A majority (55%) of California primary-care physicians now use electronic health-record systems, according to a new report (PDF) from the California HealthCare Foundation.
Most Calif. docs using EHRs: report
The 41-page report, "The State of Health Information Technology in California," also showed, as has been found in similar surveys, that when it comes to IT adoption, the size of a physician practice matters.
For example, just 20% of solo practitioners have adopted an EHR, compared with 39% of practices with two to five physicians, 64% of groups with between six and 50 doctors, and 80% of groups that have 51 or more physicians. For all medical specialties and practice sizes, 48% of physicians in California have implemented EHR systems, according to the foundation.
Lesser forms of computerized assistance are in wider use at California practices: More than seven in 10 practices in the state (72%), including a majority (58%) of solo practices, have implemented some form of decision-support tool for diagnosis and treatment recommendations.
Meanwhile, hospitals' use of IT varied widely by EHR application.
For example, almost 90% of California hospitals either have or are installing clinical decision-support systems, according to the report, but just 40% have computerized order entry systems.
Nearly one-third (32%) of hospitals currently have an electronic clinical documentation system in place; one-quarter are either implementing one or are contracting to have one built.
Thirty-six percent of hospitals have CPOE implemented in at least one unit.
A large majority—89%—of California hospitals have an electronic lab-reporting system fully implemented in at least one unit.
Data for the CHCF report came from seven separate sources, including CHCF-funded research, HIMSS Analytics, the American Hospital Association and Harris Interactive.
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