National Healthcare Disparities Report - LDI Health Economist

Health System Infrastructure
Clinical Notes
n In 2007, of those agencies that had an EHR system, 97% of agencies in the Midwest, 82% of
agencies in the West, 80% of agencies in the South, and 64% of agencies in the Northeast had an
EHR system with a component for clinical notes.
n More than 95% of agencies that are private, not for profit, 80% of agencies that are government
owned, and 70% of agencies that are for profit had EHRs with a component for clinical notes.
Clinical Decision Support System
n In 2007, of those agencies that had an EHR system, 60% of agencies in the Midwest, 59% of
agencies in the South, and 49% of agencies in the Northeast had EHRs with a component for
clinical decision support.
n More than 71% of private, not-for-profit providers and 40% of for-profit providers had EHRs with a
component for clinical decision support.
Chapter 8
Computerized Provider Order Entry
n In 2007, of those agencies that had an EHR system, 51% in the Midwest and 42% in the South had
EHRs with a CPOE component.
n Nearly 46% of providers of home health or hospice care that are private, not for profit had EHRs
with a CPOE component.
Also, in the NHQR:
n In 2007, among agencies with an EHR, those with101-150 current patients had the lowest
percentage of providers of home health or hospice care whose EHRs included patient demographics
(96%). Of the agencies that had an EHR system, 99% of agencies with 151 or more current patients,
99.2% of agencies with 50 or fewer current patients, and 99.7% of agencies with 51-100 current
patients had providers with EHR systems that had a component for patient demographics.
n Three-quarters of agencies with 151 or more current patients, 67% of agencies with 51-100 current
patients, and 31% of agencies with 50 or fewer current patients had EHRs with a CDS component.
n Nearly 63% of organizations that had an EHR system and 51-100 current patients, 53% of
organizations with 151 or more current patients, and 38% of organizations with 50 or fewer current
patients had EHRs with a component for CPOE.
Workforce Diversity
According to the U.S. Census Bureau (2011), adults age 65 and over accounted for 13% (40.3 million) of the
U.S. population in 2010 (Howden & Meyer, 2011). By 2050, that number will more than double to 88.5
million (20%). In 2010, the number of people age 100 and over reached 71,991, and this population is
projected to grow to 601,000 by 2050 (U.S. Census Bureau, 2011).
Older adults are at increased risk of accidental falls, which are associated with reduced levels of
independence, poorer quality of life, and high levels of anxiety (Hanley, et al., 2011). In 2009, 2.2 million
nonfatal falls among older adults were treated in emergency departments and more than 520,000 of these
patients were hospitalized (Centers for Disease Control and Prevention [CDC], 2011). Occupational and
physical therapy can help patients recover from injury and can prevent falls.
National Healthcare Disparities Report, 2011
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