EHR Incentive Program Update to HIT Policy Committee

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  • $189 million in MAO payments not shown
  • EHR Incentive Program Update to HIT Policy Committee

    1. 1. Medicare & Medicaid EHR Incentive Programs HIT Policy Committee December 5, 2012http://www.cms.gov/EHRIncentivePrograms/
    2. 2. Registration and Payment Data 2http://www.cms.gov/EHRIncentivePrograms/
    3. 3. Active Registrations Active Registrations – October 2012 3http://www.cms.gov/EHRIncentivePrograms/
    4. 4. Active Registrations Active Registrations – October 2012 4http://www.cms.gov/EHRIncentivePrograms/
    5. 5. Medicare Incentive Payments Medicare Incentive Payments – October 2012 Meaningful Use (MU) 5http://www.cms.gov/EHRIncentivePrograms/
    6. 6. Medicare Incentive Payments Medicare Incentive Payments – October 2012 Meaningful Use For final CMS reports, please visit: 6http://www.cms.gov/EHRIncentivePrograms/ http://www.cms.gov/EHRIncentivePrograms/56_DataAndReports.asp
    7. 7. Medicare Incentive Payments Medicare Incentive Payments – October 2012 Meaningful Use 7http://www.cms.gov/EHRIncentivePrograms/
    8. 8. Medicaid Incentive Payments – October 2012 (Both MU and AIU) Medicare Incentive Payments For final CMS reports, please visit: http://www.cms.gov/EHRIncentivePrograms/56_DataAndReports.asp 8http://www.cms.gov/EHRIncentivePrograms/
    9. 9. Medicaid Incentive Payments – October 2012 Medicare Incentive Payments 9http://www.cms.gov/EHRIncentivePrograms/
    10. 10. EHR Incentive Programs EHR Incentive Programs – October 2012 Totals 10http://www.cms.gov/EHRIncentivePrograms/
    11. 11. EHR Incentive Programs – EHR Incentive Programs October 2012 Totals 11http://www.cms.gov/EHRIncentivePrograms/
    12. 12. October – by the numbers October – By the Numbers Eligible Hospitals 0 5,011 Total 17.90% 0.8252 17.90% 4,114 Total 64.62% Registered 3,238 Paid 12http://www.cms.gov/EHRIncentivePrograms/
    13. 13. October – by the numbers October – By the Numbers Registered Eligible Professionals 19.28% 521,600 Total EPs 38.10% Registered Medicare EPs (222,307) 42.62% Registered Medicaid EPs (100,558) 13http://www.cms.gov/EHRIncentivePrograms/
    14. 14. October – by the numbers October – By the Numbers Paid Eligible Professionals 11.91% 2.13% 16.90% 521,600 Total EPs Medicare EPs (88,138) 69.07% Medicaid EPs (62,100) MAO EPs (11,117) 14http://www.cms.gov/EHRIncentivePrograms/
    15. 15. October – by the numbers October – By the Numbers • Nearly 65% of all eligible hospitals have received an EHR incentive payment for either MU or AIU • Nearly 65% have made a financial commitment to put an EHR in place • Approximately 26% or 1 out of every 4 Medicare EPs are meaningful users of EHRs • Approximately 31% -- nearly 1 out of every 3 -- Medicare and Medicaid EPs have made a financial commitment to an EHR • 58% of Medicare EPs receiving incentives specialists (non primary care) 15http://www.cms.gov/EHRIncentivePrograms/
    16. 16. Medicare & Medicaid Payments Medicare & Medicaid Payments for November 2012 DRAFT ESTIMATES ONLY Providers Paid Oct-12 LTD Medicare EPs – [ESTIMATED] 8,250 107,250 Medicaid EPs (AIU + MU) [ESTIMATED] 4,000 66,100 Medicaid/Medicare Hospitals** [ESTIMATED] 525 3,750 Total Number of UNIQUE Providers Paid 12,775 177,100 16http://www.cms.gov/EHRIncentivePrograms/
    17. 17. Medicare & Medicaid Payments Medicare & Medicaid Payments for November 2012 DRAFT ESTIMATES ONLY Payments Oct-12 LTD Medicare EPs [ESTIMATED] $150,000,000 $1,850,000,000 Medicaid EPs [ESTIMATED] $73,000,000 $1,395,000,000 Medicaid/Medicare Hospitals [ESTIMATED] $645,000,000 $6,000,000,000 Total $868,000,000 $9,245,000,000 17http://www.cms.gov/EHRIncentivePrograms/
    18. 18. EHR Incentive Programs Attestation Data 18http://www.cms.gov/EHRIncentivePrograms/
    19. 19. Highlights • On average all thresholds were greatly exceeded, but every threshold had some providers on the borderline • Drug formulary, immunization registries and patient list are the most popular menu objectives for EPs • Advance Directives, Clinical Lab Test Results, and Drug Formulary for hospitals • Transition of care summary and patient reminders were the least popular menu objectives for EPs • Transition of Care and Reportable Lab Results for hospitals • Little difference between EP and hospitals • Little difference among specialties in performance, but differences in exclusions and deferrals 19http://www.cms.gov/EHRIncentivePrograms/
