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 UseNortheastMidwestSouthNorth
Patient Demographics89.683.480.378.5
Physician Notes22.428.422.524.7
Nursing Assessments54.553.753.848.1
Problem Lists4140.739.236.7
Medication Lists64.957.95754.8
Discharge Summaries54.752.953.850.2
Advanced Directives56.254.852.746.4

 

Electronic Medical Record UseTotal<100 Beds100-399 Beds400+ Beds
Patient Demographics82.573.989.395.2
Physician Notes2521.427.431.9
Nursing Assessments5341.562.767.8
Problem Lists39.630.745.955.6
Medication Lists58.244.56978.4
Discharge Summaries5342.861.865.7
Advanced Directives5341.162.869.3

 

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 SizeOverall
All Physicians55
<5064
50+49
Solo Physician29
2 Physicians60
3-10 Physicians62
11+ Physicians86

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 AgePatient DemographicsClinical NotesPrescription OrderingClinical Decision SupportClinical Reminders
Total73.862.557.428.238.3
<3591.482.378.843.148.5
35-4481.873.667.93445.7
45-5476.265.858.329.840.6
55+67.353.949.322.631.7

 

Practice SizePatient DemographicsClinical NotesPrescription OrderingClinical Decision SupportClinical Reminders
1-2 Physicians61.245.640.615.325.4
3-5 Physicians76.565.56331.642.7
6-10 Physicians81.870.871.537.447.1
11+ Physicians89.887.68049.258

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

SpecialtyMidwestNortheastSouthWestMetropolitanNonmetropolitan
General Family Medicine31.920.925.327.926.128.7
General Internal Medicine3358.229.532.540.19.5
Pediatrics15.72616.817.220.63.7
Obstetrics & Gynecology11.215.211.711.413.43.1

 

SpecialtyMidwestNortheastSouthWestMetropolitanNonmetropolitan
Family Medicine Subspecialist0.470.340.360.350.41 
Internal Medicine Subspecialist1321.712.411.415.91.2
Pediatric Subspecialist6.885.74.96.90.7
Obstetrics & Gynecology Subspecialist11.91.51.21.60.3

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 / LocationTrauma Level I & IITrauma Level IIINontrauma
0-2470.07.822.2
25-4472.56.820.8
45-6464.48.227.4
65+47.28.044.8
Large Central Metropolitan67.3 29.0
Large Fringe Metropolitan67.53.029.5
Medium Metropolitan65.14.330.6
Small Metropolitan41.130.428.5
Micropolitan47.512.140.5
Nonmetropolitan45.512.142.5

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 / InsurancePercentage
<2035
20-6458.1
65+6.9
Male41.3
Female58.7
Private Insurance14.1
Medicare7.8
Medicaid39.3
Other Public2.4
Uninsured36.4

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 Hypertension63.3
Controlled Diabetes39.8

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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Current as of 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://www.ahrq.gov/research/findings/nhqrdr/nhqr12/chap8-text.html