Chapter 8 (Text Descriptions)

National Healthcare Quality Report, 2011

Figure 8.1. Electronic medical record use in hospitals, by geographic region and hospital size, 2009

Geographic Region	Electronic Clinical Documentation	Decision Support	CPOE	Results Viewing
Northeast (percent)	9.3	19.2	24.7	40.9
Midwest (percent)	14.4	16.6	16.2	35.9
South (percent)	10.6	17.0	13.6	34.9
West (percent)	12.9	12.7	16.7	33.0

Hospital Size	Electronic Clinical Documentation	Decision Support	CPOE	Results Viewing
Total (percent)	12.0	16.6	16.7	35.8
<100 Beds (percent)	8.8	9.5	9.8	22.2
100-399 Beds (percent)	14.2	21.1	19.5	46.8
400+ Beds (percent)	17.8	30.2	36.3	54.7

Key: CPOE = computerized provider order entry.

Source: American Hospital Association, 2009 Information Technology Supplement.

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Figure 8.2. Electronic medical record use by home health and hospice agencies, by type of service and number of patients, 2007

Type of Service	Overall	Patient Demographics	Clinical Notes	Clinical Decision	CPOE
Home Health Only (percent)	38.6	98.6	81.1	58.6	53.6
Hospice Only (percent)	49.1	99.3	79.3	48.8	49.8
Both (percent)	66.4	99.6	94.4	61.4	49.6

Number of Patients	Overall	Patient Demographics	Clinical Notes	Clinical Decision Support	CPOE
0-50 Patients (percent)	35.5	99.2	79.0	30.6	38.3
51-100 Patients (percent)	40.4	99.7	88.8	67.2	62.7
101-150 Patients (percent)	33.4	96.0	66.0	-	-
151 or More Patients (percent)	64.1	99.0	91.6	75.1	53.1

Key: CPOE = computerized provider order entry.

Source: Centers for Disease Control and Prevention, National Center for Health Statistics, 2007 National Home and Hospice Care Survey, 2007.

Note: Data were statistically unreliable for clinical decision support systems and CPOE in agencies with 101-150 current patients.

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Figure 8.3. U.S. occupational therapy, physical therapy, and speech-language pathology professionals, by geographic region, 2005-2009

Occupational therapists

Geographic Region	2005	2006	2007	2008	2009
Midwest (rate per 100,000 population)	38.1	35.3	36.6	41.4	30.9
Northeast (rate per 100,000 population)	41.1	43.3	42.9	40.2	43.9
South (rate per 100,000 population)	23.9	24.1	24.2	24.9	25.8
West (rate per 100,000 population)	19.4	18.9	20.4	27.6	22.9

Physical therapists

Geographic Region	2005	2006	2007	2008	2009
Midwest (rate per 100,000 population)	72.2	61.6	63.7	68.9	64.6
Northeast (rate per 100,000 population)	84.9	90.5	77.9	87.6	84.5
South (rate per 100,000 population)	57.1	51.8	58.3	55.9	58.2
West (rate per 100,000 population)	57.3	66.6	57.8	61.9	60.4

Speech-language pathologists

Geographic Region	2005	2006	2007	2008	2009
Midwest (rate per 100,000 population)	41.1	46.3	45.8	48.1	43.0
Northeast (rate per 100,000 population)	52.0	51.2	45.4	59.9	60.1
South (rate per 100,000 population)	36.3	37.2	40.9	38.2	38.2
West (rate per 100,000 population)	32.6	33.0	36.8	34.1	37.6

Source: U.S. Census Bureau, American Community Survey, 2005-2009.

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Figure 8.4. Underserved population in primary care, mental health, and dental health professional shortage areas, 2011

Primary care

Quartile	States in each quartile
First (Worst) Quartile	Alaska, District of Columbia, Idaho, Louisiana, Mississippi, Missouri, Montana, New Mexico, Oregon, Puerto Rico, South Dakota, Washington, Wyoming
Second Quartile	Alabama, Arizona, Delaware, Florida, Georgia, Illinois, Kansas, Nevada, New York, North Dakota, Oklahoma, South Carolina, Texas
Third Quartile	Arkansas, California, Colorado, Connecticut, Iowa, Kentucky, Maryland, Michigan, Tennessee, Utah, Virginia, West Virginia, Wisconsin
Fourth (Best) Quartile	Hawaii, Indiana, Maine, Massachusetts, Minnesota, Nebraska, New Hampshire, New Jersey, North Carolina, Ohio, Pennsylvania, Rhode Island, Vermont

Mental health

Quartile	States in each quartile
First (Worst) Quartile	Alabama, Alaska, Arizona, Arkansas, Idaho, Iowa, Louisiana, Montana, Nebraska, New Mexico, Puerto Rico, South Dakota, Wyoming
Second Quartile	Georgia, Kansas, Illinois, Mississippi, Missouri, North Dakota, Oklahoma, Utah, Tennessee, Texas, Washington, West Virginia, Wisconsin
Third Quartile	Colorado, Connecticut, District of Columbia, Indiana, Kentucky, Maine, Michigan, Minnesota, Ohio, Oregon, Rhode Island, South Carolina, Virginia
Fourth (Best) Quartile	California, Delaware, Florida, Hawaii, Maryland, Massachusetts, Nevada, New Hampshire, New Jersey, New York, North Carolina, Pennsylvania, Vermont

Dental

Quartile	States in each quartile
First (Worst) Quartile	Alabama, Delaware, Florida, Idaho, Louisiana, Maine, Mississippi, Missouri, Montana, New Mexico, Puerto Rico, South Carolina, Tennessee
Second Quartile	Alaska, Arizona, Georgia, Hawaii, Illinois, Kansas, Nevada, North Carolina, Oregon, South Dakota, Texas, Utah, Washington
Third Quartile	Connecticut, Iowa, Maryland, Massachusetts, Michigan, North Dakota, Ohio, Pennsylvania, Rhode Island, Virginia, West Virginia, Wisconsin, Wyoming
Fourth (Best) Quartile	Arkansas, California, Colorado, District of Columbia, Indiana, Kentucky, Minnesota, Nebraska, New Hampshire, New Jersey, New York, Oklahoma, Vermont

Key: Worst quartile indicates States with the highest percentages of underserved people. Best quartile indicates States with the lowest percentages.

Source: Health Resource and Services Administration, Bureau of Health Professions, Office of Shortage Designation, Designated Health Professional Shortage Area Statistics, May 15, 2011.

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Figure 8.5. Characteristics of FQHC patients, by age, gender, and insurance status, 2010

Age / Gender / Insurance Status	Percent
<20	35.3
20-64	57.9
65+	6.8
Male	41.2
Female	58.8
Private Insurance	13.9
Medicare	7.5
Medicaid	38.5
Other Public	2.6
Uninsured	37.5

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.

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Figure 8.6. FQHC patients with hypertension or diabetes whose symptoms are controlled, 2010

Condition	Percent
Controlled Hypertension	63.2
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.

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Page last reviewed October 2014

Internet Citation: Chapter 8 (Text Descriptions): National Healthcare Quality Report, 2011. October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/nhqrdr/nhqr11/chap8txt.html