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<h1 class="page__title title" id="page-title">National Healthcare Quality & National Healthcare Disparities Reports: Measure Specification Appendix, 2013</h1>
<div class="field field-name-field-subtitle field-type-text field-label-hidden"><div class="field-items"><div class="field-item even">Health System Infrastructure: Information Technology</div></div></div><div class="field field-name-ahrq-generic-body field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even"><p><a id="top" name="top">&nbsp;</a></p>
<h3>Measures</h3>
<p><a href="#hit1">Hospitals with fully implemented electronic medical record system</a><br />
<a href="#hit2">Hospitals with computerized system that supports medication lists</a><br />
<a href="#hit3">Hospitals with computerized system that supports drug decision support</a><br />
<a href="#hit4">Hospitals with computerized system that supports computerized physician order entry (CPOE) systems</a><br />
<a href="#hit5">Hospitals with computerized system that supports pharmaceutical bar coding</a><br />
<a href="#hit10">Office-based physicians with a computerized system for ordering prescriptions electronically</a><br />
<a href="#hit11">Office-based physicians with a computerized system for sending prescriptions electronically to the pharmacy</a><br />
<a href="#hit12">Office-based physicians with a computerized system for providing warnings of drug interactions or contraindications</a><br />
<a href="#hit13">Office-based physicians with a computerized system for providing reminders</a><br />
<a href="#hit14">Office-based physicians with a computerized system for providing clinical decision support</a><br />
<a href="#hit15">Office-based physicians with a computerized system for recording patient demographic information</a><br />
<a href="#hit16">Office-based physicians with a computerized system for providing clinical notes</a><br />
<a href="#hit17">Office-based physicians who have an electronic medical records system (not including billing)</a><br />
&nbsp;</p>
<hr />
<p><a id="hit1" name="hit1">&nbsp;</a></p>
<h3>Measure Title</h3>
<p>Hospitals with fully implemented electronic medical record system</p>
<h3>Measure Source</h3>
<p>American Hospital Association (AHA) Survey, Information Technology (IT) Supplement</p>
<h3>Table Description</h3>
<h4>Geographic Representation</h4>
<p>National, State</p>
<h4>Years Available</h4>
<p>State: 2011</p>
<p>National: 2011</p>
<h4>Population Subgroups</h4>
<p>Hospital bed size, control, geographic location, graduate medical education program, hospital type, medical school affiliation, member of Council of Teaching Hospitals, region</p>
<h3>Data Sources</h3>
<h4>National &amp; State</h4>
<p>AHA Survey, IT Supplement</p>
<h3>Denominator</h3>
<p>Number of hospitals that responded to the question, "Does your hospital currently have a computerized system which allows for electronic documentation of patient demographics, physician notes, nursing notes, problem lists, medication lists, discharges summaries, and advanced directives?"</p>
<h3>Numerator</h3>
<p>Subset of the denominator that responded positively to all components of the question</p>
<h3>Comments</h3>
<p>The 2011 AHA IT Supplement was sent to 6,253 non-Federal acute care hospitals in the United States, including non-AHA member hospitals. The response rate was 54.8%. If data are missing, the hospital is not included in the numerator or denominator of measures.</p>
<p class="size2"><a href="#top">Top of Page</a></p>
<hr />
<p><a id="hit2" name="hit2">&nbsp;</a></p>
<h3>Measure Title</h3>
<p>Hospitals with computerized system that supports medication lists</p>
<h3>Measure Source</h3>
<p>American Hospital Association (AHA) Survey, Information Technology (IT) Supplement</p>
<h3>Table Description</h3>
<h4>Geographic Representation</h4>
<p>National, State</p>
<h4>Years Available</h4>
<p>State: 2011</p>
<p>National: 2011</p>
<h4>Population Subgroups</h4>
<p>Hospital bed size, control, geographic location, graduate medical education program, hospital type, medical school affiliation, member of Council of Teaching Hospitals, region</p>
<h3>Data Sources</h3>
<h4>National &amp; State</h4>
<p>AHA Survey, IT Supplement</p>
<h3>Denominator</h3>
<p>Number of hospitals that responded to the question, "Does your hospital currently have a computerized system which allows for medication management for comparing a patients inpatient and preadmission medication lists, providing an updated medication lists at the time of discharge, checking the inpatient prescriptions against an internal formulary, tracking automatically medications with an electronic medication administration, and prescribing electronically discharge medication orders?"</p>
