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133 EHR/EMR Statistics 2026: Adoption, AI, Burnout & Cost
Aahil Hussain Alvi
Aahil Hussain Alvi
Medical Writer
Reviewed By: Huzaifa Bin Rashid

133 EHR/EMR Statistics 2026: Adoption, AI, Burnout & Cost

30 mins read | Published at 24 September, 2026

If you run a practice, you already have an EHR. The harder question is whether it is still the right one. Your team usually knows first: 41.9% of physicians still report at least one symptom of burnout (AMA, Apr 2026), and clinicians keep naming the EHR as one of the causes.

The market is splitting in two. Hospitals are waiting, with the number of hospitals affected by EHR purchase decisions down 40% in a year (KLAS Research, May 2026). Physician practices are doing the opposite. They are switching vendors, adding AI tools and taking a harder look at what they pay for.

Use this page to size up your own system against the national picture. The FindEMR research team pulled 133 statistics from 39 source documents, each one published by the organization that produced the data. The numbers cover adoption, vendor share, documentation time, switching costs, AI, data sharing and security, and every one links back to its source. Here is what the data shows.

Sources cited
133
Primary source documents
39

The FindEMR research team collected and checked every statistic on this page against the organization that published it.

At a Glance

The twelve figures from this page most worth quoting. Each links to the organization that produced it.

  • 99.4% of US non-federal acute care hospitals had adopted a certified EHR by 2024 (ASTP/ONC, ).
  • Epic now runs 50.8% of US hospitals, more than Oracle Health and Meditech combined (ASTP/ONC, ).
  • Only 32% of solo physicians use an EHR from one of the five market leaders (ASTP/ONC, ).
  • Primary care physicians spend a median 36.2 minutes in the EHR for every patient visit (JAMA Network Open, ).
  • 59% of physicians say their EHR does not help them get their work done faster (KLAS Research, ).
  • 23% of medical group leaders expect to switch or overhaul their EHR within 12 months (MGMA, ).
  • The VA's EHR replacement grew from a $16.1 billion estimate to a $49.8 billion independent life-cycle estimate (GAO, ).
  • 81% of physicians now use AI professionally, up from 41% in 2023 (AMA, ).
  • 71% of hospitals use predictive AI integrated with their EHR (ASTP/ONC, ).
  • More than 1 billion health records have moved through TEFCA, up from about 10 million in under a year (HHS, ).
  • 65% of Americans accessed an online medical record or patient portal in 2024, up from 25% in 2014 (ASTP/ONC, ).
  • Hacking or IT incidents caused 81% of large health data breaches reported in 2024 (HHS OCR, ).

EHR Adoption and Vendor Share

Adoption is finished. The real story now is consolidation. Three vendors run most US hospitals, while small practices still buy from a long tail of smaller developers. That long tail is where choosing well is hardest. Here is why.

Figure 1

Epic serves half of US hospitals

Share of non-federal acute care hospitals by main EHR developer, 2024

Share of US non-federal acute care hospitals by primary EHR developer, 2024: Epic 50.8%, Oracle Health 20.1%, Meditech 15.6%, all others 13.5%

Three developers now serve more than four in five US hospitals, and Epic alone serves half. Source: ASTP/ONC, Data Brief No. 83, Non-Federal Acute Care Hospital EHR Adoption 2008-2024, Jun 2026 (2024 data). FindEMR drew this chart from the source's published figures and calculated the all-others share as the remainder. Drawn 24 Sep 2026.

How many US hospitals and physicians use an EHR?

Nearly all of them. 95% of office-based physicians used some type of EHR in 2024 (ASTP/ONC, ).

How many US hospitals and physicians use an EHR? Supporting statistics with source and date.
StatisticSourceDate
91% of office-based physicians used a certified EHR in 2024.ASTP/ONC
Only 42% of office-based physicians used any EHR in 2008.ASTP/ONC
Fewer than 10% of hospitals had even a minimal EHR, by ONC's definition, in 2008.ASTP/ONC
Hospital adoption of certified EHRs reached 99% as early as 2018.ASTP/ONC

Where does EHR adoption still lag?

In the smallest and most independent practices, and in behavioral health. Solo physicians reported 79.9% certified EHR adoption in 2024 (ASTP/ONC, ).

