Ehr Report Cardiology

MEDIC A L GROUP M A N AGEMENT A SSO CIATION
MGMA Electronic Health Records:

Status, Needs and Lessons
2011 Report Based on 2010 Data
Snapshot of an Infrastructure under Construction
Special edition: Cardiology
Research funded by PNC Bank
MGMA-ACMPE is the premier association for professional administrators and leaders of medical group
practices. In 2011, members of the Medical Group management Association (MGMA), and its standardsetting division, the American College of Medical Practice Executives (ACMPE), voted to merge to form a
new association. Since 1926, the Association has delivered networking, professional education and
resources, political advocacy and certification for medical practice professionals. The Association
represents 22,500 members who lead 13,200 organizations nationwide in which some 280,000
physicians provide more than 40 percent of the healthcare services delivered in the United States.
ISBN: 978-1-56829-397-4
Copyright 2012 MGMA-ACMPE. All rights reserved.

No part of this publication may be reproduced, stored in a retrieval system or transmitted, in any form
or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior
written permission of the copyright owner.
Electronic Health Records: Special Cardiology Edition

Introduction
To better understand the current state of EHR use by physicians, MGMA-ACMPE undertook a
study in 2010 to explore the barriers to EHR adoption and the experiences of healthcare
organizations that have progressed through the implementation process and optimized use of
their EHRs. This study was funded by PNC Bank.
We have taken this data and further compiled it by specialty. The following tables focus on the
optimization of EHR in cardiology practices. To get the most out of these specialty tables, we
recommend that you also download the free original report, Electronic Health Records: Status,
Needs and Lessons.
Medical Group Management Association

Electronic Health Records: Status, Needs and Lessons - 2010
Cardiology Tables
Table R01: For cardiology practices - Organization type
Practice type
Electronic Health Records: Status, Needs and
Lessons - 2010
Which of the following

best describes your
organization?
Independent medical
practice
Hospital or integrated
delivery system (IDS)
or medical practice
owned by hospital or
IDS
Medical school faculty
practice plan or
academic clinical
science department
Federally qualified
health center,
community health
center or similar
practice
Retail walk-in primary
care clinic
Cardiology
Count
All other specialties
Percent
Count
Percent
Total
Count
Percent
133
83.6%
2,202
65.0%
2,335
65.8%
18
11.3%
569
16.8%
587
16.5%
1.3%
146
4.3%
148
4.2%
.0%
105
3.1%
105
3.0%
.0%
.1%
.1%
.0%
27
.8%
27
.8%
.0%
52
1.5%
52
1.5%
.6%
52
1.5%
53
1.5%
.6%
59
1.7%
60
1.7%
.0%
29
.9%
29
.8%
Other
2.5%
145
4.3%
149
4.2%
Total
159
100.0%
3,390
100.0%
3,549
100.0%
Urgent care center

Freestanding
ambulatory surgery
center (ASC)
Management services
organization (MSO)
Physician practice
management company
(PPMC)
Independent practice
association (IPA)
Copyright 2012. Medical Group Management Association. All rights reserved.
Page 1
Copyright 2011. Medical Group Management Association. All rights reserved. Contact: James W. Margolis, MPA, FACMPE, jwm@mgma.com. Page 1

Cardiology Tables
Table R02: For cardiology practices - Health record storage method
Practice type
Lessons - 2010
How does your practice

currently store health
record information for
the majority of the
practice's patients?
On paper medical
records and charts
With a computer
system where paper
records and charts are
scanned and filed
electronically, also
known as a DIMS
With an electronic
health record system
that stores patient
medical and
demographic
information in a
computer database.
I do not work for an
organization that
records patient health
record information at
the point of care.
Cardiology
Count
Percent
Count
Percent
Total
Count
Percent
55
34.6%
1,281
37.8%
1,336
37.6%
2.5%
161
4.7%
165
4.6%
96
60.4%
1,807
53.3%
1,903
53.6%
.0%
.0%
.0%
Other
2.5%
140
4.1%
144
4.1%
Total
159
100.0%
3,390
100.0%
3,549
100.0%
Table R03: For cardiology practices - Meaningful use incentive program plans
Practice type
Lessons - 2010
Count
Percent
Count
Percent
Total
Count
Percent
125
78.6%
2,439
72.3%
2,564
72.6%
No, because we will not

have an EHR.
No, because we do not
think our EHR will be
certified.
No, because the cost of
dealing with the
bureaucracy will
exceed the benefits.
No, because we will not
have a sufficient
Medicare or Medicaid
population.
4.4%
170
5.0%
177
5.0%
1.9%
41
1.2%
44
1.2%
4.4%
149
4.4%
156
4.4%
.0%
129
3.8%
129
3.7%
No, for other reasons.
5.0%
142
4.2%
150
4.2%
I do not know.
5.7%
303
9.0%
312
8.8%
159
100.0%
3,373
100.0%
3,532
100.0%
Yes.
Does your practice

currently plan to
participate in the
Centers for Medicare &
Medicaid Services
(CMS) EHR meaningful
use incentive payment
program?
Cardiology
Total
Page 2

Cardiology Tables
Table R04: For cardiology practices - EHR implementation status
Practice type
Lessons - 2010

best describes your
practice's current EHR
implementation status?
We have completed an
implementation and
believe that our
practice has optimized
its use of an EHR.
We have completed an
implementation and are
focused on optimizing
our EHR.
We are in the process
of implementing an
EHR system.
We currently use an
EHR and are
considering
implementing a
different EHR.
Other variation of
having completed an
EHR implementation or
in the process of
implementing an EHR.
We are in the process
of selecting an EHR
system.
We intend to implement
an EHR in the next 24
months, but have not
yet begun the selection
process.
We have no intention to
implement an EHR in
the next 24 months.
Other variation of NOT
yet beginning the EHR
selection or
implementation
process.
Total
Cardiology
Count
Percent
Count
Percent
Total
Count
Percent
26
16.4%
389
11.5%
415
11.7%
61
38.4%
1,087
32.1%
1,148
32.3%
19
11.9%
523
15.4%
542
15.3%
4.4%
192
5.7%
199
5.6%
1.9%
125
3.7%
128
3.6%
20
12.6%
456
13.5%
476
13.4%
13
8.2%
341
10.1%
354
10.0%
1.9%
122
3.6%
125
3.5%
4.4%
155
4.6%
162
4.6%
159
100.0%
3,390
100.0%
3,549
100.0%
Page 3

Cardiology Tables
Table R05-Frequencies: For cardiology practices - As a practice that has not yet implemented an EHR, how significant are
each of the following barriers to EHR implementation?
Practice type
Lessons - 2010
Insufficient capital
resources to invest in
an EHR
EHR security and

privacy concerns
44
Percent
4.5%
Count
Percent
7.7%
75
7.7%
78
7.7%
Neutral
12.8%
166
17.0%
171
16.8%
Significant
15
38.5%
265
27.1%
280
27.5%
Very significant
14
35.9%
428
43.8%
442
43.5%
Total
39
100.0%
978
100.0%
1,017
100.0%
18.2%
151
19.1%
157
19.1%
Insignificant
10
30.3%
223
28.3%
233
28.3%
Neutral
13
39.4%
276
35.0%
289
35.2%
Significant
6.1%
69
8.7%
71
8.6%
Very significant
6.1%
70
8.9%
72
8.8%
33
100.0%
789
100.0%
822
100.0%
46
4.5%
Very insignificant
7.5%
50
5.2%
53
5.3%
Insignificant
17.5%
114
11.8%
121
12.1%
10
25.0%
254
26.3%
264
26.3%
22.5%
264
27.4%
273
27.2%
Neutral
Significant
Very significant
11
27.5%
282
29.3%
293
29.2%
Total
40
100.0%
964
100.0%
1,004
100.0%
Very insignificant
11.9%
91
9.4%
96
9.5%
Insignificant
21.4%
235
24.3%
244
24.2%
10
23.8%
275
28.5%
285
28.3%
19.0%
228
23.6%
236
23.4%
Neutral
Significant
Very significant
10
23.8%
137
14.2%
147
14.6%
Total
42
100.0%
966
100.0%
1,008
100.0%
Insignificant
12.2%
53
5.5%
58
5.7%
11
26.8%
158
16.3%
169
16.7%
7.3%
204
21.0%
207
20.5%
Significant
12
29.3%
315
32.4%
327
32.3%
Very significant
10
24.4%
241
24.8%
251
24.8%
Total
41
100.0%
971
100.0%
1,012
100.0%
Neutral
Very insignificant
Inability of available
EHR software to meet
the needs of our
practice specialty
5.1%
Count
Insignificant
Very insignificant
Expected difficulty in
integrating the EHR
with practice billing
system
Percent
Total
Total
Insufficient expected
return on investment
from an EHR
Count
Very insignificant
Very insignificant
Inability to get a loan to
invest in an EHR
Cardiology
Insignificant
Neutral
Significant
Very significant
Total
12.8%
55
5.7%
60
6.0%
12
30.8%
145
15.0%
157
15.6%
7.7%
235
24.4%
238
23.7%
10
25.6%
271
28.1%
281
28.0%
23.1%
259
26.8%
268
26.7%
39
100.0%
965
100.0%
1,004
100.0%
Page 4

