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 

Wisconsin 

183 

146 

79.8% 

95 

55.6% 

Iowa 

138 

108 

78.3% 

86 

64.2% 

Utah 

69 

54 

78.3% 

48 

68.6% 

South Dakota 

73 

56 

76.7% 

46 

63.9% 

Virginia 

150 

115 

76.7% 

90 

62.5% 

Oregon 

74 

56 

75.7% 

43 

58.9% 

North Carolina 

193 

145 

75.1% 

99 

52.9% 

Michigan 

202 

150 

74.3% 

89 

44.9% 

Delaware 

19 

14 

73.7% 

22.2% 

10 

Minnesota 

162 

118 

72.8% 

95 

59.0% 

11 

West Virginia 

77 

55 

71.4% 

27 

36.5% 

12 

Nebraska 

111 

79 

71.2% 

33 

30.0% 

13 

Illinois 

253 

177 

70.0% 

67 

26.8% 

14 

Rhode Island 

19 

13 

68.4% 

33.3% 

15 

North Dakota 

60 

41 

68.3% 

28 

45.9% 

16 

Pennsylvania 

329 

223 

67.8% 

118 

37.3% 

17 

Montana 

68 

46 

67.6% 

27 

40.3% 

18 

Ohio 

322 

214 

66.5% 

143 

45.7% 

19 

New Hampshire 

35 

23 

65.7% 

11 

30.6% 

20 

South Carolina 

111 

72 

64.9% 

58 

54.2% 

21 

Kentucky 

139 

90 

64.7% 

67 

48.6% 

22 

Missouri 

190 

122 

64.2% 

101 

54.3% 

23 

Massachusetts 

159 

102 

64.2% 

49 

32.2% 

24 

Idaho 

64 

41 

64.1% 

25 

39.7% 

25 

Maryland 

83 

53 

63.9% 

33 

41.3% 

26 

New Jersey 

141 

90 

63.8% 

55 

40.4% 

27 

Indiana 

229 

146 

63.8% 

100 

44.1% 

28 

Tennessee 

199 

126 

63.3% 

72 

37.5% 

29 

Washington 

130 

82 

63.1% 

59 

45.7% 

30 

New York 

309 

193 

62.5% 

102 

34.0% 

31 

Maine 

45 

28 

62.2% 

14 

31.1% 

32 

Vermont 

18 

11 

61.1% 

5.9% 

33 

Connecticut 

59 

36 

61.0% 

13 

23.6% 

34 

Florida 

370 

225 

60.8% 

197 

56.6% 

35 

Arizona 

166 

100 

60.2% 

59 

39.6% 

36 

California 

553 

314 

56.8% 

244 

44.5% 

37 

District of Columbia 

16 

56.3% 

40.0% 

38 

Wyoming 

35 

19 

54.3% 

10 

28.6% 

39 

Oklahoma 

192 

104 

54.2% 

66 

34.9% 

40 

New Mexico 

67 

36 

53.7% 

31 

49.2% 

42 

Alaska 

30 

16 

53.3% 

20.0% 

41 

Mississippi 

135 

72 

53.3% 

55 

42.0% 

43 

Arkansas 

130 

68 

52.3% 

51 

41.1% 

44 

Georgia 

212 

107 

50.5% 

98 

46.7% 

45 

Alabama 

148 

72 

48.6% 

53 

36.6% 

46 

Texas 

913 

440 

48.2% 

336 

38.9% 

47 

Colorado 

133 

64 

48.1% 

47 

37.0% 

48 

Nevada 

79 

38 

48.1% 

23 

29.9% 

49 

Kansas 

183 

80 

43.7% 

52 

29.2% 

50 

Louisiana 

312 

128 

41.0% 

81 

27.9% 

51 

Hawaii 

32 

13 

40.6% 

15.6% 

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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