Where does EHR adoption still lag? Supporting statistics with source and date.
StatisticSourceDate
Physicians in groups of 51 or more reported 98.5% certified EHR adoption.ASTP/ONC
Physician-owned practices sat at 87.0%, against 98.8% at FQHCs and academic medical centers.ASTP/ONC
Medical specialists trailed at 88.7% certified adoption, versus 92.0% in primary care and 92.5% among surgical specialists.ASTP/ONC
68% of substance use and mental health treatment facilities used only an EHR, with no paper charts, in 2024.ASTP/ONC
Federal behavioral health facilities reached 97% EHR-only use, while state-run facilities sat at 38%.ASTP/ONC

Which EHR vendors dominate the US market?

Epic, by a wide margin, followed by Oracle Health and Meditech. Oracle Health (Cerner) serves 20.1% of hospitals and Meditech 15.6% (ASTP/ONC, ).

Which EHR vendors dominate the US market? Supporting statistics with source and date.
StatisticSourceDate
The top three developers' combined hospital share rose from 35% in 2010 to over 80% in 2024.ASTP/ONC
Market concentration, measured by the Herfindahl-Hirschman Index, nearly tripled from 1,102 in 2010 to 3,297 in 2024.ASTP/ONC
91% of hospitals use the same vendor for inpatient and outpatient care, up from 62% in 2010.ASTP/ONC
Among office-based physicians, Epic leads with 27.7%.ASTP/ONC
The rest of the physician top five are Meditech (11.1%), eClinicalWorks (7.5%), athenahealth (7.3%) and Cerner (5.5%).ASTP/ONC
90% of physicians in groups of more than 50 use a top-five vendor.ASTP/ONC
Oracle Health lost US acute care hospital share for a third year in a row, while Epic grew most among small health systems and standalone hospitals.KLAS Research

How big is the EHR market?

Somewhere between $32 billion and $36 billion worldwide, depending on which research firm you ask. Grand View Research values the global EHR market at $35.9 billion in 2025, rising to $53.1 billion by 2033 at a 5.1% CAGR (Grand View Research, ).

How big is the EHR market? Supporting statistics with source and date.
StatisticSourceDate
Grand View Research puts North America's share at 43.0% of global EHR revenue.Grand View Research
Fortune Business Insights values the same market at $32.44 billion in 2025, reaching $52.60 billion by 2034 at a 5.61% CAGR.Fortune Business Insights
Fortune Business Insights credits North America with 47.33% of the market, or $15.35 billion.Fortune Business Insights

Documentation Burden and Burnout

Clinicians now spend most of their working day in the EHR. The system they use decides how much of that work follows them home. Burnout is falling nationally, but the documentation load has not gotten lighter. Let's look at the numbers.

Figure 2

Over half an hour of EHR work per visit

Median minutes per primary care visit

Primary care physician EHR time per patient visit, median minutes: total 36.2, inbox 7.8, after hours 6.2

For every patient visit, a primary care physician spends more than half an hour in the EHR, and a sixth of that happens after hours. Source: Rotenstein et al., JAMA Network Open, System-Level Factors and Time Spent on Electronic Health Records by Primary Care Physicians, Nov 2023 (307 physicians, 31 clinics). FindEMR drew this chart from the study's published medians. Drawn 24 Sep 2026.

How much time do physicians spend in the EHR?

More time than they spend with patients. Primary care physicians spend a median 7.8 minutes per visit on the EHR inbox alone (JAMA Network Open, ).

How much time do physicians spend in the EHR? Supporting statistics with source and date.
StatisticSourceDate
A median 6.2 minutes of EHR time per visit happens after hours.JAMA Network Open
The middle half of physicians logged between 28.9 and 45.7 minutes of EHR time per visit.JAMA Network Open
Family physicians spend 5.9 hours of an 11.4-hour workday in the EHR.Annals of Family Medicine
1.4 hours of that EHR time happens after clinic closes.Annals of Family Medicine
Clerical and administrative tasks take 44.2% of total EHR time, and inbox management another 23.7%.Annals of Family Medicine

How much EHR work spills into nights and weekends?

For one in five physicians, more than a full workday a week. 20.9% of physicians reported spending more than eight hours a week on the EHR outside normal work hours (AMA, ).