Cardiology Tables
Table R05-Frequencies: For cardiology practices - As a practice that has not yet implemented an EHR, how significant are
each of the following barriers to EHR implementation?
Practice type
Lessons - 2010
Very insignificant
Practice is considering
a merger or purchase
by a hospital system or
another practice
Count
Percent
72
7.4%
78
7.7%
163
16.8%
169
16.7%
30.0%
289
29.8%
301
29.8%
Significant
11
27.5%
300
31.0%
311
30.8%
12.5%
145
15.0%
150
14.9%
40
100.0%
969
100.0%
1,009
100.0%
4.8%
26
2.6%
28
2.7%
Insignificant
4.8%
53
5.4%
55
5.3%
Neutral
9.5%
147
14.8%
151
14.6%
Significant
13
31.0%
344
34.7%
357
34.6%
Very significant
21
50.0%
420
42.4%
441
42.7%
Total
42
100.0%
990
100.0%
1,032
100.0%
Very insignificant
7.1%
28
2.8%
31
3.0%
Insignificant
7.1%
99
10.0%
102
9.8%
19.0%
202
20.3%
210
20.3%
Significant
13
31.0%
342
34.4%
355
34.3%
Very significant
15
35.7%
323
32.5%
338
32.6%
Total
42
100.0%
994
100.0%
1,036
100.0%
Very insignificant
10.5%
73
7.5%
77
7.6%
Insignificant
10.5%
154
15.8%
158
15.6%
Neutral
23.7%
220
22.6%
229
22.6%
Significant
23.7%
303
31.1%
312
30.8%
Neutral
Very significant
12
31.6%
225
23.1%
237
23.4%
Total
38
100.0%
975
100.0%
1,013
100.0%
Very insignificant
20.7%
226
41.7%
232
40.6%
Insignificant
20.7%
94
17.3%
100
17.5%
Neutral
17.2%
117
21.6%
122
21.4%
Significant
27.6%
58
10.7%
66
11.6%
13.8%
47
8.7%
51
8.9%
Total
29
100.0%
542
100.0%
571
100.0%
Very insignificant
10
27.8%
105
11.5%
115
12.2%
2.8%
165
18.1%
166
17.5%
Very significant
Insignificant
Expected inability to
qualify for meaningful
use incentive payments
Percent
15.0%
15.0%
Very insignificant
Reluctance of
physician leadership to
use an EHR
Count
6
6
Total
Expected loss of
productivity after the
transition to the EHR
system
Percent
Total
12
Very significant
Expected loss of
productivity during
system
Count
Neutral
Insignificant
Insufficient time to
select and implement
an EHR
Cardiology
13
36.1%
280
30.8%
293
31.0%
Significant
22.2%
215
23.6%
223
23.6%
Very significant
11.1%
145
15.9%
149
Neutral
Total
36
100.0%
910
100.0%
946
Based upon a 5 point scale where 1=Very insignificant, 2=Insignificant, 3=Neutral, 4=Significant, and 5=Very significant.
15.8%
100.0%
Page 5

Cardiology Tables
Table R05-Means: For cardiology practices - As a practice that has not yet implemented an EHR,
how significant are each of the following barriers to EHR implementation?
Electronic Health
Records: Status,
Needs and Lessons 2010
Practice type
Cardiology
Count
Mean

Count
Mean
Total
Count
Mean
Insufficient capital
39
3.92
978
3.98
1,017
3.98
resources to invest in
an EHR
Inability to get a loan to
33
2.52
789
2.60
822
2.60
invest in an EHR
Insufficient expected
return on investment
40
3.45
964
3.64
1,004
3.63
from an EHR
EHR security and
42
3.21
966
3.09
1,008
3.09
privacy concerns
Expected difficulty in
integrating the EHR
41
3.27
971
3.55
1,012
3.54
with practice billing
system
Inability of available
EHR software to meet
39
3.15
965
3.55
1,004
3.54
the needs of our
practice specialty
Insufficient time to
40
3.08
969
3.29
1,009
3.28
select and implement
an EHR
Expected loss of
productivity during
42
4.17
990
4.09
1,032
4.09
system
Expected loss of
productivity after the
42
3.81
994
3.84
1,036
3.84
system
Reluctance of
physician leadership to
38
3.55
975
3.46
1,013
3.47
use an EHR
Practice is considering
a merger or purchase
29
2.93
542
2.27
571
2.31
by a hospital system or
another practice
Expected inability to
qualify for meaningful
36
2.86
910
3.14
946
3.13
use incentive payments
Based upon a 5 point scale where 1=Very insignificant, 2=Insignificant, 3=Neutral, 4=Significant, and
5=Very significant.
Page 6

Cardiology Tables
Table R06-Frequencies: For cardiology practices - As a practice that has not yet selected or implemented an EHR, how
helpful is the following information?
Practice type
Lessons - 2010
Very unhelpful
How to select an EHR
software vendor
How to contract with an

EHR vendor
How to pay for the EHR
How to integrate the

EHR with a practice
management system
How to train staff and

physicians
How to revise practice

work-flow
Cardiology
Count
Percent
2
5.0%
Count
35
Percent
3.5%
Total
Count
Percent
37
3.6%
Unhelpful
7.5%
41
4.1%
44
4.3%
Neutral
10.0%
139
14.1%
143
13.9%
Helpful
12
30.0%
355
35.9%
367
35.7%
Very helpful
19
47.5%
419
42.4%
438
42.6%
Total
40
100.0%
989
100.0%
1,029
100.0%
Very unhelpful
5.1%
35
3.6%
37
3.6%
Unhelpful
2.6%
48
4.9%
49
4.8%
Neutral
10.3%
153
15.7%
157
15.5%
Helpful
12
30.8%
323
33.1%
335
33.0%
Very helpful
20
51.3%
418
42.8%
438
43.1%
Total
39
100.0%
977
100.0%
1,016
100.0%
Very unhelpful
5.3%
31
3.2%
33
3.3%
Unhelpful
2.6%
51
5.3%
52
5.2%
Neutral
21.1%
176
18.2%
184
18.3%
Helpful
23.7%
295
30.5%
304
30.2%
Very helpful
18
47.4%
414
42.8%
432
43.0%
Total
38
100.0%
967
100.0%
1,005
100.0%
Very unhelpful
5.1%
36
3.7%
38
3.8%
Unhelpful
5.1%
41
4.2%
43
4.3%
Neutral
15.4%
137
14.1%
143
14.2%
Helpful
11
28.2%
273
28.2%
284
28.2%
Very helpful
18
46.2%
482
49.7%
500
49.6%
Total
39
100.0%
969
100.0%
1,008
100.0%
Very unhelpful
5.0%
29
2.9%
31
3.0%
Unhelpful
2.5%
20
2.0%
21
2.0%
Neutral
7.5%
66
6.6%
69
6.6%
Helpful
11
27.5%
296
29.6%
307
29.5%
Very helpful
23
57.5%
588
58.9%
611
58.8%
Total
40
100.0%
999
100.0%
1,039
100.0%
Very unhelpful
5.0%
30
3.0%
32
3.1%
Unhelpful
2.5%
16
1.6%
17
1.6%
Neutral
5.0%
73
7.3%
75
7.2%
Helpful
17.5%
284
28.4%
291
28.0%
Very helpful
28
70.0%
597
59.7%
625
60.1%
Total
40
100.0%
1,000
100.0%
1,040
100.0%
Page 7

Cardiology Tables
Table R06-Frequencies: For cardiology practices - As a practice that has not yet selected or implemented an EHR, how
helpful is the following information?
Practice type
Lessons - 2010
Very unhelpful
How to manage
change in the practice
How to manage the

implementation project
Implementation case
studies
Cardiology
Count
Percent
2
5.0%
Count
30
Percent
3.0%
Total
Count
Percent
32
3.1%
Unhelpful
2.5%
26
2.6%
27
2.6%
Neutral
5.0%
116
11.6%
118
11.4%
Helpful
12
30.0%
310
31.1%
322
31.1%
Very helpful
23
57.5%
515
51.7%
538
51.9%
Total
40
100.0%
997
100.0%
1,037
100.0%
Very unhelpful
5.0%
32
3.2%
34
3.3%
Unhelpful
2.5%
20
2.0%
21
2.0%
Neutral
7.5%
82
8.2%
85
8.2%
Helpful
11
27.5%
302
30.2%
313
30.1%
Very helpful
23
57.5%
563
56.4%
586
56.4%
Total
40
100.0%
999
100.0%
1,039
100.0%
Very unhelpful
5.0%
28
2.8%
30
2.9%
Unhelpful
2.5%
34
3.4%
35
3.4%
Neutral
17.5%
209
21.0%
216
20.8%
Helpful
12
30.0%
353
35.4%
365
35.2%
Very helpful
18
45.0%
373
37.4%
Total
40
100.0%
997
100.0%
Based upon a 5 point scale where 1=Very unhelpful, 2=Unhelpful, 3=Neutral, 4=Helpful, and 5=Very helpful.
391
37.7%
1,037
100.0%
Page 8

