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Office-based Physician Health IT Adoption and Use

Since 2008, the Centers for Disease Control and Prevention's National Center for Health Statistics has fielded a mail survey of office-based physicians, the National Electronic Health Records Survey (NEHRS). ONC helps fund this supplement to track office-based physician adoption and the use of EHRs for health information exchange and patient engagement. Starting in 2010, the NEHRS's sample size was increased to allow for state-level estimates. The data set estimates each measure nationally and individually for each state and the District of Columbia beginning in 2010, unless otherwise noted.

Data Source: National Electronic Health Records Survey

Data Range: 2008 - 2015

Last Updated: 12/20/2016

Download: [.csv]

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Methods and Notes: The current survey was fielded from August through December 2015. The NEHRS sampled 10,302 physicians. Nonrespondents to the mail survey received follow-up telephone calls. The universe of surveyed physicians comprises those classified as providing direct patient care in office-based practices, as well as clinicians in community health centers. Radiologists, anesthesiologists, and pathologists are excluded. The overall unweighted response rate was 52% (49% weighted). Any reference to survey questions in the following data documentation are to the 2015 Long Form version of the NEHRS, unless otherwise noted.

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. 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_phys_any_ehrPercent of Physicians that have Adopted Any EHR // This measure estimates the percentage of all office-based physicians that have adopted any EHR. Physicians have adopted any EHR if they report that they use an electronic health record or electronic medical record. These reported systems cannot include billing record systems.National and state estimates: 2013-2015. This measure was obtained using the responses from question 13: "Does the reporting location use an electronic health record (EHR) or electronic medical record (EMR) system? Do not include billing record systems."
pct_phys_basic_ehrPercent of Physicians that have Adopted a Basic EHR // This measure estimates the percentage of all office-based physicians that have adopted a basic EHR. Physicians have adopted a basic EHR system if the computerized system has the following capabilities: patient demographics, patient problem lists, electronic lists of medications taken by patients, clinician notes, orders for medications, viewing laboratory results, and viewing imaging results. Data collection for this measure began in 2008, nationally, and by state in 2010.National estimates: 2008-2014; state estimates: 2010-2014. This measure was obtained using a combination of questions about EHR functionalities. The questions were obtained from a question inventory of EHR functionalities. Question 22. Indicate whether the reporting location has each of the computerized capabilities listed below and how often these capabilities are used: 15a. Recording patient history and demographic information, 15e. Recording clinical notes, 15f. Recording patient's medications and allergies, 15g. Reconciling lists of patient medications to identify the most accurate list, 15i. Ordering prescriptions, 15k. Viewing lab results, 15m. Viewing imaging results?
pct_phys_cert_ehrPercent of Physicians that have Adopted a Certified EHR // This measure estimates the percentage of all office-based physicians that have adopted a certified EHR. Physicians have adopted a certified EHR if they report that their current EHR system meets the meaningful use criteria as defined by the Department of Health and Human Services.National and state estimates: 2014-2015. ONC transitioned to reporting on certified EHRs, as its primary measurement of physician EHR adoption. 2014 national and state estimates are the first official estimates of certified EHR adoption reported through the NEHRS. This measure was obtained using the responses from question 15: "Does your current EHR system meet meaningful use criteria as defined by the Department of Health and Human Services?"
pct_primary_care_phys_basic_ehrPercent of Primary Care Physicians that have Adopted a Basic EHR // This measure estimates the percentage of all primary care office-based physicians that have adopted a basic EHR. A physician is categorized primary care if she specializes in one of the following areas: adolescent medicine, pediatrics, family practice, general practice, geriatrics, internal medicine, obstetrics, or gynecology. Physicians have adopted a basic EHR system if the computerized system has the following capabilities: patient demographics, patient problem lists, electronic lists of medications taken by patients, clinician notes, orders for medications, viewing laboratory results, and viewing imaging results. Data collection for this measure began in 2008, nationally, and by state in 2010.National estimates: 2008-2013; state estimates: 2010-2013. ONC no longer calculate estimates for this historical measure. ONC transitioned to reporting on certified EHRs, as its primary measurement of physician EHR adoption. See field, "pct_primary_care_phys_cert_ehr", for national and estimates of certified EHR adoption among primary care physicians. This measure was obtained using a combination of questions about EHR functionalities (questions refer to 2013 NEHRS). The questions were obtained from a question inventory of EHR functionalities. 18. Please indicate whether the ambulatory reporting location has each of the computerized capabilities listed below and how often these capabilities are used: 18a. Recording patient history and demographic information, 18d. Recording clinical notes, 18d1. Do the notes include a list of the patient's medications and allergies, 18e. Reconciling lists of patient medications to identify the most accurate list, 18f. Ordering prescriptions, 18i. Viewing lab results, 18j. Viewing imaging results?