How much EHR work spills into nights and weekends? Supporting statistics with source and date.
StatisticSourceDate
Another 14% spent six to eight hours a week on the EHR outside work in 2022 and 2023.AMA
Only about 26% kept after-hours EHR work to two hours a week or less.AMA
In an average 59-hour week, physicians spent 27.3 hours on direct patient care and 7.9 hours on administrative tasks.AMA
Sutter Health cut daily EHR time 14%, from 54.53 to 46.69 minutes, using documentation specialists, EHR champions and AI-assisted drafting.AMA

What actually reduces EHR time?

Team support, more than individual effort. Having a pharmacy technician on the team was associated with 7.87 fewer EHR minutes per visit (JAMA Network Open, ).

What actually reduces EHR time? Supporting statistics with source and date.
StatisticSourceDate
Above-median team contribution to orders was associated with 3.81 fewer minutes per visit.JAMA Network Open
Scribe use trended toward 3.32 fewer minutes per visit but did not reach statistical significance.JAMA Network Open
Clinicians who received 11 or more hours of initial EHR training report the highest satisfaction.KLAS Research

How satisfied are clinicians with their EHR?

Not very, and nurses less than physicians. 79% of more than 80,000 nurses report losing time to unproductive charting (KLAS Research, ).

How satisfied are clinicians with their EHR? Supporting statistics with source and date.
StatisticSourceDate
55% of physicians are unhappy with how well their EHR connects to outside organizations.KLAS Research
47% of clinicians cannot quickly find important patient information from external organizations.KLAS Research
Only 22% of physician-surveyed organizations reached KLAS's top Elite level of EHR satisfaction, and 12% of nurse-surveyed organizations.KLAS Research
Organizations that remeasured improved their Net EHR Experience Score by 6.2 points on average.KLAS Research

Is EHR burden linked to physician burnout?

Clinicians say it is one of the main drivers. Physician burnout fell from 48.2% in 2023 to 43.2% in 2024 before reaching its 2025 level (AMA, ).

Is EHR burden linked to physician burnout? Supporting statistics with source and date.
StatisticSourceDate
Physicians named ineffective EHR systems and excessive administrative tasks as top sources of stress, and 42.9% reported serious job stress.AMA
Roughly one-third of clinicians outside the US report burnout, with the Middle East the one exception.KLAS Research

Switching and Replacing an EHR

Nearly one in four practices expects to change its EHR within a year, even as hospitals hold back. A bad switch is one of the most expensive IT mistakes in healthcare. The largest public example shows how far the bill can run.

Figure 3

The VA's EHR bill, three ways

US Department of Veterans Affairs EHR modernization, billions of dollars

US Department of Veterans Affairs EHR modernization cost figures in billions of dollars: original 2019 estimate 16.1, obligated through Q3 FY2024 12.71, independent 2022 life-cycle estimate 49.8

The VA had already obligated most of its original budget with only a handful of sites live, and the independent estimate is three times the original. Source: GAO, GAO-25-108091, Electronic Health Record Modernization, Feb 2025. FindEMR drew this chart from GAO's published figures. Drawn 24 Sep 2026.

How many practices plan to switch EHRs?

About a quarter, and most of them are changing vendors rather than upgrading. 70% of medical group leaders did not expect to change their EHR in the next year, and 7% were unsure (MGMA, ).

How many practices plan to switch EHRs? Supporting statistics with source and date.
StatisticSourceDate
Among practices planning a change, most said they were moving to a new vendor rather than upgrading, often to Epic or because of a merger.MGMA
In November 2023, EHR usability was the top technology priority for 35% of practice leaders, with AI at just 13%.MGMA
By January 2025, AI tools led at 32% and EHR usability fell to 30%.MGMA
66% of practices manage referrals in their EHR, yet 21% still track referrals manually.MGMA

How often do hospitals replace their EHR?

Less often each year. 272 US hospitals were affected by EHR purchase decisions in 2024, down from 319 in 2023 (KLAS Research, ). KLAS links the continued slowdown in 2025 to market uncertainty. Health systems, not standalone hospitals, made most of the decisions.

What does a large EHR replacement cost?

Far more than the first estimate. The VA's $49.8 billion independent estimate splits into $32.7 billion for 13 years of rollout and $17.1 billion for 15 years of sustainment (GAO, ).

