Alaska eHealth Network
Status of EHR Use in Alaska
A Market Research Report
By
February 1, 2010
B
ac
kground & M
et
hodology ... 3
R
esea
r
c
h Finding
s
... 5
Surv
e
y R
es
ul
ts
... 5
App
e
ndix
Surv
e
y In
st
rum
e
n
t
... 10
Copyright 2010 Craciun Research all rights reserved.
C O N T E N T S
Cr
ac
iun R
esea
r
c
h w
as
hir
e
d by
t
h
e
Al
as
k
a
e
H
ea
l
t
h N
et
work
t
o
c
ondu
ct
a
state
wid
e
follow-up
s
urv
e
y of Al
as
k
a
phy
s
i
c
i
a
n
s
a
nd
c
lini
c
m
a
n
a
g
e
r
s
:
2009 phy
s
i
c
i
a
n u
sa
g
e
of El
ect
roni
c
H
ea
l
t
h R
ec
ord
s
(EHR
s
)
2010 updated changes from previous study in terms of acquiring EHR’s
In April 2009,
t
h
e
s
urv
e
y w
as
m
a
d
e
a
v
a
il
a
bl
e
t
o 1401 phy
s
i
c
i
a
n
s
a
nd 180
c
lini
c
m
a
n
a
g
e
r
s
u
s
ing
t
h
e
Al
as
k
a
S
tate
M
e
di
ca
l A
ss
o
c
i
at
ion m
e
di
ca
l li
ce
n
se
d
ata
b
ase
a
nd
t
h
e
Al
as
k
a
Medical Group Management Association’s membership.
To
ta
l numb
e
r of
c
ompl
ete
d
s
urv
e
y
s
from 2009:
Phy
s
i
c
i
a
n
s
378 85.9%
Clini
c
M
a
n
a
g
e
r
s
62 14.1%
TOT A L SA MPLE
440 100%
The margin of error is not as reliable on a “self
-
selected” sample such as this. However,
if i
t
w
as
a
t
ru
e
r
a
ndom
se
l
ect
ion,
t
h
e
m
a
rgin of
e
rror would b
e
a
bou
t
+/- 4.0%.
O
W N E RSH IP O F
M
E DI C A L
P
R A C T I C E
58% of our
st
udy popul
at
ion own or
s
h
a
r
e
own
e
r
s
hip of
t
h
e
pr
act
i
ces
r
e
pr
ese
n
te
d in
t
hi
s
r
e
por
t
.
S
I Z E O F
P
R A C T I C E
Th
e
m
e
di
a
n numb
e
r of phy
s
i
c
i
a
n
s
in our
st
udy p
e
r pr
act
i
ce
i
s
four,
a
nd
t
h
e
mid-l
e
v
e
l
pr
act
i
t
ion
e
r i
s
on
e
. For
t
y on
e
p
e
r
ce
n
t
(41%) of
t
h
e
pr
act
i
ces
h
a
v
e
no mid-l
e
v
e
l
pr
act
i
t
ion
e
r
s
. Th
e
c
ombin
e
d m
e
di
ca
l
sta
ff h
as
a
m
e
di
a
n of fiv
e
individu
a
l
s
p
e
r pr
act
i
ce
.
Mor
e
of
t
h
e
do
ct
or
s
a
r
e
in
s
olo pr
act
i
ce
(26.8%)
t
h
a
n
a
ny o
t
h
e
r
cate
gory of
s
iz
e
: 2-3
phy
s
i
c
i
a
n
s
, 4-6, 7-12,
a
nd 13-100.
T
YPE O F
P
R A C T I C E
Thir
t
y fiv
e
p
e
r
ce
n
t
of our r
es
pond
e
n
ts
(35%) work in F
a
mily Pr
act
i
ce
a
nd
t
h
e
n
e
x
t
group
r
e
pr
ese
n
te
d i
s
P
e
di
at
ri
cs
at
12%. M
a
ny phy
s
i
c
i
a
n
s
a
nd
c
lini
c
m
a
n
a
g
e
r
s
g
a
v
e
mul
t
ipl
e
answers, with 27% selecting “other” and specifying a different type of practice. In
a
ddi
t
ion
t
o
t
h
e
10
cate
gori
es
provid
e
d, r
es
pond
e
n
ts
s
p
ec
ifi
e
d 60 o
t
h
e
r
t
yp
es
of pr
act
i
ce
.
