Healthcare Insights
Hospital telehealth adoption by state
Telehealth, also referred to as telemedicine, is the delivery of healthcare via remote clinical services such as phone calls, video chats, emails and text messages. While the COVID-19 pandemic accelerated the adoption of telehealth technology, patients and providers are also realizing the potential benefits of care delivery across multiple locations.
How many hospitals use telehealth technologies?
According to hospital technology implementation data from the Definitive Healthcare HospitalView product, 65.5% of hospitals have installed a telemedicine solution. Analyzing the nearly 5,000 U.S. hospitals with a reported telehealth technology installation, we broke down hospital adoption levels by state and compared them to 2019 data.
Hospital telehealth adoption by state
| Rank | State | Total hospitals | Number of hospitals with telehealth 2021 | % of state hospitals with telehealth 2021 | Number of hospitals with telehealth 2019 | % of state hospitals with telehealth 2019 | Explore dataset |
|---|---|---|---|---|---|---|---|
| 1 | Wisconsin | 183 | 146 | 79.8% | 95 | 55.6% | Explore |
| 2 | Iowa | 138 | 108 | 78.3% | 86 | 64.2% | Explore |
| 3 | Utah | 69 | 54 | 78.3% | 48 | 68.6% | Explore |
| 4 | South Dakota | 73 | 56 | 76.7% | 46 | 63.9% | Explore |
| 5 | Virginia | 150 | 115 | 76.7% | 90 | 62.5% | Explore |
| 6 | Oregon | 74 | 56 | 75.7% | 43 | 58.9% | Explore |
| 7 | North Carolina | 193 | 145 | 75.1% | 99 | 52.9% | Explore |
| 8 | Michigan | 202 | 150 | 74.3% | 89 | 44.9% | Explore |
| 9 | Delaware | 19 | 14 | 73.7% | 4 | 22.2% | Explore |
| 10 | Minnesota | 162 | 118 | 72.8% | 95 | 59.0% | Explore |
| 11 | West Virginia | 77 | 55 | 71.4% | 27 | 36.5% | Explore |
| 12 | Nebraska | 111 | 79 | 71.2% | 33 | 30.0% | Explore |
| 13 | Illinois | 253 | 177 | 70.0% | 67 | 26.8% | Explore |
| 14 | Rhode Island | 19 | 13 | 68.4% | 6 | 33.3% | Explore |
| 15 | North Dakota | 60 | 41 | 68.3% | 28 | 45.9% | Explore |
| 16 | Pennsylvania | 329 | 223 | 67.8% | 118 | 37.3% | Explore |
| 17 | Montana | 68 | 46 | 67.6% | 27 | 40.3% | Explore |
| 18 | Ohio | 322 | 214 | 66.5% | 143 | 45.7% | Explore |
| 19 | New Hampshire | 35 | 23 | 65.7% | 11 | 30.6% | Explore |
| 20 | South Carolina | 111 | 72 | 64.9% | 58 | 54.2% | Explore |
| 21 | Kentucky | 139 | 90 | 64.7% | 67 | 48.6% | Explore |
| 22 | Missouri | 190 | 122 | 64.2% | 101 | 54.3% | Explore |
| 23 | Massachusetts | 159 | 102 | 64.2% | 49 | 32.2% | Explore |
| 24 | Idaho | 64 | 41 | 64.1% | 25 | 39.7% | Explore |
| 25 | Maryland | 83 | 53 | 63.9% | 33 | 41.3% | Explore |
| 26 | New Jersey | 141 | 90 | 63.8% | 55 | 40.4% | Explore |
| 27 | Indiana | 229 | 146 | 63.8% | 100 | 44.1% | Explore |
| 28 | Tennessee | 199 | 126 | 63.3% | 72 | 37.5% | Explore |
| 29 | Washington | 130 | 82 | 63.1% | 59 | 45.7% | Explore |
| 30 | New York | 309 | 193 | 62.5% | 102 | 34.0% | Explore |
| 31 | Maine | 45 | 28 | 62.2% | 14 | 31.1% | Explore |
| 32 | Vermont | 18 | 11 | 61.1% | 1 | 5.9% | Explore |
| 33 | Connecticut | 59 | 36 | 61.0% | 13 | 23.6% | Explore |
| 34 | Florida | 370 | 225 | 60.8% | 197 | 56.6% | Explore |
| 35 | Arizona | 166 | 100 | 60.2% | 59 | 39.6% | Explore |
| 36 | California | 553 | 314 | 56.8% | 244 | 44.5% | Explore |
| 37 | District of Columbia | 16 | 9 | 56.3% | 6 | 40.0% | Explore |
| 38 | Wyoming | 35 | 19 | 54.3% | 10 | 28.6% | Explore |
| 39 | Oklahoma | 192 | 104 | 54.2% | 66 | 34.9% | Explore |
| 40 | New Mexico | 67 | 36 | 53.7% | 31 | 49.2% | Explore |
| 42 | Alaska | 30 | 16 | 53.3% | 6 | 20.0% | Explore |
| 41 | Mississippi | 135 | 72 | 53.3% | 55 | 42.0% | Explore |
| 43 | Arkansas | 130 | 68 | 52.3% | 51 | 41.1% | Explore |
| 44 | Georgia | 212 | 107 | 50.5% | 98 | 46.7% | Explore |
| 45 | Alabama | 148 | 72 | 48.6% | 53 | 36.6% | Explore |
| 46 | Texas | 913 | 440 | 48.2% | 336 | 38.9% | Explore |
| 47 | Colorado | 133 | 64 | 48.1% | 47 | 37.0% | Explore |
| 48 | Nevada | 79 | 38 | 48.1% | 23 | 29.9% | Explore |
| 49 | Kansas | 183 | 80 | 43.7% | 52 | 29.2% | Explore |
| 50 | Louisiana | 312 | 128 | 41.0% | 81 | 27.9% | Explore |
| 51 | Hawaii | 32 | 13 | 40.6% | 5 | 15.6% | Explore |
Fig. 1: Telehealth technology implementations sourced from Definitive Healthcare’s HospitalView product. Data is proprietary and updated on a continuous basis. Data accurate as of December 2021.
Which states have the highest telehealth usage?
Over 78 percent of hospitals in Wisconsin, Iowa and Utah report telehealth technology in place. The states of South Dakota, Virginia, Oregon and North Carolina each have over three-quarters of their hospitals utilizing telehealth. Based on 2019 data, the four states with the highest reported implementation rates were Utah, Iowa, South Dakota and Virginia.
Which states have the lowest telehealth usage?
Just over 40 percent of hospitals in Hawaii report use of telehealth technologies. However, the number of hospitals has more than doubled since 2019, when only 15.6 percent of hospitals in Hawaii used telehealth software. Less than 44 percent of hospitals in Kansas and Louisiana report a telehealth installation. Kansas, Louisiana, Hawaii and Nevada were in the bottom 10 for state telehealth adoption in 2019.
Which states had the biggest growth in telehealth usage?
Vermont and Delaware hospitals each had over 50 percentage point increases in telehealth adoption, accounting for 10 additional facilities in each state. Over 104 additional hospitals in Texas, Pennsylvania and Illinois reported a telehealth installation between 2019 and 2021.
Healthcare Insights are developed with data from the Definitive Healthcare platform. Want even more insights? Start a free trial now and get access to the highest quality healthcare commercial intelligence on hospitals, physicians and other healthcare providers.
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