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J Am Med Inform Assoc 16:179-186 doi:10.1197/jamia.M2955
  • Perspectives on Informatics

Use of Electronic Information Systems in Nursing Homes: United States, 2004

Table 2

National Estimates of Electronic Medical Records in Different Health Care Sectors

Percent with EMR/EHR or Function by Sector
Survey Definition of EMR/EHR or Function Studied Hospitals Physicians (Ambulatory Care) Nursing Homes
200515 Electronic documentation of patient characteristics—could include clinical notes or only demographics 59%
200316 Computerized physician order entry (CPOE) 5%
2005 NAMCS17 Full or partial electronic medical record* 25%
Full EMR† 9%
2007/0818 Basic EHR‡ 13%
Fully functional EHR§ 4%
2004 NNHS The MDS—patient assessment information 96%
EHR A: Patient medical records—includes MDS, nurses' notes, and physician notes 43%
EHR B: Patient medical records, physician orders, medication orders/drug dispensing, laboratory/procedures information 20%
EHR C: Same components as EHR B (above) plus medication administration information 17%
  • EMR = electronic medical record; EHR = electronic health record.

  • * Answered yes to question “Do you use full or partial (part paper, part electronic) electronic medical records?” OR had all 4 components of a full EMR.

  • Had all 4 of these computerized functions: orders for prescriptions, orders for tests, test results, physician notes.

  • Had all these electronic functions: patient demographics, patient problem lists, medication lists, clinical notes, orders for prescriptions, viewing laboratory results, viewing imaging results.

  • § All of the functions of basic EHR plus various clinical decision support tools (e.g., out of range test levels highlighted).

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