Electronic Health Record Adoption Continues to Climb

March 26, 2014

While adoption of electronic health record (EHR) systems has grown rapidly, little is known about physicians’ perspectives on its adoption and use. Nationally representative survey data from 2011 are used to compare the perspectives of physicians who have adopted EHRs with those that have yet to do so across three key areas: the impact of EHRs on clinical care, practice efficiency and operations; barriers to EHR adoption; and factors that influence physicians to adopt EHRs.

A group of researchers – Eric W. Jamoom, Vaishali Patelb, Michael F. Furukawab, and Jennifer King – concluded that purchase cost and productivity loss are the greatest barriers to EHR adoption among both adopters and non-adopters; although non-adopters have significantly higher rates of reporting these as barriers. Financial incentives and penalties, technical assistance, and the capability for electronic health information exchange are factors with the greatest influence on EHR adoption among all physicians.

The article, “EHR adopters vs. non-adopters: Impacts of, barriers to, and federal initiatives for EHR adoption,” was posted online in the March 2014 edition of the Science Direct.



State Vitals: Hawaii

March 26, 2014

hiThe Aloha State has mortality rates that are lower than the total U.S. for the following causes: heart disease, cancer, chronic lower respiratory diseases, stroke, accidents, Alzheimer’s disease, and diabetes. Hawaii also has the lowest mortality rate in the country for chronic lower respiratory disease and Alzheimer’s disease, 2nd lowest cancer mortality rate, and 3rd lowest heart disease mortality rate.

Hawaii also ranks ranks 46th in cesarean delivery rates (25% of all births), and has a much lower percent of people without health insurance (5.8%) than nationally (14.7%). But the state ranks 15th in preterm birth rates with a rate higher than the national average.

Routine Prenatal Care Visits by Provider Specialty in the United States, 2009–2010

March 19, 2014

Previous studies have focused on practice patterns of obstetricians/gynecologists or overall ambulatory care utilization by women (2–5).  However, the amount of routine prenatal care delivered by obstetrics and gynecology (ob/gyn) providers and non-ob/gyn providers has not been quantified.  Understanding which providers deliver prenatal care may yield valuable information about training and workforce needs.  A new NCHS report quantifies the amount of routine prenatal care delivered by non-ob/gyn providers among women aged 15–54 who were seen in physicians’ offices, community health centers, and hospital outpatient departments.

Key Findings from the Report:

•At 14.1% of routine prenatal care visits in the United States in 2009–2010, women saw providers whose specialty was not obstetrics and gynecology (ob/gyn).
•The percentage of routine prenatal care visits that were made to non-ob/gyn providers was highest (20.5%) among women aged 15–19.
•Visits to non-ob/gyn providers accounted for a higher percentage of routine prenatal care visits among women with Medicaid (24.3%) and women with no insurance (23.1%) compared with women with private insurance (7.3%).
•The percentage of routine prenatal care visits to non-ob/gyn providers was lower among women in large suburban areas (5.1%) compared with those in urban areas (14.4%) or in small towns or suburbs (22.4%).

QuickStats: Percentage of Adults Aged 18 and Over Who Have Lost All Their Natural Teeth

March 19, 2014


During 2010–2012, the percentage of adults aged 18 and over who had no natural teeth was higher in nonmetropolitan areas than in metropolitan areas for all age groups. The percentage of adults with no natural teeth also increased steadily with age in metropolitan and nonmetropolitan locations. Among persons aged 85 and over in nonmetropolitan locations, 40% had lost all their natural teeth, compared with 31% of those in metropolitan areas. Among adults aged 18–44 years, the percentages were 3.8% in nonmetropolitan areas and 2.1% in metropolitan areas.

March is National Nutrition Month

March 11, 2014

March is National Nutrition Month and NCHS has been collecting dietary data on the U.S. population for more than 40 years. The primary data source for monitoring nutrition in the U.S. is the National Health and Nutrition Examination Survey (NHANES), which uses personal interviews, standardized physical examinations and laboratory tests. Through NHANES, NCHS obtains nationally representative data on dietary intake and behaviors, biomarkers of nutritional status, body measurements (such as height and weight) and body composition.

