About: Electronic health records in the United States

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Federal and state governments, insurance companies and other large medical institutions are heavily promoting the adoption of electronic health records. The US Congress included a formula of both incentives (up to $44,000 per physician under Medicare, or up to $65,000 over six years under Medicaid) and penalties (i.e. decreased Medicare and Medicaid reimbursements to doctors who fail to use EMRs by 2015, for covered patients) for EMR/EHR adoption versus continued use of paper records as part of the Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the, American Recovery and Reinvestment Act of 2009.

Attributes	Values
rdfs:label	Electronic health records in the United States (en)
rdfs:comment	Federal and state governments, insurance companies and other large medical institutions are heavily promoting the adoption of electronic health records. The US Congress included a formula of both incentives (up to $44,000 per physician under Medicare, or up to $65,000 over six years under Medicaid) and penalties (i.e. decreased Medicare and Medicaid reimbursements to doctors who fail to use EMRs by 2015, for covered patients) for EMR/EHR adoption versus continued use of paper records as part of the Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the, American Recovery and Reinvestment Act of 2009. (en)
foaf:depiction
dct:subject	Healthcare in the United States Electronic health records
Wikipage page ID	58751479 (xsd:integer)
Wikipage revision ID	1115086963 (xsd:integer)
Link from a Wikipage to another Wikipage	Ambulatory care Electronic health record National Center for Health Statistics Dell Department of Health and Human Services Patients United States Department of Health and Human Services United States Department of Veterans Affairs VistA imaging EHealth Exchange Interoperability Practice Fusion Meditech Qui tam List of open-source healthcare software Edward Snowden Epic Systems Stanford University Computerized physician order entry Full-time equivalent Hospital Medicaid Unstructured data Centers for Medicare and Medicaid Services Cerner Wharton School of the University of Pennsylvania Health Information Technology for Economic and Clinical Health Act Polytrauma 21st Century Cures Act American Recovery and Reinvestment Act of 2009 False Claims Act Fast Healthcare Interoperability Resources Government Performance and Results Act Government database Graphical user interface Harvard University Health Insurance Portability and Accountability Act Health Level 7 Health information exchange Healthcare Healthcare Information and Management Systems Society Athenahealth Healthcare in the United States Electronic health records Kaiser Permanente HITECH Act HL7 National Institute of Standards and Technology National Security Agency Office of the National Coordinator for Health Information Technology Rand Corporation XML Biosecurity Act 1993 IMedicor Nationwide Health Information Network Social Indicators Research Health disparities Department of Commerce UCLA Medical Center dbr:Argonaut_Project dbr:CommonWell_Health_Alliance dbr:Health_Insurance_Portability_and_Accessibility_Act
Link from a Wikipage to an external page	http://www.iicrt.com/
sameAs	Electronic health records in the United States Electronic health records in the United States
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thumbnail	wiki-commons:Special:FilePath/Electronic_Health_Records_flow_chart.jpg?width=300
caption	EHR adoption of all physicians in the US. Source: DesRoches et al. . (en)
color	white (en) blue (en) navy (en) teal (en) cyan (en)
label	6.31152E7 (second) Basic EHR system (en) Bought but not implemented yet (en) Fully functional EHR system (en) No EHR system (en)
thumb	right (en)
value	4 (xsd:integer) 13 (xsd:integer) 22 (xsd:integer) 48 (xsd:integer)
has abstract	Federal and state governments, insurance companies and other large medical institutions are heavily promoting the adoption of electronic health records. The US Congress included a formula of both incentives (up to $44,000 per physician under Medicare, or up to $65,000 over six years under Medicaid) and penalties (i.e. decreased Medicare and Medicaid reimbursements to doctors who fail to use EMRs by 2015, for covered patients) for EMR/EHR adoption versus continued use of paper records as part of the Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the, American Recovery and Reinvestment Act of 2009. The 21st Century Cures Act, passed in 2016, prohibited information blocking, which had slowed interoperability. In 2018, the Trump administration announced the MyHealthEData initiative to further allow for patients to receive their health records. The federal Office of the National Coordinator for Health Information Technology leads these efforts. One VA study estimates its electronic medical record system may improve overall efficiency by 6% per year, and the monthly cost of an EMR may (depending on the cost of the EMR) be offset by the cost of only a few "unnecessary" tests or admissions. Jerome Groopman disputed these results, publicly asking "how such dramatic claims of cost-saving and quality improvement could be true". A 2014 survey of the American College of Physicians member sample, however, found that family practice physicians spent 48 minutes more per day when using EMRs. 90% reported that at least 1 data management function was slower after EMRs were adopted, and 64% reported that note writing took longer. A third (34%) reported that it took longer to find and review medical record data, and 32% reported that it was slower to read other clinicians' notes. (en)

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