Cardiology Tables
Table R06-Means: For cardiology practices - As a practice that has not yet selected or
implemented an EHR, how helpful is the following information?
Electronic Health
Records: Status,
Practice type
Cardiology
Count
Mean
Count
Mean
Total
Count
Mean
How to select an EHR

software vendor
How to contract with an
EHR vendor
40
4.08
989
4.09
1,029
4.09
39
4.21
977
4.07
1,016
4.07
How to pay for the EHR
38
4.05
967
4.04
1,005
4.04
How to integrate the

EHR with a practice
39
4.05
969
4.16
1,008
4.16
management system
How to train staff and
40
4.30
999
4.40
1,039
4.39
physicians
How to revise practice
40
4.45
1,000
4.40
1,040
4.40
work-flow
How to manage
40
4.32
997
4.26
1,037
4.26
change in the practice
How to manage the
40
4.30
999
4.35
1,039
4.34
implementation project
Implementation case
40
4.07
997
4.01
1,037
4.01
studies
Based upon a 5 point scale where 1=Very unhelpful, 2=Unhelpful, 3=Neutral, 4=Helpful, and 5=Very
helpful.
Page 9

Cardiology Tables
Table R07: For cardiology practices - EHR system name
Practice type
Lessons - 2010
What is the name of

your current EHR
system?
A.I.med EMR By
Acrendo Software, Inc.
Abraxas EMR By
Abraxas Medical
Solutions
Acumen EHR By HIT
Services Group
AdvancedMD EHR By
AdvancedMD
Agastha Medical
Records (EMR) By
Agastha, Inc.
Agility EHR By
Integritas, Inc.
AllMeds EMR System
By AllMeds, Inc.
Allscripts Enterprise By
Allscripts
Allscripts MyWay By
Allscripts
Allscripts MyWay
Reseller By Digital
Efficiency
Allscripts Professional
EHR By Allscripts
AltaPoint EMR By
AltaPoint Data
Systems, LLC
Alteer Office By Alteer
Corporation
Amazing Charts By
AmazingCharts.com,
Inc.
AmkaiCharts By Amkai,
LLC
Aprima Medical
Software Inc. By
aprimaEHR
ARIA Oncology
Information System By
Varian Medical
Systems, Inc.
Armed Forces Health
Longitudinal
Technology Application
(AHLTA)
athenaClinicals By
athenahealth, Inc.
Cardiology
Count
Percent
Count
Percent
Total
Count
Percent
.0%
.0%
.0%
.0%
.0%
.0%
.0%
.3%
.3%
.0%
.3%
.3%
.0%
.1%
.1%
.0%
.1%
.1%
.0%
11
.5%
11
.5%
6.1%
149
6.8%
156
6.8%
.9%
15
.7%
16
.7%
.0%
.0%
.0%
7.0%
177
8.1%
185
8.0%
.0%
.1%
.1%
1.8%
.2%
.3%
.0%
13
.6%
13
.6%
.0%
.0%
.0%
1.8%
12
.5%
14
.6%
.0%
11
.5%
11
.5%
.0%
.1%
.1%
.9%
40
1.8%
41
1.8%
CareRevolution By Ehs
.0%
.4%
.3%
CareSeries EHR By
Purkinje
CareTracker EMR By
Ingenix
.0%
.0%
.0%
.0%
.4%
.4%
Page 10

Cardiology Tables
Practice type
Lessons - 2010
What is the name of

your current EHR
system?
Cardiology
Count
Percent
Count
Percent
Total
Count
Percent
Centricity By GE
Healthcare
ChartCare EMR By
CHARTCARE, Inc.
ChartLogic EMR By
ChartLogic, Inc.
ChartMaker Clinical By
STI Computer
Services, Inc.
ChartWare EMR By
ChartWare, Inc.
CIS EMR By P & P
Data Systems, Inc.
Clearpractice EMR By
ClearPractice LLC
CureMD EHR By
CureMD Corporation
d-Chart EMR By NCG
Medical Systems, Inc.
digiChart By Digichart,
Inc.
DocuTAP EMR and
Practice Management
Solution By Docutap
eCast EMR By Ecast
Corporation
eClinicalWorks By
eClinicalworks
eClinicalWorks
Reseller By GroupOne
Healthsource, Inc.
eCW Reseller By
Gaither Technologies
STC LLC
11
9.6%
189
8.6%
200
8.7%
.0%
.0%
.0%
.0%
17
.8%
17
.7%
.0%
.2%
.2%
.0%
.1%
.1%
.0%
.0%
.0%
.0%
.1%
.1%
.0%
.2%
.2%
.0%
.0%
.0%
.0%
12
.5%
12
.5%
.0%
.1%
.1%
.0%
.1%
.1%
4.4%
174
7.9%
179
7.8%
.0%
.1%
.1%
.0%
.1%
.1%
EDIM By EDIMS, LLC
.0%
.0%
.0%
e-MDs Solution Series

By E-Mds, Inc.
e-Medsys Electronic
Health Record By
PracticeOne, LLC
emr4MD By Mednet
System
2.6%
61
2.8%
64
2.8%
.0%
.1%
.1%
.0%
.0%
.0%
Encite By Encite
.0%
.1%
.1%
.0%
.3%
.3%
4.4%
163
7.4%
168
7.3%
.0%
.1%
.1%
.0%
.0%
.0%
EncounterPRO EHR
5.0 By EncounterPRO
Healthcare Resources,
Inc.
EpicCare Ambulatory
EMR By Epic
E-Record EMR By
Exscribe, Inc.
Essentris By
CliniComp, Intl.
Page 11

Cardiology Tables
Practice type
Lessons - 2010
EyeDoc EMR By Penn
Medical Informatics
Systems, Inc.
ezEMRxPrivate By
Total Outsource Inc.
GEMMS ONE G1.07
By GEMMS
What is the name of

your current EHR
system?
Cardiology
Count
Percent
Count
Percent
Total
Count
Percent
.0%
.1%
.1%
.0%
.0%
.0%
13
11.4%
.1%
15
.7%
gGastro By Gmed, Inc.
.0%
11
.5%
11
.5%
gloEMR By Glostream,
Inc.
.0%
.0%
.0%
Healthland
.0%
.1%
.1%
.9%
.0%
.0%
.0%
.0%
.0%
.0%
.0%
.0%
.0%
11
.5%
11
.5%
.0%
.3%
.3%
4.4%
54
2.5%
59
2.6%
.0%
.1%
.1%
.0%
.1%
.1%
.0%
.1%
.1%
.0%
16
.7%
16
.7%
.0%
.0%
.0%
.0%
.0%
.0%
3.5%
27
1.2%
31
1.3%
.0%
.4%
.4%
1.8%
.0%
.1%
.0%
18
.8%
18
.8%
.0%
.2%
.2%
.0%
.3%
.3%
Healthmatic A4 by
Allscripts
HealthPort EMR V9.0
By Healthport
HemOncPro By
MedSym, Inc.
Horizon Ambulatory
Care By McKesson
iKnowMed By US
Oncology
Intergy EHR by Sage
By Sage Software
KeyChart By
KeyMedical Software,
Inc.
MacPractice MD By
MacPractice, Inc.
MaximEyes By First
Insight Corporation
MED3000 InteGreat
EHR By MED3000, Inc.
MedAppz iSuite By
MedAppz, LLC
Medenet EMR By
Medenet, Inc.
MEDENT By
Community Computer
Service Inc.
Medflow EMR By
Medflow, Inc.
Medformix By Crowell
Systems
Medical and Practice
Management (MPM) By
Lss Data Systems
Medical Manager by
Sage Software
Medicat By Medicat,
LLC
Page 12

Cardiology Tables
Practice type
Lessons - 2010
MedicsDocAssistant By
Advanced Data
Systems Corporation
Medi-EMR By MediEMR, LLC
MedInformatix By
MedInformatix, Inc.
MediNotes by Allscripts
What is the name of

your current EHR
system?
Medisoft Clinical EMR

By Practice
Convergence
Medisoft Clinical
Reseller By Microwize
Technology, Inc.
MediSYS EHR By
MediSYS for
Physicians, Inc.
MedServices By
DataNet Solutions, Inc.
meridianEMR By
Meridianemr, Inc.
MicroMD EMR By
Henry Schein Medical
Systems, Inc.
Millennium
PowerChart/Power
Works EMR By Cerner
Corporation
Misys EMR by
Allscripts
Mosaiq By ELEKTA
IMPAC SOFTWARE
NetPractice EHR By
Noteworthy Medical
Systems, Inc.
NetPracticeEHRweb
By Noteworthy Medical
Systems, Inc.
nextEMR By nextEMR
NextGen Ambulatory
EHR By NextGen
Healthcare
Nightingale OnDemand By Nightingale
Informatix Corporation
Office Practicum By
Connexin Software,
Inc.
OfficeEMR 2008 By
Isalus Healthcare
OncoEMR By Altos
Solutions
Cardiology
Count
Percent
Count
Percent
Total
Count
Percent
.0%
.0%
.0%
.9%
.0%
.0%
1.8%
13
.6%
15
.7%
.0%
11
.5%
11
.5%
.0%
.1%
.1%
.0%
.0%
.0%
.0%
.1%
.1%
.0%
.0%
.0%
.0%
.3%
.3%
.0%
.3%
.3%
.0%
53
2.4%
53
2.3%
.9%
37
1.7%
38
1.6%
.0%
.4%
.4%
.0%
.0%
.0%
.0%
.2%
.2%
2.6%
16
.7%
19
.8%
24
21.1%
250
11.4%
274
11.9%
.0%
.1%
.1%
.0%
.4%
.3%
.0%
.0%
.0%
.0%
.2%
.2%
Page 13

