Small Practices and National EHR Adoption

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Small practices trail larger counterparts in their overall adoption and use of EHR systems. But they are critical ultimately to the success of CMS EHR Incentive Programs and initiatives funded through the ONC.


Although hospitals are the largest beneficiaries of CMS EHR incentives to date, they pale in comparison with small practices in terms of the volume of patients seen. In 2006, as part of their analysis of national health trends in the US, the Centers for Disease Control (CDC) showed that small practices (less than five physicians) constitute nearly 75% of all health care providers. As Director of the Regional Extension Center of New Hampshire (RECNH) Jeff Loughlin adroitly puts it, “The money is at hospitals; the patient volume, at small practices.”

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