Digital Debut

ASCA Survey Shows Continued Growth of EHR Usage by ASCs

Ongoing concerns with the system also creep up

BY ALEX TAIRA | AUGUST 21, 2025

ASCA’s July 2025 60-Second Survey asked facilities about their use of electronic health record (EHR) products. Similar surveys were conducted in 2021 and 2023. In this year’s survey, 76 percent of facilities reported using an EHR, up from 64 percent in 2023 and 55 percent in 2021. The 2025 survey received 280 responses from surgery centers in 42 states.

Survey Results

The 76 percent of facilities that reported using an EHR in 2025 is the highest proportion seen across ASCA’s three surveys on the topic, and a 36 percent increase from the 2021 survey results. Among respondents, the 115 facilities that are solely physician owned reported higher EHR usage (82 percent) than facilities that have a co-ownership structure with a management company (72 percent EHR usage) or a hospital (71 percent EHR usage). Surgery centers using an EHR product continue to report high satisfaction, with 76 percent of facilities responding that they would recommend their EHR to other, similar ASCs.

For the first time since 2021, data gathering was the most commonly reported benefit of EHR usage, with 87 percent of facilities that use an EHR listing data gathering as a benefit. Operational efficiency continued to see a high benefit response rate at 85 percent. Higher quality of care (33 percent) and patient satisfaction (24 percent) were less commonly reported as benefits and saw slight decreases from 2023 response rates.

Survey respondents did report slightly increased ongoing concerns regarding their EHR system, including concerns about the ability to send and receive patient information (40 percent, up from 34 percent in 2023) and connecting to external programs (43 percent, up from 40 percent in 2023).

Among the facilities that are not using an EHR, 68 percent reported that they intend to remain on paper charts until required to change, up from 59 percent in 2023. Cost continues to be the primary reason (49 percent) that facilities have not implemented an EHR, followed by the reasoning that EHRs are not necessary for facility operations (15 percent) and the opposition of doctors, nurses or staff (12 percent). The most cited potential benefit among facilities not currently using an EHR continues to be data gathering (88 percent).

ASCA’s 60-Second Survey is a quarterly survey series. As the name suggests, each survey takes 60 seconds or less to complete and asks fewer than 10 questions on a current topic. The topic changes survey to survey, but each aims to take the pulse of the ASC community and help ASCA better serve its members and the ASC community at large.

Write Alex Taira at ataira@ascassociation.org with questions about this survey or to propose topics for future surveys.