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Drug Discount: Characteristics of Hospitals Participating and Not Participating in the 340B Program

The U.S. Government Accountability Office (GAO) released a report on the results of the study that analyzes the characteristics of hospitals that participate or do not participate in the 340B drug discount program. The GAO conducted this study due to the sixty percent increase from 2011 to 2016 in program participation, as well as the impact of Medicaid expansion on 340B participation.

The study was focused on three of the six hospital types, as they accounted for ninety five percent of U.S. hospitals participating in the 340B program. These three hospital types include:

  • Critical Access Hospitals (CAH)
  • Sole Community Hospitals (SCH)
  • General Acute Care Hospitals (Also Known As 340B DSH)

The full report can be found on the U.S. Government Accountability Office website, https://www.gao.gov/products/GAO-18-521R.

Posted by the AHA Resource Center, (312) 422-2050, rc@aha.org.

New cancer pavilion: designed for healing

In March 2011, Baylor Health Care System (Dallas, TX, www.baylorhealth.com) opened a 467,000 square foot outpatient cancer center as the newest component of the Sammons Cancer Center, more than tripling the space devoted to caring for patients with cancer.  The outpatient pavilion was designed and constructed with the specific objective of reducing carcinogens in both the building materials and internal furnishings to create a truly healing environment.  Among the amenities provided to patients and visitors are an education center, a meditation room, a nondenominational chapel, a gift shop that caters to cancer patients, and both indoor and outdoor eating areas.  A bridge to the original Sammons Cancer Center, which has been converted into an inpatient tower, provides an interior link between the two patient care spaces, along with a substantial area devoted to clinical research, including the Innovative Clinical Trials Center. 


Eagle, A.  Beating cancer.  Baylor’s new outpatient center reflects advances in treatment.  Health Facilities Management.  November 2011.  http://www.hfmmagazine.com/hfmmagazine_app/jsp/articledisplay.jsp?dcrpath=HFMMAGAZINE/Article/data/11NOV2011/1111HFM_FEA_CoverStory&domain=HFMMAGAZINE

Where are office-based physicians and hospitals on electronic health record adoption?

Half of all office-based physicians in the US have partially or  fully adopted electronic medical/health records, according to recent survey data from the National Center for Health Statistics. A quarter of the physicians had a basic system in place, while 10% of all office-based physicians met the criteria for a fully functioning system [a subset of the basic system].

Another study published by Health Affairs reported that 12% of hospitals had adopted basic or comprehensive electronic health records, based on a 2009 EHR adoption survey conducted by the American Hospital Association.  About 2% of hospitals at the time would have met the federal ‘meaningful use’ criteria.  Results from a 2010 hospital EHR adoption survey will become available from AHA this spring.

The  hospital EHR adoption survey databases are available for purchase from AHA. Custom files and data analyses from the surveys may also be available. For further information, contact the AHA Resource Center at 1-312-422-2050 or rc@aha.org.


Hsiao CH and others. Electronic medical record/electronic health record systems of office-based physicians: United States, 2009 and preliminary 2010 state estimates. NCHS Health E-States [National Center for Health Statistics], Dec. 2010. http://www.cdc.gov/nchs/data/hestat/emr_ehr_09/emr_ehr_09.htm

Jha AK and others. A progress report on electronic health records in U.S. hospitals. Health Affairs, 29(10): 1951-1957,  Aug. 26, 2010 [published online]. http://content.healthaffairs.org/content/29/10/1951.abstract

American Hospital Association. Hospital EHR adoption database. Chicago: Health Forum, 2010. http://www.ahadata.com/ahadata/html/EHRdatabase.html.

Snapshot of Patient Visits to Physician Offices and Hospital ER and Other Outpatient Departments

The National Center for Health Statistics has recently released three reports based on its latest National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey, both covering 2007.

Each report provides information on patient characteristics, reasons for the visits, primary diagnoses and chronic conditions present, services provided or ordered, including types of medications prescribed, and disposition of the visit.


Hsiao CJ and others. National Ambulatory Medical Care Survey: 2007 Summary. National Health Statistics Reports, No. 27, Nov. 3, 2010. http://www.cdc.gov/nchs/data/nhsr/nhsr027.pdf

Hing E and others. National Ambulatory Medical Care Survey: 2007 Outpatient Department Summary. National Health Statistics Reports, No. 28, Sept. 23, 2010. http://www.cdc.gov/nchs/data/nhsr/nhsr028.pdf

Niska R and others. National Hospital Ambulatory Medical Care Survey: 2007 Emergency Department Summary. National Health Statistics, No. 26, Aug. 6, 2010. http://www.cdc.gov/nchs/data/nhsr/nhsr026.pdf