U
PD A T E
S
A MPL IN G
2010
In
J
a
nu
a
ry 2010, phy
s
i
c
i
a
n
s
who h
a
d no
t
r
e
por
t
e
d h
a
ving
a
n E HR in
t
h
e
ea
rli
e
r
st
udy
w
e
r
e
ca
ll
e
d
a
nd
as
k
e
d wh
et
h
e
r
t
h
e
y h
a
d
esta
bli
s
h
a
n EHR
t
o
t
h
e
ir pr
act
i
ce
during
t
h
e
pr
e
viou
s
nin
e
mon
t
h
s
. Pl
ease
see
t
h
e
Ex
ec
u
t
iv
e
Summ
a
ry publi
s
h
e
d F
e
bru
a
ry 2010 und
e
r
se
p
a
r
ate
c
ov
e
r.
2010
D
E T A I L E D
R
ESE A R C H
M
E T H O DS
S
UR V E Y
I
NST RU M E N T
,
S
A MPL E
F
R A M E A ND
F
I E L DIN G
Th
e
s
urv
e
y in
st
rum
e
n
t
(qu
est
ionn
a
ir
e
) w
as
d
es
ign
e
d
t
o d
et
e
rmin
e
wh
et
h
e
r
a
ny of
ce
r
ta
in
c
lini
cs
(
t
ho
se
whi
c
h, wh
e
n
s
urv
e
y
e
d nin
e
mon
t
h
s
a
go, did no
t
h
a
v
e
EHR
s
) h
a
v
e
s
in
ce
ac
quir
e
d
t
h
e
m. On
e
-hundr
e
d
a
nd fiv
e
s
u
c
h
c
lini
cs
w
e
r
e
d
e
fin
e
d. Of
t
h
at
numb
e
r nin
et
y-four w
e
r
e
r
eac
h
e
d
a
nd r
es
pond
e
d
t
o
t
h
e
qu
est
ion
s
.
D
A T A
A
N A L YSIS
&
R
EP O R T IN G
M
e
mb
e
r
s
of
t
h
e
Cr
ac
iun R
esea
r
c
h
tea
m,
e
mploying SPSS
1,,
a
n
a
lyz
e
d
t
h
e
sa
mpl
e
. Th
e
prim
a
ry pro
ce
dur
es
r
e
por
te
d
a
r
e
fr
e
qu
e
n
c
i
es
a
nd
c
ro
ss
ta
bul
at
ion
s
.
In
c
lud
e
d in
t
h
e
pr
ese
n
tat
ion of
eac
h r
es
pon
se
i
s
a
s
umm
a
ry or
e
x
a
mpl
e
of
a
ny
s
ignifi
ca
n
t
finding
s
, follow
e
d by r
e
l
e
v
a
n
t
ta
bl
es
. All p
e
r
ce
n
t
a
g
es
in
t
h
e
n
a
rr
at
iv
e
a
r
e
round
e
d
t
o
t
h
e
n
ea
r
est
whol
e
p
e
r
ce
n
ta
g
e
poin
t
.
Of
te
n,
a
f
e
w r
es
pond
e
n
ts
f
a
il
t
o
a
n
s
w
e
r
a
qu
est
ion. Unl
ess
t
h
e
p
e
r
ce
n
t
a
g
e
t
h
at
f
a
il
e
d
t
o
a
n
s
w
e
r i
s
s
ignifi
ca
n
t
,
t
h
ese
p
e
opl
e
a
r
e
no
t
in
c
lud
e
d in
t
h
e
t
o
ta
l
s
upon whi
c
h
t
h
e
p
e
r
ce
n
ta
g
es
a
r
e
b
ase
d. P
e
r
ce
n
t
a
g
es
in
t
h
e
ta
bl
es
o
ccas
ion
a
lly do no
t
a
dd
t
o
e
x
act
ly 100%
b
eca
u
se
of rounding.
