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Health IT Policy Committee Meeting Health IT Policy Committee Meeting

Health IT Policy Committee Meeting - PowerPoint Presentation

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Health IT Policy Committee Meeting - PPT Presentation

July 9 2013 Data Analytics Update Data Analytics Update Items Recent results from 2 national surveys of physicians and hospitals Trends in adoption of EHRs and MU capabilities among physicians and hospitals ID: 688694

2012 health basic ehr health 2012 ehr basic survey adoption 2013 data affairs vol hospitals 2010 analysis electronic source

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Presentation Transcript

Slide1

Health IT Policy Committee Meeting

July 9, 2013

Data Analytics UpdateSlide2

Data Analytics Update Items

Recent results from 2 national surveys of physicians and hospitals:Trends in adoption of EHRs and MU capabilities among physicians and hospitalsRoutine use of EHR and MU capabilities among physicians

Stage 2 readiness among hospitals

1Slide3

Sources

Office-Based Physicians Are Responding To Incentives And Assistance By Adopting And Using Electronic Health Records CJ Hsiao, AK Jha, J King, V Patel, MF Furukawa, F Mostashari Health Affairs, 2013, vol. 32, no. 8.Adoption Of Electronic Health Records Grows Rapidly, But Fewer Than Half Of US Hospitals Had At Least A Basic System In 2012

CM DesRoches, D Charles, MF Furukawa, MS Joshi, P

Kralovec

,

F Mostashari, C

Worzala

, AK Jha Health Affairs, 2013, vol. 32, no. 8.

2Slide4

EHR Definitions

“Basic EHR”Defined by expert panel prior to MUDoes not correspond exactly to MUSome Stage 1 MU Core objectives not part of a “Basic EHR”Some “Basic EHR” functionalities not part of Stage 1 MU Core

Nonetheless, useful for examining trends over time

3Slide5

Comparison of Basic EHR and MU

4

MU Stage 1 Core

Basic EHR: Physicians

Basic

EHR:

Hospitals

Record demographics

X

X

X

Maintain patient problem lists

X

X

XMaintain medication/allergy listsXXXCPOE for prescriptionsXXXDischarge summaries*XXE-prescribe**XRecord smoking statusXRecord vital signsXProvide warnings of drug interactionsXProvide patients clinical summaries**XClinical decision supportXProvide patients e-copy of health infoXClinical quality measuresXProtect electronic health infoXRecord clinical notesXXView lab resultsXXView imaging resultsXXView diagnostic test resultsX

* EH only ** EP onlySlide6

Physicians:Adoption and use of

EHRs and MU capabilities5Slide7

6

EHR Adoption among Office-Based Physicians: 2010-2012

Source:

CJ Hsiao, et al.

Health Affairs

, 2013, vol. 32, no. 8.

Analysis of data from the Electronic Health Records mail survey to the National Ambulatory Medical Care Survey, 2010-2012. Notes: Numbers are unadjusted. Any EHR system is a health record system that is all or partially electronic. Basic EHR systems have the following functionalities: recording patient demographic information, clinical notes, patient problem lists, and medication/allergy lists; viewing laboratory and imaging results; and using computerized prescription ordering. Slide8

Basic EHR Adoption by Physician and Practice Characteristics: 2010-2012

7

Specialty

Age

Practice size (# of physicians)

Practice ownership

Source:

CJ Hsiao, et al.

Health Affairs

, 2013, vol. 32, no. 8.

Analysis of data from the Electronic Health Records mail survey to the National Ambulatory Medical Care Survey, 2010 and 2012. Notes: Basic EHR adoption rates are predicted probabilities based on logistic regression controlling for physician, practice, and area characteristics.Slide9

Physician Basic EHR Adoption by Area Characteristics: 2010-2012

8

County metropolitan status

County poverty

Source:

CJ Hsiao, et al.

Health Affairs

, 2013, vol. 32, no. 8.

Analysis of data from the Electronic Health Records mail survey to the National Ambulatory Medical Care Survey, 2010 and 2012. Notes: Basic EHR adoption rates are predicted probabilities based on logistic regression controlling for physician, practice, and area characteristics.Slide10

Physician Adoption of Computerized Capabilities Related to Basic EHR and MU Stage 1 Core Objectives: 2010-2012

9

Source:

CJ Hsiao, et al.

Health Affairs

, 2013, vol. 32, no. 8.

Analysis of data from the Electronic Health Records mail survey to the National Ambulatory Medical Care Survey, 2010 and 2012. Notes: Percentages are unadjusted.Slide11

Physician Adoption and Use of Computerized Capabilities Related to

Basic EHR and MU Stage 1 Core Objectives: 201210

Source:

CJ Hsiao, et al.

Health Affairs

, 2013, vol. 32, no. 8.

Analysis of data from the Electronic Health Records mail survey to the National Ambulatory Medical Care Survey, 2012. Notes: Percentages are unadjusted.Slide12

Hospitals:Adoption of

EHRs and MU capabilities11Slide13

12

Basic EHR Adoption among Hospitals: 2008-2012

Source:

DesRoches, et al.

Health Affairs

, 2013, vol. 32, no. 8.

Analysis of data from American Hospital Association, Annual Health Information

Technology Supplemental Survey, 2012

. Note:

Analyses statistically weighted to account for potential

nonresponse

bias.Slide14

Basic EHR Adoption by Hospital Characteristics: 2010-2012

13

Source:

DesRoches, et al.

Health Affairs

, 2013, vol. 32, no. 8.

Analysis of data from American Hospital Association, Annual Health Information

Technology Supplemental Survey, 2012

. Note:

Analyses statistically weighted to account for potential

nonresponse

bias. Major teaching hospitals are members of the Council of Teaching Hospitals. Minor teaching hospitals have either a medical school affiliation, as reported to the American Medical Association, or approval to participate in residency training from the Accreditation Council for Graduate Medical Education.

Size

LocationProfit statusTeaching statusSlide15

Number of MU Stage 2 Core Objectives Adopted by Hospitals as of 2012

14

Source:

DesRoches, et al.

Health Affairs

, 2013, vol. 32, no. 8.

Analysis of data from American Hospital Association, Annual Health Information

Technology Supplemental Survey, 2012

. Note:

Analyses statistically weighted to account for potential

nonresponse

bias.Slide16

Hospital Adoption of Capabilities Associated with MU Stage 2 Core Objectives as of 2012

15

Source:

DesRoches, et al.

Health Affairs

, 2013, vol. 32, no. 8.

Analysis of data from American Hospital Association, Annual Health Information

Technology Supplemental Survey, 2012

. Note:

Analyses statistically weighted to account for potential

nonresponse

bias.Slide17

Questions?

16