<h3>Numerator</h3>
<p>Subset of the denominator that responded positively to all components of the question</p>
<h3>Comments</h3>
<p>The 2011 AHA IT Supplement was sent to 6,253 non-Federal acute care hospitals in the United States, including non-AHA member hospitals. The response rate was 54.8%. If data are missing, the hospital is not included in the numerator or denominator of measures.</p>
<p class="size2"><a href="#top">Top of Page</a></p>
<hr />
<p><a id="hit3" name="hit3">&nbsp;</a></p>
<h3>Measure Title</h3>
<p>Hospitals with computerized system that supports drug decision support</p>
<h3>Measure Source</h3>
<p>American Hospital Association (AHA) Survey, Information Technology (IT) Supplement</p>
<h3>Table Description</h3>
<h4>Geographic Representation</h4>
<p>National, State</p>
<h4>Years Available</h4>
<p>State: 2011</p>
<p>National: 2011</p>
<h4>Population Subgroups</h4>
<p>Hospital bed size, control, geographic location, graduate medical education program, hospital type, medical school affiliation, member of Council of Teaching Hospitals, region</p>
<h3>Data Sources</h3>
<h4>National &amp; State</h4>
<p>AHA Survey, IT Supplement</p>
<h3>Denominator</h3>
<p>Number of hospitals that responded to the question, "Does your hospital currently have a computerized system which allows for decision support of drug allergy alerts, drug-drug interaction alerts, drug-lab interaction alerts, and drug dosing support?"</p>
<h3>Numerator</h3>
<p>Subset of the denominator that responded positively to all components of the question</p>
<h3>Comments</h3>
<p>The 2011 AHA IT Supplement was sent to 6,253 non-Federal acute care hospitals in the United States, including non-AHA member hospitals. The response rate was 54.8%. If data are missing, the hospital is not included in the numerator or denominator of measures.</p>
<p class="size2"><a href="#top">Top of Page</a></p>
<hr />
<p><a id="hit4" name="hit4">&nbsp;</a></p>
<h3>Measure Title</h3>
<p>Hospitals with computerized system that supports computerized physician order entry (CPOE) systems</p>
<h3>Measure Source</h3>
<p>American Hospital Association (AHA) Survey, Information Technology (IT) Supplement</p>
<h3>Table Description</h3>
<h4>Geographic Representation</h4>
<p>National, State</p>
<h4>Years Available</h4>
<p>State: 2011</p>
<p>National: 2011</p>
<h4>Population Subgroups</h4>
<p>Hospital bed size, control, geographic location, graduate medical education program, hospital type, medical school affiliation, member of Council of Teaching Hospitals, region</p>
<h3>Data Sources</h3>
<h4>National &amp; State</h4>
<p>AHA Survey, IT Supplement</p>
<h3>Denominator</h3>
<p>Number of hospitals that responded to the question, "Does your hospital currently have a computerized system which allows for computerized provider order entry of medications?"</p>
<h3>Numerator</h3>
<p>Subset of the denominator that responded positively to the question</p>
<h3>Comments</h3>
<p>The 2011 AHA IT Supplement was sent to 6,253 non-Federal acute care hospitals in the United States, including non-AHA member hospitals. The response rate was 54.8%. If data are missing, the hospital is not included in the numerator or denominator of measures.</p>
<p class="size2"><a href="#top">Top of Page</a></p>
<hr />
<p><a id="hit5" name="hit5">&nbsp;</a></p>
<h3>Measure Title</h3>
<p>Hospitals with computerized system that supports pharmaceutical bar coding</p>
<h3>Measure Source</h3>
<p>American Hospital Association (AHA) Survey, Information Technology (IT) Supplement</p>
<h3>Table Description</h3>
<h4>Geographic Representation</h4>
<p>National, State</p>
<h4>Years Available</h4>
<p>State: 2011</p>
<p>National: 2011</p>
<h4>Population Subgroups</h4>
<p>Hospital bed size, control, geographic location, graduate medical education program, hospital type, medical school affiliation, member of Council of Teaching Hospitals, region</p>
<h3>Data Sources</h3>
<h4>National &amp; State</h4>
<p>AHA Survey, IT Supplement</p>
<h3>Denominator</h3>
<p>Number of hospitals that responded to the question, "Does your hospital currently have a computerized system which allows for bar coding or radio frequency identification for closed-loop medication tracking for medication administration and pharmacy verification?"</p>
<h3>Numerator</h3>
<p>Subset of the denominator that responded positively to both parts of the question</p>
<h3>Comments</h3>
<p>The 2011 AHA IT Supplement was sent to 6,253 non-Federal acute care hospitals in the United States, including non-AHA member hospitals. The response rate was 54.8%. If data are missing, the hospital is not included in the numerator or denominator of measures.</p>