Cro
ss
ta
bul
at
ion
s
d
esc
rib
e
d
ata
t
h
at
m
a
y b
e
r
e
l
ate
d in
s
om
e
w
a
y. In m
a
ny
c
ro
ss
ta
bul
at
ion
s
,
cate
gori
es
a
r
e
c
ombin
e
d or omi
tt
e
d b
eca
u
se
t
h
e
numb
e
r
s
a
r
e
t
oo
s
m
a
ll
t
o b
e
stat
i
st
i
ca
lly
s
ignifi
ca
n
t
. Thi
s
m
a
nipul
at
ion m
a
y
c
h
a
ng
e
t
h
e
t
o
ta
l
s
on whi
c
h p
e
r
ce
n
ta
g
es
a
r
e
b
ase
d, bu
t
do
es
no
t
a
ff
ect
t
h
e
r
e
l
at
ion
s
hip
s
b
et
w
ee
n p
e
r
ce
n
ta
g
es
.
Cro
ss
ta
bul
at
ion
s
m
a
y b
e
u
se
d
t
o indi
cate
diff
e
r
e
n
ces
(or l
ac
k of diff
e
r
e
n
ces
) b
et
w
ee
n
s
ubgroup
s
of p
e
opl
e
.
Not
e
s
to R
e
ad
e
r
s
Surv
e
y qu
est
ion
s
a
r
e
group
e
d
t
og
et
h
e
r for r
e
por
t
ing purpo
ses
wh
e
n
t
h
e
y
a
r
e
r
e
l
ate
d.
Al
s
o,
t
h
e
ord
e
r in whi
c
h
t
h
e
qu
est
ion
s
a
r
e
pr
ese
n
te
d in
t
h
e
finding
s
i
s
no
t
t
h
e
sa
m
e
as
in
t
h
e
s
urv
e
y in
st
rum
e
n
t
. R
e
f
e
r
t
o
t
h
e
App
e
ndix for
t
h
e
act
u
a
l qu
est
ion pr
ese
n
tat
ion
se
qu
e
n
ce
a
nd
s
kip
c
on
t
rol logi
c
.
Wh
e
n
a
l
ac
k of diff
e
r
e
n
ce
i
s
b
e
ing
s
hown,
a
foo
t
no
te
i
s
a
pp
e
nd
e
d
t
o
t
h
e
t
a
bl
e
indi
cat
ing
that the differences are not “statistically significant.”
21
Tr
a
d
e
m
a
rk r
e
gi
st
e
r
e
d
.
2
S
t
a
t
i
st
i
ca
l
s
ignifi
ca
n
ce
i
s
d
e
t
e
rmin
e
d by u
s
ing
a
c
hi-
s
qu
a
r
e
t
e
st
wi
t
h
a
s
ignifi
ca
n
ce
f
ac
t
or of l
e
ss
t
h
a
n
.
05
.
Th
e
c
hi
s
qu
a
r
e
t
e
st
i
s
u
s
e
d by r
e
s
ea
r
c
h
e
r
s
t
o d
e
t
e
rmin
e
wh
e
t
h
e
r or no
t
a
r
e
s
ul
t
m
a
y b
e
du
e
t
o r
a
ndom
v
a
ri
a
t
ion
,
whi
c
h i
s
s
e
n
s
i
t
iv
e
t
o
s
a
mpl
e
s
iz
e
,
l
a
rg
e
r
a
ndom v
a
ri
a
t
ion
s
m
a
y o
cc
ur in
s
m
a
ll
s
a
mpl
e
s
.
S
UR V E Y R ESU L TS
Qu
e
s
tion:
H
as
your
c
lini
c
a
dop
te
d
a
n EHR/EMR
s
y
ste
m in
t
h
e
l
ast
nin
e
mon
t
h
s?
Qu
e
s
tion:
Ar
e
you pl
a
nning
t
o
a
dop
t
a
n EHR in
t
h
e
n
e
x
t
s
ix mon
t
h
s?
In
t
h
e
p
ast
nin
e
mon
t
h
s
,
a
qu
a
r
te
r (26%) of
t
h
e
c
lini
cs
whi
c
h h
a
d pr
e
viou
s
ly h
a
d no EHR
h
a
d
ac
quir
e
d
s
y
ste
m
s
;
a
no
t
h
e
r 19% i
s
pl
a
nning
t
o do
s
o.
