Medicare & Medicaid                     EHR Incentive Programs                                           HIT Policy Commit...
Registration and Payment Data                                                       2http://www.cms.gov/EHRIncentiveProgra...
Active Registrations                            Active Registrations – October 2012                                       ...
Active Registrations                            Active Registrations – October 2012                                       ...
Medicare Incentive Payments   Medicare Incentive Payments – October 2012 Meaningful Use (MU)                              ...
Medicare Incentive Payments         Medicare Incentive Payments – October 2012 Meaningful Use                             ...
Medicare Incentive Payments         Medicare Incentive Payments – October 2012 Meaningful Use                             ...
Medicaid Incentive Payments – October 2012                                                      (Both MU and AIU)         ...
Medicaid Incentive Payments – October 2012                         Medicare Incentive Payments                            ...
EHR Incentive Programs                                                  EHR Incentive Programs –                          ...
EHR Incentive Programs –                         EHR Incentive Programs                                                   ...
October – by the numbers                                                    October – By the Numbers                      ...
October – by the numbers                                                    October – By the Numbers                      ...
October – by the numbers                                                    October – By the Numbers                      ...
October – by the numbers                                                    October – By the Numbers          • Nearly 65%...
Medicare & Medicaid Payments          Medicare & Medicaid Payments for November 2012                      DRAFT ESTIMATES ...
Medicare & Medicaid Payments          Medicare & Medicaid Payments for November 2012                      DRAFT ESTIMATES ...
EHR Incentive Programs                                    Attestation Data                                                ...
Highlights       • On average all thresholds were greatly exceeded, but         every threshold had some providers on the ...
Providers Included       This data-only analysis shows our earliest         adopters who have attested, but does not infor...
EP Quality, Safety, Efficiency, and                        Reduce Health Disparities       Objective                      ...
EP Quality, Safety, Efficiency, and                        Reduce Health Disparities       Objective                      ...
EP Engage Patients and Their                        Families       Objective                           Performance Exclusi...
EP Improve Care Coordination       Objective                           Performance Exclusion Deferral       Medication rec...
EP Improve Population and                        Public Health       Objective                           Performance*     ...
EH Quality, Safety, Efficiency,                        and Reduce Health Disparities       Objective                      ...
EH Quality, Safety, Efficiency,                        and Reduce Health Disparities       Objective                      ...
EH Engage Patients and Their                         Families       Objective                           Performance Exclus...
EH Improve Care                         Coordination       Objective                           Performance   Deferral     ...
EH Improve Population                         and Public Health       Objective                           Performance*    ...
REC Reported Challenges                 Full report: http://dashboard.healthit.gov/data/                                  ...
Overall Top Ten MU Measures                                                       32http://www.cms.gov/EHRIncentivePrograms/
Practice Issue Challenges                                                     33http://www.cms.gov/EHRIncentivePrograms/
Vendor Issue Challenges                                                   34http://www.cms.gov/EHRIncentivePrograms/
Top Five Challenges by Practice Type                                                                35http://www.cms.gov/E...
Top Five MU Measures                                                36http://www.cms.gov/EHRIncentivePrograms/
For questions, please contact:                   Robert Anthony                   Office of E-Health Standards and Service...
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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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