EHR Incentive Program Update to HIT Policy Committee
Upcoming SlideShare
Loading in...5
×
 

Like this? Share it with your network

Share

EHR Incentive Program Update to HIT Policy Committee

on

  • 2,265 views

 

Statistics

Views

Total Views
2,265
Views on SlideShare
1,426
Embed Views
839

Actions

Likes
0
Downloads
2
Comments
0

31 Embeds 839

http://ahier.blogspot.com 587
http://www.ahier.net 110
http://www.ahier.blogspot.com 66
https://twitter.com 10
http://www.linkedin.com 9
http://ahier.blogspot.ca 7
http://www.twylah.com 7
http://medicalhealthplan.org 6
http://ahier.blogspot.in 4
http://ahier.blogspot.ru 3
http://www.ahier.blogspot.de 3
http://ahier.blogspot.sg 3
http://ahier.blogspot.cz 2
http://ahier.blogspot.com.es 2
http://ahier.blogspot.com.au 2
http://www.ahier.blogspot.fr 2
http://ahier.blogspot.mx 2
http://ahier.blogspot.jp 1
http://ahier.blogspot.com.ar 1
http://ahier.blogspot.fr 1
http://core.traackr.com 1
http://www.ahier.blogspot.it 1
http://ahier.blogspot.co.il 1
http://ahier.blogspot.nl 1
http://ahier.blogspot.gr 1
http://www.ahier.blogspot.com.br 1
http://www.ahier.blogspot.in 1
http://www.ahier.blogspot.dk 1
http://ahier.blogspot.co.uk 1
http://www.ahier.blogspot.ie 1
http://ahier.blogspot.kr 1
More...

Accessibility

Categories

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

CC Attribution-ShareAlike LicenseCC Attribution-ShareAlike License

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment
  • $189 million in MAO payments not shown

EHR Incentive Program Update to HIT Policy Committee Presentation Transcript

  • 1. Medicare & Medicaid EHR Incentive Programs HIT Policy Committee December 5, 2012http://www.cms.gov/EHRIncentivePrograms/
  • 2. Registration and Payment Data 2http://www.cms.gov/EHRIncentivePrograms/
  • 3. Active Registrations Active Registrations – October 2012 3http://www.cms.gov/EHRIncentivePrograms/
  • 4. Active Registrations Active Registrations – October 2012 4http://www.cms.gov/EHRIncentivePrograms/
  • 5. Medicare Incentive Payments Medicare Incentive Payments – October 2012 Meaningful Use (MU) 5http://www.cms.gov/EHRIncentivePrograms/
  • 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. Medicare Incentive Payments Medicare Incentive Payments – October 2012 Meaningful Use 7http://www.cms.gov/EHRIncentivePrograms/
  • 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. Medicaid Incentive Payments – October 2012 Medicare Incentive Payments 9http://www.cms.gov/EHRIncentivePrograms/
  • 10. EHR Incentive Programs EHR Incentive Programs – October 2012 Totals 10http://www.cms.gov/EHRIncentivePrograms/
  • 11. EHR Incentive Programs – EHR Incentive Programs October 2012 Totals 11http://www.cms.gov/EHRIncentivePrograms/
  • 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. 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. 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. 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. 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. 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. EHR Incentive Programs Attestation Data 18http://www.cms.gov/EHRIncentivePrograms/
  • 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. EH Improve Care Coordination Objective Performance Deferral Medication reconciliation 85% 70% Summary of care at transitions 82% 91% 29http://www.cms.gov/EHRIncentivePrograms/
  • 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. REC Reported Challenges Full report: http://dashboard.healthit.gov/data/ 31http://www.cms.gov/EHRIncentivePrograms/
  • 32. Overall Top Ten MU Measures 32http://www.cms.gov/EHRIncentivePrograms/
  • 33. Practice Issue Challenges 33http://www.cms.gov/EHRIncentivePrograms/
  • 34. Vendor Issue Challenges 34http://www.cms.gov/EHRIncentivePrograms/
  • 35. Top Five Challenges by Practice Type 35http://www.cms.gov/EHRIncentivePrograms/
  • 36. Top Five MU Measures 36http://www.cms.gov/EHRIncentivePrograms/
  • 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/