pct_primary_care_phys_cert_ehrPercent of Primary Care Physicians that have Adopted a Certified EHR // This measure estimates the percentage of all primary care office-based physicians that have adopted a certified EHR. A physician is categorized primary care if she specializes in one of the following areas: adolescent medicine, pediatrics, family practice, general practice, geriatrics, internal medicine, obstetrics, or gynecology. Physicians have adopted a certified EHR if they report that their current EHR system meets the meaningful use criteria as defined by the Department of Health and Human Services.National and state estimates: 2014-2015. ONC transitioned to reporting on certified EHRs, as its primary measurement of physician EHR adoption. 2014 national and state estimates are the first official estimates of certified EHR adoption reported through the NEHRS. This measure was obtained using the responses from question 15: "Does your current EHR system meet meaningful use criteria as defined by the Department of Health and Human Services?"
pct_surg_med_spec_phys_cert_ehrPercent of Medical and Surgical Specialist Physicians that have Adopted a Certified EHR // This measure estimates the percentage of all office-based medical and surgical specialist physicians that have adopted a certified EHR. A physician is categorized as a medical or surgical specialist if she specializes in a non-primary care medical or surgical specialty. Physicians have adopted a certified EHR if they report that their current EHR system meets the meaningful use criteria as defined by the Department of Health and Human Services.National and state estimates: 2014-2015. ONC transitioned to reporting on certified EHRs, as its primary measurement of physician EHR adoption. 2014 national and state estimates are the first official estimates of certified EHR adoption reported through the NEHRS. This measure was obtained using the responses from question 15: "Does your current EHR system meet meaningful use criteria as defined by the Department of Health and Human Services?"
pct_rural_phys_basic_ehrPercent of Rural Physicians that have Adopted a Basic EHR // This measure estimates the percentage of all rural office-based physicians that have adopted a basic EHR. Physicians have adopted a basic EHR system if the computerized system has the following capabilities: patient demographics, patient problem lists, electronic lists of medications taken by patients, clinician notes, orders for medications, viewing laboratory results, and viewing imaging results. Data collection for this measure began in 2008, nationally, and by state in 2010.National estimates: 2009-2013; state estimates: 2013. ONC no longer calculate estimates for this historical measure. ONC transitioned to reporting on certified EHRs, as its primary measurement of physician EHR adoption. ONC does not provide certified EHR adoption among rural physician because state estimates are inconsistent due to small cell size from survey results. This measure was obtained using a combination of questions about EHR functionalities (questions refer to 2013 NEHRS). The questions were obtained from a question inventory of EHR functionalities. 18. Please indicate whether the ambulatory reporting location has each of the computerized capabilities listed below and how often these capabilities are used: 18a. Recording patient history and demographic information, 18d. Recording clinical notes, 18d1. Do the notes include a list of the patient's medications and allergies, 18e. Reconciling lists of patient medications to identify the most accurate list, 18f. Ordering prescriptions, 18i. Viewing lab results, 18j. Viewing imaging results?
pct_small_practice_phys_basic_ehrPercent of Small Practice Physicians that have Adopted a Basic EHR // This measure estimates the percentage of all small practice office-based physicians that have adopted a basic EHR. A practice is catergorized as small if it has ten or fewer physicians at the survey reporting location. Physicians have adopted a basic EHR system if the computerized system has the following capabilities: patient demographics, patient problem lists, electronic lists of medications taken by patients, clinician notes, orders for medications, viewing laboratory results, and viewing imaging results. Data collection for this measure began in 2008, nationally, and by state in 2010.National estimates: 2008-2013; state estimate: 2010-2013. ONC no longer calculate estimates for this historical measure. ONC transitioned to reporting on certified EHRs, as its primary measurement of physician EHR adoption. This measure was obtained using a combination of questions about EHR functionalities (questions refer to 2013 NEHRS.) The questions were obtained from a question inventory of EHR functionalities. 18. Please indicate whether the ambulatory reporting location has each of the computerized capabilities listed below and how often these capabilities are used: 18a. Recording patient history and demographic information, 18d. Recording clinical notes, 18d1. Do the notes include a list of the patient's medications and allergies, 18e. Reconciling lists of patient medications to identify the most accurate list, 18f. Ordering prescriptions, 18i. Viewing lab results, 18j. Viewing imaging results?
