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U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion

Increase the proportion of adults offered online access to their medical record — HC/HIT‑06 Data Methodology and Measurement

On this page:  About the National Data  |  Methodology  |  History

About the National Data

Data

Data Source:  Health Information National Trends Survey (HINTS), NIH/NCI

Baseline: 61.4 percent of adults aged 18 years and over reported that they were offered online access to their medical record by a health care provider or insurer in 2017

Target: 63.0 percent

Numerator
Number of adults aged 18 years and over that report that they have been offered online access to their medical record by a health care provider or insurer.
Denominator
Number of adults aged 18 years and over.
Target-setting method
Percentage point improvement
Target-setting method details
Percentage point improvement from the baseline using Cohen's h effect size of 0.20.
1
Target-setting method justification
Trend data were not available for this objective. A percentage point improvement was calculated using Cohen's h effect size of 0.2. This method was used because there are a number of activities underway designed to promote individuals' access and use of online medical records. Therefore, the Healthy People 2030 Workgroup Subject Matter Experts set a more ambitious yet achievable target for this objective.

Methodology

Questions used to obtain the national baseline data

(For additional information, please visit the data source page linked above.)

From the 2017 HINTS Cycle 5 survey:

Numerator:
Have you ever been offered online access to your medical records by your….
  1. Health care provider? (yes, no, don't know)
  2. Health insurer? (yes, no, don't know)

Methodology notes

The sample design for HINTS 5, Cycle 1 (2017) consisted of a single-mode mail survey, using the Next Birthday Method for respondent selection. The sample design for the HINTS 5, Cycle 1 (2017) survey consisted of two-stages. In the first stage, a stratified sample of addresses was selected from a file of residential addresses. In the second-stage, one adult was selected within each sampled household. The sampling frame consisted of a database of addresses used by Marketing Systems Group (MSG) to provide random samples addresses. Complete data were collected from 3,191 respondents. The response rate was 32%, and results were weighted to account for non-response and generate national estimates. The questions asked in the survey can be found in the HINTS 5, Cycle 1 (2017) Next Birthday Annotated Instrument.

https://hints.cancer.gov/docs/Instruments/HINTS5_Cycle1_Annotated_Instrument_English.pdf

History

Comparable HP2020 objective
Modified, which includes core objectives that are continuing from Healthy People 2020 but underwent a change in measurement.
Changes between HP2020 and HP2030
This objective differs from Healthy People 2020 objective HC/HIT-10 in that objective HC/HIT-10 used data from the National Electronic Health Records Survey (NEHRS - formerly a supplement of the National Ambulatory Medical Care Survey) to track office-based medical practices using electronic health records (EHRs), while this objective uses data from the Health Information National Trends Survey (HINTS) to track persons offered access to their online medical records by a health care provider or insurer. Currently, EHR adoption is near universal but the proportion of individuals who have access to this information lags behind.

1. Effect size h=0.2 was chosen to correspond with 20% improvement from a baseline of 50%.