NHANES data on dietary intake (food, beverages, and dietary supplements) are used to estimate food and nutrient intakes by the U.S. population and by specific age, gender, race/ethnic groups.

Here are some Findings from NHANES:

  • Approximately 13 percent of adults’ total caloric intake came from added sugars in 2005-2010.
  • Approximately one-half of the U.S. population consumes sugar drinks on any given day between 2005-2008.
  • Use of dietary supplements is common among the U.S. adult population. Over 40% used supplements in 1988–1994, and over one-half in 2003–2006.
  • Data from 2007-2010 showed that adults consumed, on average, 11.3 percent of their total daily calories from fast food.








March 11, 2014

Map of FloridaAmong the 50 U.S. states, Florida ranks 3rd highest for cesarean delivery rates, and 4th highest in the proportion of births to unmarried mothers and preterm births.

The Sunshine State also has a higher homicide rate and higher mortality rate from drug overdose deaths than the national rate, and has a significant larger proportion of its population without health insurance than the national average.

However, among the ten leading causes of death in the U.S.,  Florida has lower mortality rates than the national rate for the following causes: heart disease, cancer, chronic lower respiratory diseases, stroke, Alzheimer’s disease, diabetes, kidney disease, and influenza/pneumonia.

QuickStats: Percentage of Office-Based Physicians Using an Electronic Health Record System by State

March 10, 2014


In 2013, the percentage of physicians using an Electronic Health Record system was higher than the national average in seven states (Arizona, Massachusetts, Minnesota, North Dakota, Oregon, Utah, and Wisconsin) (range = 87%–94%) and was lower than the national average in New Jersey (66%).




QuickStats: Percentage of Adults Aged 40 Years or Older Who Ever Had a Cardiovascular Event and Are Now Taking Low-Dose Aspirin to Prevent or Control Heart Disease in 2012

March 4, 2014

In 2012, 69.6% of adults aged 40 years or older who ever had a cardiovascular event (73.2% of men and 65.4% of women) were taking low-dose aspirin to prevent or control heart disease. Non-Hispanic white men (75.9%) were more likely to be taking low-dose aspirin compared with Hispanic (60.7%) and non-Hispanic black men (60.6%). No statistically significant differences were oberved among women by race/ethnicity.

For More Information:


Out-of-Hospital Births Increase in US

March 4, 2014

In 1900, almost all U.S. births occurred outside a hospital; however the proportion of out-of-hospital births fell to 44% by 1940 and to 1% by 1969, where it remained through the 1980s. Although out-of-hospital births are still rare in the United States, they have been increasing recently. If this increase continues, it has the potential to affect patterns of facility usage, clinician training, and resource allocation, as well as health care costs. A new NCHS report updates previous analyses to examine recent trends and characteristics of out-of-hospital births, including home and birthing center births, in the United States from 1990–2012, and compares selected characteristics with hospital births.

Key Findings from the Report:

  • The percentage of out-of hospital births increased from 1.26% of U.S. births in 2011 to 1.36% in 2012, continuing an increase that began in 2004.
  • In 2012, out-of-hospital births comprised 2.05% of births to non-Hispanic white women, 0.49% to non-Hispanic black women, 0.46% to Hispanic women, 0.81% to American Indian women, and 0.54% to Asian or Pacific Islander women.
  • In 2012, out-of-hospital births comprised 3%–6% of births in Alaska, Idaho, Montana, Oregon, Pennsylvania, and Washington, and between 2% and 3% of births in Delaware, Indiana, Utah, Vermont, and Wisconsin. Rhode Island (0.33%), Mississippi (0.38%), and Alabama (0.39%) had the lowest percentages of out-of hospital births.
  • In 2012, the risk profile of out-of-hospital births was lower than for hospital births, fewer births to teen mothers, and fewer preterm, low birthweight, and multiple births.