What does a large EHR replacement cost? Supporting statistics with source and date.
StatisticSourceDate
The VA obligated about $12.71 billion on the program from fiscal 2018 through the third quarter of fiscal 2024.GAO
About 160 VA medical centers, 94% of the total, were still on the legacy system, with 10 sites expected live by mid-2026.GAO
The VA paused deployments in April 2023 and planned to restart at four Michigan facilities in mid-2026.GAO
75% of 1,670 VA users disagreed that the new system made them as productive as possible.GAO
The VA had not updated its cost estimate or schedule after its 20-month deployment pause.GAO
The VA made more than 1,500 configuration changes by June 2024, with about 1,800 change requests still open by February 2025.GAO

How prepared are practices for an EHR outage?

Less prepared than they think. Only 29% of medical groups had updated their EHR or revenue cycle outage protocols in the year after the Change Healthcare attack, and 61% had not (MGMA, ).

How prepared are practices for an EHR outage? Supporting statistics with source and date.
StatisticSourceDate
In 2021, 82% of medical groups said they had an EHR or practice management outage plan in place.MGMA

AI Inside the EHR

AI went from pilot to default in two years, and most of it now ships from the EHR vendor itself. So a vendor's AI plans belong in the EHR decision. Here is what the data shows.

Figure 4

Admin use cases are catching up

Share of hospitals using predictive AI for each purpose, 2024

Share of US hospitals using predictive AI for each use case, 2024: inpatient risk prediction 92%, identifying high-risk outpatients 78%, scheduling 67%, billing 61%

Hospitals started with clinical risk prediction, but the fastest growth is in administrative work, with billing up 25 points and scheduling up 16 points in a single year. Source: ASTP/ONC, Data Brief No. 80, Hospital Trends in the Use, Evaluation, and Governance of Predictive AI, 2023-2024, Sep 2025 (2024 data). FindEMR drew this chart from the source's published figures. Drawn 24 Sep 2026.

How many physicians use AI at work?

Most of them, and for more tasks each year. Physicians who use AI now average 2.3 use cases, up from 1.1 in 2023 (AMA, ).

How many physicians use AI at work? Supporting statistics with source and date.
StatisticSourceDate
39% use AI for summaries of medical research and standards of care.AMA
30% use it to create discharge instructions, care plans or progress notes.AMA
28% use it to document billing codes, medical charts or visit notes.AMA
28% use it to generate chart summaries.AMA
73% of physicians expect AI to automate administrative duties, and 70% expect it to automate clinical tasks.AMA
88% have at least some concern about AI-related skill loss.AMA
Active AI use among physicians rose from 47% in April 2025 to 63% in January 2026.Doximity
One-third of physicians use AI at least daily.Doximity
71% of physicians name accuracy and reliability as their top concern about AI.Doximity

How widely are ambient AI scribes used?

Widely piloted, unevenly used. 29% of physicians use voice-based documentation tools (Doximity, ).

How widely are ambient AI scribes used? Supporting statistics with source and date.
StatisticSourceDate
90% of physicians believe AI could reduce after-hours administrative work, and 23% say it already has.Doximity
71% of practice leaders report some AI use in patient visits.MGMA
Only 7% of practices use AI in more than three-quarters of visits.MGMA
Among practices using AI, 39% say it has reduced workload and 44% say it has not.MGMA
About 60 ambient scribe companies operate in the US, backed by more than $600 million of investment over three years.PHTI
When health systems make ambient scribes broadly available, typically 20% to 50% of clinicians adopt them.PHTI

Do ambient scribes save time and reduce burnout?

Early health system results say yes, though the evidence is still mostly pilots. A Penn Medicine study reviewed by PHTI found 20% less time in notes per appointment (PHTI, ).

Do ambient scribes save time and reduce burnout? Supporting statistics with source and date.
StatisticSourceDate
Intermountain Health reported clinicians saving about 18 minutes a day of after-hours work.PHTI
Mass General Brigham reported a 40% relative reduction in burnout in a six-week pilot of 223 clinicians.PHTI
University of Vermont Health saw burnout fall from 69% to 24% after rolling out ambient speech.KLAS Research
Clinicians using at least one AI tool score 72.2 on KLAS's Net EHR Experience Score, against 64.9 for non-users.KLAS Research
Fewer than 25% of clinicians adopting AI tools say they received adequate training.KLAS Research

How are hospitals using AI inside the EHR?

Mostly through their EHR vendor. 80% of hospitals using predictive AI use models from their EHR developer, 52% use third-party models and 50% build their own (ASTP/ONC, ).