pct_small_practice_phys_cert_ehrPercent of Small Practice Physicians that have Adopted a Certified EHR // This measure estimates the percentage of all small practice office-based physicians that have adopted a certified EHR. A practice is catergorized as small if it has ten or fewer physicians at the survey reporting location. Physicians have adopted a certified EHR if they report that their current EHR system meets the meaningful use criteria as defined by the Department of Health and Human Services.National and state estimates: 2014-2015. This measure was obtained using the responses from question 15: "Does your current EHR system meet meaningful use criteria as defined by the Department of Health and Human Services?"
pct_phys_view_labsPercent of Physicians with Computerized Capability to View Laboratory Results // This measure estimates the percentage of all office-based physicians that have an EHR/EMR with the capability to view laboratory results.National estimates: 2008-2013; state estimate: 2010-2013. ONC no longer calculate estimates for this historical measure. This measure was obtained from questions about EHR functionalities (questions refer to 2013 NEHRS). 18. Please indicate whether the ambulatory reporting location has each of the computerized capabilities listed below and how often these capabilities are used: 18i. Viewing lab results?
pct_phys_send_lab_ordersPercent of Physicians with Computerized Capability to Electronically Send Laboratory Test Orders // This measure estimates the percentage of all office-based physicians that have an EHR/EMR with the capability to electronically send laboratory test orders.National and state estimates: 2010-2013. ONC no longer calculate estimates for this historical measure. This measure was obtained from questions about EHR functionalities (questions refer to 2013 NEHRS). 18. Please indicate whether the ambulatory reporting location has each of the computerized capabilities listed below and how often these capabilities are used: 18h. Ordering lab tests and 18h1. Are orders sent electronically?
pct_phys_graph_labsPercent of Physicians with Computerized Capability to Automatically Graph a Patient's Laboratory Results over Time // This measure estimates the percentage of all office-based physicians that have an EHR/EMR with the capability to automatically graph a patient's laboratory results over time.National and state estimates: 2012-2013. ONC no longer calculate estimates for this historical measure. This measure was obtained from questions about EHR functionalities (questions refer to 2013 NEHRS). 18. Please indicate whether the ambulatory reporting location has each of the computerized capabilities listed below and how often these capabilities are used: 18i. Viewing lab results and 18i1. Can the EHR/EMR automatically graph a specific patient's lab results over time?
pct_phys_e_share_provsPercent of Physicians that Electronically Share Patient Health Information with Any Other Providers // This measure estimates the percentage of all office-based physicians that electronically share any patient health information (lab results, imaging reports, problem lists, medication lists) with any other providers, including hospitals, ambulatory providers, or clinical laboratories.National and state estimates: 2014. This measure was obtained using the responses from question 19 (question refers to 2014 NEHRS): do you share any patient health information (e.g., lab results, imaging reports, problem lists, medication lists) electronically (not fax) with any other providers, including hospitals, ambulatory providers, or labs?
pct_phys_e_share_ambu_provsPercent of Physicians that Electronically Share Patient Health Information with Ambulatory Providers // This measure estimates the percentage of all office-based physicians that electronically share any patient health information (lab results, imaging reports, problem lists, medication lists) with other ambulatory providers.National estimates: 2014. State estimates not available (small cell size from survey results).This measure was obtained using the responses from question 19c (question refers to 2014 NEHRS): with what type of providers do you electronically share patient health information? Respondents, then, may check all that apply, including: ambulatory providers inside office/group, ambulatory providers outside office/group, affiliated hospitals, unaffiliated hospitals.
pct_phys_e_share_hospsPercent of Physicians that Electronically Share Patient Health Information with Hospitals // This measure estimates the percentage of all office-based physicians that electronically share any patient health information (lab results, imaging reports, problem lists, medication lists) with hospitals.National estimates: 2014. State estimates not available (small cell size from survey results). This measure was obtained using the responses from question 19c (question refers to 2014 NEHRS): with what type of providers do you electronically share patient health information? Respondents, then, may check all that apply, including: ambulatory providers inside office/group, ambulatory providers outside office/group, affiliated hospitals, unaffiliated hospitals.
