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Non-federal Acute Care Hospital Health IT Adoption and Use

The adoption and use of electronic health records is a key ONC priority. This page provides data access and documentation for the non-federal acute care hospital EHR adoption and use open data. These data include measures for electronic health record (EHR) adoption, patient health information exchange, including measures of interoperable exchange, and patient engagement capabilities.

Data Source: American Hospital Association (AHA) Annual Survey/Health IT Supplement

Data Range: 2008 - 2015

Last Updated: 09/13/2016

Download: [.csv]

API: https://dashboard.healthit.gov/api/open-api.php?source=AHA_2008-2015.csv
*This data is API accessible. See /api for documentation and guidance on how to use the API.

Methods and Notes: The current survey was fielded from October 2015 to the end of February 2016. This survey consists of non-federal, acute care hospitals, including children's and cancer hospitals. This accounts for acute care general medical and surgical, general children's, and cancer hospitals owned by private/not-for-profit, investor-owned/for-profit, or state/local government and located within the 50 states and District of Columbia. The chief executive officer of each hospital was invited to participate in the survey regardless of AHA membership status. The person most knowledgeable about the hospital's health IT (typically the chief information officer) was requested to provide the information via a mail survey or secure online site. Non-respondents received follow-up mailings and phone calls to encourage response. The response rate was 56.15%.

Documentation:
Documentation data: [.json]

