Ranking the states on healthcare IT

Published
  • August 17 2017, 5:48am EDT

Ranking the states on healthcare IT

Healthcare information technology has been widely implemented in the last 10 years, but rates vary among different states. The Center for Data Innovation recently released a report entitled, “The Best States for Data Innovation.” Among a variety of measures, the Center rated states according to adoption rates for healthcare information technology—these include adoption of electronic health records and e-prescribing.

Here are the ratings in the report, with short descriptions of the methodology used to achieve the rankings. We list all 50 states for EHR use, as ranked by the Center; we name only the top 25 for e-prescribing, because more than half of the states surveyed have less than 2.5 percent of prescriptions for controlled substances issued electronically.

Electronic health records—the top 10 states

The Center for Data Innovation ranked states via an indicator that is a composite score of two variables—the percentage of all office-based physicians who have adopted a certified EHR and the percentage of nonfederal acute care hospitals that have adopted basic electronic health record systems. The values for this variable are extracted directly from the source and then standardized. The standardized scores are weighted equally, then summed for a final score.

1. Massachusetts: Hospitals 93 percent, physicians 90 percent
2. Wyoming: Hospitals 94 percent, physicians 88 percent
3. Washington: Hospitals 94 percent, physicians 86 percent
4. Minnesota: Hospitals 88 percent, physicians 89 percent
5. Indiana: Hospitals 88 percent, physicians 89 percent
6. Colorado: Hospitals 87 percent, physicians 90 percent
7. North Carolina: Hospitals 86 percent, physicians 89 percent
8. Arkansas: Hospitals 90 percent, physicians 85 percent
9. North Dakota: Hospitals 89 percent, physicians 84 percent
10. New Mexico: Hospitals 90 percent, physicians 82 percent

Content Continues Below

Electronic health records—states ranked 11 to 19

11. South Dakota: Hospitals 80 percent, physicians 90 percent
12. Michigan: Hospitals 85 percent, physicians 85 percent
13. Mississippi: Hospitals 86 percent, physicians 83 percent
14. Maryland: Hospitals 95 percent, physicians 73 percent
15. Tennessee: Hospitals 87 percent, physicians 80 percent
16. Kentucky: Hospitals 82 percent, physicians 84 percent
17. Wisconsin: Hospitals 83 percent, physicians 83 percent
18. Florida: Hospitals 87 percent, physicians 79 percent
19 (tie). Virginia: Hospitals 93 percent, physicians 73 percent
Utah: Hospitals 93 percent, physicians 73 percent

Electronic health records—states ranked 21 to 50

21. Missouri: Hospitals 87 percent, physicians 79 percent
22. Nevada: Hospitals 94 percent, physicians 72 percent
23. Oklahoma: Hospitals 87 percent, physicians 77 percent
24. Nebraska: Hospitals 75 percent, physicians 87 percent
25. Iowa: Hospitals 82 percent, physicians 81 percent
26. Oregon: Hospitals 85 percent, physicians 78 percent
27. Idaho: Hospitals 80 percent, physicians 81 percent
28. New Hampshire: Hospitals 79 percent, physicians 82 percent
29. California: Hospitals 85 percent, physicians 77 percent
30. Ohio: Hospitals 85 percent, physicians 76 percent
31. Texas: Hospitals 81 percent, physicians 79 percent
32. Illinois: Hospitals 87 percent, physicians 74 percent
33. Maine: Hospitals 87 percent, physicians 73 percent
34. Alaska: Hospitals 89 percent, physicians 71 percent
35. Alabama: Hospitals 80 percent, physicians 78 percent
36. Connecticut: Hospitals 83 percent, physicians 75 percent
37. Montana: Hospitals 83 percent, physicians 75 percent
38. Kansas: Hospitals 73 percent, physicians 83 percent
39. New York: Hospitals 82 percent, physicians 75 percent
40. Georgia: Hospitals 85 percent, physicians 69 percent
41. Arizona: Hospitals 78 percent, physicians 74 percent
42. Deleware: Hospitals 67 percent, physicians 83 percent
43. Pennsylvania: Hospitals 78 percent, physicians 73 percent
44. West Virginia: Hospitals 74 percent, physicians 75 percent
45. South Carolina: Hospitals 71 percent, physicians 77 percent
46. Vermont: Hospitals 65 percent, physicians 79 percent
47. Hawaii: Hospitals 71 percent, physicians 71 percent
48. Louisiana: Hospitals 70 percent, physicians 69 percent
49. Rhode Island: Hospitals 70 percent, physicians 69 percent
50. New Jersey: Hospitals 75 percent, physicians 62 percent

E-prescribing—the top 10 states

In its ranking of states for e-prescribing, The Center for Data Innovation relied on ratings for the percentage of prescriptions for controlled substances that are filed electronically by physicians. E-prescribing, a core component of data-driven healthcare, allows physicians to send a prescription to a pharmacy electronically. While e-prescribing is now commonplace, it is still not used as frequently for prescribing controlled substances, such as prescription painkillers, creating opportunities for prescription forgery.

According to data from the report, only 21 states send more than 3 percent of prescriptions for controlled substances electronically.

1. New York: 37.7 percent
2. Nebraska: 20.2 percent
3. Delaware: 11.8 percent
4. California: 9.6 percent
5. Texas: 9.4 percent
6. Michigan: 8.4 percent
7. Wisconsin: 8.3 percent
8. Massachusetts: 6.6 percent
9. Oregon: 6.3 percent
10. Rhode Island: 5.8 percent

Content Continues Below

E-prescribing—states ranked 11 to 25

11. Ohio: 5.3 percent
12. Maryland: 5.3 percent
13. Indiana: 5.1 percent
14. Minnesota: 4.9 percent
15. Illinois: 4.4 percent
16. Iowa: 4.4 percent
17. South Dakota: 3.8 percent
18. New Hampshire: 3.8 percent
19. Louisiana: 3.7 percent
20. Vermont: 3.3 percent
21. Arizona: 3.1 percent
22. (tie) North Carolina, 2.8 percent
Pennsylvania, 2.8 percent
24. Wyoming, 2.7 percent
25. New Jersey, 2.6 percent

A total of 29 states with fewer than 3 percent of prescriptions for controlled substances filed electronically.