T
A B L E
A1.1:
N
E W
A
C Q UISI T I O NS O F
E
L E C T R O NI C
H
E A L T H
R
E C O RDS
+++ | | | +++ |In past 9 months Clinic has: | | | Adopted an EHR...| 24 25.5% | | Is planning to...| 18 19.1% | | Neither...| 52 55.3% | | | | |Total...| 94 100% | +++R E S E A R C H F I N D I N G S
Qu
e
s
tion:
Whi
c
h EHR do
es
your offi
ce
u
se?
Qu
e
s
tion:
Whi
c
h EHR br
a
nd
a
r
e
you
c
on
s
id
e
ring
?
A wid
e
v
a
ri
et
y of EHR br
a
nd
s
h
as
b
ee
n
ac
quir
e
d
a
nd i
s
und
e
r
c
on
s
id
e
r
at
ion.
T
A B L E
A2.1:
E H R
C
O MP A NI ES
+++ | | | +++ |Brand of the adopted EHR | | | Cerner...| 3 12.5% | | Centricity...| 2 8.3% | | eMDs...| 2 8.3% | | SRS...| 2 8.3% | | Alert...| 1 4.2% | | Allscripts...| 1 4.2% | | eClinical Works...| 1 4.2% | | Lantus...| 1 4.2% | | Meditech...| 1 4.2% | | MedSeries 4...| 1 4.2% | | Nexgen...| 1 4.2% | | Office Mate...| 1 4.2% | | Practice Partner...| 1 4.2% | | ProMed...| 1 4.2% | | Stryker...| 1 4.2% | | TSystem...| 1 4.2% | | Tier...| 1 4.2% | | | | | Unsure of type...| 2 8.3% | | | | |Total...| 24 100% | +++ |Brand of EHR under consideration: | | | EPIC...| 4 21.1% | | Allscripts...| 2 10.5% | | eMDs...| 2 10.5% | | Alert...| 1 5.3% | | Amazing Charts...| 1 5.3% | | Centricity...| 1 5.3% | | Cerner...| 1 5.3% | | Exscribe...| 1 5.3% | | NexTec...| 1 5.3% | | | | | Undecided...| 5 26.3% | | | | |Total...| 19 100% | +++Qu
e
s
tion:
How m
a
ny do
ct
or
s
in your/
t
h
e
pr
act
i
ce?
Qu
e
s
tion:
How m
a
ny mid-l
e
v
e
l pr
act
i
t
ion
e
r
s?
Th
e
m
ea
n numb
e
r of phy
s
i
c
i
a
n
s
p
e
r
c
lini
c
, ov
e
r
a
ll, i
s
4.1
a
nd
t
h
e
m
e
di
a
n i
s
3, whil
e
t
h
e
m
ea
n numb
e
r of mid-l
e
v
e
l pr
act
i
t
ion
e
r
s
i
s
1.7
a
nd
t
h
e
m
e
di
a
n 1. For
t
y-
s
ix p
e
r
ce
n
t
of
t
h
e
pr
act
i
ces
h
a
v
e
no mid-l
e
v
e
l pr
act
i
t
ion
e
r
s
.
T
A B L E
A3.1:
S
I Z E O F
P
R A C T I C E
+++ | | | +++ |Physicians: | | | One...| 27 29.0% | | Two...| 17 18.3% | | Three...| 15 16.1% | | Four...| 7 7.5% | | Five...| 7 7.5% | | Six...| 4 4.3% | | Eight...| 6 6.5% | | Nine...| 2 2.2% | | Ten...| 2 2.2% | | Twelve...| 3 3.2% | | Twenty...| 2 2.2% | | Twentyfive...| 1 1.1% | | | | |Total *...| 93 100% | +++ |Mid Level providers: | | | None...| 43 45.7% | | One...| 21 22.3% | | Two...| 12 12.8% | | Three...| 8 8.5% | | Four...| 1 1.1% | | Five...| 1 1.1% | | Six...| 1 1.1% | | Seven...| 1 1.1% | | Eight...| 2 2.1% | | Ten...| 1 1.1% | | Eleven...| 1 1.1% | | Fifteen...| 2 2.1% | | | | |Total...| 94 100% | +++ * One respondent did not answer and has been omitted from the percentage base.Th
e
c
ombin
e
d m
e
di
ca
l
sta
ff h
as
a
m
ea
n of 5.8
a
nd
a
m
e
di
a
n of 4.
