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<li><a href="/research/findings/nhqrdr/nhqr12/index.html">Main Page</a></li>
<li><a href="/research/findings/nhqrdr/nhqr12/acknow.html">Acknowledgments</a></li>
<li><a href="/research/findings/nhqrdr/nhqr12/highlights.html">Highlights</a></li>
<li><a href="/research/findings/nhqrdr/nhqr12/chap1.html">Chapter 1. Introduction and Methods</a></li>
<li><a href="/research/findings/nhqrdr/nhqr12/chap2.html">Chapter 2. Effectiveness</a></li>
<li><a href="/research/findings/nhqrdr/nhqr12/chap3.html">Chapter 3. Patient Safety</a></li>
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<li><a href="/research/findings/nhqrdr/nhqr12/chap6.html">Chapter 6. Care Coordination</a></li>
<li><a href="/research/findings/nhqrdr/nhqr12/chap7.html">Chapter 7. Efficiency</a></li>
<li><a href="/research/findings/nhqrdr/nhqr12/chap8.html">Chapter 8. Health Systems Infrastructure</a></li>
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<h1>2012 National Healthcare Quality Report</h1>
<h2>Chapter 8, Text Descriptions for Figures</h2> <div id="basic-modal"><!-- start: Basic Modal -->
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<h4 class="figcaption"><a id="fig81" name="fig81"></a>Figure 8.1. Electronic medical record use in hospitals, by geographic region and hospital size, 2010</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Electronic Medical Record Use</th><th scope="col">Northeast</th><th scope="col">Midwest</th><th scope="col">South</th><th scope="col">North</th></tr><tr valign="top"><td scope="row">Patient Demographics</td><td align="center">89.6</td><td align="center">83.4</td><td align="center">80.3</td><td align="center">78.5</td></tr><tr valign="top"><td scope="row">Physician Notes</td><td align="center">22.4</td><td align="center">28.4</td><td align="center">22.5</td><td align="center">24.7</td></tr><tr valign="top"><td scope="row">Nursing Assessments</td><td align="center">54.5</td><td align="center">53.7</td><td align="center">53.8</td><td align="center">48.1</td></tr><tr valign="top"><td scope="row">Problem Lists</td><td align="center">41</td><td align="center">40.7</td><td align="center">39.2</td><td align="center">36.7</td></tr><tr valign="top"><td scope="row">Medication Lists</td><td align="center">64.9</td><td align="center">57.9</td><td align="center">57</td><td align="center">54.8</td></tr><tr valign="top"><td scope="row">Discharge Summaries</td><td align="center">54.7</td><td align="center">52.9</td><td align="center">53.8</td><td align="center">50.2</td></tr><tr valign="top"><td scope="row">Advanced Directives</td><td align="center">56.2</td><td align="center">54.8</td><td align="center">52.7</td><td align="center">46.4</td></tr></table><p>&#160;</p><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Electronic Medical Record Use</th><th scope="col">Total</th><th scope="col">&lt;100 Beds</th><th scope="col">100-399 Beds</th><th scope="col">400+ Beds</th></tr><tr valign="top"><td scope="row">Patient Demographics</td><td align="center">82.5</td><td align="center">73.9</td><td align="center">89.3</td><td align="center">95.2</td></tr><tr valign="top"><td scope="row">Physician Notes</td><td align="center">25</td><td align="center">21.4</td><td align="center">27.4</td><td align="center">31.9</td></tr><tr valign="top"><td scope="row">Nursing Assessments</td><td align="center">53</td><td align="center">41.5</td><td align="center">62.7</td><td align="center">67.8</td></tr><tr valign="top"><td scope="row">Problem Lists</td><td align="center">39.6</td><td align="center">30.7</td><td align="center">45.9</td><td align="center">55.6</td></tr><tr valign="top"><td scope="row">Medication Lists</td><td align="center">58.2</td><td align="center">44.5</td><td align="center">69</td><td align="center">78.4</td></tr><tr valign="top"><td scope="row">Discharge Summaries</td><td align="center">53</td><td align="center">42.8</td><td align="center">61.8</td><td align="center">65.7</td></tr><tr valign="top"><td scope="row">Advanced Directives</td><td align="center">53</td><td align="center">41.1</td><td align="center">62.8</td><td align="center">69.3</td></tr></table><p>&#160;</p><p><strong>Source:</strong> American Hospital Association, 2010 Information Technology Supplement.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap8.html#fig81">Return to Document</a></p><h4 class="figcaption"><a id="fig82" name="fig82"></a>Figure 8.2. Electronic health record use overall and by age and practice size, 2011</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Physician Age / Practice Size</th><th scope="col">Overall</th></tr><tr valign="top"><td scope="row">All Physicians</td><td align="center">55</td></tr><tr valign="top"><td scope="row">&lt;50</td><td align="center">64</td></tr><tr valign="top"><td scope="row">50+</td><td align="center">49</td></tr><tr valign="top"><td scope="row">Solo Physician</td><td align="center">29</td></tr><tr valign="top"><td scope="row">2 Physicians</td><td align="center">60</td></tr><tr valign="top"><td scope="row">3-10 Physicians</td><td align="center">62</td></tr><tr valign="top"><td scope="row">11+ Physicians</td><td align="center">86</td></tr></table><p><strong>Source:</strong> Centers for Disease Control and Prevention, National Center for Health Statistics, National Ambulatory Medical Care Survey, 2011 Electronic Medical Record Mail Survey Supplement.