<p class="size2"><a href="#top">Top of Page</a></p>
<hr />
<p><a id="hit10" name="hit10">&nbsp;</a></p>
<h3>Measure Title</h3>
<p>Office-based physicians with a computerized system for ordering prescriptions electronically</p>
<h3>Measure Source</h3>
<p>Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Ambulatory Medical Care Survey (NAMCS)</p>
<h3>Table Description</h3>
<h4>Geographic Representation</h4>
<p>National</p>
<h4>Years Available</h4>
<p>2009-2012</p>
<h4>Population Subgroups</h4>
<p>Age of physician, geographic location (residence), ownership, practice size, race/ethnicity, region, specialty</p>
<h3>Data Sources</h3>
<p>Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Ambulatory Medical Care Survey (NAMCS)</p>
<h3>Denominator</h3>
<p>Physicians in the United States providing direct patient care in office-based practices and clinicians in community health centers. Physicians with specialties in radiology, anesthesiology, and pathology are excluded.</p>
<h3>Numerator</h3>
<p>Subset of physicians in the denominator with a computerized system ordering prescriptions electronically to the pharmacy</p>
<h3>Comments</h3>
<p>Since 2008, a supplemental mail survey on EHR systems has been conducted in addition to the core NAMCS, which is an in-person survey. In 2008 and 2009, samples of physicians in the core NAMCS and the supplemental mail survey—stratified by specialty—were chosen from selected geographic areas. Starting in 2010, the NAMCS EHR mail-survey sample size was increased fivefold to produce standalone estimates without needing to be combined with the core NAMCS. The 2012-2013 estimates are from the NAMCS EHR survey.</p>
<p class="size2"><a href="#top">Top of Page</a></p>
<hr />
<p><a id="hit11" name="hit11">&nbsp;</a></p>
<h3>Measure Title</h3>
<p>Office-based physicians with a computerized system for sending prescriptions electronically to the pharmacy</p>
<h3>Measure Source</h3>
<p>Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Ambulatory Medical Care Survey (NAMCS)</p>
<h3>Table Description</h3>
<h4>Geographic Representation</h4>
<p>National</p>
<h4>Years Available</h4>
<p>2009-2012</p>
<h4>Population Subgroups</h4>
<p>Age of physician, geographic location (facility), ownership, practice size, race/ethnicity, region, specialty</p>
<h3>Data Sources</h3>
<p>Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Ambulatory Medical Care Survey (NAMCS)</p>
<h3>Denominator</h3>
<p>Physicians in the United States providing direct patient care in office-based practices and clinicians in community health centers. Physicians with specialties in radiology, anesthesiology, and pathology are excluded.</p>
<h3>Numerator</h3>
<p>Subset of physicians in the denominator with a computerized system for sending prescriptions electronically to the pharmacy</p>
<h3>Comments</h3>
<p>Since 2008, a supplemental mail survey on EHR systems has been conducted in addition to the core NAMCS, which is an in-person survey. In 2008 and 2009, samples of physicians in the core NAMCS and the supplemental mail survey—stratified by specialty—were chosen from selected geographic areas. Starting in 2010, the NAMCS EHR mail-survey sample size was increased fivefold to produce standalone estimates without needing to be combined with the core NAMCS. The 2012-2013 estimates are from the NAMCS EHR survey.</p>
<p class="size2"><a href="#top">Top of Page</a></p>
<hr />
<p><a id="hit12" name="hit12">&nbsp;</a></p>
<h3>Measure Title</h3>
<p>Office-based physicians with a computerized system for providing warnings of drug interactions or contraindications</p>
<h3>Measure Source</h3>
<p>Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Ambulatory Medical Care Survey (NAMCS)</p>
<h3>Table Description</h3>
<h4>Geographic Representation</h4>
<p>National</p>
<h4>Years Available</h4>
<p>2009-2012</p>
<h4>Population Subgroups</h4>
<p>Age of physician, geographic location (facility), ownership, practice size, race/ethnicity, region, specialty</p>
<h3>Data Sources</h3>
<p>Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Ambulatory Medical Care Survey (NAMCS)</p>
<h3>Denominator</h3>
<p>Physicians in the United States providing direct patient care in office-based practices and clinicians in community health centers. Physicians with specialties in radiology, anesthesiology, and pathology are excluded.</p>
<h3>Numerator</h3>
<p>Subset of the denominator with a computerized system for providing warnings of drug interactions or contraindications</p>
<h3>Comments</h3>