How are hospitals using AI inside the EHR? Supporting statistics with source and date.
StatisticSourceDate
82% of hospitals evaluated their predictive AI for accuracy and 74% for bias.ASTP/ONC
Hospital use of predictive AI integrated with the EHR rose from 66% in 2023.ASTP/ONC

Interoperability and Patient Access

National exchange volume is surging, but at the point of care most hospitals still do not routinely use the records they receive. Patients are logging in more than ever. That makes portal quality a real buying criterion. Let's break it down.

Figure 5

Patient engagement tools, 2021 to 2024

Share of US hospitals offering each capability

Share of US hospitals offering each patient engagement capability, 2021 vs 2024: view clinical notes 86% to 95%, app access 70% to 81%, FHIR app access 57% to 70%, patient-generated data 54% to 62%, record import 49% to 56%

Hospitals offer the standard portal features almost everywhere, but app-based and patient-generated data capabilities still reach only six to eight in ten hospitals. Source: ASTP/ONC, Data Brief No. 79, Growth of Health IT-Enabled Patient Engagement Capabilities Among U.S. Hospitals: 2021-2024, Aug 2025 (2024 data). FindEMR drew this chart from the source's published figures. Drawn 24 Sep 2026.

How interoperable are US hospitals?

Most can exchange data, but far fewer use it. 70% of hospitals engaged in all four domains of interoperable exchange (send, find, receive and integrate) at least sometimes in 2023 (ASTP/ONC, ).

How interoperable are US hospitals? Supporting statistics with source and date.
StatisticSourceDate
Routine engagement in all four domains rose from 28% of hospitals in 2018 to 43% in 2023.ASTP/ONC
71% of hospitals have access to outside patient information, but only 42% say clinicians routinely use it.ASTP/ONC
53% of system-affiliated hospitals are routinely interoperable, against 22% of independent hospitals.ASTP/ONC
Only 48% of behavioral health treatment facilities can integrate outside clinical information without manual entry.ASTP/ONC

Is information blocking still a problem?

Less than before, but it has not gone away. 2,450 possible information blocking claims were submitted to ASTP between April 2021 and July 2026 (ASTP/ONC, ).

Is information blocking still a problem? Supporting statistics with source and date.
StatisticSourceDate
62% of health information organizations perceived information blocking by EHR developers in 2025, down from 91% in 2019.ASTP/ONC
49% perceived information blocking by hospitals and health systems in 2025, down from 58% in 2019.ASTP/ONC

How do hospitals share EHR data with apps?

Mostly through proprietary connections rather than open standards. 90% of hospitals let patients access their health information through APIs (ASTP/ONC, ).

How do hospitals share EHR data with apps? Supporting statistics with source and date.
StatisticSourceDate
70% of hospitals use standards-based APIs such as HL7 FHIR for patient access.ASTP/ONC
91% of hospitals integrate data from third-party apps into the EHR for clinical purposes, mostly through non-standards-based methods.ASTP/ONC

How many patients use patient portals?

Two in three, and more through apps each year. 77% of individuals were offered online access to their medical records in 2024 (ASTP/ONC, ).

How many patients use patient portals? Supporting statistics with source and date.
StatisticSourceDate
57% of individuals used an app to access their records in 2024, up from 38% in 2020.ASTP/ONC
Caregiver or proxy access more than doubled, from 24% in 2020 to 51% in 2024.ASTP/ONC
87% of patients encouraged by their provider used the portal, against 57% of those who were not.ASTP/ONC
59% of individuals had more than one portal, but only 7% used an app to combine them.ASTP/ONC
Small hospitals lag large ones on FHIR app access, 66% against 84%.ASTP/ONC

EHR Security and Data Breaches

Hacking now causes most large health data breaches and almost all exposed records. So a vendor's security record belongs on every EHR shortlist. Here is why: in 2024, a single third-party breach exposed more Americans than every other health breach that year combined.

Figure 6

Where large breaches happen

Share of 2024 breach reports affecting 500+ people, by location of the data

Share of large US health data breaches by location of breached information, 2024: network server 63%, email 25%, paper 5%, electronic medical record 3%

Network servers accounted for nearly two-thirds of large breach reports and 98% of affected individuals, while breaches traced to the EHR itself were rare. Source: HHS Office for Civil Rights, Annual Report to Congress on Breaches of Unsecured Protected Health Information, Calendar Year 2024, Dec 2024 (calendar-year data). FindEMR drew this chart from the report's published figures. Drawn 24 Sep 2026.