T
A B L E
A3.2:
C
O M B IN E D
S
I Z E O F
P
R A C T I C E
+++ | | | +++ |Total providers: | | | One...| 20 21.5% | | Two...| 17 18.3% | | Three...| 5 5.4% | | Four...| 15 16.1% | | Five...| 6 6.5% | | Six...| 6 6.5% | | Seven...| 2 2.2% | | Eight...| 4 4.3% | | Nine...| 4 4.3% | | Ten...| 1 1.1% | | Twelve...| 4 4.3% | | Fourteen...| 1 1.1% | | Fifteen...| 1 1.1% | | Sixteen...| 1 1.1% | | Eighteen...| 1 1.1% | | Nineteen...| 1 1.1% | | Twentythree...| 1 1.1% | | Twentyeight...| 1 1.1% | | Thirtyfive...| 2 2.2% | | | | |Total...| 93 100% | +++ |Providers: | | | One...| 20 21.5% | | Two thru four...| 37 39.8% | | Three thru seven...| 14 15.1% | | Eight or more...| 22 23.7% | | | | |Total...| 93 100% | +++ One respondent did not answer and has been omitted from the percentage base.L
a
rg
e
r
c
lini
cs
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r
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mor
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ly
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o
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dop
t
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ste
m
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t
h
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n
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ll
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es
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urr
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ly in
Al
as
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.
T
A B L E
A3.3:
A
D OP T E D
E H R
S
YST E MS B Y
C
L INI C
S
I Z E
++++ | | Providers: | Total | | +++++ | | | One | Two | Three | Eight | | | | | thru | thru |or more | | | | | four | seven | | | +++++++ |In past 9 months Clinic has: | | | | | | | Adopted an EHR...| 20.0% | 13.5% | 28.6% | 45.5% | 24.7% | | Is planning to...| 5.0% | 16.2% | 42.9% | 22.7% | 19.4% | | Neither...| 75.0% | 70.3% | 28.6% | 31.8% | 55.9% | | | | | | | | |Number...| 20 | 37 | 14 | 22 | 93 | +++++++ Column percentages
S
UR V E Y
I
NST RU M E N T
Clini
c
N
a
m
e
[ENT ER FROM D A T A B ASE]
1
.
H
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my n
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2
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Your
c
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ook
a
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c
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d in M
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.
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3
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H
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/
EMR in
t
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2
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4
.
Wh
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nd of
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t
2
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All
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3
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4
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Clini
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s
5
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6
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7
,
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8
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9
,
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s
10
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P
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r
11
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pw
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r
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12
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bMD
13
,
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14
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g
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In
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15
,
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m
16
,
O
t
h
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r
5
.
O
t
h
e
r EHR
/
EMR
6
.
Ar
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you pl
a
nning
t
o
a
dop
t
a
n EHR in
t
h
e
n
e
x
t
s
ix mon
t
h
s?
1
,
Y
e
s
2
,
No
3
,
No
t
Sur
e
7
.
Wh
a
t
br
a
nd of EHR
?
1
,
Al
e
r
t
2
,
All
s
c
rip
ts
3
,
C
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n
t
ri
c
i
t
y
4
,
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Clini
ca
l Work
s
5
,
e
MD
s
6
,
H A C
7
,
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s
8
,
M
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diNo
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s
A P P E N D I X
9
,
Mi
s
y
s
10
,
Pr
ac
t
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P
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r
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e
r
11
,
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pw
a
r
e
12
,
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bMD
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14
,
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a
g
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In
t
e
rgy
15
,
T-Sy
st
e
m
16
,
O
t
h
e
r
8
.
O
t
h
e
r EHR
/
EMR
9
.
How m
a
ny provid
e
r
s
a
r
e
in your
c
lini
c
?
1,
Phy
s
i
c
i
a
n
s
____
2,
Mid L
e
v
e
l
____
