80 Mind Blowing EMR and Meaningful Use Statistics & Trends

List of 80 Mind Blowing EMR and Meaningful Use Statistics & Trends as as the first installment of our 4 part Mind Blowing HIT Stats and Facts series

HIT trends are developing at a rapid rate. Are you keeping up with the pace? We at HIT Consultant know it’s hard to get beyond the basics regarding the latest in HIT. Therefore, we decided to dig a little deeper into the stats and facts surrounding a number of these so-called transformative trends.

After months of research and gathering multiple resources, we have compiled the latest facts and figures regarding a number of HIT related topics into an informative 4 part series we like to call Mind Blowing HIT Stats and Trends series.

Topics to be explored include everything from the effects of social media use to basic facts concerning healthcare reform. First up, we take a look at some revealing statistics regarding EMRs/EHRs and Meaningful Use.

Are EMRs/EHRs truly effective in enhancing the quality of care? What about the potential impact of medical billing software? Are such technologies being implemented to fulfill such promise or even their full potential? Read the facts below and decide for yourself.

After all, the devil is often in the details, or in this case, the data.

EHR Adoption

1. In 2011, 55% of physicians had adopted an electronic health record (EHR) system.

2. About three-quarters of physicians who have adopted an EHR system reported that their system meets federal “meaningful use” criteria.

3. Eighty-five percent of physicians who have adopted an EHR system reported being somewhat (47%) or very (38%) satisfied with their system.

4. About three-quarters of adopters reported that using their EHR system resulted in enhanced patient care.

5. Nearly one-half of physicians currently without an EHR system plan to purchase or use one already purchased within the next year.

Source: CDC’s Center for National Health Statistics

  1. 75% of patients are willing to go online to view their medical records
  2. 76% are willing to view test results
  3. Only 41% of physicians have EMR systems capable of giving patients timely access to patient’s medical records
  4. 62% of patients want to correspond online with their primary physician about their health, but only 46% of physicians have EMR systems capable of communicating patient-specific information to help patients make decisions about their health
  5. 65% of patients want appointment reminders via e-mail, but only 44% of physicians have EMR systems that provide guideline-based follow-up or screening reminders.
  6. Roughly 40% cited financial problems as their practice’s biggest hurdle, whereas another 40% listed EHR implementation itself
  7. 46% said they fear the higher costs and overhead associated with EHR systems, and 15% are worried about decreases in practice productivity.

Source: Out of the 100 primary care physicians recently polled about electronic health record (EHR) systems by Hello Health

  1. $150M in venture capital has been poured into the EMR/EHR market in the last 18 months

Source: Mercom Capital Group 

14.  28% of hospitals are scanning all patient records

15. 72% of hospitals are utilizing full time employees for scanning patient records

16. 36% of hospitals expect to hold on to their paper records

17. 48% expect of healthcare providers expect to use paper and electronic records for patient care for the next 1-3 years

Source: Digital Healthcare: Where Are We Now

     18.  Medicare and Medicaid electronic health record payments are approaching $7 billion since its inception

     19.  $6.9 billion paid out to 143,800 physicians and hospitals in total program estimates through the end of August 2012.

Source: EHR Incentive Payments

20.  In 2011, 55% of physicians had adopted an electronic health record (EHR) system.

Source: CDC

21.  About three-quarters of adopters reported that using their EHR system resulted in enhanced patient care.

22.  Nearly one-half of physicians currently without an EHR system plan to purchase or use one already purchased within the next year. 5-8 Sources-http://www.cdc.gov/nchs/data/databriefs/db98.pdf

23.  Nearly two-thirds of physicians say they use some sort of electronic record to manage clinical information, reflecting the most general use of EHRs as opposed to stricter definitions. Use is highest among large practices and in the Midwest.

24.  Solo practitioners are particularly unlikely to be using EHRs or to have plans to implement them. Also, older physicians are less likely to be pushing for adoption of HIT.

Source: Deloitte Healthcare

25.  More than six of 10 physicians state that EHR has not improved diagnosis accuracy or treatment planning.

26.  Survey of 21,202 physicians from 25 specialties found that fully 82 percent are using an electronic health records systems or are in the process of installing one.

27. More than a fourth, 26 percent, reported decreased productivity and more than one half (54 percent) were not happy with their EHRs

28. Only 23 percent said that EHRs made them more efficient

29. 6 percent reported that their systems enabled them to earn more money.