Data FieldData DescriptionAdditional Information
regionRegion // The region name for the data. This includes all 50 states and the District of Columbia.
region_codeRegion Code // The abbreviation code for the region name. This includes all 50 states and the District of Columbia.
periodTime Period // Time period for the data. Year in which data was collected through survey. The first four digits correspond to the year of the data, and any other digits refer to the month of the data, beginning with "01"/January and ending with "12"/December.
pct_hospitals_basic_ehr_notesPercent of All Hospitals that have Adopted at least a Basic EHR with Clinician Notes // This measure estimates the percentage of all non-federal acute care hospitals that have adopted a basic EHR that is equipped with clinician notes. Hospitals have adopted a basic EHR system with clinician notes when the main site of the hospital includes a computerized system with capabilities in the following areas: patient demographics, physician notes, nursing assessments, patient problem lists, electronic lists of medications taken by patients, discharge summaries, advanced directives, orders for medications, viewing laboratory results, and viewing radiology results.National and state estimates: 2011-2015. This measure was obtained using a combination of questions about EHR functionalities. The questions were obtained from a question inventory of EHR functionalities. Does your hospital currently have a computerized system which allows for: (Electronic Clinical Documentation) a. Patient demographics, b. Physician Notes, c. Nursing notes, d. Problem lists, e. Medication lists, f. Discharge summaries, and g. Advanced directives; (Results Viewing) a. Laboratory reports, b. Radiology reports, d. Diagnostic test results; and (Computerized Provider Order Entry) c. Medications?
pct_rural_hospitals_basic_ehr_notesPercent of Rural Hospitals that have Adopted at least a Basic EHR with Clinician Notes // This measure estimates the percentage of all rural non-federal acute care hospitals that have adopted a basic EHR that is equipped with clinician notes. Hospitals have adopted a basic EHR system with clinician notes when the main site of the hospital includes a computerized system with capabilities in the following areas: patient demographics, physician notes, nursing assessments, patient problem lists, electronic lists of medications taken by patients, discharge summaries, advanced directives, orders for medications, viewing laboratory results, and viewing radiology results. Data collection for this measure began in 2011.National and state estimates: 2011-2015. States with no data available do not have rural hospitals. This measure was obtained using a combination of questions about EHR functionalities. The questions were obtained from a question inventory of EHR functionalities. Does your hospital currently have a computerized system which allows for: (Electronic Clinical Documentation) a. Patient demographics, b. Physician Notes, c. Nursing notes, d. Problem lists, e. Medication lists, f. Discharge summaries, and g. Advanced directives; (Results Viewing) a. Laboratory reports, b. Radiology reports, d. Diagnostic test results; and (Computerized Provider Order Entry) c. Medications?
pct_small_hospitals_basic_ehr_notesPercent of Small Hospitals that have Adopted at least a Basic EHR with Clinician Notes // This measure estimates the percentage of all small non-federal acute care hospitals that have adopted a basic EHR that is equipped with clinician notes. A small hospital is defined as a facility with less than 100 inpatient beds. Hospitals have adopted a basic EHR system with clinician notes when the main site of the hospital includes a computerized system with capabilities in the following areas: patient demographics, physician notes, nursing assessments, patient problem lists, electronic lists of medications taken by patients, discharge summaries, advanced directives, orders for medications, viewing laboratory results, and viewing radiology results. Data collection for this measure began in 2011.National and state estimates: 2011-2015. States with no data available do not have small hospitals. This measure was obtained using a combination of questions about EHR functionalities. The questions were obtained from a question inventory of EHR functionalities. Does your hospital currently have a computerized system which allows for: (Electronic Clinical Documentation) a. Patient demographics, b. Physician Notes, c. Nursing notes, d. Problem lists, e. Medication lists, f. Discharge summaries, and g. Advanced directives; (Results Viewing) a. Laboratory reports, b. Radiology reports, d. Diagnostic test results; and (Computerized Provider Order Entry) c. Medications?
pct_critical_access_hospitals_basic_ehr_notesPercent of Critical Access Hospitals that have Adopted at least a Basic EHR with Clinician Notes // This measure estimates the percentage of all non-federal acute care Critical Access hospitals that have adopted a basic EHR that is equipped with clinician notes. A Critical Access hospital is defined as a facility with less than 25 inpatient beds and is located at least 35 miles away from the nearest general or Critical Access hospital. Hospitals have adopted a basic EHR system with clinician notes when the main site of the hospital includes a computerized system with capabilities in the following areas: patient demographics, physician notes, nursing assessments, patient problem lists, electronic lists of medications taken by patients, discharge summaries, advanced directives, orders for medications, viewing laboratory results, and viewing radiology results. Data collection for this measure began in 2011.National and state estimates: 2015. States with no data available do not have Critical Access hospitals. This measure was obtained using a combination of questions about EHR functionalities. The questions were obtained from a question inventory of EHR functionalities. Does your hospital currently have a computerized system which allows for: (Electronic Clinical Documentation) a. Patient demographics, b. Physician Notes, c. Nursing notes, d. Problem lists, e. Medication lists, f. Discharge summaries, and g. Advanced directives; (Results Viewing) a. Laboratory reports, b. Radiology reports, d. Diagnostic test results; and (Computerized Provider Order Entry) c. Medications?