How many healthcare data breaches happen each year?

Hundreds of large ones and tens of thousands of small ones. OCR received 663 reports of breaches affecting 500 or more people in 2024, covering about 242.9 million individuals (HHS OCR, ).

How many healthcare data breaches happen each year? Supporting statistics with source and date.
StatisticSourceDate
Large breach reports fell 9%, from 732 in 2023.HHS OCR
OCR also received 74,299 reports of smaller breaches affecting fewer than 500 people each.HHS OCR
Hacking and IT incidents accounted for 99% of individuals affected by large breaches, about 241.6 million people.HHS OCR
Breaches involving network servers affected 238.5 million individuals.HHS OCR
Only 20 large breach reports, 3% of the total, involved electronic medical records, affecting 184,532 people.HHS OCR

Who gets breached, providers or their vendors?

Providers report most breaches, but vendors expose most records. Health care providers filed 76% of large breach reports but accounted for only 14% of affected individuals (HHS OCR, ).

Who gets breached, providers or their vendors? Supporting statistics with source and date.
StatisticSourceDate
Business associates filed 16% of large breach reports and accounted for 85% of affected individuals, about 206.9 million people.HHS OCR
The Change Healthcare breach affected approximately 192.7 million individuals.HHS OCR
The Change Healthcare count grew from about 100 million individual notices in October 2024 to 190 million people affected by January 2025.HHS OCR

What do breaches and HIPAA violations cost?

Penalties are small next to the cost of a breach itself. OCR resolved 22 investigations with settlements or civil money penalties totaling $9,944,612 in 2024 (HHS OCR, ).

What do breaches and HIPAA violations cost? Supporting statistics with source and date.
StatisticSourceDate
OCR received 30,256 new HIPAA complaints in 2024 and started 730 compliance reviews.HHS OCR
The most common alleged violations were impermissible uses and disclosures (660 complaints), right of access (541) and general safeguards (481).HHS OCR
The global average cost of a data breach reached a record $4.99 million, up 12%.IBM
One in four malicious breaches was AI-enabled, costing about $6 million on average.IBM

Methodology and Sources

How we sourced the data

We traced every statistic on this page to the organization that produced it. That means federal agencies (ASTP/ONC, HHS, HHS OCR, GAO), peer-reviewed journals, professional groups that ran their own surveys (AMA, MGMA), and research firms that publish their own data (KLAS Research, Doximity, PHTI, IBM, Grand View Research, Fortune Business Insights). We did not cite statistics roundups or trade press summaries. We opened each source page and checked the figure and its date before adding it.

How we date and refresh it

Dates show the month the source was published. Two HHS reports cover calendar year 2024 but do not state a release month, so we date them to the last month of the data. Research firms disagree on market size, so we show both estimates and name each firm. FindEMR drew every chart from the source's published numbers. We review the page every month and swap in new releases for fast-moving figures such as AI use, TEFCA volume and breach counts.

Sources

Each source is listed as title, publisher, publication date and URL.

