1. THE COMMONWEALTH FUND Commonwealth Fund - Alliance for Health Reform Capitol Hill Briefing Investing in Health IT: What the U.S. and Other Countries are Learning October 29, 2010 Robin Osborn Vice President and Director International Program in Health Policy and Practice

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

3. THE COMMONWEALTH FUND 3 Year Technology Use Became Common Govt Billing Mandate Govt Funding Support College/ Association Leadership Peer Influence Accreditation of Vendor Systems Degree of Support Received AUS 2001NoYes No DEN 1994No Yes ENG 1992NoYes NoYesNo GER 1997YesNo YesNo NET 1993NoYes No N.Z. 1993YesNo Yes NOR 1995No Yes No SWE 1995NoYes NoYes 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. THE COMMONWEALTH FUND 4 Saving Time Simplified Repeat Prescription Quicker Receipt of Results Improved Patient Mgmt Legibility of Records and Forms More Timely Communication with Other Clinicians Availability of Clinical Data Online Data for Clinical Research AUS 12534768 DEN 42356187 ENG 12345678 GER 12453768 NET 12543687 N.Z. 14356278 NOR 43217586 SWE 41327865 Benefits of Automation in General Practice Source: D. Protti, Comparison of Information Technology in General Practice in Ten Countries, Electronic Healthcare, Vol. 5, No. 4, 2007 Note: Rated by doctors on a scale of 1 to 8, 1 being the most important.

5. THE COMMONWEALTH FUND 5 Use of IT On a Routine Basis for Core Tasks in Primary Care Practices Percent reporting ROUTINE: AUSCANFRGERNETNZNORSWEUKUS Electronic ordering of laboratory tests 8618406266445813538 Electronic access to patients test results 93413680769294918959 Electronic prescribing of medication 93275760989441938940 Electronic alerts/ prompts about a potential problem with drug dose/interaction 92204324959010589337 Electronic entry of clinical notes 9230605996 81899742 Source: 2009 Commonwealth Fund International Health Policy Survey of Primary Care Physicians.

6. THE COMMONWEALTH FUND 6 Computerized Capacity to Generate Patient Information in Primary Care Practices Percent report the COMPUTERIZED capacity to generate: AUSCANFRGERNETNZNORSWEUKUS List of patients by diagnosis 93372082739757749042 List of patients by lab result 88231556628449678529 List of patients who are due or overdue for tests/preventive care 95221965699632418929 List of all medications taken by an individual patient * 94252465619645498630 * Including those that may be prescribed by other doctors Source: 2009 Commonwealth Fund International Health Policy Survey of Primary Care Physicians.

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

11. THE COMMONWEALTH FUND 11 Base: Has Internet access Percent report they can currently: AUSCANFRGERNETNZUKUS Make a doctors appointment via the Internet 44812841011 Access own medical record online 11432129 Chronically Ill Patients Reports of Online Capabilities Source: 2008 Commonwealth Fund International Health Policy Survey of Patients with Chronic Conditions

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

14. THE COMMONWEALTH FUND 14 Thank You!