pct_hospitals_basic_ehr_no_notesPercent of All Hospitals that have Adopted at least a Basic EHR without Clinician Notes // This measure estimates the percentage of all non-federal acute care hospitals that have adopted a basic EHR that is not equipped with clinician notes. Hospitals have adopted a basic EHR system without clinician notes when the main site of the hospital includes a computerized system with capabilities in the following areas: patient demographics, patient problem lists, electronic lists of medications taken by patients, discharge summaries, advanced directives, orders for medications, viewing laboratory results, and viewing radiology results. Data collection for this measure began in 2008.National and state estimates: 2008-2015. This measure was obtained using a combination of questions about EHR functionalities. The questions were obtained from a question inventory of EHR functionalities. Does your hospital currently have a computerized system which allows for: (Electronic Clinical Documentation) a. Patient demographics, d. Problem lists, e. Medication lists, f. Discharge summaries, and g. Advanced directives; (Results Viewing) a. Laboratory reports, b. Radiology reports, d. Diagnostic test results; and (Computerized Provider Order Entry) c. Medications?
pct_rural_hospitals_basic_ehr_no_notesPercent of Rural Hospitals that have Adopted at least a Basic EHR without Clinician Notes // This measure estimates the percentage of all rural non-federal acute care hospitals that have adopted a basic EHR that is not equipped with clinician notes.Hospitals have adopted a basic EHR system without clinician notes when the main site of the hospital includes a computerized system with capabilities in the following areas: patient demographics, patient problem lists, electronic lists of medications taken by patients, discharge summaries, advanced directives, orders for medications, viewing laboratory results, and viewing radiology results. Data collection for this measure began in 2008.National and state estimates: 2008-2015. States with no data available do not have rural hospitals. This measure was obtained using a combination of questions about EHR functionalities. The questions were obtained from a question inventory of EHR functionalities. Does your hospital currently have a computerized system which allows for: (Electronic Clinical Documentation) a. Patient demographics, d. Problem lists, e. Medication lists, f. Discharge summaries, and g. Advanced directives; (Results Viewing) a. Laboratory reports, b. Radiology reports, d. Diagnostic test results; and (Computerized Provider Order Entry) c. Medications?
pct_small_hospitals_basic_ehr_no_notesPercent of Small Hospitals that have Adopted at least a Basic EHR without Clinician Notes // This measure estimates the percentage of all small non-federal acute care hospitals that have adopted a basic EHR that is not equipped with clinician notes. A small hospital is defined as a facility with less than 100 inpatient beds. Hospitals have adopted a basic EHR system without clinician notes when the main site of the hospital includes a computerized system with capabilities in the following areas: patient demographics, patient problem lists, electronic lists of medications taken by patients, discharge summaries, advanced directives, orders for medications, viewing laboratory results, and viewing radiology results. Data collection for this measure began in 2008.National and state estimates: 2008-2015. States with no data available do not have small hospitals. This measure was obtained using a combination of questions about EHR functionalities. The questions were obtained from a question inventory of EHR functionalities. Does your hospital currently have a computerized system which allows for: (Electronic Clinical Documentation) a. Patient demographics, d. Problem lists, e. Medication lists, f. Discharge summaries, and g. Advanced directives; (Results Viewing) a. Laboratory reports, b. Radiology reports, d. Diagnostic test results; and (Computerized Provider Order Entry) c. Medications?
pct_critical_access_hospitals_basic_ehr_no_notesPercent of Critical Access Hospitals that have Adopted at least a Basic EHR without Clinician Notes // This measure estimates the percentage of all non-federal acute care Critical Access hospitals that have adopted a basic EHR that is not equipped with clinician notes. A Critical Access hospital is defined as a facility with less than 25 inpatient beds and is located at least 35 miles away from the nearest general or Critical Access hospital. Hospitals have adopted a basic EHR system without clinician notes when the main site of the hospital includes a computerized system with capabilities in the following areas: patient demographics, patient problem lists, electronic lists of medications taken by patients, discharge summaries, advanced directives, orders for medications, viewing laboratory results, and viewing radiology results. Data collection for this measure began in 2008.National and state estimates: 2015. States with no data available do not have Critical Access hospitals. This measure was obtained using a combination of questions about EHR functionalities. The questions were obtained from a question inventory of EHR functionalities. Does your hospital currently have a computerized system which allows for: (Electronic Clinical Documentation) a. Patient demographics, d. Problem lists, e. Medication lists, f. Discharge summaries, and g. Advanced directives; (Results Viewing) a. Laboratory reports, b. Radiology reports, d. Diagnostic test results; and (Computerized Provider Order Entry) c. Medications?
pct_hospitals_cehrtPercent of All Hospitals that have Adopted a Certified EHR // This measure estimates the percentage of all non-federal acute care hospitals that have adopted a certified EHR. A certified EHR is EHR technology that meets the technological capability, functionality, and security requirements adopted by the Department of Health and Human Services.National estimates: 2011-2015. This measure was obtained using a question 14: do you possess an EHR system that has been certified as meeting federal requirements for the hospital objectives of Meaningful Use?
pct_small_rural_hospitals_cehrtPercent of Small Rural Hospitals that have Adopted a Certified EHR // This measure estimates the percentage of all small rural non-federal acute care hospitals that have adopted a certified EHR. A small hospital is defined as a facility with less than 100 inpatient beds. A rural hospital is one in a CBSA non-metropolitan area.National estimate: 2014. National and state estimates: 2015. States with no data available do not have small rural hospitals. This measure was obtained using a question 14: do you possess an EHR system that has been certified as meeting federal requirements for the hospital objectives of Meaningful Use?