<p>Since 2008, a supplemental mail survey on EHR systems has been conducted in addition to the core NAMCS, which is an in-person survey. In 2008 and 2009, samples of physicians in the core NAMCS and the supplemental mail survey—stratified by specialty—were chosen from selected geographic areas. Starting in 2010, the NAMCS EHR mail-survey sample size was increased fivefold to produce standalone estimates without needing to be combined with the core NAMCS. The 2012-2013 estimates are from the NAMCS EHR survey.</p>
<p class="size2"><a href="#top">Top of Page</a></p>
<hr />
<p><a id="hit13" name="hit13">&nbsp;</a></p>
<h3>Measure Title</h3>
<p>Office-based physicians with a computerized system for providing reminders</p>
<h3>Measure Source</h3>
<p>Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Ambulatory Medical Care Survey (NAMCS)</p>
<h3>Table Description</h3>
<h4>Geographic Representation</h4>
<p>National</p>
<h4>Years Available</h4>
<p>2009-2013</p>
<h4>Population Subgroups</h4>
<p>Age of physician, geographic location (residence), ownership, practice size, race/ethnicity, region, specialty</p>
<h3>Data Sources</h3>
<p>Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Ambulatory Medical Care Survey (NAMCS)</p>
<h3>Denominator</h3>
<p>Physicians in the United States providing direct patient care in office-based practices and clinicians in community health centers. Physicians with specialties in radiology, anesthesiology, and pathology are excluded.</p>
<h3>Numerator</h3>
<p>Subset of denominator with a computerized system for providing reminders</p>
<h3>Comments</h3>
<p>Since 2008, a supplemental mail survey on EHR systems has been conducted in addition to the core NAMCS, which is an in-person survey. In 2008 and 2009, samples of physicians in the core NAMCS and the supplemental mail survey—stratified by specialty—were chosen from selected geographic areas. Starting in 2010, the NAMCS EHR mail-survey sample size was increased fivefold to produce standalone estimates without needing to be combined with the core NAMCS. The 2012-2013 estimates are from the NAMCS EHR survey.</p>
<p class="size2"><a href="#top">Top of Page</a></p>
<hr />
<p><a id="hit14" name="hit14">&nbsp;</a></p>
<h3>Measure Title</h3>
<p>Office-based physicians with a computerized system for providing clinical decision support</p>
<h3>Measure Source</h3>
<p>Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Ambulatory Medical Care Survey (NAMCS)</p>
<h3>Table Description</h3>
<h4>Geographic Representation</h4>
<p>National</p>
<h4>Years Available</h4>
<p>2011, 2012</p>
<h4>Population Subgroups</h4>
<p>Age of physician, geographic location (residence), ownership, practice size, race/ethnicity, region, specialty</p>
<h3>Data Sources</h3>
<p>Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Ambulatory Medical Care Survey (NAMCS)</p>
<h3>Denominator</h3>
<p>Physicians in the United States providing direct patient care in office-based practices and clinicians in community health centers. Physicians with specialties in radiology, anesthesiology, and pathology are excluded.</p>
<h3>Numerator</h3>
<p>Subset of denominator with a computerized system for providing clinical support. Computerized systems with clinical support are those that have the capability to both provide reminders and provide warnings of drug interactions or contraindications.</p>
<h3>Comments</h3>
<p>Since 2008, a supplemental mail survey on EHR systems has been conducted in addition to the core NAMCS, which is an in-person survey. In 2008 and 2009, samples of physicians in the core NAMCS and the supplemental mail survey—stratified by specialty—were chosen from selected geographic areas. Starting in 2010, the NAMCS EHR mail-survey sample size was increased fivefold to produce standalone estimates without needing to be combined with the core NAMCS. The 2012-2013 estimates are from the NAMCS EHR survey.</p>
<p class="size2"><a href="#top">Top of Page</a></p>
<hr />
<p><a id="hit15" name="hit15">&nbsp;</a></p>
<h3>Measure Title</h3>
<p>Office-based physicians with a computerized system for recording patient demographic information</p>
<h3>Measure Source</h3>
<p>Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Ambulatory Medical Care Survey (NAMCS)</p>
<h3>Table Description</h3>
<h4>Geographic Representation</h4>
<p>National</p>
<h4>Years Available</h4>
<p>2010-2012</p>
<h4>Population Subgroups</h4>
<p>Age of physician, geographic location (residence), ownership, practice size, race/ethnicity, region, specialty</p>
<h3>Data Sources</h3>
<p>Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Ambulatory Medical Care Survey (NAMCS)</p>
<h3>Denominator</h3>
<p>Physicians in the United States providing direct patient care in office-based practices and clinicians in community health centers. Physicians with specialties in radiology, anesthesiology, and pathology are excluded.</p>
<h3>Numerator</h3>