Cardiology Tables
Practice type
Lessons - 2010
What is the name of

your current EHR
system?
Cardiology
Count
Percent
Count
Percent
Total
Count
Percent
OpenVista By
Medsphere Systems
Corporation
.0%
.0%
.0%
OrthoPad By Stryker
.0%
.2%
.2%
.0%
.0%
.0%
.0%
.1%
.1%
.9%
.1%
.2%
.0%
.0%
.0%
.0%
.0%
.0%
.0%
.0%
.0%
.0%
.0%
.0%
.0%
.3%
.3%
.0%
.0%
.0%
.0%
55
2.5%
55
2.4%
.0%
.2%
.2%
.0%
.1%
.1%
3.5%
72
3.3%
76
3.3%
.0%
.0%
.0%
.0%
.1%
.1%
.0%
.0%
.0%
.0%
.3%
.3%
.0%
.0%
.0%
1.8%
32
1.5%
34
1.5%
Patient Chart Manager

By Prime Clinical
Systems, Inc.
PBSI-EMR By Positive
Business Solutions,
Inc.
PeakPractice By
Eclipsys Practice
Solutions
PeakPractice Reseller
By Bond Medical
Physician Care
Manager By Meditech
PowerSoftMD By Data
Tec, Inc.
Practice 2010 By
NexTech Systems, Inc.
Practice Fusion EHR
By Practice Fusion
Practice Partner EMR
Reseller By Practice
Convergence
Practice Partner By
Practice
Partner/McKesson
Corporation
PRAXIS EMR V4.0 By
Infor*Med, Inc.
PRAXIS EMR Version
5 By Infor*Med, Inc.
PrimeSuite 2011 By
Greenway Medical
Technologies
PRO EMR By MD
Synergy Solutions,
LLC.
PrognoCIS By
BizMatics, Inc.
Pronto By Clinical
Insight Systems, Inc.
Pulse Patient
Relationship
Management (Pulse
PRM) By Pulse
Systems, Inc.
Raintree By Raintree
Systems, Inc.
Sage Intergy EHR By
Sage Software
Page 14

Cardiology Tables
Practice type
Lessons - 2010
What is the name of

your current EHR
system?
SamNotes By ICS
Software, Ltd.
SequelMed EMR 7.50
By Sequel Systems,
Inc.
Sevocity By Sevocity, a
division of Conceptual
MindWorks, Inc.
Sigmund By Sigmund
Software, LLC
SmartClinic By VIP
Medicine, LLC
SOAPware By
SOAPware, Inc.
SpringCharts EHR By
Spring Medical
Systems, Inc.
SRS Hybrid EMR v7 By
SRSsoft
SSIMED EMRge By
SSIMED, LLC
STIX EHR By
Integritas, Inc.
StreamlineMD By
ProPractica, Inc.
SuiteMed Intelligent
Medical Software 12 By
SuiteMed, LLC
Sunrise Ambulatory
Care By Eclipsys
SYSTOC By
Occupational Health
Research
Team Chart Concept
By Ulrich Medical
Concepts, Inc.
UroChartEHR By
Intuitive Medical
Software, LLC
Visionary DREAM EHR
7.1 By Visionary
Medical Systems, Inc.
vxVistA V1.0 By
Document Storage
Systems, Inc.
Waiting Room
Solutions Practice
Management System
By Waiting Room
Solutions
Waiting Room
Solutions Reseller FL
By Stimulus Medical
LLC
Cardiology
Count
Percent
Count
Percent
Total
Count
Percent
.0%
.0%
.0%
.0%
.0%
.0%
.0%
.2%
.2%
.0%
.0%
.0%
.0%
.0%
.0%
.0%
.2%
.2%
.0%
.1%
.1%
1.8%
15
.7%
17
.7%
.0%
.0%
.0%
.0%
.1%
.1%
.0%
.0%
.0%
.0%
.2%
.2%
.0%
.1%
.1%
.0%
.0%
.0%
.0%
.2%
.2%
.0%
.2%
.2%
.0%
.0%
.0%
.0%
.0%
.0%
.0%
.0%
.0%
.0%
.0%
.0%
Page 15

Cardiology Tables
Practice type
Lessons - 2010
What is the name of

your current EHR
system?
Webchart EMR and

MIE Minimally Invasive
EMR By MIE - Medical
Informatics Engineering
XpressChartsEHR By
XPress Technologies
ZipChart EMR By
ZipChart
Cardiology
Count
Percent
Count
Percent
Total
Count
Percent
.0%
.2%
.2%
.0%
.1%
.1%
.0%
.0%
.0%
Other
3.5%
180
8.2%
184
8.0%
Total
114
100.0%
2,193
100.0%
2,307
100.0%
Table R08: For cardiology practices - EHR system type

Practice type
Lessons - 2010
What best describes

your practice's current
EHR system design?
Self-contained system
operating on computers
integral to the practice
or health system that
the practice belongs to
Application Service
Provider (ASP) system
where vendor operates
server and practice
accesses EHR through
internet
Cardiology
Count
Percent
Count
Percent
Total
Count
Percent
100
86.2%
1,688
73.3%
1,788
73.9%
15
12.9%
541
23.5%
556
23.0%
Other
.9%
75
3.3%
76
3.1%
Total
116
100.0%
2,304
100.0%
2,420
100.0%
Page 16

Cardiology Tables
Table R09: For cardiology practices - EHR service and support method
Practice type
Lessons - 2010
How is your EHR

software serviced and
supported?
The EHR software

vendor provides most
of the software service
and support.
We outsource most of
the EHR software
service and support to
an outside entity.
Practice staff provides
most of the EHR
software service and
support.
Some combination of
the above options
Cardiology
Count
Percent
Count
Percent
Total
Count
Percent
51
44.0%
1,010
43.8%
1,061
43.8%
10
8.6%
112
4.9%
122
5.0%
12
10.3%
352
15.3%
364
15.0%
40
34.5%
754
32.7%
794
32.8%
Other
2.6%
78
3.4%
81
3.3%
Total
116
100.0%
2,306
100.0%
2,422
100.0%
Table R10: For cardiology practices - EHR and PMS integration method
Practice type
Lessons - 2010

best describes how
your EHR is integrated
with your practice
management system
(PMS)?
The EHR and PMS are

stand alone systems
with no functional
integration.
The EHR and PMS are
from different vendors
and we had to buy or
develop an interface.
The EHR and PMS are
from a single vendor
and are integrated.
Cardiology
Count
Percent
Count
Percent
Total
Count
Percent
3.4%
165
7.2%
169
7.0%
10
8.6%
529
23.1%
539
22.4%
100
86.2%
1,505
65.6%
1,605
66.6%
Other
1.7%
95
4.1%
97
4.0%
Total
116
100.0%
2,294
100.0%
2,410
100.0%
Page 17

