http:// medicare & medicaid ehr incentive programs hit policy committee august 7, 2013
TRANSCRIPT
http://www.cms.gov/EHRIncentivePrograms/
Medicare & Medicaid EHR Incentive Programs
HIT Policy CommitteeAugust 7, 2013
http://www.cms.gov/EHRIncentivePrograms/
Registration and Payment Data
2
http://www.cms.gov/EHRIncentivePrograms/
Active Registrations – June 2013
3
http://www.cms.gov/EHRIncentivePrograms/
Medicaid Totals – June 2013
4
http://www.cms.gov/EHRIncentivePrograms/5
EHR Incentive Programs – June 2013 Totals
http://www.cms.gov/EHRIncentivePrograms/6
EHR Incentive Programs – June 2013 Totals
http://www.cms.gov/EHRIncentivePrograms/
June – By the Numbers
11.45%
88.55%
Registered Eligible Hospitals
5,011 Total HospitalsRegistered Hospitals
7
http://www.cms.gov/EHRIncentivePrograms/
June – By the Numbers
19.70%
80.30%
Paid Eligible Hospitals
5,011 Total HospitalsHospitals Paid
8
http://www.cms.gov/EHRIncentivePrograms/
June – By the Numbers
23.87%
51.13%
25.00%
Registered Eligible Professionals
527,200 Total EPsRegistered Medicare EPs (269,580)Registered Medicaid EPs (131,800)
9
http://www.cms.gov/EHRIncentivePrograms/
June – By the Numbers
42.00%
37.49%
18.11% 2.40%
Paid Eligible Professionals
527,200 Total EPsMedicare EPs (197,647)Medicaid EPs (95,461)MAO EPs (12,670)
10
http://www.cms.gov/EHRIncentivePrograms/
Medicare EPs by Specialty – June 2013
11
61% of all Medicare EPs who are MUers are non-primary care
20%
18%
7%5%4%
4%3%
3%
4%3%
2%
2%2%2%2%
17%FAMILY PRACTICE
INTERNAL MEDICINE
CARDIOVASCULAR DISEASE (CARDIOLOGY)
ORTHOPEDIC SURGERY
GASTROENTEROLOGY
GENERAL SURGERY
UROLOGY
OPHTHALMOLOGY
OBSTETRICS/GYNECOLOGY
NEUROLOGY
OTOLARYNGOLOGY
PULMONARY DISEASE
NEPHROLOGY
DERMATOLOGY
HEMATOLOGY/ONCOLOGY
OTHER
http://www.cms.gov/EHRIncentivePrograms/
EHR Incentive Program Trends
• Approximately 79% of all eligible hospitals have received an EHR incentive payment for either MU or AIU • About 8 out of 10 eligible hospitals have made a financial commitment to an
EHR
• Approximately 55% or 1 out of every 2 Medicare EPs are meaningful users of EHRs
• Approximately 68% of all Medicaid EPs have received an EHR incentive payment
• 12% of Medicaid EPs are meaningful users
• Over 58% -- nearly 3 out of every 5 Medicare and Medicaid EPs have made a financial commitment to an EHR
• Over 309,000 Medicare and Medicaid EPs have received an EHR incentive payment
12
http://www.cms.gov/EHRIncentivePrograms/13
Medicare & Medicaid Payments for July 2013DRAFT ESTIMATES ONLY
Providers Paid June-13
Medicare EPs [ESTIMATED] 2,750
Medicaid EPs [ESTIMATED] 4,500
Medicaid/Medicare Hospitals** [ESTIMATED] 175
Total 7,425
http://www.cms.gov/EHRIncentivePrograms/14
Medicare & Medicaid Payments for July 2013
May-11
Jul-11
Sep-11
Nov-11
Jan-12
Mar-12
May-12
Jul-12
Sep-12
Nov-12
Jan-13
Mar-13
May-13
Jul-13
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
45,000
50,000
http://www.cms.gov/EHRIncentivePrograms/
EHR Incentive Programs Attestation Performance
15
http://www.cms.gov/EHRIncentivePrograms/
EP Core Exclusions
16
Vital S
igns
Smokin
g Stat
usCPOE
Electr
onic pres
cribing
E – Copy o
f Hea
lth In
formati
on
Office vi
sit su
mmaries
0%
20%
40%
60%
80%
100%
http://www.cms.gov/EHRIncentivePrograms/
Hospital Core Exclusions
17
Smokin
g Stat
us
E – co
py of h
ealth
inform
ation
E – co
py of d
ischarg
e Instr
uctions
0%
20%
40%
60%
80%
100%
http://www.cms.gov/EHRIncentivePrograms/
EP Menu Performance
18Inco
rporate La
b Results
Drug Form
ulary Checks
Patient List
s
Reminders to Patients
Patient Educa
tion
Electronic A
ccess
Medication Reco
nciliation
Transitions o
f Care
Immuniza
tions
Syndromic S
urveillance
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
MeetingExclusionDeferred
http://www.cms.gov/EHRIncentivePrograms/
Hospital Menu Performance
19
Advanced Dire
ctives
Incorp
orate Lab Resu
lts
Drug Form
ulary Checks
Patient List
s
Patient Educa
tion
Medication Reco
nciliation
Transitions o
f Care
Immuniza
tions
Reportable La
b Results
Syndromic S
urveillance
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
MeetingExclusionDeferred
http://www.cms.gov/EHRIncentivePrograms/
Full slide deck and report will be available for download on CMS website:
http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/DataAndReports.html
For questions, please contact:Robert AnthonyOffice of E-Health Standards and ServicesCenters for Medicare & Medicaid [email protected]
20