http://www.cms.gov/EHRIncentivePrograms/

Medicare & Medicaid EHR Incentive Programs

Robert AnthonyOffice E-Health Standards & Services

HIT Policy CommitteeDecember 7, 2011

http://www.cms.gov/EHRIncentivePrograms/

    November-11 YTD 

Eligible Professional                         

10,241                          

114,925 

  Hospital                         

         4                          

       168

  Total                         

10,245                          

115,093    

 

Eligible Professional 8,172 39,437

  Hospital 14 66

  Total 8,186 39,503   

 

Hospital (registered for both Medicare & Medicaid ) 229 2,634

        

  23,994 154,596

Active Registrations – November 2011

http://www.cms.gov/EHRIncentivePrograms/3

Medicare Incentive Payments – November 2011

Meaningful Use (MU)

 November2011 Providers Paid

November2011 Payments

YTD Providers Paid

YTD Payments

Eligible Professional               4,255   $         76,590,000  10,155  $         182,790,000 

Medicare Only Hospital                        23   $         36,413,026  34  $           51,181,686 

Medicare & Medicaid Hospital (Medicare  Payment)                     148  $       278,455,929              377  $      686,319,530 

TOTAL 4,426  $         391,458,955  10,566  $      920,291,216 

http://www.cms.gov/EHRIncentivePrograms/4

http://www.cms.gov/EHRIncentivePrograms/5

Medicaid Incentive Payments – November 2011 ESTIMATED NUMBERSAdopt, Implement, Upgrade (AIU)

 November2011 Providers Paid

November2011 Payments

YTD Providers Paid

YTD Payments

Eligible Professional 2,586 $      54,000,000 11,270 $                     237,000,000

Medicare & Medicaid Hospital (Medicaid Payment) +Medicaid Only Hospital 178 $      149,000,000 800 $                     679,000,000

TOTAL 2,764 $    203,000,000 12,070 $                    916,000,000

http://www.cms.gov/EHRIncentivePrograms/6

EHR Incentive Programs – November 2011 Totals

http://www.cms.gov/EHRIncentivePrograms/7

EHR Incentive Programs – November 2011

http://www.cms.gov/EHRIncentivePrograms/8

EHR Incentive Programs – November 2011

http://www.cms.gov/EHRIncentivePrograms/9

EHR Incentive Programs – Total Number of EPs

521,600 Total EPs

http://www.cms.gov/EHRIncentivePrograms/10

EHR Incentive Programs – Total Number of Hospitals

5,011 Total Hospitals

http://www.cms.gov/EHRIncentivePrograms/11

EHR Incentive Programs –Overall Participation

http://www.cms.gov/EHRIncentivePrograms/

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 (4th month)• Transition of care summary and patient reminders were

the least popular menu objectives for EPs (4th month)• Syndromic Surveillance for hospitals

• Little difference between EP and hospitals• Little difference among specialties in performance, but

differences in exclusions

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http://www.cms.gov/EHRIncentivePrograms/

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• 21,308 EPs had attested

• 20,864 Successfully• 444 Unsuccessfully

• 769 Hospital had attested• All successfully

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http://www.cms.gov/EHRIncentivePrograms/

EP Quality, Safety, Efficiency, and Reduce Health Disparities

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Objective Performance Exclusion Deferral

Recording objectives* 89%+ 8%* N/ACPOE 85% 14% N/AElectronic prescribing 77% 19% N/AIncorporate lab results 91% N/A 32%Drug-formulary checks N/A N/A 18%Patient lists N/A N/A 31%Send reminders to patients 61% 1% 77%

*Refers to problem, med, allergy lists, vital signs, demographics and smoking status. Exclusion is for vital signs and smoking status.

http://www.cms.gov/EHRIncentivePrograms/

EP Engage Patients and Their Families

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Objective Performance Exclusion Deferral

E – Copy of Health Information 95% 67% N/AOffice visit summaries 77% 2% N/APatient Education Resources 48% N/A 51%Timely electronic access 78% 1% 58%

http://www.cms.gov/EHRIncentivePrograms/

EP Improve Care Coordination

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Objective Performance Exclusion Deferral

Medication reconciliation 88% 3% 58%Summary of care at transitions 88% 2% 84%

http://www.cms.gov/EHRIncentivePrograms/

EP Improve Population and Public Health

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Objective Performance* Exclusion Deferral

Immunizations 37% 38% 21%Syndromic Surveillance 2% 23% 70%

*Performance is percentage of attesting providers who conducted test

http://www.cms.gov/EHRIncentivePrograms/

EH Quality, Safety, Efficiency, and Reduce Health Disparities

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Objective Performance Exclusion Deferral

Recording objectives* +90% N/A 1%CPOE 84% N/A N/AAdvance directives 95% 0% 16%Incorporate lab results 96% N/A 22%Drug-formulary checks N/A N/A 15%Patient lists N/A N/A 36%

*Refers to problem, med, allergy lists, vital signs, demographics and smoking status. Exclusion is for vital signs and smoking status.

http://www.cms.gov/EHRIncentivePrograms/

EH Engage Patients and Their Families

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Objective Performance Exclusion Deferral

E – copy of health information 96% 67% N/AE – copy of discharge Instructions 96% 60% N/A

Patient education resources 71% N/A 62%

http://www.cms.gov/EHRIncentivePrograms/

EH Improve Care Coordination

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Objective Performance Deferral

Medication reconciliation 84% 74%Summary of care at transitions

80% 92%

http://www.cms.gov/EHRIncentivePrograms/

EH Improve Population and Public Health

Objective Performance* Exclusion Deferral

Immunizations 48% 15% 37%Reportable Lab Results 16% 7% 77%Syndromic Surveillance 15% 3% 82%

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*Performance is percentage of attesting providers who conducted test