2013 National Ambulatory Medical Care Physician Workflow Survey. 2015 National Electronic Health Record Survey.


Office of the National Coordinator for Health Information Technology. 'Electronic Health Record Use among Physicians Participating in Delivery Reform Programs,' Health IT Quick-Stat #33. December 2016.

In 2015, 78% of all office-based physicians reported use of a certified EHR, and 46% of all physicians reported participating in a delivery system reform program. Of those physicians participating in a delivery reform program in 2015, 90% reported using a certified EHR. Of all physicians not participating in a program in 2015, 68% reported using a certified EHR, a statistically significant difference. Nearly all Patient-Centered Medical Home participants (94%) reported use of a certified EHR, the highest rate among delivery reform participants.


NOTE: * Statistically significant from percent of physicians who do not participate in delivery reform programs and are using a certified EHR (p<0.05).
DSR Program % Participating in Program % Using Certified EHR % Using Other EHR % Not Using EHR
2013 2015 2013 2015 2013 2015 2013 2015
Accountable Care Organization 23% 27% 76% 92% 8% 4% 16% 4%
Patient-Centered Medical Home 12% 18% 81% 94% 7% 5% 12% 1%
Pay-for-Performance 32% 29% 77% 91% 7% 4% 16% 5%
Participating in a Delivery Reform Program 45% 46% 75% 90%* 10% 5% 15% 5%
Not Participating in a Delivery Reform Program 55% 54% 43% 68% 16% 12% 41% 20%
  1. Certified EHR: EHR technology that meets the technological capability, functionality, and security requirements adopted by the US Department of Health and Human Services. Determination of whether a physician's EHR system is certified was self-reported by the physician, with an affirmative response to the question, "Does your current system meet meaningful use criteria defined by HHS?"
  2. Participation in the delivery reform activities was determined through physician self-reporting to the following questions:
    1. Does the reporting location participate in an Accountable Care Organization or similar arrangement?
    2. Does the reporting location participate in a certified PCMH arrangement?
    3. Does the reporting location participate in a Pay-for-Performance arrangement?
  3. Accountable Care Organization (ACO): office-based providers, hospitals, and suppliers voluntarily organize into an ACO to coordinate patient care. The goal of coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors.
  4. Patient-Centered Medical Home (PCMH): a team-based care delivery model which coordinates care across multiple specialties through a patient's primary care physician to improve and maximize health outcomes.
  5. Pay for Performance: also known as value-based purchasing, hospitals, physicians, and other health care providers carry out health care quality and efficiency improvements for patients in exchange for financial incentives from health care payers.
Content last reviewed on July 22, 2021
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