Cardiology Tables
Table R11: For cardiology practices - EHR utilization rates
Practice type
Lessons - 2010
Zero %
What percentage of the

physicians in your
practice currently use
your EHR system?
Cardiology
Count
Percent
15
Count
Percent
Total
Count
Percent
12.9%
192
8.3%
207
8.5%
1% to 25%
.9%
117
5.1%
118
4.9%
26% to 50%
1.7%
88
3.8%
90
3.7%
51% to 75%
.9%
134
5.8%
135
5.6%
76% to 99%
6.0%
310
13.4%
317
13.1%
90
77.6%
1,451
62.7%
1,541
63.4%
.0%
21
.9%
21
.9%
116
100.0%
2,313
100.0%
2,429
100.0%
100%
I do not know.
Total
Table R12: For cardiology practices - How did you train your physicians and staff to use your EHR?
Practice type
Lessons - 2010
We sent selected
physicians and staff offsite to receive training.
We trained selected
staff to train the
remaining staff.
We used self-training
materials.
We received on-site
training while keeping
the office open.
We received on-site
training while keeping
the office closed.
We received on-site
training while reducing
patient visit loads.
We trained during time
periods (such as nights
and weekends) when
the office was normally
closed.
We used web-based
and online training
resources.
Other
Cardiology
Count
Percent
Yes
32
37.6%
No
53
62.4%
Total
85
100.0%
Yes
78
84.8%
No
14
15.2%
Total
92
Yes
61
No
Count
660
Percent
Total
Count
Percent
40.6%
692
40.5%
964
59.4%
1,017
59.5%
1,624
100.0%
1,709
100.0%
1,370
77.9%
1,448
78.3%
388
22.1%
402
21.7%
100.0%
1,758
100.0%
1,850
100.0%
72.6%
1,113
70.1%
1,174
70.3%
23
27.4%
474
29.9%
497
29.7%
Total
84
100.0%
1,587
100.0%
1,671
100.0%
Yes
88
88.9%
1,695
88.0%
1,783
88.0%
No
11
11.1%
231
12.0%
242
12.0%
Total
99
100.0%
1,926
100.0%
2,025
100.0%
Yes
12.0%
396
27.0%
405
26.3%
No
66
88.0%
1,069
73.0%
1,135
73.7%
Total
75
100.0%
1,465
100.0%
1,540
100.0%
Yes
61
66.3%
1,159
68.2%
1,220
68.1%
No
31
33.7%
541
31.8%
572
31.9%
Total
92
100.0%
1,700
100.0%
1,792
100.0%
Yes
26
33.8%
507
33.8%
533
33.8%
No
51
66.2%
994
66.2%
1,045
66.2%
Total
77
100.0%
1,501
100.0%
1,578
100.0%
Yes
51
60.7%
1,144
69.3%
1,195
68.9%
No
33
39.3%
506
30.7%
539
31.1%
Total
84
100.0%
1,650
100.0%
1,734
100.0%
Yes
10
27.8%
179
37.0%
189
36.3%
No
26
72.2%
305
63.0%
331
63.7%
Total
36
100.0%
484
100.0%
520
100.0%
Page 18

Cardiology Tables
Table R13: For cardiology practices - Time allocated for EHR training
Practice type
Lessons - 2010

best describes the time
allocated for training
physicians and staff
how to use your EHR
system?
We severely
underallocated time for
training.
We mildly
underallocated time for
training.
We properly allocated
time for training.
We mildly
overallocated time for
training.
We severely
overallocated time for
training.
Cardiology
Count
Percent
Count
Percent
Total
Count
Percent
13
11.3%
303
13.4%
316
13.3%
43
37.4%
901
39.8%
944
39.7%
50
43.5%
802
35.5%
852
35.9%
.9%
44
1.9%
45
1.9%
.9%
.4%
10
.4%
Other
6.1%
202
8.9%
209
8.8%
Total
115
100.0%
2,261
100.0%
2,376
100.0%
Page 19

Cardiology Tables
Table R14: For cardiology practices - What methods do your practice physicians use to enter data into your EHR?
Practice type
Lessons - 2010
Yes
Fixed location
computer or terminal
Keyboard
Mouse
Touchscreen
Voice recognition
software
Use a staff member (a

scribe)
iPad
Smartphone device
Other
Percent
89
89.0%
Count
1,671
Percent
86.0%
Total
Count
1,760
Percent
86.1%
11
11.0%
273
14.0%
284
13.9%
100
100.0%
1,944
100.0%
2,044
100.0%
Yes
72
75.0%
1,575
80.5%
1,647
80.3%
No
24
25.0%
381
19.5%
405
19.7%
Total
96
100.0%
1,956
100.0%
2,052
100.0%
Yes
91
92.9%
1,790
95.2%
1,881
95.0%
No
Total
Portable computer that

can be moved from
room to room
Cardiology
Count
7.1%
91
4.8%
98
5.0%
Total
98
100.0%
1,881
100.0%
1,979
100.0%
Yes
86
92.5%
1,732
94.2%
1,818
94.1%
No
7.5%
107
5.8%
114
5.9%
Total
93
100.0%
1,839
100.0%
1,932
100.0%
Yes
35
42.2%
795
50.4%
830
50.0%
No
48
57.8%
783
49.6%
831
50.0%
Total
83
100.0%
1,578
100.0%
1,661
100.0%
Yes
49
57.0%
898
55.5%
947
55.6%
No
37
43.0%
719
44.5%
756
44.4%
Total
86
100.0%
1,617
100.0%
1,703
100.0%
Yes
37
46.8%
563
38.0%
600
38.5%
No
42
53.2%
917
62.0%
959
61.5%
Total
79
100.0%
1,480
100.0%
1,559
100.0%
No
Yes
19
25.3%
188
13.7%
207
14.3%
No
56
74.7%
1,187
86.3%
1,243
85.7%
Total
75
100.0%
1,375
100.0%
1,450
100.0%
Yes
8.1%
181
13.3%
187
13.0%
No
68
91.9%
1,179
86.7%
1,247
87.0%
Total
74
100.0%
1,360
100.0%
1,434
100.0%
Yes
15.4%
121
21.4%
127
21.0%
No
33
84.6%
444
78.6%
477
79.0%
Total
39
100.0%
565
100.0%
604
100.0%
Page 20

Cardiology Tables
Table R15: For cardiology practices - EHR financing method?
Practice type
Lessons - 2010
What was the primary

method that your
practice used to pay for
your EHR?
Cardiology
Count
Percent
Count
Percent
Total
Count
Percent
From the business'

cash reserves
From the personal cash
reserves of the
providers
35
30.2%
724
31.3%
759
31.2%
.0%
47
2.0%
47
1.9%
Business loan
56
48.3%
638
27.5%
694
28.5%
Personal loan(s)
.9%
23
1.0%
24
1.0%
Business lease
6.9%
158
6.8%
166
6.8%
Personal lease(s)
.0%
.0%
.0%
13
11.2%
530
22.9%
543
22.3%
Subsidized by hospital,
integrated delivery
system, or other parent
organization
Other
2.6%
195
8.4%
198
8.1%
Total
116
100.0%
2,316
100.0%
2,432
100.0%
Table R16: For cardiology practices - EHR capital and operating costs
Electronic Health
Records: Status,
EHR capital cost per
FTE physician (dollars)
EHR operating cost per
FTE physician per
month (dollars)
Practice type
Cardiology
Count
Mean
Std Dev
Mode
25th %tile
Median
75th %tile
56
56,341
70,184
40,000
22,606
40,000
74,167
57
1,513
2,557
500
359
725
1,200
Electronic Health
Records: Status,
FTE physician per
month (dollars)
Practice type
Count
Mean
Std Dev
Mode
25th %tile
Median
75th %tile
661
39,043
49,904
25,000
15,000
27,823
45,000
714
1,164
1,816
500
316
548
1,000
Page 21

Cardiology Tables
Electronic Health
Records: Status,
FTE physician per
month (dollars)
Practice type
Total
Count
Mean
Std Dev
Mode
25th %tile
Median
75th %tile
717
40,394
51,919
25,000
16,000
30,000
48,000
771
1,190
1,881
500
319
550
1,050
What was the total purchase cost for your EHR system (software, hardware, cabling, telecommunications upgrades, building
modifications, training, etc.) divided by your practice's number of full-time equivalent (FTE) physicians? What is the approximate
software and hardware maintenance cost per FTE physician per month for your current EHR system? (If you use an ASP model EHR,
report your monthly cost per FTE physician.)
Page 22

Cardiology Tables
Table R17-Frequencies: For cardiology practices - How satisfied are you with the following aspects of your practice's EHR
experience?
Practice type
Lessons - 2010
Very unsatisfied
Count
5.0%
109
Percent
4.9%
194
9.2%
202
9.1%
301
14.2%
316
14.2%
Satisfied
47
44.3%
885
41.9%
932
42.0%
Very satisfied
32
30.2%
629
29.8%
661
29.8%
106
100.0%
2,114
100.0%
2,220
100.0%
4.9%
156
7.4%
161
7.3%
Unsatisfied
12
11.7%
298
14.1%
310
14.0%
Neutral
19
18.4%
383
18.2%
402
18.2%
Satisfied
44
42.7%
804
38.1%
848
38.3%
Very satisfied
23
22.3%
469
22.2%
492
22.2%
103
100.0%
2,110
100.0%
2,213
100.0%
Very unsatisfied
4.9%
142
6.9%
147
6.8%
Unsatisfied
6.8%
210
10.2%
217
10.1%
Neutral
11
10.7%
290
14.1%
301
14.0%
Satisfied
39
37.9%
670
32.6%
709
32.9%
Very satisfied
41
39.8%
742
36.1%
783
36.3%
103
100.0%
2,054
100.0%
2,157
100.0%
5.7%
115
5.5%
121
5.5%
Unsatisfied
13
12.3%
308
14.7%
321
14.6%
Neutral
23
21.7%
493
23.5%
516
23.5%
Satisfied
43
40.6%
816
39.0%
859
39.0%
Very unsatisfied
Very satisfied
Total
21
19.8%
362
17.3%
383
17.4%
106
100.0%
2,094
100.0%
2,200
100.0%
2.8%
94
4.5%
97
4.4%
Unsatisfied
13
12.1%
166
7.9%
179
8.2%
Neutral
23
21.5%
457
21.9%
480
21.9%
Satisfied
41
38.3%
766
36.7%
807
36.7%
Very unsatisfied
27
25.2%
606
29.0%
633
28.8%
107
100.0%
2,089
100.0%
2,196
100.0%
Very unsatisfied
3.8%
72
3.5%
76
3.5%
Unsatisfied
8.7%
139
6.7%
148
6.8%
Neutral
25
24.0%
474
22.8%
499
22.9%
Satisfied
45
43.3%
799
38.5%
844
38.7%
Very satisfied
Total
The ability of the EHR

to enhance patient
safety
Percent
7.5%
Total

to increase the quality
of patient care
105
14.2%
Total
Your EHR training

experience
Count
3.8%
Very unsatisfied
The integration of your

EHR and practice
management system
(PMS)
Percent
4
Total
15
Total
Your EHR software

service and support
Count
Neutral
Unsatisfied
Your overall EHR
system
Cardiology
Very satisfied
Total
21
20.2%
594
28.6%
615
28.2%
104
100.0%
2,078
100.0%
2,182
100.0%
Page 23

