Practices’ HIT Index Score, and Adoption and Use of Individual HIT Functionalities, Time 1 (2007–2010) and Time 2 (2012–2013)
Variable | T1 | T2 | Difference, T2 – T1 | P Valuea |
---|---|---|---|---|
HIT index score,b mean (95% CI) | 4.7 | 7.3 | 2.6 (2.3–2.9) | <.001 |
HIT functionality | ||||
EHR includes patient medications, % | 29 | 51 | 22 | <.001 |
Physicians use EHR for progress notes, % | 26 | 51 | 23 | <.001 |
Physicians use EHR for problem list, % | 28 | 47 | 21 | <.001 |
Physicians use EHR for potential drug interactions, % | 17 | 46 | 28 | <.001 |
Physicians use EHR for prompts and reminders, % | 19 | 34 | 15 | <.001 |
Physicians use EHR for alerts on abnormal test results, % | 15 | 30 | 15 | <.001 |
Practice uses EHR to collect data for quality measures, % | 17 | 42 | 26 | <.001 |
Physicians transmit prescriptions directly to pharmacies via computer, % | 25 | 70 | 45 | <.001 |
Physicians have electronic access to laboratory results, % | 86 | 82 | −4 | <.001 |
Physicians have electronic access to clinical information on patients’ ED visits, % | 70 | 66 | −4 | <.001 |
Physicians have electronic access to hospital discharge summaries, % | 69 | 73 | 4 | <.001 |
Physicians have electronic access to pharmacy record of prescriptions filled by patients, % | 21 | 43 | 22 | <.001 |
Physicians communicate with patients via e-mail, % | 11 | 21 | 10 | <.001 |
Patients can view medical record online, % | 1 | 19 | 18 | <.001 |
Practice maintains electronic registry, % | ||||
For patients with asthma | 7 | 17 | 10 | <.001 |
For patients with congestive heart failure | 6 | 9 | 3 | <.001 |
For patients with depression | 6 | 8 | 1 | <.001 |
For patients with diabetes | 12 | 22 | 10 | <.001 |
ED = emergency department; EHR = electronic health record; HIT = health information technology; T1 = time 1; T2 = time 2.
↵a Paired t tests were used to test for significant difference in the overall HIT index over time. The McNemar test was used to test for significant differences in the proportion adopting each functionality over time.
↵b Possible range is 0 to 18.
Note: Data were weighted to be nationally representative.