Source: Fierce EMR

30. Lack of incentives, vendor selections challenges, and privacy concerns, and cost and burden of implementation have been identified as some of the biggest barriers to EHR adoption.

Source: Deloitte Healthcare

31. 91% of Physicians Are Interested in Mobile EHRs

Source: Beckers Orthopedic and Spine

32. Physicians who used EHRs scored significantly higher on care quality measures for diabetes, breast cancer, chlamydia and colorectal cancer.

Source: Springerlink

33. The three most replaced Ambulatory EMR vendors are Allscripts, GE, and McKesson—primarily due to complaints about sinking support or lagging product development.

34. Vendors winning most attention from wary second-time buyers were eClinicalWorks, Epic, and Greenway.

Source: KLAS

35. In 2012, 60% of surveyed doctors said they believe that the patient care benefits outweigh the costs of adopting an electronic health record system, while

36. 40% said they do not believe that the benefits outweigh the costs, according to a report by EHR provider athenahealth and online physician community Sermo.

37. In 2011, 68% of surveyed doctors said they believe that the patient care benefits outweigh the costs of EHR adoption, while

38. 32% said they do not believe that the benefits outweigh the costs.

Source: iHealthBeat

Budget for EHR Deployment

A recent poll based on a survey of more than 220 hospital and health system administrators conducted as part of a May KPMG webcast found that:

39. 48% are somewhat comfortable with their organization’s EHR budget

40. 9% said they are not at all comfortable with their institution’s EHR budget

41. 18%of survey respondents said they were unsure.

Source: iHealthBeat

Paper vs EHR

42. Primary care physicians only spend 30-40 hours in direct patient care because of heavy paperwork and admin duties

43. Nurses using EHRs have seen reductions in documentation time by up to 45%

44. Each patient visit requires approximately 10-13 pieces of paper

45. Large percentage of physicians see 50-99 patients a week

46. So each physician accumulates around 975 new pages of paperwork each week

47. 1000s of tons of paper are consumed by the healthcare industry each year causing storage and environmental harm

48. Outpatient facilities that adopt and use an EHR over 15 years could have net savings of $142 billion

49. Inpatient settings that adopt and use EHR over the same time period experience net savings of $371 billion

Source: EHR vs. Traditional Paper Records

50.  Epic and Cerner are the first and second place for EMR market share in healthcare providers over 200 beds

51.  Allscripts, McKesson,  and Meditech, and Siemens have all lost market share in larger hospitals as organizations steer toward higher levels of integration and clinical functionality

Source: KLAS

52. Top 5 EMR vendors by number of users are:

    • eClinicalWorks
    • Epic
    • McKesson
    • Care 360
    • Allscripts

Source: 20 Most Popular EMR Solutions

53. 82% of physician e-prescribers used EHR software in 2011 and 18% used standalone systems.

Source: iHealthBeat

Measuring ROI

Healthcare executives aren’t happy with their organizations’ efforts to determine return on investment (ROI) of electronic health records systems and say the process should have started earlier, according to a new report from Beacon Partners.

54. 40% of healthcare leaders said that they use performance measures to evaluate the ROI of their EHR system

55. 36% said that they were satisfied with the degree to which their organization uses performance measures to evaluate the ROI of their EHR system

56. 32% said that their organization started using performance measures after EHR implementation for at least one patient care area.

57. 51% of healthcare leaders said that their organization should have implemented performance measures sooner to evaluate the ROI for their EHR system

Source: Beacons Partners

Use of Clinician Feedback

58. 78% of healthcare leaders said that they collect feedback from physicians and nurses to gauge EHR satisfaction. Of those respondents:

59. 60% of healthcare leaders said that they use clinician feedback to help plan enhancements and improvements to EHR systems

60. 55% of healthcare leaders said that they use clinician feedback to determine EHR training or support needs

Source: Beacons Partners

61. EMRs have the most difficulty meeting the specialties needs of Internal Medicine and Family Medicine

"Ambulatory EMR by Specialty Study 2012: Finding the Fit"  - Figure 1

Source: KLAS

Meaningful Use

62. $5.7 billion in meaningful use incentives were paid to care providers participating in either Medicare or Medicaid programs