Cardiology Tables
Table R17-Frequencies: For cardiology practices - How satisfied are you with the following aspects of your practice's EHR
experience?
Practice type
Lessons - 2010
Count
87
Unsatisfied
18
17.3%
Neutral
32
30.8%
Satisfied
37
Very satisfied
16
Percent
Total
Count
Percent
4.2%
88
175
8.5%
193
8.9%
706
34.2%
738
34.0%
35.6%
695
33.6%
732
33.7%
15.4%
404
19.5%
420
19.3%
104
100.0%
2,067
100.0%
2,171
100.0%
6.6%
198
9.6%
205
9.4%
Unsatisfied
29
27.4%
354
17.1%
383
17.6%
Neutral
26
24.5%
699
33.8%
725
33.4%
Satisfied
27
25.5%
509
24.6%
536
24.7%
Very satisfied
17
16.0%
307
14.9%
324
14.9%
106
100.0%
2,067
100.0%
2,173
100.0%
Very unsatisfied
Total
4.1%
6.7%
160
7.8%
167
7.7%
Unsatisfied
25
23.8%
297
14.4%
322
14.9%
Neutral
28
26.7%
737
35.8%
765
35.4%
Satisfied
28
26.7%
546
26.5%
574
26.5%
Very unsatisfied
to increase practice
revenue
Percent
1.0%
Total

to decrease practice
costs
Count
Very unsatisfied
to increase patient
satisfaction
Cardiology
17
16.2%
317
15.4%
334
15.4%
105
100.0%
2,057
100.0%
2,162
100.0%
Very unsatisfied
12
11.3%
255
12.2%
267
12.2%
Unsatisfied
26
24.5%
403
19.3%
429
19.6%
Neutral
23
21.7%
623
29.9%
646
29.5%
Satisfied
27
25.5%
534
25.6%
561
25.6%
Very satisfied
18
17.0%
271
13.0%
289
13.2%
Total
106
100.0%
2,086
100.0%
2,192
Based upon a 5 point scale where 1=Very unsatisfied, 2=Unsatisfied, 3=Neutral, 4=Satisfied, and 5=Very satisfied.
100.0%
Very satisfied
Total

to increase provider
productivity
Page 24

Cardiology Tables
Table R17-Means: For cardiology practices - How satisfied are you with the following aspects of
your practice's EHR experience?
Electronic Health
Records: Status,
Practice type
Cardiology
Count
Mean

Count
Mean
Total
Count
Mean
Your overall EHR

106
3.90
2,114
3.82
2,220
3.83
system
Your EHR software
103
3.66
2,110
3.54
2,213
3.54
service and support
The integration of your
EHR and practice
103
4.01
2,054
3.81
2,157
3.82
management system
(PMS)
Your EHR training
106
3.57
2,094
3.48
2,200
3.48
experience
to increase the quality
107
3.71
2,089
3.78
2,196
3.77
of patient care
to enhance patient
104
3.67
2,078
3.82
2,182
3.81
safety
104
3.47
2,067
3.56
2,171
3.55
to increase patient
satisfaction
to decrease practice
106
3.17
2,067
3.18
2,173
3.18
costs
105
3.22
2,057
3.27
2,162
3.27
to increase practice
revenue
to increase provider
106
3.12
2,086
3.08
2,192
3.08
productivity
Based upon a 5 point scale where 1=Very unsatisfied, 2=Unsatisfied, 3=Neutral, 4=Satisfied, and 5=Very
satisfied.
Page 25

Cardiology Tables
Table R18: For cardiology practices - For each of the 15 meaningful use core objectives, which option best describes your
practice's CURRENT status relative to the objective?
Practice type
Lessons - 2010
The EHR supports

computerized physician
order entry (CPOE) for
medication orders.
Our EHR has this

feature and all or some
of our physicians use it
Our EHR has this
feature but none of our
physicians use it
Our EHR does not
have this feature
Not applicable to our
scope of practice, do
not know, or other
Total
The EHR can

implement drug-drug
and drug-allergy
checks.
Our EHR has this

Our EHR has this
physicians use it
Our EHR does not
have this feature
not know, or other
Total
The EHR supports eprescribing (eRx) by

generating and
transmitting permissible
prescriptions
electronically.
Our EHR has this

Our EHR has this
physicians use it
Our EHR does not
have this feature
not know, or other
Total
The EHR can record

and store patient
demographics.
Our EHR has this

Our EHR has this
physicians use it
Our EHR does not
have this feature
not know, or other
Total
Cardiology
Count
Percent
Count
Percent
Total
Count
Percent
84
74.3%
1,713
77.6%
1,797
77.4%
12
10.6%
206
9.3%
218
9.4%
7.1%
123
5.6%
131
5.6%
8.0%
166
7.5%
175
7.5%
113
100.0%
2,208
100.0%
2,321
100.0%
83
74.1%
1,709
77.6%
1,792
77.4%
14
12.5%
163
7.4%
177
7.6%
5.4%
156
7.1%
162
7.0%
8.0%
175
7.9%
184
7.9%
112
100.0%
2,203
100.0%
2,315
100.0%
93
82.3%
1,694
76.6%
1,787
76.9%
7.1%
240
10.8%
248
10.7%
3.5%
157
7.1%
161
6.9%
7.1%
121
5.5%
129
5.5%
113
100.0%
2,212
100.0%
2,325
100.0%
99
89.2%
2,026
91.9%
2,125
91.8%
5.4%
51
2.3%
57
2.5%
.9%
44
2.0%
45
1.9%
4.5%
84
3.8%
89
3.8%
111
100.0%
2,205
100.0%
2,316
100.0%
Page 26

Cardiology Tables
Practice type
Lessons - 2010
The EHR can maintain

an up-to-date problem
list of current and
active diagnoses.
Our EHR has this

Our EHR has this
physicians use it
Our EHR does not
have this feature
not know, or other
Total

an active medication
list.
Our EHR has this

Our EHR has this
physicians use it
Our EHR does not
have this feature
not know, or other
Total

an active medication
allergy list.
Our EHR has this

Our EHR has this
physicians use it
Our EHR does not
have this feature
not know, or other
Total
The EHR can record

and chart changes in
patient vital signs.
Our EHR has this

Our EHR has this
physicians use it
Our EHR does not
have this feature
not know, or other
Total
Cardiology
Count
Percent
Count
Percent
Total
Count
Percent
99
87.6%
1,971
88.9%
2,070
88.9%
4.4%
100
4.5%
105
4.5%
1.8%
45
2.0%
47
2.0%
6.2%
100
4.5%
107
4.6%
113
100.0%
2,216
100.0%
2,329
100.0%
100
88.5%
2,040
92.1%
2,140
91.9%
3.5%
53
2.4%
57
2.4%
1.8%
28
1.3%
30
1.3%
6.2%
95
4.3%
102
4.4%
113
100.0%
2,216
100.0%
2,329
100.0%
94
83.9%
2,009
91.1%
2,103
90.8%
5.4%
57
2.6%
63
2.7%
1.8%
32
1.5%
34
1.5%
10
8.9%
107
4.9%
117
5.0%
112
100.0%
2,205
100.0%
2,317
100.0%
94
83.2%
1,817
82.4%
1,911
82.4%
6.2%
128
5.8%
135
5.8%
4.4%
93
4.2%
98
4.2%
6.2%
168
7.6%
175
7.5%
113
100.0%
2,206
100.0%
2,319
100.0%
Page 27

Cardiology Tables
Practice type
Lessons - 2010
The EHR can record

smoking status for
patients 13 years old
and older.
Our EHR has this

Our EHR has this
physicians use it
Our EHR does not
have this feature
not know, or other
Total
The EHR can

implement clinical
decision support rules
relevant to the
practice's specialties
and track compliance
with the rules.
Our EHR has this

