米国電子カルテ導入率(州別)2012年全米平均39.6% (ブルームバーグ)

Top U.S. States Where Doctors Go Digital

Top U.S. States Where Doctors Go Digital: Going Paperless With Patients – Bloomberg
By Jordan Robertson – Jun 26, 2013 1:02 AM GMT+0900

順位  州名  電子カルテ導入率  電子処方システム導入率

1.ウィスコンシン州 Wisconsin 70.6% 67%
2.ミネソタ州 Minnesota 66.7% 72%
3.ノースダコタ州 North Dakota 63.2% 67%
4.マサチューセッツ州 Massachusetts 61.8% 77%
5.ユタ州 Utah 60.8% 35%
6.アイオワ州 Iowa 54.9% 71%
7.サウスダコタ州 South Dakota 53.2% 64%
8.デラウェア州 Delaware 53.2% 54%
9.ミズーリ州 Missouri 48.8% 62%
10.ワシントン州 Washington 48.7% 47%
11.ノースカロライナ州 North Carolina 48.3% 57%
12.アリゾナ州 Arizona 47.8% 45%
13.アーカンソー州 Arkansas 46.1% 53%
14.ニューハンプシャー州 New Hampshire 44.9% 75%
15.ニューヨーク州 New York 43.5% 42%
16.ニューメキシコ州 New Mexico 42.8% 44%
17.フロリダ州 Florida 41.7% 43%
18.アイダホ州 Idaho 41.6% 39%
19.テネシー州 Tennessee 40.7% 45%
20.オクラホマ州 Oklahoma 40.3% 45%
21.コロラド州 Colorado 39.6% 42%
22.インディアナ州 Indiana 39.3% 48%
23.ウェストバージニア州 West Virginia 39.1% 50%
24.オレゴン州 Oregon 38.4% 62%
25.メイン州 Maine 37.8% 54%
26.ミシガン州 Michigan 37.5% 43%
27.ロードアイランド州 Rhode Island 37.1% 59%
28.カリフォルニア州 California 36.8% 35%
29.カンザス州 Kansas 36.6% 51%
30.ハワイ州 Hawaii 36.6% 37%
31.モンタナ州 Montana 36.2% 41%
32.バーモント州 Vermont 36.1% 61%
33.イリノイ州 Illinois 35.2% 32%
34.アラスカ州 Alaska 36.1% 43%
35.アラバマ州 Alabama 35.2% 32%
36.ペンシルベニア州 Pennsylvania 35.1% 56%
37.オハイオ州 Ohio 34.3% 52%
38.ネバタ州 Nevada 33.8% 35%
39.ワイオミング州 Wyoming 33.5% 37%
40.テキサス州 Texas 33.3% 47%
41.ネブラスカ州 Nebraska 33% 53%
42.ミシシッピー州 Mississippi 32.5% 36%
43.バージニア州 Virginia 30.2% 53%
44.サウスカロライナ州 South Carolina 29.7% 43%
45.ジョージア州 Georgia 28.3% 44%
46.メリーランド州 Maryland 27.4% 38%
47.ケンタッキー州 Kentucky 27.2% 39%
48.ニュージャージー州 New Jersey 26.9% 36%
49.コネチカット州 Connecticut 26.9% 41%
50.ルイジアナ州 Louisiana 25% 37%
51.ワシントンD.C. Washington, D.C. 22.4% 51%
Note: A basic electronic medical record system is defined as one that provides access to a patient’s history, demographics and problem lists, physician clinical notes, comprehensive list of medications and allergies, computerized orders for prescriptions and laboratory and imaging results.



  1. kanrishi

    New on the MedlinePlus Personal Health Records page:

    U.S. Hospitals Triple Use of Electronic Health Records: Report
    System allows sharing of latest information on patients’ test results, treatments and meds
    Monday, July 8, 2013
    HealthDay news image
    Related MedlinePlus Pages
    Health Facilities
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    MONDAY, July 8 (HealthDay News) — U.S. hospitals have made major progress in adopting electronic health records systems over the past three years, according to a new report.

    The number of hospitals with a basic electronic health records (EHRs) system tripled from 2010 to 2012, with more than four of every 10 hospitals now equipped with the new health information technology, according to the report scheduled for Tuesday release by the Robert Wood Johnson Foundation.

    “Given the size of our country, that’s amazing progress in a very short time period,” said report co-author Dr. Ashish Jha, an associate professor with the Harvard School of Public Health.

    However, there is much more work to be done, the report indicates. These systems may have been adopted, but hospitals have not yet figured out how to use the new technology to improve patient safety and reduce health care costs.

    For example, the study found that 42 percent of hospitals now meet federal standards for collecting electronic health data, but only 5 percent also meet federal standards for exchanging that data with other providers to allow widespread physician access to a patient’s records.

    “The news here is mostly good, but we shouldn’t declare victory yet,” Jha said. “In other industries it takes about 10 years after technology is adopted to see real efficiencies. My hope is we’ll see that more quickly in health care. We don’t have 10 years to waste.”

    Researchers believe that three factors have combined to drive adoption of electronic health records — society’s increasing reliance on information technology, new federal funding to support purchase of EHR systems, and future penalties under the Affordable Care Act that will be assessed against providers who will not use EHRs.

    “It’s the right incentives at the right time,” Jha said. “Doctors and hospitals have been thinking about buying electronic health records [systems] for some time. This is where our society is moving. But the finances have been a challenge. The federal incentives have been very well targeted. They were well designed to help push hospitals and doctors to adopt EHRs.”

    Jha added that penalties for failure to act on electronic health records should not be underestimated as a motivating factor. “They are signaling if you don’t do it, a few years down the road we’re going to start paying you less,” he said. “That motivates people to say, ‘whoa, I’d better get on board.'”

    The report found that electronic health record adoption has increased throughout the American health care system. It’s not just big hospitals in major metropolitan centers that are purchasing the new technology. The number of rural hospitals with an EHR system increased from about 10 percent to 33.5 percent between 2010 and 2012, while urban hospitals saw EHR adoption rates rise from 17 percent to nearly 48 percent.

    “We saw a tremendous amount of activity throughout all subtypes of hospitals,” said co-author Catherine DesRoches, a senior scientist at Mathematica Policy Research. “The rate at which they are adopting has increased quite a bit.”

    The next step, in which health data is shared between providers, will be key to realizing the true potential of EHRs, DesRoches said.

    For example, patient safety should improve when doctors will have automatic access to a person’s health records, which allows them up-to-date information on medications prescribed, tests performed and treatments initiated.

    “It also has the potential to help with costs,” she said. “If you’re a patient and you get to your appointment and the specialist can see all of the tests that have already been ordered, they’re not going to order duplicate tests or ordering medications that might be contraindicated. The information’s right there in the record.”

    While the United States lags on effective EHR sharing, the report found reason for optimism. More health care providers are participating in initiatives that ultimately will connect their own electronic records systems to community-wide information exchanges.

    About one in four hospitals is now participating in health information exchange initiatives, up from 14 percent in 2010. Participation of outpatient practices in these initiatives has increased to 10 percent these days from 3 percent in 2010.

    “People who say we haven’t achieved those things and so it’s a waste, I caution them that it takes a while,” Jha said. “It’s going to take a little while to get electronic health records right. We just have to be patient and work hard.”

    SOURCES: Ashish K. Jha, M.D., associate professor, Harvard School of Public Health, Boston; Catherine DesRoches, senior scientist, Mathematica Policy Research, Princeton, N.J.; July 9, 2013, Robert Wood Johnson Foundation report, Health Information Technology in the United States, 2013



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