The George Washington University School of Public Health and Health Services

1
EHRs in Ambulatory Care A National Survey of
Physicians

• David Blumenthal, MD, MPP
• Catherine DesRoches, DrPH
• MGH Institute for Health Policy
• July 30, 2008

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Defining a Fully Functional EHR
3
Defining EHRsBasic and Fully Functional
4
Defining EHRsBasic and Fully Functional
5
Current Levels of Adoption by Ambulatory
Physicians
No Functional EHR 83

• 17 purchased system but have not implemented it
  yet
• 26 intend to purchase within 2 years

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Have you everdue to a prompt from an EHR?
Difference between fully functional and basic
is significant at p lt .05
7
Does your EHR allow patients to
Difference between fully functional and basic
is significant at p lt .05
8
Percentage of Physicians Reporting a EHR Had a
Positive Impact on.
Difference between fully functional and basic
is significant at p lt .05
9
Percentage of Physicians Reporting a EHR Had a
Positive Impact on.
Difference between fully functional and basic
is significant at p lt .05
10
Satisfaction with EHRs
Percent of physicians very or somewhat satisfied
Difference between fully functional and basic
is significant at p lt.05
11
Major Barriers to EHR Adoption
Percent of physicians reporting a major barrier
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Major Barriers to EHR Adoption
Percent of physicians reporting a major barrier
13
Overall Facilitators to EHR Adoption
Percent of physicians reporting incentive would
have an impact
14
Research Team