Acknowledgements

Chapter 8 (Text Descriptions)

National Healthcare Quality Report, 2011



Figure 8.1. Electronic medical record use in hospitals, by geographic region and hospital size, 2009

Geographic Region Electronic Clinical Documentation Decision Support CPOE Results Viewing
Northeast (percent) 9.3 19.2 24.7 40.9
Midwest (percent) 14.4 16.6 16.2 35.9
South (percent) 10.6 17.0 13.6 34.9
West (percent) 12.9 12.7 16.7 33.0



Hospital Size Electronic Clinical Documentation Decision Support CPOE Results Viewing
Total (percent) 12.0 16.6 16.7 35.8
<100 Beds (percent) 8.8 9.5 9.8 22.2
100-399 Beds (percent) 14.2 21.1 19.5 46.8
400+ Beds (percent) 17.8 30.2 36.3 54.7

Key: CPOE = computerized provider order entry.

Source: American Hospital Association, 2009 Information Technology Supplement.

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Figure 8.2. Electronic medical record use by home health and hospice agencies, by type of service and number of patients, 2007

Type of Service Overall Patient Demographics Clinical Notes Clinical Decision CPOE
Home Health Only (percent) 38.6 98.6 81.1 58.6 53.6
Hospice Only (percent) 49.1 99.3 79.3 48.8 49.8
Both (percent) 66.4 99.6 94.4 61.4 49.6



Number of Patients Overall Patient Demographics Clinical Notes Clinical Decision Support CPOE
0-50 Patients (percent) 35.5 99.2 79.0 30.6 38.3
51-100 Patients (percent) 40.4 99.7 88.8 67.2 62.7
101-150 Patients (percent) 33.4 96.0 66.0 - -
151 or More Patients (percent) 64.1 99.0 91.6 75.1 53.1

Key: CPOE = computerized provider order entry.

Source: Centers for Disease Control and Prevention, National Center for Health Statistics, 2007 National Home and Hospice Care Survey, 2007.

Note: Data were statistically unreliable for clinical decision support systems and CPOE in agencies with 101-150 current patients.

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Figure 8.3. U.S. occupational therapy, physical therapy, and speech-language pathology professionals, by geographic region, 2005-2009

Occupational therapists
Geographic Region 2005 2006 2007 2008 2009
Midwest (rate per 100,000 population) 38.1 35.3 36.6 41.4 30.9
Northeast (rate per 100,000 population) 41.1 43.3 42.9 40.2 43.9
South (rate per 100,000 population) 23.9 24.1 24.2 24.9 25.8
West (rate per 100,000 population) 19.4 18.9 20.4 27.6 22.9




Physical therapists
Geographic Region 2005 2006 2007 2008 2009
Midwest (rate per 100,000 population) 72.2 61.6 63.7 68.9 64.6
Northeast (rate per 100,000 population) 84.9 90.5 77.9 87.6 84.5
South (rate per 100,000 population) 57.1 51.8 58.3 55.9 58.2
West (rate per 100,000 population) 57.3 66.6 57.8 61.9 60.4




Speech-language pathologists
Geographic Region 2005 2006 2007 2008 2009
Midwest (rate per 100,000 population) 41.1 46.3 45.8 48.1 43.0
Northeast (rate per 100,000 population) 52.0 51.2 45.4 59.9 60.1
South (rate per 100,000 population) 36.3 37.2 40.9 38.2 38.2
West (rate per 100,000 population) 32.6 33.0 36.8 34.1 37.6

Source: U.S. Census Bureau, American Community Survey, 2005-2009.

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Figure 8.4. Underserved population in primary care, mental health, and dental health professional shortage areas, 2011

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




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




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

Key: Worst quartile indicates States with the highest percentages of underserved people. Best quartile indicates States with the lowest percentages.

Source: Health Resource and Services Administration, Bureau of Health Professions, Office of Shortage Designation, Designated Health Professional Shortage Area Statistics, May 15, 2011.

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Figure 8.5. Characteristics of FQHC patients, by age, gender, and insurance status, 2010

Age / Gender / Insurance Status Percent
<20 35.3
20-64 57.9
65+ 6.8
Male 41.2
Female 58.8
Private Insurance 13.9
Medicare 7.5
Medicaid 38.5
Other Public 2.6
Uninsured 37.5

Source: Health Resources and Services Administration, Bureau of Primary Health Care, Uniform Data System, 2011.

Note: Data were obtained from 1,124 Section 330g grantees.

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Figure 8.6. FQHC patients with hypertension or diabetes whose symptoms are controlled, 2010

Condition Percent
Controlled Hypertension 63.2
Controlled Diabetes 39.8

Source: Health Resources and Services Administration, Bureau of Primary Health Care, Uniform Data System, 2011.

Note: Data were obtained from 1,124 Section 330g grantees. Patients with hypertension include those ages 18-85. Hypertension is determined to be controlled if the patient's last blood pressure reading was less than 140/90 mm Hg. Patients with diabetes include those ages 18-75. Diabetes is determined to be controlled if the patient's most recent hemoglobin A1c level was 7% or less.

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Page last reviewed October 2014
Internet Citation: Chapter 8 (Text Descriptions). October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqr11/chap8txt.html