pct_phys_send_receive_any_patient_infoPercent of Physicians that Electronically Send or Receive any Patient Health Information with any Other Providers // This measure estimates the percentage of all office-based physicians that electronically send or receive patient health information, including any of medication lists, problem lists, medication and allergy lists, imaging reports, laboratory results, registry data (e.g., immunizations, cancer), and referrals, with other providers and public health agencies outside the physicians' organization.National and state estimates: 2015. This measure was obtained using the responses from questions 29 and 30: " Do you send patient health information to other providers and public health agencies outside your medical organization using the following methods of data transmissions (paper-based methods, eFax, EHR (not eFax), Web Portal (separate from EHR)?", and "Do you receive patient health information to other providers and public health agencies outside your medical organization using the following methods of data transmissions (paper-based methods, eFax, EHR (not eFax), Web Portal (separate from EHR)?"
pct_phys_e_share_patientsPercent of Physicians that Provide Any Electronic Capabilities to Patients // This measure estimates the percentage of all office-based physicians that provide any electronic capabilities to their patients.National estimates: 2014-2015. State estimates: 2015. This measure was obtained using the responses from questions 22t, 22u, 22v, and 22w. This measure combines responses from questions of whether the physician exchanges secure messages with patients and provides patients the ability to view online, download or transmit information from their medical record. This measure reflect the percent of physicians who can perform at least one of these functions.
pct_phys_patient_secure_messagePercent of Physicians with Capability to Electronically Exchange Secure Messages with Patients // This measure estimates the percentage of all office-based physicians that have an EHR/EMR with the capability to exchange secure messages with patients.National and state estimates: 2013-2015. This measure was obtained from questions about EHR functionalities. 22. Indicate whether the reporting location has each of the computerized capabilities listed below and how often these capabilities are used: 22t. Exchanging secure messages with patients?
pct_phys_vdtPercent of Physicians that Provide Patients the Capability to View, Download, or Transmit their Health Information // This measure estimates the percentage of all office-based physicians that have an EHR/EMR with the capability to provide patients the ability to view online, download or transmit information from their medical record.National estimates: 2014; National and state estimates: 2015. State estimates not available for 2014 (small cell size from survey results). This measure was obtained from questions about EHR functionalities. 22. Indicate whether the reporting location has each of the computerized capabilities listed below and how often these capabilities are used: 22u. Ability for patients to electronically view their online medical record, 22v. Ability for patients to download their online medical record, and 22w. Ability for patients to electronically send their online medical record to a third party?
pct_phys_vd_and_tPercent of Physicians that Provide Patients the Capability to View, Download, and Transmit their Health Information // This measure estimates the percentage of all office-based physicians that have an EHR/EMR with the capability to provide patients the ability to view online, download AND transmit information from their medical record.National and state estimates: 2015. This measure was obtained from questions about EHR functionalities. 22. Indicate whether the reporting location has each of the computerized capabilities listed below and how often these capabilities are used: 22u. Ability for patients to electronically view their online medical record, 22v. Ability for patients to download their online medical record, and 22w. Ability for patients to electronically send their online medical record to a third party? Beginning in 2015, eligible health care professionals were required to demonstrate this capability through participation in the Centers for Medicare and Medicaid Meaningful Use Program. In prior years, the requirement was to demonstrate any of the three capabilities. 2015 is the first year ONC estimated the composite measure from the NEHRS survey.
pct_phys_patient_clinical_summaryPercent of Physicians with Computerized Capability to Provide Patients with Clinical Summaries for each Visit // This measure estimates the percentage of all office-based physicians that have an EHR/EMR with the capability to provide patients with clinical summaries for each patient visit.National and state estimates: 2013. ONC no longer calculate estimates for this historical measure. This measure was obtained from questions about EHR functionalities (questions refer to 2013 NEHRS.) . 18. Please indicate whether the ambulatory reporting location has each of the computerized capabilities listed below and how often these capabilities are used: 18o. Providing patients with clinical summaries for each visit?
