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HRSA Health Resources & Services Administration

Table EHR: Health Center Health Information Technology (HIT) Capabilities

National Data

1,370 Awardees

Line Measures Number of Health Centers or Number of Patients % of Total
1. Does your health center currently have an electronic health record (EHR) system installed and in use, at minimum for medical care, by December 31?
a. Yes, installed at all service delivery sites and used by all providers 1,353 98.76%
b. Yes, but only installed at some service delivery sites or used by some providers 11 0.80%
c. No 6 0.44%
Total Health Centers with an EHR (Sum 1a + 1b) 1,364 99.56%
Total Health Centers reported (Sum 1a + 1b +1c) 1,370 100.00%
1a. System is certified by the Office of the National Coordinator for Health IT (ONC) Health IT Certification Program? 1,342 98.39%
1b. Health Center switched their current EHR from a previous system this year 89 6.52%
1c. Health Center uses more than one EHR, data collection, and/or data analytics system across their organization 653 47.87%
1c1. What is the reason your organization uses multiple EHR or data systems?
a. Additional EHR/data system(s) are used during transition from one primary EHR to another 66 10.11%
b. Additional EHR/data system(s) are specific to one service type (e.g., dental, behavioral health, care coordination) 359 54.98%
c. Additional EHR/data system(s) are used at specific service delivery sites with no plan to transition 16 2.45%
d. Additional EHR/data system(s) are used for analysis and reporting (such as for clinical quality measures or custom reporting) 333 51.00%
e. Other 104 15.93%
4. Which of the following key providers/health care settings does your health center electronically exchange clinical or patient information with? (Select all that apply.)
a. Hospitals/Emergency rooms 998 72.85%
b. Specialty providers 842 61.46%
c. Other primary care providers 651 47.52%
d. Labs or imaging 1,181 86.20%
e. Health information exchange (HIE) 983 71.75%
f. Community-based organizations/social service partners 200 14.60%
g. None of the above 32 2.34%
h. Others 120 8.76%
5. Does your health center engage patients through health IT in any of the following ways? (Select all that apply.)
a. Patient portals 1,263 92.19%
b. Kiosks 354 25.84%
c. Secure messaging between patient and provider 1,039 75.84%
d. Online or virtual scheduling 394 28.76%
e. Automated electronic outreach for care gap closure or preventive care reminders 578 42.19%
f. Application programming interface (API)-cased patient access to their health record through mHealth apps 157 11.46%
g. Others 99 7.23%
h. No, we DO NOT engage patients using HIT 45 3.28%
10. How does your health center utilize HIT and EHR data beyond direct patient care? (Select all that apply)
a. Quality improvement 1,356 98.98%
b. Population health management 1,186 86.57%
c. Program evaluation 1,059 77.30%
d. Research 371 27.08%
e. Other 31 2.26%
f. We DO NOT utilize HIT or EHR data beyond direct patient care 3 0.22%
11. Does your health center collect data on individual patients' social risk factors, outside of the data countable in the UDS?
a. Yes 909 66.35%
b. No, but we are in planning stages to collect this information 383 27.96%
c. No, we are not planning to collect this information 78 5.69%
11a. How many health center patients were screened for social risk factors using a standardized screener during the calendar year? (Only respond to this if the response to Question 11 is "a. Yes.") 4,912,420 22.30%
12. Which standardized screener(s) for social risk factors, if any, did you use during the calendar year?
a. Accountable Health Communities Screening Tools 57 6.27%
b. Upstream Risks Screening Tool and Guide 6 0.66%
c. iHELP 4 0.44%
d. Recommend Social and Behavioral Domains for EHRs 61 6.71%
e. Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences (PRAPARE) 599 65.90%
f. Well Child Care, Evaluation, Community Resources, Advocacy Referral, Education (WE CARE) 37 4.07%
g. WellRx 4 0.44%
h. Health Leads Screening Toolkit 14 1.54%
i. Other 228 25.08%
j. We DO NOT use a standardized screener 67 7.37%
12a. Of the total patients screened for social risk factors (Question 11a), please provide the total number of patients that screened positive for any of the following at any point during the calendar year. (A patient may experience multiple social risks and should be counted once for each risk factor they screened positive for, regardless of the number of times screened during the year.)
a. Food insecurity 615,787 12.54%
b. Housing insecurity 521,299 10.61%
c. Financial strain 963,440 19.61%
d. Lack of transportation/access to public transportation 378,298 7.70%
12b. If you DO NOT use a standardized assessment to collect this information, please indicate why. (Select all that apply.)
a. Have not considered/unfamiliar with standardized screeners 78 5.69%
b. Lack of funding for addressing these unmet social needs of patients 129 9.42%
c. Lack of training for personnel to discuss these issues with patients 153 11.17%
d. Inability to include with patient intake and clinical workflow 156 11.39%
e. Not needed 32 2.34%
f. Other 140 10.22%
13. Does your health center integrate a statewide Prescription Drug Monitoring Program (PDMP) database into the health information systems, such as health information exchanges, EHRs, and/or pharmacy dispensing software (PDS) to streamline provider access to controlled substance prescriptions?
a. Yes 1,107 80.80%
b. No 228 16.64%
c. Not sure 35 2.55%

Footnotes

'-' Data cannot be calculated or has been suppressed for confidentiality purposes.

Cells that are shaded blue represent data that was not reported or null values.

View Detailed UDS Footnotes

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