63. Family practice is the leading specialty participating in Medicare Meaningful Use in 2011

64. The Northeast leads the nation in Meaningful Use Attestations in 2011 with 31%

Source: Greenway Meaningful Use: The Stats Infographic

65. Top Meaningful Use Hurdles to overcome are:

Top Meaningful Use Hurdles to Overcome

Source: KLAS

66. Cerner, MEDITECH, Epic, and Allscripts are the clear market leaders in Meaningful Use Attestations

67. Epic Systems leads in the top 10 Eligible Professionals Attesting by Ambulatory Vendor

Source: KLAS

68. More than 55,000 physicians earned bonuses for meaningful use of EHRs in 2011 or 2012.

Source: AMA

  1. Medicare paid more than $1 billion in meaningful use bonuses to eligible professionals since the program started.

Source: AMA

  1. Federal government estimates it will pay out around $20 billion in incentives before the program shifts to a penalty in 2015

Source: Gov’t Health IT

  1. About three-quarters of physicians who have adopted an EHR system reported that their system meets federal “meaningful use” criteria.
  2. As of July 2012, nearly 1 out of every 5 Medicare eligible provider, or about 18 percent are meaningful users of EHRs
  3. As of July 2012, 1 out of every 4 Medicare and Medicaid eligible providers has made a financial commitment to an EHR
  4. 55 percent of eligible hospitals have received an EHR incentive payment for meaningful use.

Source: Gov’t Health IT

  1. 1 in 4 physicians consider themselves “on target” to meet Meaningful Use

Source: Deloitte Healthcare

76. About $7.7 billion in incentive payments had been distributed as of September 2012, . That includes:

      • $4.8 billion in incentive payments to eligible hospitals;
      • $1.4 billion in Medicare incentive payments to eligible health care professionals; and
      • $1.2 billion in Medicaid incentive payments to eligible professionals

Source: iHealthBeat

77. CMS officials estimated that nearly 50% of eligible professionals and

78. Nearly 81% of eligible hospitals had registered for the meaningful use program as of September 2012

Source: iHealthBeat

Update on Menu Objectives

79. According to CMS officials, the most common menu objectives selected by eligible health care professionals during the meaningful use attestation process are those related to:

    • Drug formularies
    • Immunization registries
    • Patient lists

80. The most common menu objectives selected by eligible hospitals are those related to:

      • Advance directives
      • Clinical laboratory results
      • Drug formularies

Source: iHealthBeat

Conclusion

It was surprising to us at HIT Consultant to learn just how far EMR/EHR and Meaningful Use adoption has yet to go in terms of proving its effectiveness. While adherence to taking on such technologies appears to be high, enthusiasm regarding its impact seems to be anything but. It’s hard to believe that implementing such technology has left so many so disappointed and despondent. Efficiency in EMR/EHR implementation and operation seems to be lacking, too.

What statistic shocked you the most? Comment and share your insights with us.

Next week, we’ll take a look at digital health.

 

 

  • http://twitter.com/grovesp/status/263307408942702592/ @grovesp

    RT @hitconsultant: 80 Mind Blowing #EMR and #MeaningfulUse Statistics & Trends http://t.co/F0HnlBE0 #HITsm

  • http://twitter.com/Kelly_A_Wagner/status/263314206378569729/ @Kelly_A_Wagner

    80 #EMR and #MeaningfulUse Statistics & Trends http://t.co/W9uv9YKL via@hitconsultant

  • http://twitter.com/MichelleMangino/status/263334490821230592/ @MichelleMangino

    RT @hitconsultant: 80 Mind Blowing #EMR and #MeaningfulUse Statistics & Trends http://t.co/TlougrkC #HITsm

  • http://twitter.com/lukkyjay/status/263346000406646784/ @lukkyjay

    80 Mind Blowing EMR Stats, but make sure to at least look at #42-#49 http://t.co/jGdiqJY8 from @hitconsultant #HIT #healthcare

  • http://getreferralmd.com/ Jonathan Govette

    Very detailed, great job with the article. Thanks for the info

  • http://twitter.com/marxists/status/263428055245131776/ @marxists

    80 Mind Blowing EMR and Meaningful Use Statistics & Trends http://t.co/ViC9QyqG via @@hitconsultant

  • http://twitter.com/dancontaldi/status/263456770264031233/ @dancontaldi

    RT @marxists: 80 Mind Blowing EMR and Meaningful Use Statistics & Trends http://t.co/ViC9QyqG via @@hitconsultant

  • http://twitter.com/TriStarCMIO/status/263467487239213056/ @TriStarCMIO

    RT @bfm: 80 Mind Blowing #EMR and Meaningful Use Statistics & Trends http://t.co/ntlnDEJw via @zite #healthit #hcr #meaningfuluse #onc

  • http://twitter.com/mauricerosenbau Maurice Rosenbaum

    Agreed Jonathan and well done with this article.