pct_phys_find_clin_infoPercent of Physicians with Capability to Search, Find, or Query Patient Health Information from Outside Sources // This measure estimates the percentage of all office-based physicians that have the capability to electronically search for a patient's health information from sources outside their medical organization. Patient information includes lab results, patient problem lists, imaging reports, medication lists, medication allergy lists, discharge summaries, and other information identified by the physician.National and state estimates: 2015. This measure is new to the 2015 NEHRS. The measure was estimated from responses to question 36: "Do you have the capability to electronically search for your patient's health information from sources outside of your medical organization (e.g. remote access to other facility, health information exchange)?"
pct_phys_send_any_clin_infoPercent of Physicians that Send Any Patient Clinical Information to Outside Providers // This measure estimates the percentage of all office-based physicians that electronically send patient health information to other providers outside of their medical organization, including public health agencies. Electronically sending does not include eFax, fax, or paper-based methods. Patient information includes lab results, patient problem lists, imaging reports, medication lists, medication allergy lists, discharge summaries, registry data, referrals, emergency department notification, and summary of care records for transitions of care or referrals.National and state estimates: 2015. This measure is new to the 2015 NEHRS. The measure was estimated from responses to question 33: "For other providers outside of your medical organization including public health agencies, do you electronically send and receive, send only, or receive only the following types of patient health informaiton?"
pct_phys_send_summary_care_recordPercent of Physicians that Send Patient Summary of Care Records to Outside Providers // This measure estimates the percentage of all office-based physicians that electronically send summary of care records for transitions of care or referrals to other providers outside of their medical organization.National and state estimates: 2015. This measure is new to the 2015 NEHRS. The measure was estimated from responses to question 33: "For other providers outside of your medical organization including public health agencies, do you electronically send and receive, send only, or receive only the following types of patient health informaiton?" (Only includes responses for summary of care records option).
pct_phys_receive_any_clin_infoPercent of Physicians that Receive Any Patient Clinical Information from Outside Providers // This measure estimates the percentage of all office-based physicians that electronically receive patient health information from other providers outside of their medical organization, including public health agencies. Electronically receiving does not include eFax, fax, or paper-based methods. Patient information includes lab results, patient problem lists, imaging reports, medication lists, medication allergy lists, discharge summaries, registry data, referrals, emergency department notification, and summary of care records for transitions of care or referrals.National and state estimates: 2015. This measure is new to the 2015 NEHRS. The measure was estimated from responses to question 33: "For other providers outside of your medical organization including public health agencies, do you electronically send and receive, send only, or receive only the following types of patient health informaiton?"
pct_phys_receive_summary_care_recordPercent of Physicians that Receive Patient Summary of Care Records from Outside Providers // This measure estimates the percentage of all office-based physicians that electronically receive summary of care records for transitions of care or referrals from other providers outside of their medical organization.National and state estimates: 2015. This measure is new to the 2015 NEHRS. The measure was estimated from responses to question 33: "For other providers outside of your medical organization including public health agencies, do you electronically send and receive, send only, or receive only the following types of patient health informaiton?" (Only includes responses for summary of care records option).
pct_phys_integrate_any_clin_infoPercent of Physicians with Capability to Integrate into an EHR Any Patient Clinical Information from Outside Providers // This measure estimates the percentage of all office-based physicians able to integrate patient health information received electronically from other providers outside of their medical organization. Electronically receiving does not include eFax, fax, or paper-based methods. Patient information includes lab results, patient problem lists, imaging reports, medication lists, medication allergy lists, discharge summaries, registry data, referrals, emergency department notification, and summary of care records for transitions of care or referrals.National and state estimates: 2015. This measure is new to the 2015 NEHRS. The measure was estimated from responses to question 34: "When electronically receiving information from other providers, are you able to integrate the following types of patient health information into your EHR without special effort like manual entry or scanning?"
pct_phys_integrate_summary_care_recordPercent of Physicians with Capability to Integrate into an EHR Summary of Care Records from Outside Providers // This measure estimates the percentage of all office-based physicians able to integrate summary of care records for transitions of care or referrals received electronically from other providers outside of their medical organization. Electronically receiving does not include eFax, fax, or paper-based methods.National and state estimates: 2015. This measure is new to the 2015 NEHRS. The measure was estimated from responses to question 34: "When electronically receiving information from other providers, are you able to integrate the following types of patient health information into your EHR without special effort like manual entry or scanning?" (Only includes responses for summary of care records option).

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