Our EHR has this
physicians use it
Our EHR does not
have this feature
not know, or other
Total
The EHR can report

ambulatory clinical
quality measures to the
CMS or the states.
Our EHR has this

Our EHR has this
physicians use it
Our EHR does not
have this feature
not know, or other
Total
The EHR can provide

patients with an
electronic copy of their
health information upon
request.
Our EHR has this

Our EHR has this
physicians use it
Our EHR does not
have this feature
not know, or other
Total
Cardiology
Count
Percent
Count
Percent
Total
Count
Percent
93
83.0%
1,661
75.4%
1,754
75.8%
4.5%
150
6.8%
155
6.7%
3.6%
140
6.4%
144
6.2%
10
8.9%
251
11.4%
261
11.3%
112
100.0%
2,202
100.0%
2,314
100.0%
43
38.4%
898
41.1%
941
40.9%
21
18.8%
411
18.8%
432
18.8%
23
20.5%
396
18.1%
419
18.2%
25
22.3%
481
22.0%
506
22.0%
112
100.0%
2,186
100.0%
2,298
100.0%
46
40.7%
781
35.7%
827
36.0%
17
15.0%
346
15.8%
363
15.8%
19
16.8%
425
19.4%
444
19.3%
31
27.4%
634
29.0%
665
28.9%
113
100.0%
2,186
100.0%
2,299
100.0%
63
55.8%
1,339
61.1%
1,402
60.9%
15
13.3%
318
14.5%
333
14.5%
23
20.4%
267
12.2%
290
12.6%
12
10.6%
267
12.2%
279
12.1%
113
100.0%
2,191
100.0%
2,304
100.0%
Page 28

Cardiology Tables
Practice type
Lessons - 2010
The EHR can provide

patients with a clinical
summary of each office
visit.
Our EHR has this

Our EHR has this
physicians use it
Our EHR does not
have this feature
not know, or other
Total
The EHR has the

capability to
electronically exchange
key clinical information
among providers and
patient authorized
entities outside of our
practice.
Our EHR has this

Our EHR has this
physicians use it
Our EHR does not
have this feature
not know, or other
Total
The EHR uses certified

EHR technology to
protect electronic
health information.
Our EHR has this

Our EHR has this
physicians use it
Our EHR does not
have this feature
not know, or other
Total
Cardiology
Count
Percent
Count
Percent
Total
Count
Percent
64
56.6%
1,339
60.8%
1,403
60.6%
25
22.1%
401
18.2%
426
18.4%
12
10.6%
213
9.7%
225
9.7%
12
10.6%
248
11.3%
260
11.2%
113
100.0%
2,201
100.0%
2,314
100.0%
40
35.4%
943
43.1%
983
42.7%
21
18.6%
357
16.3%
378
16.4%
33
29.2%
489
22.3%
522
22.7%
19
16.8%
399
18.2%
418
18.2%
113
100.0%
2,188
100.0%
2,301
100.0%
80
71.4%
1,748
79.4%
1,828
79.0%
6.3%
70
3.2%
77
3.3%
8.0%
130
5.9%
139
6.0%
16
14.3%
253
11.5%
269
11.6%
112
100.0%
2,201
100.0%
2,313
100.0%
Page 29

Cardiology Tables
Table R19: For cardiology practices - EHR impact on operating cost
Practice type
Lessons - 2010
Allowing enough time
after implementation for
physicians and staff to
become familiar with
the EHR, what
happened to total
practice operating
costs?
Cardiology
Count
Percent
Count
Percent
Total
Count
Percent
Increased
36
31.6%
616
27.3%
652
27.5%
Stayed the same
20
17.5%
577
25.6%
597
25.2%
Decreased
30
26.3%
404
17.9%
434
18.3%
Not applicable or do
not know
28
24.6%
661
29.3%
689
29.0%
114
100.0%
2,258
100.0%
2,372
100.0%
Total
Table R20: For cardiology practices - EHR impact on productivity

Practice type
Lessons - 2010
Allowing enough time
after implementation for
physicians and staff to
become familiar with
the EHR, what
happened to physician
productivity?
Cardiology
Count
Percent

Count
Percent
Total
Count
Percent
Increased
32
27.8%
468
20.9%
500
21.2%
Stayed the same
35
30.4%
781
34.9%
816
34.7%
Decreased
30
26.1%
551
24.6%
581
24.7%
Not applicable or do
not know
18
15.7%
439
19.6%
457
19.4%
115
100.0%
2,239
100.0%
2,354
100.0%
Total
Page 30

Cardiology Tables
Table R21: For cardiology practices - Practice type
Practice type
Lessons - 2010
Percent
Count
Percent
Total
Count
Percent
Multispecialty with
primary and specialty
care
Multispecialty with
primary care only
Multispecialty with
specialty care only
.0%
718
21.2%
718
20.2%
.0%
131
3.9%
131
3.7%
.0%
120
3.5%
120
3.4%
Allergy / Immunology
.0%
32
.9%
32
.9%
Anesthesiology
.0%
37
1.1%
37
1.0%
Anesthesiology: Pain
Management
.0%
47
1.4%
47
1.3%
159
100.0%
.0%
159
4.5%
.0%
.1%
.1%
Dentistry
.0%
.1%
.1%
Dermatology
.0%
52
1.5%
52
1.5%
Dermatology: Mohs
Surgery
.0%
12
.4%
12
.3%
Emergency Medicine
.0%
17
.5%
17
.5%
Endocrinology /
Metabolism
.0%
21
.6%
21
.6%
Family Practice
.0%
392
11.6%
392
11.0%
Cardiology
Critical Care: Intensivist
What best describes

your practice type?
Cardiology
Count
Gastroenterology
.0%
84
2.5%
84
2.4%
Genetics
.0%
.0%
.0%
Geriatrics
.0%
14
.4%
14
.4%
Hematology / Oncology
.0%
67
2.0%
67
1.9%
Hospitalist
.0%
20
.6%
20
.6%
Infectious Disease
.0%
17
.5%
17
.5%
Internal Medicine
.0%
107
3.2%
107
3.0%
Neonatal Medicine
.0%
.1%
.1%
Nephrology
.0%
30
.9%
30
.8%
Neurology
.0%
42
1.2%
42
1.2%
OB/GYN
.0%
180
5.3%
180
5.1%
OB/GYN:
Gynecological
Oncology
OB/GYN: Maternal /
Fetal Medicine
OB/GYN: Reproductive
/ Endocrinology
.0%
.3%
.3%
.0%
14
.4%
14
.4%
.0%
10
.3%
10
.3%
Occupational Medicine
.0%
.2%
.2%
Ophthalmology
.0%
85
2.5%
85
2.4%
Ophthalmology: Retina
.0%
19
.6%
19
.5%
Orthopedic surgery
.0%
223
6.6%
223
6.3%
Otorhinolaryngology
.0%
77
2.3%
77
2.2%
Page 31

Cardiology Tables
Table R21: For cardiology practices - Practice type
Practice type
Lessons - 2010
What best describes

your practice type?
Cardiology
Count
Percent
Count
Percent
Total
Count
Percent
Pathology
.0%
.2%
.2%
Pediatrics
.0%
171
5.0%
171
4.8%
Pediatrics: Cardiology
.0%
.2%
.2%
Pediatrics: Child
Development
Pediatrics: Critical Care
/ Intensivist
Pediatrics:
Endocrinology
Pediatrics:
Gastroenterology
Pediatrics: Hematology
/ Oncology
.0%
.0%
.0%
.0%
.1%
.1%
.0%
.1%
.1%
.0%
.0%
.0%
.0%
.0%
.0%
Pediatrics: Hospitalist
.0%
.0%
.0%
Pediatrics: Nephrology
.0%
.1%
.1%
Pediatrics:
Pulmonology
.0%
.0%
.0%
Physiatry
.0%
19
.6%
19
.5%
Podiatry
.0%
26
.8%
26
.7%
Psychiatry
.0%
28
.8%
28
.8%
Pulmonary Medicine
.0%
38
1.1%
38
1.1%
Radiation Oncology
.0%
11
.3%
11
.3%
Radiology
.0%
18
.5%
18
.5%
Rheumatology
.0%
20
.6%
20
.6%
Surgery:
Cardiovascular
Surgery: Colon and
Rectal
.0%
.2%
.2%
.0%
.3%
.3%
Surgery: General
.0%
93
2.7%
93
2.6%
Surgery: Neurological
.0%
35
1.0%
35
1.0%
Surgery: Oncology
.0%
.1%
.1%
Surgery: Oral
.0%
.1%
.1%
Surgery: Pediatric
.0%
.1%
.1%
Surgery: Plastic /
Reconstructive
.0%
18
.5%
18
.5%
Surgery: Trauma
.0%
.1%
.1%
Surgery: Vascular
.0%
18
.5%
18
.5%
Urgent Care
.0%
37
1.1%
37
1.0%
Urology
.0%
79
2.3%
79
2.2%
Other
.0%
87
2.6%
87
2.5%
Organization is not a
medical practice
.0%
47
1.4%
47
1.3%
159
100.0%
3,390
100.0%
3,549
100.0%
Total
Page 32