    I understand all of your conclusion points, however, I don’t see this from the point of view about all the negativity. Yes, “1 in 4 physicians consider themselves “on target” to meet Meaningful Use” but how many other groups have really looked into the details and/or started making plans or changes based on what they saw?? So many groups are studying, preparing, upgrading, updating, implementing, revising workflows and procedures, changing documentation patterns and habits to comply that this does not really take those groups that are “in the works” into account which would be very hard to quantify.

    I will not say that 100% of these efforts are all improving the quality of overall healthcare, but I would say with high confidence, the efforts that are in the works as well as those achieved are having two significant impacts:

    #1 – By discussing and deciding which measures to implement, groups are looking closely at what they are doing the “right” column and also what they can improve on but might already be doing just not documenting. Either way, they are becoming more enlightened groups. Some become surprised to find out that they already meet many of the items and just did not fully know it.

    #2 – It would seem that groups effected or putting procedures into place that they don’t feel have an improvement or significant impact are starting to speak up. If not directly, many are speaking indirectly and their voices should be heard.

    I for one, hope more people do get more involved and vocal when looking at MU Stage 2, Stage 3 and beyond because to really improve, a broader based of input needs to be considered.

    Just my quick comments/reaction to your well thought-out article.

  • http://twitter.com/CindyRussell2/status/263639737863135233/ @CindyRussell2

    80 Mind Blowing EMR and Meaningful Use Statistics & Trends http://t.co/oQiW5V0s via @@hitconsultant

  • http://twitter.com/KatherynHowell/status/263642317154570241/ @KatherynHowell

    RT @CindyRussell2: 80 Mind Blowing EMR and Meaningful Use Statistics & Trends http://t.co/oQiW5V0s via @@hitconsultant

  • Mark Ackley

    The CDCs stats 6-12 are the most telling. Once again, we have a market demand and a healthcare system that can’t meet that demand.

  • http://www.hitconsultant.net/ Fred Pennic

    Great points Maurice and thanks again for commenting

  • http://www.hitconsultant.net/ Fred Pennic

    Thanks Jonathan!

  • http://www.hitconsultant.net/ Fred Pennic

    Exactly! Exciting times knowing we are witnessing a major shift in healthcare.

  • http://twitter.com/rboates Randall Oates, MD

    I see the most troubling statistic is the one where only 23% of physician EHR users are more efficient. As fees for services wane, the loss of capacity from turning clinicians into distracted data trolls is going to become highly disruptive. An EHR should make clinicians more efficient as their time will become the rarest and most valuable resource going forward.

  • http://www.hitconsultant.net/ Fred Pennic

    Great point and one of the biggest complaints is the time taken away from the patients.

  • http://twitter.com/rboates Randall Oates, MD

    Ponder on this… Are there risks in texting while driving? How are the risks similar to and different from when physicians are
    texting while seeing patients? What is the attention cost and risk as to how
    most physicians are using their EHR? Do patients see value in watching their doctor’s type? The Cost of
    Technology – http://jama.jamanetwork.com/article.aspx?articleid=1187932

    And, it is not going to remain tenable giving clinicians 2-3 hours of daily homework anymore. Surveys show 90% feel daily stress and 49% are already experiencing burnout that could affect patient care.

  • StaySharp

    This is a pretty impressive aggregation of statistics–should be very helpful! Thanks for compiling this.

  • http://www.hitconsultant.net Fred Pennic

    Thanks! Appreciate you visiting and commenting.

  • Akamai66

    This was and is the exact same concern corporate America
    had when we adopted Hi Tech standards in the work place… but look at us now. I would draw your attention to the fact that this is the year 2013; meaning how absurd it is that we are having a conversation about the “possible” benefits of the health care industry moving into the electronic age – for this reason alone, I do not want to hear any physician complain. As far as I am concerned, the healthcare industry is criminal for taking so long
    to finally get on board with the rest of the world.

  • Randall Oates, MD

    Proper HIT implementation, of which I am a big proponent, increases, rather than decreases physician capacity. Current approaches adding 2-3 hours daily of box-clicking deserves physician complaint and push back. It is time they demand the better approaches now available.