Hospitals across the country continue to adopt health IT such as electronic health record (EHRs) to improve the health and health care of their patients. ONC posted the latest results [PDF – 933kb] from the 2013 American Hospital Association’s (AHA) Annual Health IT Survey, which show that more than nine out of ten hospitals possess certified EHR technology, and nearly six in ten hospitals adopted an EHR with advanced functionalities (classified as a Basic EHR). This represents a significant increase from 2012 to 2013, and a five-fold increase since 2008.
Many of these hospitals also securely shared patients’ clinical information electronically with authorized hospitals and ambulatory providers outside of their organization, which is the first step toward broader interoperability. Updating an analysis published last August in , this data brief [PDF – 699kb] indicates that more than six in ten hospitals electronically exchanged health information with outside providers, representing a 51 percent increase since 2008.
The types of information that hospitals exchanged was variable. While more than half of hospitals exchanged laboratory results (57 percent) and radiology reports (55 percent) with outside providers, fewer exchanged clinical care summaries (42 percent) and medication history (37 percent).
New analyses this year also show that only four in ten hospitals could send and receive secure electronic messages containing patient health information to and from external systems; while more than half were able to electronically request and retrieve patient health information from sources outside their organization.
Drivers of Health Information Exchange
Our previous analysis of AHA survey data found that EHR adoption, in combination with participation in a regional health information organization was associated with the highest rates of exchange of different types of health information across organizations. We anticipate that the exchange of care summaries among hospitals will increase as hospitals implement EHRs certified to meet ONC’s 2014 health IT certification regulation, which require secure messaging functionality and standardized clinical care summary structure and content. Meaningful use-eligible hospitals must use this certified functionality (or services from an eHealth Exchange participant) to achieve meaningful use stage 2 transition of care requirements.
Areas for improvement
The AHA survey also provides the opportunity to gauge whether hospitals electronically notify a patient’s primary care provider of an emergency room encounter and if the hospital provides patients with the ability to transmit their health information. In 2013, less than half of hospitals routinely electronically notified a patient’s primary care provider inside their system when they entered an emergency room, and roughly one-quarter notified primary care providers outside of their system. Only one in ten hospitals provided their patients with the ability to transmit information from their medical record to a third party.
Looking Ahead
ONC continues to encourage …read more