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap8.html#fig82">Return to Document</a></p><h4 class="figcaption"><a id="fig83" name="fig83"></a>Figure 8.3. Electronic health record use by physician age, practice size, 2011</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Physician Age</th><th scope="col">Patient Demographics</th><th scope="col">Clinical Notes</th><th scope="col">Prescription Ordering</th><th scope="col">Clinical Decision Support</th><th scope="col">Clinical Reminders</th></tr><tr valign="top"><td scope="row">Total</td><td align="center">73.8</td><td align="center">62.5</td><td align="center">57.4</td><td align="center">28.2</td><td align="center">38.3</td></tr><tr valign="top"><td scope="row">&lt;35</td><td align="center">91.4</td><td align="center">82.3</td><td align="center">78.8</td><td align="center">43.1</td><td align="center">48.5</td></tr><tr valign="top"><td scope="row">35-44</td><td align="center">81.8</td><td align="center">73.6</td><td align="center">67.9</td><td align="center">34</td><td align="center">45.7</td></tr><tr valign="top"><td scope="row">45-54</td><td align="center">76.2</td><td align="center">65.8</td><td align="center">58.3</td><td align="center">29.8</td><td align="center">40.6</td></tr><tr valign="top"><td scope="row">55+</td><td align="center">67.3</td><td align="center">53.9</td><td align="center">49.3</td><td align="center">22.6</td><td align="center">31.7</td></tr></table><p>&#160;</p><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Practice Size</th><th scope="col">Patient Demographics</th><th scope="col">Clinical Notes</th><th scope="col">Prescription Ordering</th><th scope="col">Clinical Decision Support</th><th scope="col">Clinical Reminders</th></tr><tr valign="top"><td scope="row">1-2 Physicians</td><td align="center">61.2</td><td align="center">45.6</td><td align="center">40.6</td><td align="center">15.3</td><td align="center">25.4</td></tr><tr valign="top"><td scope="row">3-5 Physicians</td><td align="center">76.5</td><td align="center">65.5</td><td align="center">63</td><td align="center">31.6</td><td align="center">42.7</td></tr><tr valign="top"><td scope="row">6-10 Physicians</td><td align="center">81.8</td><td align="center">70.8</td><td align="center">71.5</td><td align="center">37.4</td><td align="center">47.1</td></tr><tr valign="top"><td scope="row">11+ Physicians</td><td align="center">89.8</td><td align="center">87.6</td><td align="center">80</td><td align="center">49.2</td><td align="center">58</td></tr></table><p><strong>Source:</strong> Centers for Disease Control and Prevention, National Center for Health Statistics, National Ambulatory Medical Care Survey, 2011 Electronic Medical Record Mail Survey Supplement.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap8.html#fig83">Return to Document</a></p><h4 class="figcaption"><a id="fig84" name="fig84"></a>Figure 8.4. U.S. active non-Federal general and specialist physicians and surgeons, by geographic region and metropolitan status, 2008</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Specialty</th><th scope="col">Midwest</th><th scope="col">Northeast</th><th scope="col">South</th><th scope="col">West</th><th scope="col">Metropolitan</th><th scope="col">Nonmetropolitan</th></tr><tr valign="top"><td scope="row">General Family Medicine</td><td align="center">31.9</td><td align="center">20.9</td><td align="center">25.3</td><td align="center">27.9</td><td align="center">26.1</td><td align="center">28.7</td></tr><tr valign="top"><td scope="row">General Internal Medicine</td><td align="center">33</td><td align="center">58.2</td><td align="center">29.5</td><td align="center">32.5</td><td align="center">40.1</td><td align="center">9.5</td></tr><tr valign="top"><td scope="row">Pediatrics</td><td align="center">15.7</td><td align="center">26</td><td align="center">16.8</td><td align="center">17.2</td><td align="center">20.6</td><td align="center">3.7</td></tr><tr valign="top"><td scope="row">Obstetrics &amp; Gynecology</td><td align="center">11.2</td><td align="center">15.2</td><td align="center">11.7</td><td align="center">11.4</td><td align="center">13.4</td><td align="center">3.1</td></tr></table><p>&#160;</p><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Specialty</th><th scope="col">Midwest</th><th scope="col">Northeast</th><th scope="col">South</th><th scope="col">West</th><th scope="col">Metropolitan</th><th scope="col">Nonmetropolitan</th></tr><tr valign="top"><td scope="row">Family Medicine Subspecialist</td><td align="center">0.47</td><td align="center">0.34</td><td align="center">0.36</td><td align="center">0.35</td><td align="center">0.41</td><td align="center">&#160;</td></tr><tr valign="top"><td scope="row">Internal Medicine Subspecialist</td><td align="center">13</td><td align="center">21.7</td><td align="center">12.4</td><td align="center">11.4</td><td align="center">15.9</td><td align="center">1.2</td></tr><tr valign="top"><td scope="row">Pediatric Subspecialist</td><td align="center">6.8</td><td align="center">8</td><td align="center">5.7</td><td align="center">4.9</td><td align="center">6.9</td><td align="center">0.7</td></tr><tr valign="top"><td scope="row">Obstetrics &amp; Gynecology Subspecialist</td><td align="center">1</td><td align="center">1.9</td><td align="center">1.5</td><td align="center">1.2</td><td align="center">1.6</td><td align="center">0.3</td></tr></table><p><strong>Source:</strong> U.S. Department of Health and Human Services, Health Resources and Services Administration, Area Resource File.