    20. 20. Providers Included This data-only analysis shows our earliest adopters who have attested, but does not inform us on barriers to attestation. At the time of the analysis • 117,514 EPs had attested • 117,284 Successfully • 230 Unsuccessfully (214 EPs have resubmitted successfully) • 2,558 Hospital had attested • All successfully 20http://www.cms.gov/EHRIncentivePrograms/
    21. 21. EP Quality, Safety, Efficiency, and Reduce Health Disparities Objective Performance Exclusion Deferral Problem List 97% N/A N/A Medication List 97% N/A N/A Medication Allergy List 97% N/A N/A Demographics 91% N/A N/A Vital Signs 91% 9% N/A Smoking Status 91% 0.4% N/A 21http://www.cms.gov/EHRIncentivePrograms/
    22. 22. EP Quality, Safety, Efficiency, and Reduce Health Disparities Objective Performance Exclusion Deferral CPOE 83% 17% N/A Electronic prescribing 81% 20% N/A Incorporate lab results 92% 4% 36% Drug-formulary checks N/A 14% 15% Patient lists N/A N/A 26% Send reminders to patients 61% 0.5% 81% 22http://www.cms.gov/EHRIncentivePrograms/
    23. 23. EP Engage Patients and Their Families Objective Performance Exclusion Deferral E – Copy of Health Information 97% 70% N/A Office visit summaries 79% 2% N/A Patient Education Resources 49% N/A 49% Timely electronic access 73% 1% 67% 23http://www.cms.gov/EHRIncentivePrograms/
    24. 24. EP Improve Care Coordination Objective Performance Exclusion Deferral Medication reconciliation 90% 3% 54% Summary of care at transitions 90% 3% 84% 24http://www.cms.gov/EHRIncentivePrograms/
    25. 25. EP Improve Population and Public Health Objective Performance* Exclusion Deferral Immunizations 35% 45% 20% Syndromic Surveillance 6% 25% 69% *Performance is percentage of attesting providers who conducted test 25http://www.cms.gov/EHRIncentivePrograms/
    26. 26. EH Quality, Safety, Efficiency, and Reduce Health Disparities Objective Performance Exclusion Deferral Problem List 95% N/A N/A Medication List 98% N/A N/A Medication Allergy List 98% N/A N/A Demographics 96% N/A N/A Vital Signs 92% N/A N/A Smoking Status 93% 0.6% N/A 26http://www.cms.gov/EHRIncentivePrograms/
    27. 27. EH Quality, Safety, Efficiency, and Reduce Health Disparities Objective Performance Exclusion Deferral CPOE 85% N/A N/A Advance directives 96% 0.5% 8% Incorporate lab results 95% N/A 14% Drug-formulary checks N/A N/A 15% Patient lists N/A N/A 40% 27http://www.cms.gov/EHRIncentivePrograms/
    28. 28. EH Engage Patients and Their Families Objective Performance Exclusion Deferral E – copy of health information 96% 69% N/A E – copy of discharge 95% 66% N/A Instructions Patient education resources 73% N/A 58% 28http://www.cms.gov/EHRIncentivePrograms/
    29. 29. EH Improve Care Coordination Objective Performance Deferral Medication reconciliation 85% 70% Summary of care at transitions 82% 91% 29http://www.cms.gov/EHRIncentivePrograms/
    30. 30. EH Improve Population and Public Health Objective Performance* Exclusion Deferral Immunizations 50% 15% 35% Reportable Lab Results 16% 6% 77% Syndromic Surveillance 21% 3% 75% *Performance is percentage of attesting providers who conducted test 30http://www.cms.gov/EHRIncentivePrograms/
    31. 31. REC Reported Challenges Full report: http://dashboard.healthit.gov/data/ 31http://www.cms.gov/EHRIncentivePrograms/
    32. 32. Overall Top Ten MU Measures 32http://www.cms.gov/EHRIncentivePrograms/
    33. 33. Practice Issue Challenges 33http://www.cms.gov/EHRIncentivePrograms/
    34. 34. Vendor Issue Challenges 34http://www.cms.gov/EHRIncentivePrograms/
    35. 35. Top Five Challenges by Practice Type 35http://www.cms.gov/EHRIncentivePrograms/
    36. 36. Top Five MU Measures 36http://www.cms.gov/EHRIncentivePrograms/
    37. 37. For questions, please contact: Robert Anthony Office of E-Health Standards and Services Centers for Medicare & Medicaid Services robert.anthony@cms.hhs.gov 37http://www.cms.gov/EHRIncentivePrograms/
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