Robin Osborn Vice President and Director International Program in Health Policy and Practice

1. Commonwealth Fund - Alliance for Health ReformCapitol Hill BriefingInvesting in Health IT: What the U.S. and Other Countries are LearningOctober 29, 2010 Robin Osborn Vice President and Director International Program in Health Policy and Practice

2. Primary Care Doctors Use of Electronic Patient Medical Records* Percent * Not including billing systems Source: 2009 Commonwealth Fund International Health Policy Survey of Primary Care Physicians.

3. Adoption of Electronic Medical Records in General Practice: Incentives and Influencing Forces Source: D. Protti, “Comparison of Information Technology in General Practice in Ten Countries,” Electronic Healthcare, Vol. 5, No. 4, 2007

4. Benefits of Automation in General Practice Note: Rated by doctors on a scale of 1 to 8, 1 being the most important. Source: D. Protti, “Comparison of Information Technology in General Practice in Ten Countries,” Electronic Healthcare, Vol. 5, No. 4, 2007

5. Use of IT On a Routine Basis for Core Tasks in Primary Care Practices Source: 2009 Commonwealth Fund International Health Policy Survey of Primary Care Physicians.

6. Computerized Capacity to Generate Patient Information in Primary Care Practices * Including those that may be prescribed by other doctors Source: 2009 Commonwealth Fund International Health Policy Survey of Primary Care Physicians.

7. Primary Care Practice Routinely Sends Patients Reminders for Preventive or Follow-up Care Using Computerized System Percent Source: 2009 Commonwealth Fund International Health Policy Survey of Primary Care Physicians.

8. Primary Care Practice Routinely Tracks Laboratory Tests Until Results Reach Clinician Using Computerized System Percent Source: 2009 Commonwealth Fund International Health Policy Survey of Primary Care Physicians.

9. Primary Care Doctor Routinely Receives Alerts or Prompts to Provide Patients with Test Results Using Computerized System Percent Source: 2009 Commonwealth Fund International Health Policy Survey of Primary Care Physicians.

10. Primary Care Practice Has a Process for Identifying Adverse Events and Taking Follow-Up Action Percent of primary care physicians reporting their practice has a process that works well Source: 2009 Commonwealth Fund International Health Policy Survey of Primary Care Physicians.

11. Chronically Ill Patients’ Reports of Online Capabilities Base: Has Internet access Source: 2008 Commonwealth Fund International Health Policy Survey of Patients with Chronic Conditions

12. Primary Care Practices with Advanced Electronic Health Information Capacity Percent reporting at least 9 of 14 clinical IT functions* * Count of 14 functions includes: electronic medical record; electronic prescribing and ordering of tests; electronic access test results, Rx alerts, clinical notes; computerized system for tracking lab tests, guidelines, alerts to provide patients with test results, preventive/follow-up care reminders; and computerized list of patients by diagnosis, medications, due for tests or preventive care. Source: 2009 Commonwealth Fund International Health Policy Survey of Primary Care Physicians.

13. Primary Care Practice Uses IT On a Routine Basis for Core Tasks in the U.S., 2006 & 2009 13 Percent reporting ROUTINE: Electronic ordering of laboratory tests Electronic access to your patients' test results Electronic prescribing of medication Percent Source: 2009 Commonwealth Fund International Health Policy Survey of Primary Care Physicians.

14. Thank You!