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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 Field | Data Description |
|---|---|
| region | Region // The region name for the data. This includes all 50 states and the District of Columbia. |
| region_code | Region Code // The abbreviation code for the region name. This includes all 50 states and the District of Columbia. |
| period | Time Period // Time period for the data. Year in which data was collected through survey. |
| pct_hospitals_cehrt | Percent 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. |
| pct_hospitals_cehrt_2015 | Percent of All Hospitals that have Adopted a 2015 Edition Certified EHR // This measure reports on the percent of hospitals, nationally and by state, that responded that the hospital completed implementation of a 2015 Edition certified EHR. |
| pct_hospitals_find_clinical_info | Percent 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. |
| pct_hospitals_send_clinical_info | Percent 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. |
| pct_hospitals_receive_clinical_info | Percent 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. |
| pct_hospitals_integrate_scr | Percent 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. |
| pct_hospitals_send_receive_find_integrate | Percent of All Hospitals that Electronically Send, Receive and Find Clinical Information and Integrate into an EHR Patient Summary of Care Records from Outside Providers // This measure estimates the percentage of all hospitals can send, receive and find clinical information form outside sources, and integrate a summary of care into an EHR without manual entry. |
| pct_hospitals_clinical_out | Percent of hospitals that routinely have clinical information available electronically from outside sources // This measure reports on the percent of hospitals, nationally and by state, that responded they routinely have necessary clinical information available electronically from outside providers or sources when treating a patient. |
| pct_hospitals_phi_out | Percent of hospitals that use patient health information received electronically from outside providers // This measure reports on the percent of hospitals, nationally and by state, that responded that they often or sometimes use patient health information received electronically from outside providers or sources when treating a patient. |
| pct_hospitals_hie_participate | Percent of hospitals actively participating in an HIE or HIO // This measure reports on the percent of hospitals, nationally and by state, that responded that an HIE or HIO is operational in the region and the hospital is participating and actively exchanging data. |
| pct_hospitals_netwk | Percent of hospitals that actively participate in at least one national network // This measure reports on the percent of hospitals, nationally and by state, that responded they actively participate in at least one national network. |
| pct_hospitals_api | Percent of Hospitals that Provide their Patients the Ability to Access their Health Information Using an Application Programming Interface (API) // This measures estimates the percentage of hospitals that who patients have the ability to access their health information using any application configured to meet the application programming interface (API) specifications in the hospital’s EHR. |
| pct_hospitals_integrate_pdmp | Percent of Hospitals that Can Access State Prescription Drug Monitoring Program (PDMP) within their EHR // This measure reports on the percent of hospitals, nationally and by state, that responded that the hospital checks the state PDMP data within the hospital EHR system. |
| pct_hospitals_integrate_data_pdmp | Percent of hospitals that integrate data retrieved from their state PDMP into their EHR system // This measure reports on the percent of hospitals, nationally and by state, that responded their EHR system can integrate data retrieved from the state PDMP. |
| pct_hospitals_epcs | Percent of hospitals enabled for electronic prescribing of controlled substances // This measure reports on the percent of hospitals, nationally and by state, enabled for electronic prescribing of controlled substances (EPCS). |
| pct_hospitals_patients_view | Percent of hospitals who provide patients the ability to view their health information electronically // This measure reports on the percent of hospitals, nationally and by state, that provide their patients the ability to view their health or medical information online in a portal. |
| pct_hospitals_patients_download | Percent of hospitals who provide patients the ability to download their health information electronically // This measure reports on the percent of hospitals, nationally and by state, that provide their patients the ability to download their health or medical information from their medical record from a portal. |
| pct_hospitals_patients_transmit | Percent of hospitals that provide their patients the ability to transmit their health information electronically to a third party // This measure reports on the percent of hospitals, nationally and by state, that provide their patients the ability to electronically send health or medical information to a third party from a portal. |
| pct_hospitals_patients_vdt | Percent 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. |
| pct_hospitals_basic_ehr_notes | Percent 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. |
| pct_rural_hospitals_basic_ehr_notes | Percent 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. |
| pct_small_hospitals_basic_ehr_notes | Percent 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. |
| pct_critical_access_hospitals_basic_ehr_notes | Percent 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. |
| pct_hospitals_basic_ehr_no_notes | Percent 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. |
| pct_rural_hospitals_basic_ehr_no_notes | Percent 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. |
| pct_small_hospitals_basic_ehr_no_notes | Percent 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. |
| pct_critical_access_hospitals_basic_ehr_no_notes | Percent 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. |
| pct_small_rural_hospitals_cehrt | Percent 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. |
| pct_cah_hospitals_cehrt | Percent 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. |
| pct_hospitals_share_labs_any_outside_provs | Percent 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. |
| pct_hospitals_share_labs_any_outside_hospitals | Percent 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. |
| pct_hospitals_share_labs_any_outside_ambu_provs | Percent 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. |
| pct_hospitals_patients_ecopy_ehr | Percent 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. |
| pct_hospitals_patients_ecopy_discharge_instr | Percent 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. |
| pct_hospitals_share_care_summaries_any_outside_provs | Percent 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. |
| pct_hospitals_share_care_summaries_any_outside_hospitals | Percent 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. |
| pct_hospitals_share_care_summaries_any_outside_ambu_provs | Percent 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. |
| pct_hospitals_patients_secure_message | Percent 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. |
| pct_hospitals_integrate_any_clinical_info | Percent 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. |
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.
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