Table 3.
Survey Items for Health Information Technology Use in Physicians' Offices
| 2008 Health Tracking Physician Survey | 2008 National Ambulatory Medical Care Survey | ||||||
|---|---|---|---|---|---|---|---|
| Survey Item | All EHR | Partial EHR | No EHR | Survey Item | All EHR | Partial EHR | No EHR |
| Does your main practice use electronic medical records? | 24.31 | 23.93 | 51.76 | Does your practice use electronic medical records (not including billing)? | 27.24 | 18.40 | 54.37 |
| Is information technology available in YOUR PRACTICE for the following activities? (used sometimes or routinely) | Does your practice have a computerized system for the following? (not turned off) | ||||||
| Patient Information | |||||||
| Patient demographic information | 98.06 | 92.89 | 67.12 | ||||
| Demographic information including patient problem list | 68.90 | 47.43 | 10.20 | ||||
| Access to patient notes, medication lists, or problem lists | 97.32 | 81.63 | 19.39 | Clinical notes | 92.25 | 61.53 | 12.29 |
| Notes including medical history and follow-up notes | 82.44 | 53.24 | 9.04 | ||||
| Order-Entry Management | |||||||
| Write prescriptions | 86.88 | 45.01 | 11.34 | Orders for prescription | 84.73 | 49.97 | 10.25 |
| Transmitting prescriptions electronically to pharmacy | 69.09 | 32.56 | 12.92 | ||||
| Write and transmit prescriptions electronically to pharmacy (Constructed) | 68.03 | 28.83 | 8.44 | Prescription sent electronically to pharmacy if order prescriptions using computerized system | 54.07 | 28.91 | 6.12 |
| Order laboratory, radiology, or other diagnostic tests | 85.57 | 61.25 | 27.65 | Orders for tests | 71.34 | 36.92 | 11.80 |
| Test orders sent electronically | 43.37 | 18.74 | 6.56 | ||||
| Results Management | |||||||
| View results of laboratory, radiology, or other diagnostic test | 95.40 | 84.59 | 55.25 | Viewing laboratory results | 84.55 | 61.85 | 33.50 |
| Viewing imaging results | 71.74 | 53.77 | 28.94 | ||||
| Images electronically returned | 37.54 | 24.10 | 11.00 | ||||
| Exchange clinical data and images with other physicians | 75.59 | 52.69 | 18.84 | ||||
| Exchange clinical data and images with hospitals and laboratories | 68.09 | 49.46 | 23.26 | ||||
| Decision Support | |||||||
| Obtain information on potential patient drug interactions with other drugs, allergies, and/or patient conditions | 88.51 | 74.96 | 51.55 | ||||
| Obtain drug interaction information if electronically ordering prescriptions (Constructed) | 80.56 | 39.39 | 9.85 | Warning of drug interactions or contraindications provided if electronically ordering prescriptions | 64.24 | 39.04 | 6.90 |
| Obtain information about treatment alternatives or recommended guidelines | 90.24 | 86.19 | 70.45 | Out-of-range test levels highlighted | 65.52 | 45.00 | 25.85 |
| Obtain up-to-date decision support for diagnostic and treatment recommendations based on data about your patients and practice guideline | 77.18 | 68.64 | 50.87 | Reminders regarding guideline-based interventions or screening tests | 64.81 | 35.25 | 13.39 |
| Generate reminders for clinicians about preventive services | 56.37 | 29.46 | 15.16 | ||||
| Generate reminders for clinicians about other needed patient follow-up | 58.66 | 31.83 | 16.27 | ||||
| Generate reminders to patients about preventive services | 44.80 | 25.55 | 18.36 | ||||
| Communicate about clinical issues with patients by e-mail | 35.19 | 23.06 | 11.95 | ||||
| Obtain information on formularies | 59.83 | 47.17 | 29.44 | ||||
| Access information on patient's preferred language | 31.29 | 16.38 | 5.37 | ||||
| Public Health Reporting | |||||||
| Public health reporting | 32.14 | 14.90 | 8.48 | ||||
| Notifiable diseases sent electronically | 14.40 | 4.87 | 2.92 | ||||