  1. 1Non-Federal Acute Care Hospital Electronic Health Record Adoption, 2008-2024 (Data Brief No. 83). ASTP/ONC. June 2026. https://healthit.gov/data/data-briefs/non-federal-acute-care-hospital-electronic-health-record-adoption-2008-2024/
  2. 2Office-based Physician Electronic Health Record Adoption, 2008-2024 (Data Brief No. 84). ASTP/ONC. June 2026. https://healthit.gov/data/data-briefs/office-based-physician-electronic-health-record-adoption-2008-2024/
  3. 3Electronic Health Record Adoption and Exchange Capabilities Among Substance Use and Mental Health Treatment Facilities, 2024 (Data Brief No. 82). ASTP/ONC. April 2026. https://healthit.gov/data/data-briefs/electronic-health-record-adoption-and-exchange-capabilities-among-substance-use-and-mental-health-treatment-facilities-2024/
  4. 4Hospital Use of APIs to Enable Data Sharing between EHRs and Third-Party Technology (Data Brief No. 81). ASTP/ONC. February 2026. https://healthit.gov/data/data-briefs/hospital-use-of-apis-to-enable-data-sharing-between-ehrs-and-third-party-technology/
  5. 5Hospital Trends in the Use, Evaluation, and Governance of Predictive AI, 2023-2024 (Data Brief No. 80). ASTP/ONC. September 2025. https://www.healthit.gov/sites/default/files/2025-09/hospital-trends-use-evaluation-and-governance-predictive-ai-2023-2024.pdf
  6. 6Growth of Health IT-Enabled Patient Engagement Capabilities Among U.S. Hospitals: 2021-2024 (Data Brief No. 79). ASTP/ONC. August 2025. https://www.healthit.gov/sites/default/files/2025-08/Patient-Engagement-Capabilities-Among-Hospitals-DB79_508.pdf
  7. 7Individuals' Access and Use of Patient Portals and Smartphone Health Apps, 2024 (Data Brief No. 77). ASTP/ONC. July 2025. https://healthit.gov/data/data-briefs/individuals-access-and-use-patient-portals-and-smartphone-health-apps-2024/
  8. 8Interoperable Exchange of Patient Health Information Among U.S. Hospitals: 2023 (Data Brief No. 71). ASTP/ONC. May 2024. https://www.ncbi.nlm.nih.gov/books/NBK606033/
  9. 9Trends in State, Local, and Regional Health Information Organizations' Experiences of Perceived Information Blocking, 2019-2025 (Data Brief No. 85). ASTP/ONC. June 2026. https://healthit.gov/data/data-briefs/trends-in-health-information-organizations-experiences-of-perceived-information-blocking-2019-2025/
  10. 10Information Blocking Claims: By the Numbers. ASTP/ONC. July 2026. https://healthit.gov/data/quickstats/information-blocking-claims-numbers/
  11. 11HHS Expands Secure Access to Health Records Through the TEFCA Network, Announces Milestone of One Billion Health Records Exchanged. U.S. Department of Health and Human Services. June 26, 2026. https://www.hhs.gov/press-room/onc-strengthens-tefca-one-billion-health-records-exchanged.html
  12. 12Annual Report to Congress on Breaches of Unsecured Protected Health Information for Calendar Year 2024. HHS Office for Civil Rights. Calendar year 2024 (release date not stated). https://www.hhs.gov/sites/default/files/breach-report-to-congress-2024.pdf
  13. 13Annual Report to Congress on HIPAA Privacy, Security, and Breach Notification Rule Compliance for Calendar Year 2024. HHS Office for Civil Rights. Calendar year 2024 (release date not stated). https://www.hhs.gov/sites/default/files/compliance-report-to-congress-2024.pdf
  14. 14Change Healthcare Cybersecurity Incident Frequently Asked Questions. HHS Office for Civil Rights. Updated July 31, 2025. https://www.hhs.gov/hipaa/for-professionals/special-topics/change-healthcare-cybersecurity-incident-frequently-asked-questions/index.html
  15. 15Electronic Health Record Modernization: VA Is Making Incremental Improvements, but Much More Remains to Be Done (GAO-25-108091). U.S. Government Accountability Office. February 2025. https://files.gao.gov/reports/GAO-25-108091/index.html
  16. 16Electronic Health Records: VA Making Incremental Improvements in New System but Needs Updated Cost Estimate and Schedule (GAO-25-106874). U.S. Government Accountability Office. March 12, 2025. https://www.gao.gov/products/gao-25-106874
  17. 17US Acute Care EHR Market Share 2026: Market Uncertainty Significantly Cuts Buying Decisions. KLAS Research. May 14, 2026. https://klasresearch.com/report/us-acute-care-ehr-market-share-2026-market-uncertainty-significantly-cuts-buying-decisions/3956
  18. 18US Acute Care EHR Market Share 2025: Strength of Partnership Is Key in Decisions. KLAS Research. April 30, 2025. https://klasresearch.com/report/us-acute-care-ehr-market-share-2025-strength-of-partnership-is-key-in-decisions/3640
