningful use criteria
more likely to report clinical and financial benefits?
Figure 3. Percentage of physicians using electronic health record systems who report agreement with selected clinical and
financial benefits indicators, by whether the system meets meaningful use criteria: United States, 2011
1 Differences between physicians with systems that meet meaningful use criteria and those with systems not meeting these criteria were significant (p < 0.05).
NOTES: EHR is electronic health record. Data represent office-based physicians with EHR systems (n = 1,793). Missing responses (less than 6%) were excluded
for each of the items.
SOURCE: CDC/NCHS, National Ambulatory Medical Care Survey's Physician Workflow Survey, 2011.
Percent of EHR adopters
0 20 40 60 80 100
EHR does not
meet meaningful
use criteria or
uncertain
EHR meets
meaningful use
criteria
Billing for services is less complete
My EHR disrupts the way
I interact with my patients
My EHR enhances data confidentiality
My EHR allows me to deliver
better patient care
My EHR makes records more readily
available at the point of care
My practice saves on costs
associated with managing and
storing paper records
Financial benefits
Clinical benefits
94
91
75
69
1 70
60
1
50
61
75
72
22
18
• Sixty-one percent of physicians with an EHR system not meeting meaningful use criteria
believed that it disrupts the way they interact with patients, compared with 50% of
physicians with an EHR system that meets meaningful use criteria (Figure 3).
• Seventy percent of physicians with an EHR system that meets meaningful use criteria
agreed that their system enhances patient data confidentiality, compared with 60% of
physicians whose EHR system did not meet the criteria (Figure 3).
• Physicians with an EHR system largely agreed that the system makes records more readily
available at the point of care (94% meeting meaningful use, 91% not meeting meaningful
use), and allows them to deliver better patient care (75% meeting meaningful use, 69% not
meeting meaningful use), regardless of whether the system met the CMS criteria (Figure 3).
• Almost three-quarters of physicians with an EHR system (75% meeting meaningful use,
72% not meeting meaningful use) judged that it saves on costs associated with managing
and storing paper records, regardless of whether the system met meaningful use criteria
(Figure 3).
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