title: The role and utilization of electronic medical records in ambulatory otolaryngology.
abstract: OBJECTIVE
  To estimate the usage of electronic medical records (EMRs) in ambulatory otolaryngology and to compare the usage trends between otolaryngologists and physicians in other specialties.
  
  
  METHODS
  Cross-sectional analysis of data taken from the National Ambulatory Medical Care Survey (NAMCS).
  
  
  METHODS
  The 2005 to 2010 NAMCS datasets were analyzed for whether storage of patient records in otolaryngology practices were completely electronic, partly electronic, or paper based. The trend of EMR utilization in the studied period was compared between otolaryngology and other specialties. Furthermore, the usage of different EMR functions (e.g., ordering tests) was also evaluated.
  
  
  RESULTS
  The proportion of otolaryngology practices with complete or partial EMR usage increased from 27.0% in 2005 to 2006, to 48.5% in 2009 to 2010 (P < .001), and was projected to increase to 80.3% in 2015 to 2016. Otolaryngologists had variable usage of different functions of EMRs. Neither the overall use of EMRs nor their different functions were statistically different between otolaryngologists and other specialists. Further exploration of data revealed that 34.0% of otolaryngologists intended to install new EMR systems within the following years. Finally, 39.9% of otolaryngologists had plans to apply for Medicare or Medicaid incentive payments, of which 92.3% expected to start meaningful use in 2011.
  
  
  CONCLUSIONS
  The increasing utilization of EMRs in ambulatory otolaryngology is an important marker of progress in compliance with health care reform. Despite this upward trend, however, <50% of ambulatory offices had adopted EMRs in 2009 to 2010, and it remains to be seen how the field will adapt to the evolving challenge of EMR adoption and implementation.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine, California.
authors.forename: Hossein
authors.initials: H
authors.lastname: Mahboubi
authors.forename: Ara A
authors.initials: AA
authors.lastname: Salibian
authors.forename: Edward C
authors.initials: EC
authors.lastname: Wu
authors.forename: Madhukar S
authors.initials: MS
authors.lastname: Patel
authors.forename: William B
authors.initials: WB
authors.lastname: Armstrong
mesh_terms: D000556:Ambulatory Surgical Procedures / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D057286:Electronic Health Records / Q000706:statistics & numerical data* / Q000639:trends; D019538:Health Care Surveys; D006801:Humans; D016015:Logistic Models; D013517:Otorhinolaryngologic Surgical Procedures / Q000706:statistics & numerical data*; D011216:Practice Management, Medical / Q000639:trends
keywords: Electronic medical record; National Ambulatory Medical Care Survey; ambulatory surgery; electronic health record; otolaryngology; outpatient practice