2012 National Healthcare Quality Report

Chapter 8, Text Descriptions for Figures

Figure 8.1. Electronic medical record use in hospitals, by geographic region and hospital size, 2010

Electronic Medical Record Use	Northeast	Midwest	South	North
Patient Demographics	89.6	83.4	80.3	78.5
Physician Notes	22.4	28.4	22.5	24.7
Nursing Assessments	54.5	53.7	53.8	48.1
Problem Lists	41	40.7	39.2	36.7
Medication Lists	64.9	57.9	57	54.8
Discharge Summaries	54.7	52.9	53.8	50.2
Advanced Directives	56.2	54.8	52.7	46.4

Electronic Medical Record Use	Total	<100 Beds	100-399 Beds	400+ Beds
Patient Demographics	82.5	73.9	89.3	95.2
Physician Notes	25	21.4	27.4	31.9
Nursing Assessments	53	41.5	62.7	67.8
Problem Lists	39.6	30.7	45.9	55.6
Medication Lists	58.2	44.5	69	78.4
Discharge Summaries	53	42.8	61.8	65.7
Advanced Directives	53	41.1	62.8	69.3

Source: American Hospital Association, 2010 Information Technology Supplement.

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Figure 8.2. Electronic health record use overall and by age and practice size, 2011

Physician Age / Practice Size	Overall
All Physicians	55
<50	64
50+	49
Solo Physician	29
2 Physicians	60
3-10 Physicians	62
11+ Physicians	86

Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Ambulatory Medical Care Survey, 2011 Electronic Medical Record Mail Survey Supplement.

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Figure 8.3. Electronic health record use by physician age, practice size, 2011

Physician Age	Patient Demographics	Clinical Notes	Prescription Ordering	Clinical Decision Support	Clinical Reminders
Total	73.8	62.5	57.4	28.2	38.3
<35	91.4	82.3	78.8	43.1	48.5
35-44	81.8	73.6	67.9	34	45.7
45-54	76.2	65.8	58.3	29.8	40.6
55+	67.3	53.9	49.3	22.6	31.7

Practice Size	Patient Demographics	Clinical Notes	Prescription Ordering	Clinical Decision Support	Clinical Reminders
1-2 Physicians	61.2	45.6	40.6	15.3	25.4
3-5 Physicians	76.5	65.5	63	31.6	42.7
6-10 Physicians	81.8	70.8	71.5	37.4	47.1
11+ Physicians	89.8	87.6	80	49.2	58

Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Ambulatory Medical Care Survey, 2011 Electronic Medical Record Mail Survey Supplement.

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Figure 8.4. U.S. active non-Federal general and specialist physicians and surgeons, by geographic region and metropolitan status, 2008

Specialty	Midwest	Northeast	South	West	Metropolitan	Nonmetropolitan
General Family Medicine	31.9	20.9	25.3	27.9	26.1	28.7
General Internal Medicine	33	58.2	29.5	32.5	40.1	9.5
Pediatrics	15.7	26	16.8	17.2	20.6	3.7
Obstetrics & Gynecology	11.2	15.2	11.7	11.4	13.4	3.1

Specialty	Midwest	Northeast	South	West	Metropolitan	Nonmetropolitan
Family Medicine Subspecialist	0.47	0.34	0.36	0.35	0.41
Internal Medicine Subspecialist	13	21.7	12.4	11.4	15.9	1.2
Pediatric Subspecialist	6.8	8	5.7	4.9	6.9	0.7
Obstetrics & Gynecology Subspecialist	1	1.9	1.5	1.2	1.6	0.3

Source: U.S. Department of Health and Human Services, Health Resources and Services Administration, Area Resource File.
Note: Nonmetropolitan family medicine subspecialist rate did not meet criteria for statistical reliability.

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Figure 8.5. Trauma center utilization for severe injuries in the United States, by age and geographic location, 2009

Age Group / Location	Trauma Level I & II	Trauma Level III	Nontrauma
0-24	70.0	7.8	22.2
25-44	72.5	6.8	20.8
45-64	64.4	8.2	27.4
65+	47.2	8.0	44.8
Large Central Metropolitan	67.3		29.0
Large Fringe Metropolitan	67.5	3.0	29.5
Medium Metropolitan	65.1	4.3	30.6
Small Metropolitan	41.1	30.4	28.5
Micropolitan	47.5	12.1	40.5
Nonmetropolitan	45.5	12.1	42.5

Source: Agency for Healthcare Research and Quality (AHRQ), Healthcare Utilization Project, Nationwide Emergency Department Sample, 2009.

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Figure 8.6. Characteristics of FFHC patients, by age, gender, and insurance status, 2011

Age Group / Gender / Insurance	Percentage
<20	35
20-64	58.1
65+	6.9
Male	41.3
Female	58.7
Private Insurance	14.1
Medicare	7.8
Medicaid	39.3
Other Public	2.4
Uninsured	36.4

Source: Health Resources and Services Administration, Bureau of Primary Health Care, Uniform Data System, 2011.
Note: Data were obtained from 1,128 Section 330g grantees.

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Figure 8.7. FFHC patients with hypertension or diabetes whose symptoms are controlled, 2011

	Percentage
Controlled Hypertension	63.3
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 May 2013

Internet Citation: 2012 National Healthcare Quality Report: Chapter 8, Text Descriptions for Figures. May 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/nhqrdr/nhqr12/chap8-text.html