<p>Subset of denominator with a computerized system for recording patient demographic information</p>
<h3>Comments</h3>
<p>Since 2008, a supplemental mail survey on EHR systems has been conducted in addition to the core NAMCS, which is an in-person survey. In 2008 and 2009, samples of physicians in the core NAMCS and the supplemental mail survey—stratified by specialty—were chosen from selected geographic areas. Starting in 2010, the NAMCS EHR mail-survey sample size was increased fivefold to produce standalone estimates without needing to be combined with the core NAMCS. The 2012-2013 estimates are from the NAMCS EHR survey.</p>
<p class="size2"><a href="#top">Top of Page</a></p>
<hr />
<p><a id="hit16" name="hit16">&nbsp;</a></p>
<h3>Measure Title</h3>
<p>Office-based physicians with a computerized system for providing clinical notes</p>
<h3>Measure Source</h3>
<p>Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Ambulatory Medical Care Survey (NAMCS)</p>
<h3>Table Description</h3>
<h4>Geographic Representation</h4>
<p>National</p>
<h4>Years Available</h4>
<p>2010, 2011, 2012</p>
<h4>Population Subgroups</h4>
<p>Age of physician, geographic location (facility), ownership, practice size, race/ethnicity, region, specialty</p>
<h3>Data Sources</h3>
<p>Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Ambulatory Medical Care Survey (NAMCS)</p>
<h3>Denominator</h3>
<p>Physicians in the United States providing direct patient care in office-based practices and clinicians in community health centers. Physicians with specialties in radiology, anesthesiology, and pathology are excluded.</p>
<h3>Numerator</h3>
<p>Subset of denominator with a computerized system for providing clinical notes</p>
<h3>Comments</h3>
<p>Since 2008, a supplemental mail survey on EHR systems has been conducted in addition to the core NAMCS, which is an in-person survey. In 2008 and 2009, samples of physicians in the core NAMCS and the supplemental mail survey—stratified by specialty—were chosen from selected geographic areas. Starting in 2010, the NAMCS EHR mail-survey sample size was increased fivefold to produce standalone estimates without needing to be combined with the core NAMCS. The 2012-2013 estimates are from the NAMCS EHR survey.</p>
<p class="size2"><a href="#top">Top of Page</a></p>
<hr />
<p><a id="hit17" name="hit17">&nbsp;</a></p>
<h3>Measure Title</h3>
<p>Office-based physicians who have an electronic medical records system (not including billing)</p>
<h3>Measure Source</h3>
<p>Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Ambulatory Medical Care Survey (NAMCS)</p>
<h3>Table Description</h3>
<h4>Geographic Representation</h4>
<p>National</p>
<h4>Years Available</h4>
<p>2012</p>
<h4>Population Subgroups</h4>
<p>Age of physician, geographic location (residence), ethnicity, practice size, region, specialty</p>
<h3>Data Sources</h3>
<p>Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Ambulatory Medical Care Survey (NAMCS)</p>
<h3>Denominator</h3>
<p>Physicians in the United States providing direct patient care in office-based practices and clinicians in community health centers. Physicians with specialties in radiology, anesthesiology, and pathology are excluded.</p>
<h3>Numerator</h3>
<p>Subset of denominator who have an electronic medical records system (not including billing)</p>
<h3>Comments</h3>
<p>Since 2008, a supplemental mail survey on EHR systems has been conducted in addition to the core NAMCS, which is an in-person survey. In 2008 and 2009, samples of physicians in the core NAMCS and the supplemental mail survey—stratified by specialty—were chosen from selected geographic areas. Starting in 2010, the NAMCS EHR mail-survey sample size was increased fivefold to produce standalone estimates without needing to be combined with the core NAMCS. The 2012-2013 estimates are from the NAMCS EHR survey.</p>
<p><a href="#top">Top of Page</a></p>
<p class="size2"><a href="/research/findings/nhqrdr/nhqrdr13/measurespec/index.html">Return to Contents</a><br />
<a href="/research/findings/nhqrdr/nhqrdr13/measurespec/hsi-trauma.html">Proceed to Next Section</a></p>
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Page last reviewed <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2014-07-01T00:00:00-04:00">July 2014</span> <br />Page originally created July 2014 </div>
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Internet Citation: National Healthcare Quality & National Healthcare Disparities Reports: Measure Specification Appendix, 2013. Content last reviewed July 2014. Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/research/findings/nhqrdr/nhqrdr13/measurespec/hsi-it.html<div class="citation-flag"></div>
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