2012 National Healthcare Quality Report
Chapter 8, Text Descriptions for Figures
Figure 8.1. Electronic medical record use in hospitals, by geographic region and hospital size, 2010
Electronic Medical Record Use | Northeast | Midwest | South | North |
---|---|---|---|---|
Patient Demographics | 89.6 | 83.4 | 80.3 | 78.5 |
Physician Notes | 22.4 | 28.4 | 22.5 | 24.7 |
Nursing Assessments | 54.5 | 53.7 | 53.8 | 48.1 |
Problem Lists | 41 | 40.7 | 39.2 | 36.7 |
Medication Lists | 64.9 | 57.9 | 57 | 54.8 |
Discharge Summaries | 54.7 | 52.9 | 53.8 | 50.2 |
Advanced Directives | 56.2 | 54.8 | 52.7 | 46.4 |
Electronic Medical Record Use | Total | <100 Beds | 100-399 Beds | 400+ Beds |
---|---|---|---|---|
Patient Demographics | 82.5 | 73.9 | 89.3 | 95.2 |
Physician Notes | 25 | 21.4 | 27.4 | 31.9 |
Nursing Assessments | 53 | 41.5 | 62.7 | 67.8 |
Problem Lists | 39.6 | 30.7 | 45.9 | 55.6 |
Medication Lists | 58.2 | 44.5 | 69 | 78.4 |
Discharge Summaries | 53 | 42.8 | 61.8 | 65.7 |
Advanced Directives | 53 | 41.1 | 62.8 | 69.3 |
Source: American Hospital Association, 2010 Information Technology Supplement.
Figure 8.2. Electronic health record use overall and by age and practice size, 2011
Physician Age / Practice Size | Overall |
---|---|
All Physicians | 55 |
<50 | 64 |
50+ | 49 |
Solo Physician | 29 |
2 Physicians | 60 |
3-10 Physicians | 62 |
11+ Physicians | 86 |
Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Ambulatory Medical Care Survey, 2011 Electronic Medical Record Mail Survey Supplement.
Figure 8.3. Electronic health record use by physician age, practice size, 2011
Physician Age | Patient Demographics | Clinical Notes | Prescription Ordering | Clinical Decision Support | Clinical Reminders |
---|---|---|---|---|---|
Total | 73.8 | 62.5 | 57.4 | 28.2 | 38.3 |
<35 | 91.4 | 82.3 | 78.8 | 43.1 | 48.5 |
35-44 | 81.8 | 73.6 | 67.9 | 34 | 45.7 |
45-54 | 76.2 | 65.8 | 58.3 | 29.8 | 40.6 |
55+ | 67.3 | 53.9 | 49.3 | 22.6 | 31.7 |
Practice Size | Patient Demographics | Clinical Notes | Prescription Ordering | Clinical Decision Support | Clinical Reminders |
---|---|---|---|---|---|
1-2 Physicians | 61.2 | 45.6 | 40.6 | 15.3 | 25.4 |
3-5 Physicians | 76.5 | 65.5 | 63 | 31.6 | 42.7 |
6-10 Physicians | 81.8 | 70.8 | 71.5 | 37.4 | 47.1 |
11+ Physicians | 89.8 | 87.6 | 80 | 49.2 | 58 |
Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Ambulatory Medical Care Survey, 2011 Electronic Medical Record Mail Survey Supplement.
Figure 8.4. U.S. active non-Federal general and specialist physicians and surgeons, by geographic region and metropolitan status, 2008
Specialty | Midwest | Northeast | South | West | Metropolitan | Nonmetropolitan |
---|---|---|---|---|---|---|
General Family Medicine | 31.9 | 20.9 | 25.3 | 27.9 | 26.1 | 28.7 |
General Internal Medicine | 33 | 58.2 | 29.5 | 32.5 | 40.1 | 9.5 |
Pediatrics | 15.7 | 26 | 16.8 | 17.2 | 20.6 | 3.7 |
Obstetrics & Gynecology | 11.2 | 15.2 | 11.7 | 11.4 | 13.4 | 3.1 |
Specialty | Midwest | Northeast | South | West | Metropolitan | Nonmetropolitan |
---|---|---|---|---|---|---|
Family Medicine Subspecialist | 0.47 | 0.34 | 0.36 | 0.35 | 0.41 | |
Internal Medicine Subspecialist | 13 | 21.7 | 12.4 | 11.4 | 15.9 | 1.2 |
Pediatric Subspecialist | 6.8 | 8 | 5.7 | 4.9 | 6.9 | 0.7 |
Obstetrics & Gynecology Subspecialist | 1 | 1.9 | 1.5 | 1.2 | 1.6 | 0.3 |
Source: U.S. Department of Health and Human Services, Health Resources and Services Administration, Area Resource File.
Note: Nonmetropolitan family medicine subspecialist rate did not meet criteria for statistical reliability.
Figure 8.5. Trauma center utilization for severe injuries in the United States, by age and geographic location, 2009
Age Group / Location | Trauma Level I & II | Trauma Level III | Nontrauma |
---|---|---|---|
0-24 | 70.0 | 7.8 | 22.2 |
25-44 | 72.5 | 6.8 | 20.8 |
45-64 | 64.4 | 8.2 | 27.4 |
65+ | 47.2 | 8.0 | 44.8 |
Large Central Metropolitan | 67.3 | 29.0 | |
Large Fringe Metropolitan | 67.5 | 3.0 | 29.5 |
Medium Metropolitan | 65.1 | 4.3 | 30.6 |
Small Metropolitan | 41.1 | 30.4 | 28.5 |
Micropolitan | 47.5 | 12.1 | 40.5 |
Nonmetropolitan | 45.5 | 12.1 | 42.5 |
Source: Agency for Healthcare Research and Quality (AHRQ), Healthcare Utilization Project, Nationwide Emergency Department Sample, 2009.
Figure 8.6. Characteristics of FFHC patients, by age, gender, and insurance status, 2011
Age Group / Gender / Insurance | Percentage |
---|---|
<20 | 35 |
20-64 | 58.1 |
65+ | 6.9 |
Male | 41.3 |
Female | 58.7 |
Private Insurance | 14.1 |
Medicare | 7.8 |
Medicaid | 39.3 |
Other Public | 2.4 |
Uninsured | 36.4 |
Source: Health Resources and Services Administration, Bureau of Primary Health Care, Uniform Data System, 2011.
Note: Data were obtained from 1,128 Section 330g grantees.
Figure 8.7. FFHC patients with hypertension or diabetes whose symptoms are controlled, 2011
Percentage | |
---|---|
Controlled Hypertension | 63.3 |
Controlled Diabetes | 39.8 |
Source: Health Resources and Services Administration, Bureau of Primary Health Care, Uniform Data System, 2011.
Note: Data were obtained from 1,124 Section 330g grantees. Patients with hypertension include those ages 18-85. Hypertension is determined to be controlled if the patient's last blood pressure reading was less than 140/90 mm Hg. Patients with diabetes include those ages 18-75. Diabetes is determined to be controlled if the patient's most recent hemoglobin A1c level was 7% or less.