pct_cah_hospitals_cehrtPercent of Critical Access Hospitals that have Adopted a Certified EHR // This measure estimates the percentage of all Critical Access hospitals that have adopted a certified EHR. A Critical Access hospital has fewer than 25 beds is more than 35 miles from another Critical Access or general hospital.National estimate: 2014. National and state estimates: 2015. States with no data available do not have Critical Access hospitals. This measure was obtained using a question 14: do you possess an EHR system that has been certified as meeting federal requirements for the hospital objectives of Meaningful Use?
pct_hospitals_share_labs_any_outside_provsPercent of All Hospitals with Capability to Electronically Share Laboratory Results with Any Providers Outside their Health System // This measure estimates the percentage of all non-federal acute care hospitals that electronically exchange and/or share patient laboratory results with either hospitals or ambulatory providers outside the hospital's health system. Data collection for this measure began in 2011.National and state estimates: 2011-2015. This measure was calculated from answers to the following question: Which of the following patient data does your hospital electronically exchange/share with one or more of the provider types listed below? Responses to (b. Laboratory results) with hospitals outside of your system and with ambulatory providers outside of your system were used to estimate this measure.
pct_hospitals_share_labs_any_outside_hospitalsPercent of All Hospitals with Capability to Electronically Share Laboratory Results with Hospitals Outside their Health System // This measure estimates the percentage of all non-federal acute care hospitals that electronically exchange and/or share patient laboratory results with hospitals outside the hospital's health system. Data collection for this measure began in 2011.National and state estimates: 2011-2015. This measure was calculated from answers to the following question: Which of the following patient data does your hospital electronically exchange/share with one or more of the provider types listed below? Responses to (b. Laboratory results) with hospitals outside of your system were used to estimate this measure.
pct_hospitals_share_labs_any_outside_ambu_provsPercent of All Hospitals with Capability to Electronically Share Laboratory Results with Ambulatory Providers Outside their Health System // This measure estimates the percentage of all non-federal acute care hospitals that electronically exchange and/or share patient laboratory results with ambulatory providers outside the hospital's health system. Data collection for this measure began in 2011.National and state estimates: 2011-2015. This measure was calculated from answers to the following question: Which of the following patient data does your hospital electronically exchange/share with one or more of the provider types listed below? Responses to (b. Laboratory results) with ambulatory providers outside of your system were used to estimate this measure.
pct_hospitals_patients_ecopy_ehrPercent of All Hospitals with Capability to Provide Patients with an Electronic Copy of their EHR within 3 Business Days of the Request // This measure estimates the percentage of all non-federal acute care hospitals that have the capability to provide patients with an electronic copy of their electronic health record within three business days of the patient's request for the record. Data collection for this measure began in 2011, and ended in 2013. The question from the survey underlying the measure was discontinued beginning with the 2014 survey.National and state estimates: 2011-2013. This measure was calculated from answers to the following question: Do you currently have an electronic system that allows you to do the following? Responses to (Discharge Instructions and Care Summary Documents) b. Provide patients an electronic copy of their record upon request within 3 business days were used to estimate this measure.
pct_hospitals_patients_ecopy_discharge_instrPercent of All Hospitals with Capability to Provide Patients an Electronic Copy of their Discharge Instructions upon Request // This measure estimates the percentage of all non-federal acute care hospitals that have the capability to provide patients with an electronic copy of their discharge instructions upon the patient's request. Data collection for this measure began in 2011, and ended in 2013. The question from the survey underlying the measure was discontinued beginning with the 2014 survey.National and state estimates: 2012-2013. This measure was calculated from answers to the following question: Do you currently have an electronic system that allows you to do the following? Responses to (Discharge Instructions and Care Summary Documents) a. Provide patients an electronic copy of their discharge instructions upon request were used to estimate this measure.
pct_hospitals_share_care_summaries_any_outside_provsPercent of All Hospitals with Capability to Exchange Summary Care Record with Any Providers Outside their Health System // This measure estimates the percentage of all non-federal acute care hospitals that electronically exchange and/or share patient summary care records with either hospitals or ambulatory providers outside the hospital's health system. Data collection for this measure began in 2011.National and state estimates: 2011-2015. This measure was calculated from answers to the following question: Which of the following patient data does your hospital electronically exchange/share with one or more of the provider types listed below? Responses to (e. Clinical/Summary care record in any format) with hospitals outside of your system and with ambulatory providers outside of your system were used to estimate this measure.