  19. 19Clinician EHR Experience 2026. KLAS Research, Arch Collaborative. June 2026. https://klasresearch.com/archcollaborative/report/clinician-ehr-experience-2026/723
  20. 20AI Insights from the Arch Collaborative 2026. KLAS Research, Arch Collaborative. July 2026. https://klasresearch.com/archcollaborative/report/ai-insights-from-the-arch-collaborative-2026/724
  21. 21Global EHR Satisfaction 2025. KLAS Research, Arch Collaborative. May 2025. https://klasresearch.com/archcollaborative/report/global-ehr-satisfaction-2025/647
  22. 22Physician burnout rate continues to decline, falling to nearly 42%. American Medical Association. April 16, 2026. https://www.ama-assn.org/practice-management/physician-health/physician-burnout-rate-continues-decline-falling-nearly-42
  23. 23More than 80% of physicians use AI professionally: AMA survey. American Medical Association. March 12, 2026. https://www.ama-assn.org/practice-management/digital-health/more-80-physicians-use-ai-professionally-ama-survey
  24. 242026 Physician Survey on Augmented Intelligence. American Medical Association. March 2026. https://www.ama-assn.org/system/files/physician-ai-sentiment-report.pdf
  25. 25Burnout on the way down, but pajama time stands still. American Medical Association. August 13, 2024. https://www.ama-assn.org/practice-management/physician-health/burnout-way-down-pajama-time-stands-still
  26. 26System-Level Factors and Time Spent on Electronic Health Records by Primary Care Physicians (Rotenstein et al.). JAMA Network Open. November 22, 2023. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2812258
  27. 27Tethered to the EHR: Primary Care Physician Workload Assessment Using EHR Event Log Data and Time-Motion Observations (Arndt et al.). Annals of Family Medicine. September 2017. https://www.annfammed.org/content/15/5/419
  28. 28Building a robust RFI process and RFP for a new EHR system. MGMA. March 19, 2025. https://www.mgma.com/mgma-stat/building-a-robust-rfi-process-and-rfp-for-a-new-ehr-system
  29. 29AI tools supplant EHR usability as medical practice leaders' top tech priority in 2025. MGMA. January 15, 2025. https://www.mgma.com/mgma-stat/ai-tools-supplant-ehr-usability-as-top-tech-priority-of-2025
  30. 30EHR usability, patient communications and billing outrank AI as top tech priorities at some medical groups. MGMA. November 8, 2023. https://www.mgma.com/mgma-stat/ehr-usability-patient-communications-billing-outrank-ai-as-top-tech-priorities
  31. 31Your practice's referral management may only be as good as the EHR you're using. MGMA. February 19, 2025. https://www.mgma.com/mgma-stat/your-practices-referral-management-may-only-be-as-good-as-the-ehr-youre-using
  32. 32Averting crisis with a well-documented plan for EHR, RCM downtime. MGMA. April 24, 2024. https://www.mgma.com/mgma-stat/averting-crisis-with-a-well-documented-plan-for-ehr-rcm-dowtime
  33. 33Most practices use some form of AI, but is it actually reducing staff workloads?. MGMA. August 6, 2025. https://www.mgma.com/mgma-stat/most-practices-use-ai-but-is-it-reducing-staff-workloads
  34. 342026 State of AI in Medicine Report. Doximity. March 2026. https://www.doximity.com/reports/state-of-ai-medicine-report/2026
  35. 35Doximity Study Finds Physicians Rapidly Adopting AI, But Accuracy Concerns Persist. Doximity. March 17, 2026. https://investors.doximity.com/news/news-details/2026/Doximity-Study-Finds-Physicians-Rapidly-Adopting-AI-But-Accuracy-Concerns-Persist/default.aspx
  36. 36Adoption of Artificial Intelligence in Healthcare Delivery Systems: Early Applications and Impacts. Peterson Health Technology Institute. March 25, 2025. https://phti.org/wp-content/uploads/sites/3/2025/03/PHTI-Adoption-of-AI-in-Healthcare-Delivery-Systems-Early-Applications-Impacts.pdf
  37. 37IBM Study: One in Four Malicious Breaches are AI-Enabled, Costing Companies $6 Million on Average. IBM. July 29, 2026. https://newsroom.ibm.com/2026-07-29-ibm-study-one-in-four-malicious-breaches-are-ai-enabled,-costing-companies-6-million-on-average
  38. 38Electronic Health Records Market Size Report, 2026-2033. Grand View Research. Updated September 2026. https://www.grandviewresearch.com/industry-analysis/electronic-health-records-ehr-market
  39. 39Electronic Health Records Market Size, Share & Forecast, 2034. Fortune Business Insights. Updated September 7, 2026. https://www.fortunebusinessinsights.com/electronic-health-records-ehr-market-102660
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