Electronic Health Records - Fall 2006
Office of Oregon Health Policy and Research
A survey of Oregon ambulatory practices and clinics was conducted by the Office of Oregon Health Policy and Research during the Fall of 2006 to identify:
- How many practices and clinicians have adopted Electronic Practice Management (EPM) systems and/or Electronic Health Records (EHR)
- What factors influence adoption
- Which systems are most in use
- Which areas have higher adoption rates
- Reasons for not adopting EHR technology
About the survey:
- 2,403 surveys were mailed to 2,010 entities
- 1,190 valid responses were received from 1,168 entities, giving a response rate of 58.1%
- Practice types included clinician names, clinic/practice names, Federally Qualified Health Centers (FQHCs), Health Systems, Kaiser Permanente, Oregon Health Sciences University
- Results are shown by organization or clinicians
How many practices have adopted EPM and/or EHR
Oregon Clinicians with EHR, EPM Exceeds the National Estimate*
- Clinicians with both EHR and EPM: 56.5%
- Clinicians with only EHR (no EPM): 1.6%
- Total clinicians with EHR: 58.1%
- Clinicians with EPM only: 27.1%
- Clinicians with no EHR and no EPM: 14.8%
- National estimate EHR implementation: 23.9%
*Implemented, or in the process of implementation
Factors influencing adoption:
Organizations adopting EHR/EPM increases with practice size
Multiple locations increase percentage of organizations that adopt in Oregon
Multi specialty practices show higher percentage of adoption
Clinicians in multi-specialty practices show higher percentage of adoption
Systems most in use
Oregon EHR Systems with more than 50 Clinicians
|
CCHIT |
ORG’s |
Clinicians |
Epic |
7/18/07 |
9 |
1,676 |
GE Centricity |
7/18/07 |
61 |
820 |
IDX LastWord |
|
7 |
476 |
Intergy/Sage |
7/18/07 |
12 |
168 |
Next Gen |
7/18/07 |
14 |
122 |
Practice Part. |
7/18/07 |
16 |
96 |
eClinical Wks |
7/18/07 |
15 |
67 |
Which areas have higher adoption rates
Regional variation: Clinicians with EHR/EPM (ranked by EHR)
County |
EHR |
EPM |
Lane |
50.2% |
77.4% |
Crook, Deschutes, Grant, Harney, Hood River, Jefferson, Lake, Sherman, Wasco, Wheeler |
46.9% |
79.4% |
Baker, Gilliam, Malheur, Morrow, Umatilla, Union, Wallowa |
41.5% |
61.6% |
Jackson |
38.8% |
77.7% |
Marion, Polk |
35.8% |
85.8% |
Clackamas, Multnomah, Washington, Yamhill |
32.9% |
74.0% |
Linn, Benton, Lincoln |
25.4% |
92.7% |
Coos, Curry, Douglas, Josephine |
22.1% |
90.6% |
Klamath |
19.0% |
44.4% |
Clatsop, Columbia Tillamook |
5.9% |
27.7% |
Oregon Organizations with EHR: Percentage Certification Commission for Healthcare Information Technology (CCHIT) Vendors
|
CCHIT Vendors |
Non CCHIT Vendor |
Clinician Names |
36.5% |
63.5% |
Clinic/Practice Names |
52.7% |
47.3% |
FQHC’s/Safety Net |
100% |
|
Health Systems |
53.8% |
46.2% |
Kaiser/OHSU |
100% |
|
Health Departments, Schools, Colleges |
22.2% |
78.8% |
Reasons for not adopting EHR technology
- 64.1% Too expensive
- 53.1% Staff satisfaction with current system
- 22.2% Productivity losses during implementation
- 20.1% Product obsolescence
- 18.7% Lack of interoperability between systems
- 18.5% Staff lacks expertise to use EHR
|