Cardiology Tables
Table R22: For cardiology practices - FTE physicians
Electronic Health
Records: Status,
How many full-time
equivalent (FTE)
physicians work for
your medical practice?
What percentage of
your practice's
physicians are over the
age of 50?
Practice type
Cardiology
Count
Mean
Std Dev
Mode
25th %tile
Median
75th %tile
156
14
20
15
146
42
27
50
20
44
59

Electronic Health
Records: Status,
How many full-time
equivalent (FTE)
physicians work for
What percentage of
your practice's
age of 50?
Practice type
Count
Mean
Std Dev
Mode
25th %tile
Median
75th %tile
3,272
36
124
20
2,793
37
28
50
11
35
50

Electronic Health
Records: Status,
How many full-time
equivalent (FTE)
physicians work for
What percentage of
your practice's
age of 50?
Practice type
Total
Count
Mean
Std Dev
Mode
25th %tile
Median
75th %tile
3,428
35
121
19
2,939
38
28
50
12
35
50
Page 33

Cardiology Tables
Table R23: For cardiology practices - Number of FTE physicians category
Practice type
Lessons - 2010
Cardiology
Count
Count
Percent
Total
Count
Percent
3.8%
328
10.0%
334
9.7%
2 to 5 FTE
47
30.1%
1,110
33.9%
1,157
33.8%
6 to 10 FTE
44
28.2%
634
19.4%
678
19.8%
11 to 25 FTE
42
26.9%
546
16.7%
588
17.2%
26 to 50 FTE
12
7.7%
239
7.3%
251
7.3%
Less than 2 FTE

How many full-time
equivalent (FTE)
physicians work for
Percent
3.2%
415
12.7%
420
12.3%
156
100.0%
3,272
100.0%
3,428
100.0%
51 FTE or more
Total
Table R24: For cardiology practices - Percentage of physicians over the age of fifty
Practice type
Lessons - 2010
What percentage of
your practice's
age of 50?
Cardiology
Count
Percent

Count
Percent
Total
Count
Percent
Less than 10%
25
17.1%
620
22.2%
645
21.9%
10% to 35%
32
21.9%
808
28.9%
840
28.6%
36% to 50%
48
32.9%
717
25.7%
765
26.0%
51% to 100%
41
28.1%
648
23.2%
689
23.4%
146
100.0%
2,793
100.0%
2,939
100.0%
Total
Page 34

Cardiology Tables
Table R25: For cardiology practices - State
Practice type
Lessons - 2010
In which state is your

practice located?
Cardiology
Count
Percent
Alabama
Alaska
Arizona
Count
Percent
Percent
5.1%
83
.0%
22
.7%
22
.6%
5.1%
92
2.7%
100
2.8%
Arkansas
1.9%
43
1.3%
46
1.3%
California
5.1%
212
6.3%
220
6.3%
Colorado
1.3%
84
2.5%
86
2.4%
Connecticut
.6%
46
1.4%
47
1.3%
Delaware
.0%
.2%
.2%
District of Columbia
.0%
.3%
.3%
Florida
10
6.3%
186
5.5%
196
5.6%
Georgia
3.2%
75
2.2%
80
2.3%
Hawaii
.0%
.2%
.2%
Idaho
.6%
43
1.3%
44
1.3%
Illinois
3.8%
127
3.8%
133
3.8%
Indiana
5.7%
90
2.7%
99
2.8%
Iowa
1.9%
38
1.1%
41
1.2%
Kansas
.6%
39
1.2%
40
1.1%
Kentucky
1.3%
77
2.3%
79
2.2%
Louisiana
1.9%
42
1.3%
45
1.3%
Maine
.0%
23
.7%
23
.7%
Maryland
.6%
66
2.0%
67
1.9%
Massachusetts
Michigan
2.5%
Total
Count
91
2.6%
.6%
67
2.0%
68
1.9%
15
9.5%
141
4.2%
156
4.4%
Minnesota
.0%
42
1.3%
42
1.2%
Mississippi
.0%
17
.5%
17
.5%
Missouri
2.5%
72
2.1%
76
2.2%
Montana
.0%
18
.5%
18
.5%
Nebraska
1.3%
66
2.0%
68
1.9%
Nevada
.6%
17
.5%
18
.5%
New Hampshire
.0%
25
.7%
25
.7%
New Jersey
3.2%
91
2.7%
96
2.7%
New Mexico
.6%
27
.8%
28
.8%
New York
3.8%
143
4.3%
149
4.2%
North Carolina
1.3%
129
3.8%
131
3.7%
North Dakota
.0%
.1%
.1%
Ohio
5.1%
138
4.1%
146
4.2%
Oklahoma
.0%
34
1.0%
34
1.0%
Oregon
1.9%
91
2.7%
94
2.7%
Pennsylvania
3.2%
133
4.0%
138
3.9%
Rhode Island
.0%
14
.4%
14
.4%
South Carolina
2.5%
41
1.2%
45
1.3%
Page 35

Cardiology Tables
Table R25: For cardiology practices - State
Practice type
Lessons - 2010
Cardiology
Count
South Dakota
Count
Percent
Total
Count
Percent
.6%
.2%
.2%
3.2%
124
3.7%
129
3.7%
15
9.5%
228
6.8%
243
6.9%
Utah
.0%
28
.8%
28
.8%
Vermont
.0%
15
.4%
15
.4%
Virginia
1.9%
71
2.1%
74
2.1%
Washington
1.9%
80
2.4%
83
2.4%
West Virginia
.6%
14
.4%
15
.4%
Wisconsin
1.3%
55
1.6%
57
1.6%
Tennessee
Texas
In which state is your

practice located?
Percent
.0%
12
.4%
12
.3%
158
100.0%
3,355
100.0%
3,513
100.0%
Wyoming
Total
Table R26: For cardiology practices - MGMA membership status

Practice type
Lessons - 2010
MGMA membership
status
Cardiology
Count
Percent
Count
Percent
Total
Count
Percent
National MGMA
member
99
62.3%
1,865
55.0%
1,964
55.3%
State MGMA member
27
17.0%
398
11.7%
425
12.0%
Neither national nor

state MGMA member
MGMA membership
status unknown
19
11.9%
713
21.0%
732
20.6%
14
8.8%
414
12.2%
428
12.1%
159
100.0%
3,390
100.0%
3,549
100.0%
Total
Page 36
Electronic Health Records:

Status, Needs and Lessons
2011 Report Based on 2010 Data
Snapshot of an Infrastructure under Construction
Special edition: Cardiology

MGMA-ACMPE
104 Inverness Terrace East
Englewood, CO 80112
877.275.6462
Mgma.com
Research funded by PNC Bank

Ehr Report Cardiology

Caricato da

Informazioni sul documento

Descrizione originale:

Copyright

Formati disponibili

Condividi questo documento

Condividi o incorpora il documento

Opzioni di condivisione

Hai trovato utile questo documento?

Questo contenuto è inappropriato?

Copyright:

Formati disponibili

Ehr Report Cardiology

Caricato da

Copyright:

Formati disponibili

MEDIC A L GROUP M A N AGEMENT A SSO CIATION

MGMA Electronic Health Records:

Snapshot of an Infrastructure under Construction

Special edition: Cardiology

Research funded by PNC Bank

Copyright 2012 MGMA-ACMPE. All rights reserved.

Electronic Health Records: Special Cardiology Edition

Medical Group Management Association

Which of the following

All other specialties

Urgent care center

Copyright 2012. Medical Group Management Association. All rights reserved.

Medical Group Management Association

How does your practice

All other specialties

All other specialties

No, because we will not

No, for other reasons.

Does your practice

Copyright 2012. Medical Group Management Association. All rights reserved.

Medical Group Management Association

Which of the following

All other specialties

Copyright 2012. Medical Group Management Association. All rights reserved.

Medical Group Management Association

EHR security and

All other specialties

Copyright 2012. Medical Group Management Association. All rights reserved.

Medical Group Management Association

All other specialties

Copyright 2012. Medical Group Management Association. All rights reserved.

Medical Group Management Association

All other specialties

Copyright 2012. Medical Group Management Association. All rights reserved.

Medical Group Management Association

How to contract with an

How to pay for the EHR

How to integrate the

How to train staff and

How to revise practice

All other specialties

Copyright 2012. Medical Group Management Association. All rights reserved.

Medical Group Management Association

How to manage the

All other specialties

Copyright 2012. Medical Group Management Association. All rights reserved.

Medical Group Management Association

All other specialties

How to select an EHR

How to pay for the EHR

How to integrate the

Copyright 2012. Medical Group Management Association. All rights reserved.

Medical Group Management Association

What is the name of

All other specialties

Copyright 2012. Medical Group Management Association. All rights reserved.

Medical Group Management Association

What is the name of

All other specialties

EDIM By EDIMS, LLC

e-MDs Solution Series

Copyright 2012. Medical Group Management Association. All rights reserved.

Medical Group Management Association