The Massachusetts eHealth landscape is dynamic and will continue to evolve as providers increasingly adopt and use eHealth technology. Massachusetts has prioritized the adoption and innovative use of eHealth technology and the growth of the eHealth economy through incentives, programming, and mandates. The Commonwealth is at the forefront of Health IT adoption in the United States and the overwhelming majority of Massachusetts healthcare provider organizations have adopted electronic health records.

EHR Adoption Landscape

MeHI collects information about the EHR adoption status of licensed acute and mental health hospitals, ambulatory surgical centers, mental health clinics, home health agencies, hospices, and nursing homes across the Commonwealth. These facilities represent organizations providing direct care to patients that would benefit from the use of health IT to transform their practice and achieve the Triple Aim. Of these organizations, overall 80% have adopted and implemented an EHR, 10% have no EHR, and the EHR status for the remaining 10% is still unknown. As shown in the charts below, the majority of the unknown status organizations are home health agencies or mental health clinics.

Additionally, MeHI compared these organizations to the Commonwealth’s Registry of Provider Organizations (RPO). Facilities in the RPO are part of healthcare organizations in the Commonwealth that receive at least $25 million in net patient service revenue per year from private health insurers. These represent the largest organizations serving the most patients in the Commonwealth. Of these facilities, 94% have EHRs, 4% have no EHR, and the EHR status for 2% remains unknown. Hospitals lead the way in EHR adoption in the Commonwealth, with all 75 acute care hospitals having an EHR.


Among all long-term post-acute care facilities, 84% have adopted EHRs. Breaking this group down further, 72% of certified home health agencies, 88% of hospices, and 89% of nursing homes have an EHR. As one would expect, larger organizations often adopt EHRs earlier than smaller organizations, so, while 89% of nursing home facilities have EHRs, 92% of the nursing home beds in the Commonwealth are covered by an EHR.


Within behavioral health organizations, 78% of them overall have adopted EHRs, with 90% of mental health hospitals and 76% of mental health clinics having EHRs.




As the overwhelming majority of healthcare provider organizations have integrated an EHR into their practice, MeHI has shifted its focus to supporting organizations in electronically exchanging health information and innovatively using eHealth technology to transform their practice and improve their patient care. Explore the pages in the side bar for more information on Meaningful Use statistics, Mass HIway connections, MeHI’s Provider and Consumer Research Study, and MeHI’s directories of health IT vendors and grantees to learn more about the Commonwealth’s eHealth landscape and the ways providers are using eHealth technology to meet the Triple Aim.