Medicare & Medicaid EHR Incentive Programs

1. Medicare & Medicaid EHR Incentive Programs Robert Anthony Office E-Health Standards & Services HIT Policy Committee December 7, 2011

2. Active Registrations Active Registrations – November 2011 Medicare Meaningful Use (MU) Medicaid Adopt, Implement or Upgrade (AIU) Medicare/Medicaid TOTAL

3. Medicare Incentive Payments Medicare Incentive Payments – November 2011 Meaningful Use (MU)

4. Medicare EPs by Specialty

5. Medicaid Incentive Payments Medicaid Incentive Payments – November 2011 ESTIMATED NUMBERS Adopt, Implement, Upgrade (AIU)

6. EHR Incentive Programs EHR Incentive Programs – November 2011 Totals

7. EHR Incentive Programs EHR Incentive Programs – November 2011

8. EHR Incentive Programs EHR Incentive Programs – November 2011

9. EHR Incentive Programs EHR Incentive Programs – Total Number of EPs 521,600 Total EPs

10. EHR Incentive Programs EHR Incentive Programs – Total Number of Hospitals 5,011 Total Hospitals

11. EHR Incentive Programs EHR Incentive Programs – Overall Participation

12. 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

13. 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

14. EP Quality, Safety, Efficiency, and Reduce Health Disparities *Refers to problem, med, allergy lists, vital signs, demographics and smoking status. Exclusion is for vital signs and smoking status.

15. EP Engage Patients and Their Families

16. EP Improve Care Coordination

17. EP Improve Population and Public Health *Performance is percentage of attesting providers who conducted test

18. EH Quality, Safety, Efficiency, and Reduce Health Disparities *Refers to problem, med, allergy lists, vital signs, demographics and smoking status. Exclusion is for vital signs and smoking status.

19. EH Engage Patients and Their Families

20. EH Improve Care Coordination

21. EH Improve Population and Public Health *Performance is percentage of attesting providers who conducted test