Table EHR: Health Center Health Information Technology (HIT) Capabilities
Puerto Rico Data
21 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 a minimum for medical care, by December 31st? | ||
| a. Yes, installed at all service delivery sites and used by all providers | 21 | 100.00% | |
| b. Yes, but only installed at some service delivery sites or used by some providers | 0 | 0.00% | |
| c. No | 0 | 0.00% | |
| Total Health Centers with an EHR (Sum 1a + 1b) | 21 | 100.00% | |
| Total Health Centers reported (Sum 1a + 1b +1c) | 21 | 100.00% | |
| 1a. | System is certified by the Office of the National Coordinator for Health IT (ONC) Health IT | 21 | 100.00% |
| 1b. | Health Center switched their current EHR from a previous system this year | 1 | 4.76% |
| 1c. | Do you use more than one EHR, data collection, and/or data analytics system across your organization? Select "Yes" if the health center has more than one EHR that flows into one central HIT/EHR or practice management system. | 7 | 33.33% |
| 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 | 0 | 0.00% | |
| b. Additional EHR/data system(s) are specific to one service type (e.g., dental, behavioral health, care coordination) | 3 | 42.86% | |
| c. Additional EHR/data system(s) are used at specific service delivery sites with no plan to transition | 0 | 0.00% | |
| d. Additional EHR/data system(s) are used for analysis and reporting (such as for clinical quality measures or custom reporting) | 6 | 85.71% | |
| e. Other | 1 | 14.29% | |
| 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 | 4 | 19.05% | |
| b. Specialty providers | 3 | 14.29% | |
| c. Other primary care providers | 4 | 19.05% | |
| d. Labs or imaging | 11 | 52.38% | |
| e. Health information exchange (HIE) | 11 | 52.38% | |
| f. Community-based organizations/social service partners | 1 | 4.76% | |
| g. None of the above | 3 | 14.29% | |
| h. Others | 1 | 4.76% | |
| 5. | Does your health center engage patients through health IT in any of the following ways? (Select all that apply.) | ||
| a. Patient portals | 17 | 80.95% | |
| b. Kiosks | 6 | 28.57% | |
| c. Secure messaging between patient and provider | 15 | 71.43% | |
| d. Online or virtual scheduling | 3 | 14.29% | |
| e. Automated electronic outreach for care gap closure or preventive care reminders | 6 | 28.57% | |
| f. Application programming interface (API)-cased patient access to their health record through mHealth apps | 2 | 9.52% | |
| g. Others | 1 | 4.76% | |
| h. No, we DO NOT engage patients using HIT | 1 | 4.76% | |
| 10. | How does your health center utilize HIT and EHR data beyond direct patient care? (Select all that apply) | ||
| a. Quality improvement | 21 | 100.00% | |
| b. Population health management | 17 | 80.95% | |
| c. Program evaluation | 17 | 80.95% | |
| d. Research | 2 | 9.52% | |
| e. Other | 0 | 0.00% | |
| f. We DO NOT utilize HIT or EHR data beyond direct patient care | 0 | 0.00% | |
| 11. | Does your health center collect data on individual patients' social risk factors, outside of the data countable in the UDS? | ||
| a. Yes | 18 | 85.71% | |
| b. No, but we are in planning stages to collect this information | 2 | 9.52% | |
| c. No, we are not planning to collect this information | 1 | 4.76% | |
| 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.") | 60,162 | 15.64% |
| 12. | Which standardized screener(s) for social risk factors, if any, did you use during the calendar year? (Select all that apply) | ||
| a. Accountable Health Communities Screening Tools | 0 | 0.00% | |
| b. Upstream Risks Screening Tool and Guide | 0 | 0.00% | |
| c. iHELLP | 0 | 0.00% | |
| d. Recommend Social and Behavioral Domains for EHRs | 1 | 5.56% | |
| e. Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences (PRAPARE) | 14 | 77.78% | |
| f. Well Child Care, Evaluation, Community Resources, Advocacy Referral, Education (WE CARE) | 0 | 0.00% | |
| g. WellRx | 0 | 0.00% | |
| h. Health Leads Screening Toolkit | 0 | 0.00% | |
| i. Other | 3 | 16.67% | |
| j. We DO NOT use a standardized screener | 2 | 11.11% | |
| 12a. | Please provide the total number of patients that screened positive for the following at any point during the calendar year. | ||
| a. Food insecurity | 2,197 | 3.65% | |
| b. Housing insecurity | 4,645 | 7.72% | |
| c. Financial strain | 15,313 | 25.45% | |
| d. Lack of transportation/access to public transportation | 6,038 | 10.04% | |
| 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 | 2 | 9.52% | |
| b. Lack of funding for addressing these unmet social needs of patients | 0 | 0.00% | |
| c. Lack of training for personnel to discuss these issues with patients | 2 | 9.52% | |
| d. Inability to include with patient intake and clinical workflow | 1 | 4.76% | |
| e. Not needed | 0 | 0.00% | |
| f. Other | 2 | 9.52% | |
| 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 | 13 | 61.90% | |
| b. No | 5 | 23.81% | |
| c. Not sure | 3 | 14.29% | |
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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