pct_hospitals_share_care_summaries_any_outside_hospitalsPercent of All Hospitals with Capability to Exchange Summary Care Record with Hospitals Outside their Health System // This measure estimates the percentage of all non-federal acute care hospitals that electronically exchange and/or share patient summary care records with hospitals outside the hospital's health system. Data collection for this measure began in 2011.National and state estimates: 2011-2015. This measure was calculated from answers to the following question: Which of the following patient data does your hospital electronically exchange/share with one or more of the provider types listed below? Responses to (e. Clinical/Summary care record in any format) with hospitals outside of your system were used to estimate this measure.
pct_hospitals_share_care_summaries_any_outside_ambu_provsPercent of All Hospitals with Capability to Exchange Summary Care Record with Ambulatory Providers Outside their Health System // This measure estimates the percentage of all non-federal acute care hospitals that electronically exchange and/or share patient summary care records with ambulatory providers outside the hospital's health system. Data collection for this measure began in 2011.National and state estimates: 2011-2015. This measure was calculated from answers to the following question: Which of the following patient data does your hospital electronically exchange/share with one or more of the provider types listed below? Responses to (e. Clinical/Summary care record in any format) with ambulatory providers outside of your system were used to estimate this measure.
pct_hospitals_patients_vdtPercent of All Hospitals with Capability for Patients to Electronically View, Download, and Transmit their Personal Health Information and Health Record // This measure estimates the percentage of all non-federal acute care hospitals that have the capability for their patients to electronically view, download, and transmit their personal health and medical information, as well as their health and medical record. Data collection for this measure began in 2013.National and state estimates: 2013-2015. This measure was calculated from answers to the following question: Are patients treated in your hospital able to do the following? Responses to a. View their health/medical information online, b. Download information from their health/medical record, and c. Electronically transmit (send) transmission of care/referral summaries to a third party were used to estimate this measure.
pct_hospitals_patients_secure_messagePercent of All Hospitals with Capability for Patients to Securely Message with Providers // This measure estimates the percentage of all non-federal acute care hospitals that have the capability for their patients to securely message with their providers. Data collection for this measure began in 2014.National and state estimates: 2014 - 2015. This measure was calculated from answers to the following question: Are patients treated in your hospital able to do the following? Responses to i. Secure messaging with providers were used to estimate this measure.
pct_hospitals_find_clinical_infoPercent of All Hospitals that Electronically Find Patient Health Information from Outside Providers // This measure estimates the percentage of all hospitals that electronically find or query patient health information sources outside their organization or hospital system.National and state estimates: 2015. This measure was calculated from answers to the following question: Do providers at your hospital query electronically for patients' health information from sources outside of your organization or hospital system?
pct_hospitals_send_clinical_infoPercent of All Hospitals that Electronically Send Patient Summary of Care Records to Outside Providers // This measure estimates the percentage of all hospitals that electronically send patient summary of care records to sources outside their organization or hospital system.National and state estimates: 2015. This measure was calculated from responses to the following question: When a patiet transitions to another care setting or organization outside your hospital system, how does your hospital routinely send and/or receive a summary of care record? Only responses c through e were used to determine electronic transmission or receipt of the care record. Mail or fax, and eFax using EHR were not included in the definition of electronic.
pct_hospitals_receive_clinical_infoPercent of All Hospitals that Electronically Receive Patient Summary of Care Records from Outside Providers // This measure estimates the percentage of all hospitals that electronically receive patient summary of care records to sources outside their organization or hospital system.National and state estimates: 2015. This measure was calculated from responses to the following question: When a patiet transitions to another care setting or organization outside your hospital system, how does your hospital routinely send and/or receive a summary of care record? Only responses c through e were used to determine electronic transmission or receipt of the care record. Mail or fax, and eFax using EHR were not included in the definition of electronic.
pct_hospitals_integrate_any_clinical_infoPercent of All Hospitals that Electronically Integrate into an EHR Any Patient Information from Outside Providers // This measure estimates the percentage of all hospitals that integrate any patient information received electronically from sources outside their organization or hospital system without the need for manual entry.National and state estimates: 2015. This measure was calculated from answers to the following question: Does your EHR integrate any type of clinical information received electronically (not eFax) from providers or sources outside your hospital system/organization without the need for manual entry?
pct_hospitals_integrate_scrPercent of All Hospitals that Electronically Integrate into an EHR Patient Summary of Care Records from Outside Providers // This measure estimates the percentage of all hospitals that integrate summary of care records received electronically from sources outside their organization or hospital system without the need for manual entry.National and state estimates: 2015. This measure was calculated from answers to the following question: Does your EHR integrate the information contained in summary of care records received electronically (not eFax) without the need for manual entry?

This is an ongoing project managed by the Office of the National Coordinator for Health Information Technology, an agency of the Department of Health and Human Services. If you have any questions or concerns about this documentation, please contact ONC.Request@hhs.gov