Transcript Chartpack - The Commonwealth Fund

Figure 1. Only 28 Percent of U.S. Primary Care Physicians Have
Electronic Medical Records; Only 19 Percent Have Advanced IT Capacity
Percent reporting EMRs
100
98
92
Percent reporting 7 or more out of 14
advanced IT functions*
100
89
87
79
75
83
72
75
59
50
50
42
28
25
32
23
25
19
8
0
0
NET
NZ
UK
AUS
GER
US
CAN
NZ
UK
AUS
NET
GER
* Count of 14: EMR; EMR access other doctors, outside office, patients; routine use electronic ordering tests,
prescriptions; access test results, hospital records; computer for reminders, Rx alerts; prompt tests results;
and easy to list diagnosis, medications, patients due for care.
Source: 2006 Commonwealth Fund International Health Policy Survey of Primary Care Physicians.
US
CAN
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Figure 2. Physicians with Advanced IT Capacity in Seven Nations
Are More Likely to Report Being Well-Prepared to Provide Optimal Care
for Patients with Chronic Conditions
Percent of physicians who feel well-prepared to provide optimal care
for patients with multiple chronic conditions
100
75
74
66
71 *
78 ***
50
25
0
Total
Low (0–2)
Medium (3–6)
High (7–14)
IT Functional Capacity
Note: Adjusted percentages based on logit models; Difference from practice with low IT capacity
is statistically significant: *** p<0.001, * p<0.05.
Data: 2006 Commonwealth Fund International Health Policy Survey of Primary Care Physicians.
Source: K. Davis, M. M. Doty, K. Shea, and K. Stremikis, “Health Information Technology and Physician Perceptions
of Quality of Care and Satisfaction,” Health Policy (published online Nov. 25, 2008, in advance of print).
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Figure 3. Hospitals with Automated Clinical Decision Support
Generate Savings
Mean adjusted hospital savings per hospitalization*
$1,500
$1,250
$1,043
$1,000
$750
$555
$538
$500
$363
$225
$250
$0
All patients
Patients with
myocardial
infarction
Patients with
heart failure
Patients with
coronary artery
bypass surgery
Patients with
pneumonia
* Adjusted for patient complication risk; patient mortality risk; and hospital size, total margin, and ownership. Savings
associated with a 10-point increase in Clinical Information Technology Assessment Tool subdomain score.
Source: R. Amarasingham, L. Plantinga, M. Diener-West et al., “Clinical Information Technologies and Inpatient
Outcomes: A Multiple Hospital Study,” Archives of Internal Medicine, Jan. 26, 2009 169(2):108–14.
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Figure 4. Geisinger Medical Home Pilot Sites Reduce Medical Cost
by Four Percent in First Year
Allowed per member per month
Non-medical home
Medical home
630
620
610
600
590
580
570
560
550
CY 2006
CY 2007
Source: G. Steele, “Geisinger Quality—Striving for Perfection,” Presentation to The Commonwealth Fund
Bipartisan Congressional Health Policy Conference, Jan. 10, 2009.
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