As of 2013, about 87.8% of the 1,202 federally funded health centers had installed an EHR system, up from 79.3% in 2012, according to the data. All of those centers had an EHR system available to all health care providers at all sites, while another 8.1% had EHR systems that were limited to certain sites and providers.
However, the overall number of health centers operating patient-centered medical homes was 54% — unchanged from 2012, according to HRSA.
In addition, HRSA found that among the 1,152 health centers with EHR functionalities:
- 99.9% included patient history and demographics;
- 99.9% included clinical notes;
- 99.9% had protections in place for electronic health data;
- 99.5% included electronic prescription capabilities;
- 99.5% could provide clinical summaries for patients on each provider visit;
- 98.6% included computerized provider order entry for lab tests;
- 97.2% included reminders for guidance-based interventions or screening tests;
- 95.9% could provide patients with a copy of their medical data upon request;
- 85.9% could electronically share clinical data among care providers and patient-authorized entities;
- 80.3% included CPOE for radiology tests;
- 74.9% could electronically report data to immunization registries; and
- 48.3% can electronically report notifiable diseases (Murphy, EHR Intelligence, 8/15).
Plans To Incorporate Patient Work Information
According to HRSA, CDC’s National Institute for Occupational Safety and Health — or NIOSH — EHR Working Group also is working with community health centers to incorporate patient work data into EHR systems (Slabodkin, Health Data Management, 8/18).
Specifically, the working group has launched a pilot program with St. John’s Well Child and Family Center to modify the GE Centricity EHR to include data on patients’ work histories. The center will collect data over the course of one year, allowing staff to incorporate the information into clinical and population health programs and assess the effect on health center workflow.
According to a NIOSH blog post, the data will help the center “identify and treat work-related health concerns and provide advocacy on behalf of low-wage worker populations in their service area.”
In addition, NIOSH has:
- Launched a project to develop work-related clinical decision support for common health issues in primary care, including asthma, diabetes and return-to-work guidance; and
- Announced plans to launch an “Occupational Data for Health” information model that provides guidance for programming the most useful work-related data (Souza/Wittie, “Buzz Blog,” Health IT Buzz, 8/15).