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National Healthcare Quality Report, 2013

Chapter 9: Text Descriptions

Figure 9.1. Electronic health record use in hospitals, by bed size and geographic region, 2011

  Fully Implemented Medication Lists Drug Decision Support CPOE of Medications Pharmaceutical Bar Coding
Northeast 18.3% 45.0% 64.9% 55.1% 41.1%
Midwest 36.8% 47.5% 64.6% 50.7% 47.9%
South 27.2% 38.8% 60.8% 43.8% 47.9%
West 29.3% 44.8% 57.4% 47.7% 41.5%
< 100 Beds 25.8% 36.3% 49.2% 40.6% 34.8%
100-399 30.5% 48.7% 72.3% 51.8% 56.3%
400 or more 44.0% 57.5% 84.0% 72.0% 61%

Key: CPOE = computerized provider order entry.
Source: American Hospital Association Annual Survey, 2011 Information Technology Supplement.
Note: Data were obtained from an average of 3,360 hospitals.

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Figure 9.2. Office-based physicians with an electronic health record system, by physician age and practice size, 2012

  Overall
Total 71.8%
<35 83.8%
35-44 81.1%
45-54 76.5%
≥55 62.8%
1-2 Physicians 58.3%
3-5 Physicians 71.9%
6-10 Physicians 80.9%
≥11 Physicians 89.5%

Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Ambulatory Medical Care Survey (NAMCS), 2012 NAMCS National Electronic Health Records Survey.
Denominator: Non-federally employed physicians who provide direct patient care in the 50 states and the District of Columbia, excluding radiologists, anesthesiologists, and pathologists.

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Figure 9.3. Office-based physicians with a computerized system for ordering prescriptions, by physician age and practice size, 2009-2012

  2009 2010 2011 2012
Total 42.7% 57.4% 64.8% 79.5%
<35 60.5% 78.8% 83.5% 85.8%
35-44 49.3% 67.9% 76.4% 85.2%
45-54 45.3% 58.3% 67.8% 84.4%
≥55 35.1% 49.3% 56.0% 72.6%
1-2 Physicians 28.3% 40.6% 48.9% 69.1%
3-5 Physicians 46.6% 63.0% 67.0% 78.8%
6-10 Physicians 49.6% 71.5% 73.9% 87.8%
≥11 Physicians 70.8% 80.0% 88.1% 93.3%

Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Ambulatory Medical Care Survey, 2009-2010 NAMCS Core and Electronic Medical Record Supplement and 2011-2012 NAMCS National Electronic Health Records Survey.
Denominator: Non-federally employed physicians who provide direct patient care in the 50 states and the District of Columbia, excluding radiologists, anesthesiologists, and pathologists.

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Figure 9.4. Office-based physicians with a computerized system for sending prescriptions electronically to pharmacies, by physician age and practice size, 2009-2010 and 2012

  2009 2010 2012
Total 33.0% 46.0% 73.3%
<35 53.4% 72.8% 81.3%
35-44 37.5% 55.6% 78.1%
45-54 35.4% 46.8% 78.3%
55+ 27.0% 38.8% 66.6%
1-2 Physicians 21.4% 28.1% 62.4%
3-5 Physicians 36.7% 52.8% 72.7%
6-10 Physicians 36.6% 60.7% 81.3%
≥11 Physicians 57.6% 69.6% 88.0%

Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Ambulatory Medical Care Survey, 2009-2010 NAMCS Core and Electronic Medical Record Supplement and 2012 NAMCS National Electronic Health Records Survey.
Denominator: Non-federally employed physicians who provide direct patient care in the 50 states and the District of Columbia, excluding radiologists, anesthesiologists, and pathologists.
Note: The 2011 data were unavailable.

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Figure 9.5. Office-based physicians with an e-prescribing system with a component for providing warnings of drug interactions or contraindications, by physician age and practice size, 2009-2010 and 2012

  2009 2010 2012
Total 37.3% 46.6% 66.5%
<35 56.2% 75.6% 74.8%
35-44 44.2% 58.7% 71.7%
45-54 40.5% 48.1% 72.3%
≥55 28.9% 37.3% 59.2%
1-2 Physicians 23.2% 28.7% 56.5%
3-5 Physicians 41.4% 50.8% 66.0%
6-10 Physicians 42.3% 62% 73.4%
≥11 Physicians 66.3% 74.5% 80.6%

Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Ambulatory Medical Care Survey, 2009-2010 NAMCS Core and Electronic Medical Record Supplement and 2012 NAMCS National Electronic Health Records Survey.
Denominator: Non-federally employed physicians who provide direct patient care in the 50 states and the District of Columbia, excluding radiologists, anesthesiologists, and pathologists.
Note: The 2011 data were not available.

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Figure 9.6. Rates of active non-Federal nurse practitioners per 100,000 population, by State quartiles, 2011

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

Key: DSU = data statistically unreliable.
Source: U.S. Census Bureau, American Community Survey, 2011.

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Figure 9.7. Rates of active non-Federal physician assistants, by State quartiles, 2011

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

Key: DSU = data statistically unreliable.
Source: U.S. Census Bureau, American Community Survey, 2011.

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Figure 9.8. Distribution of trauma center utilization for severe injuries in the United States, by age and geographic location, 2010

  Trauma Level I & II Nontrauma
Total 64.0% 29.6%
0-24 72.9% 20.8%
25-44 75.7% 19.2%
45-64 69.0% 24.7%
65+ 50.8% 42.1%
Large Central MSA 70.5% 27.6%
Large Fringe MSA 65.7% 31.6%
Medium MSA 69.1% 26.6%
Small MSA 48.9% 25.7%
Micropolitan 56.3% 34.4%
Nonmetropolitan 56.4% 36.7%

Key: MSA = metropolitan statistical area.
Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Nationwide Emergency Department Sample, 2010.

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Figure 9.9. Characteristics of HSHC patients, by age, sex, and insurance status, 2012

  Percent
≤24 41.8
25-64 51.1
65+ 7.2
Male 41.3
Female 58.7
Private 14.0
Medicare 8.0
Medicaid/CHIP 40.8
Other Public 2.3
Uninsured 36.0

Key: CHIP = Children's Health Insurance Program.
Source: Health Resources and Services Administration, Bureau of Primary Health Care, Uniform Data System, 2012.
Note: Data were obtained from 1,128 Section 330 grantees.

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Page last reviewed May 2014
Page originally created May 2014
Internet Citation: Chapter 9: Text Descriptions. Content last reviewed May 2014. Agency for Healthcare Research and Quality, Rockville, MD. https://archive.ahrq.gov/research/findings/nhqrdr/nhqr13/chap9-txt.html

 

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