<br /><strong>Note:</strong> Nonmetropolitan family medicine subspecialist rate did not meet criteria for statistical reliability.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap8.html#fig84">Return to Document</a></p><h4 class="figcaption"><a id="fig85" name="fig85"></a>Figure 8.5. Trauma center utilization for severe injuries in the United States, by age and geographic location, 2009</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Age Group / Location</th><th scope="col">Trauma Level I &amp; II</th><th scope="col">Trauma Level III</th><th scope="col">Nontrauma</th></tr><tr valign="top"><td scope="row">0-24</td><td align="center">70.0</td><td align="center">7.8</td><td align="center">22.2</td></tr><tr valign="top"><td scope="row">25-44</td><td align="center">72.5</td><td align="center">6.8</td><td align="center">20.8</td></tr><tr valign="top"><td scope="row">45-64</td><td align="center">64.4</td><td align="center">8.2</td><td align="center">27.4</td></tr><tr valign="top"><td scope="row">65+</td><td align="center">47.2</td><td align="center">8.0</td><td align="center">44.8</td></tr><tr valign="top"><td scope="row">Large Central Metropolitan</td><td align="center">67.3</td><td align="center">&#160;</td><td align="center">29.0</td></tr><tr valign="top"><td scope="row">Large Fringe Metropolitan</td><td align="center">67.5</td><td align="center">3.0</td><td align="center">29.5</td></tr><tr valign="top"><td scope="row">Medium Metropolitan</td><td align="center">65.1</td><td align="center">4.3</td><td align="center">30.6</td></tr><tr valign="top"><td scope="row">Small Metropolitan</td><td align="center">41.1</td><td align="center">30.4</td><td align="center">28.5</td></tr><tr valign="top"><td scope="row">Micropolitan</td><td align="center">47.5</td><td align="center">12.1</td><td align="center">40.5</td></tr><tr valign="top"><td scope="row">Nonmetropolitan</td><td align="center">45.5</td><td align="center">12.1</td><td align="center">42.5</td></tr></table><p><strong>Source:</strong> Agency for Healthcare Research and Quality (AHRQ), Healthcare Utilization Project, Nationwide Emergency Department Sample, 2009.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap8.html#fig85">Return to Document</a></p><h4 class="figcaption"><a id="fig86" name="fig86"></a>Figure 8.6. Characteristics of FFHC patients, by age, gender, and insurance status, 2011</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Age Group / Gender / Insurance</th><th scope="col">Percentage</th></tr><tr valign="top"><td scope="row">&lt;20</td><td align="center">35</td></tr><tr valign="top"><td scope="row">20-64</td><td align="center">58.1</td></tr><tr valign="top"><td scope="row">65+</td><td align="center">6.9</td></tr><tr valign="top"><td scope="row">Male</td><td align="center">41.3</td></tr><tr valign="top"><td scope="row">Female</td><td align="center">58.7</td></tr><tr valign="top"><td scope="row">Private Insurance</td><td align="center">14.1</td></tr><tr valign="top"><td scope="row">Medicare</td><td align="center">7.8</td></tr><tr valign="top"><td scope="row">Medicaid</td><td align="center">39.3</td></tr><tr valign="top"><td scope="row">Other Public</td><td align="center">2.4</td></tr><tr valign="top"><td scope="row">Uninsured</td><td align="center">36.4</td></tr></table><p><strong>Source:</strong> Health Resources and Services Administration, Bureau of Primary Health Care, Uniform Data System, 2011.<br /><strong>Note:</strong> Data were obtained from 1,128 Section 330g grantees.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap8.html#fig86">Return to Document</a></p><h4 class="figcaption"><a id="fig87" name="fig87"></a>Figure 8.7. FFHC patients with hypertension or diabetes whose symptoms are controlled, 2011</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">&#160;</th><th scope="col">Percentage</th></tr><tr valign="top"><td scope="row">Controlled Hypertension</td><td align="center">63.3</td></tr><tr valign="top"><td scope="row">Controlled Diabetes</td><td align="center">39.8</td></tr></table><p><strong>Source:</strong> Health Resources and Services Administration, Bureau of Primary Health Care, Uniform Data System, 2011.<br /><strong>Note:</strong> 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&#39;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&#39;s most recent hemoglobin A1c level was 7% or less.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap8.html#fig87">Return to Document</a></p> </div>
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<div class="current-as-of">Page last reviewed May 2013</div>
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<span>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</span>
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