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Data Analytics Update

Data Analytics Update. Health IT Policy Committee Meeting June 10, 2014. Progress and performance among Eligible Professionals in the first 3 years of the EHR Incentive Program Who achieved meaningful use in first 3 years? Who is achieving meaningful use year-over-year?

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Data Analytics Update

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  1. Data Analytics Update Health IT Policy Committee Meeting June 10, 2014

  2. Progress and performance among Eligible Professionals in the first 3 years of the EHR Incentive Program Who achieved meaningful use in first 3 years? Who is achieving meaningful use year-over-year? How does performance on meaningful use objectives vary? Progress and Performance

  3. Majority of eligible professionals have attested to stage 1 Note: Categories are hierarchical and mutually exclusive. For example, a professional that has attested to meaningful use and received an AIU payment and is enrolled with an REC is counted only in the Attested MU category. MU is meaningful use. AIU is adopt/implement/upgrade to certified EHR technology. REC is Regional Extension Center.

  4. Variation in Meaningful Use attainmentby physician age, specialty, group size Likelihood of ever attesting to Stage 1 meaningful use among physicians, April 2014 Age Specialty Group size Relative Risk Note: Physician specialty and age are from the CMS EHR Incentive Programs and the 2011 American Medical Association Masterfile. Group size is the number of providers counted under the same billing ID in the 2013 PECOS dataset. All physician data were merged via NPI to the CMS EHR Incentive Program data through April, 2014.

  5. Variation in Meaningful Use attainmentby area characteristics Likelihood of ever attesting to Stage 1 meaningful use among physicians, April 2014 Urban/Rural Primary Care HPSA % county population Hispanic % county population black % county population in poverty Relative Risk Note: County-level information is pulled from the 2012 Area Resource File. Urban is metropolitan; Rural is non-metropolitan. Primary Care Health Professional Shortage Areas (HPSA) is calculated at the zip code level, based on the CMS Primary Care HPSAzip code definitions from 2014. Based on CMS EHR Incentive data through April, 2014.

  6. Variation in Meaningful Use attainmentby technical assistance, delivery characteristics Likelihood of ever attesting to Stage 1 meaningful use among physicians, April 2014 Regional Extension Center Participation PCMH Certification State Innovation Model Beacon Community Relative Risk Note: Regional Extension Center enrollment as of May 4, 2014. Patient-Centered Medical Home (PCMH) certification reflects National Committee for Quality Assurance PCMH certification as of May, 2014. State Innovation Model reflects professionals in states with Model Testing awards from CMS to implement a State Health Care Innovation Plan to transform health care delivery systems through multi-payer payment reform and other state-led initiatives. Beacon Community reflects professionals located in zip codes that were part of the Beacon Community Program. All data are merged by physician NPI to CMS EHR Incentive Program data through April 2014.

  7. Progress and performance among Eligible Professionals in the first 3 years of the EHR Incentive Program Who achieved meaningful use in first 3 years? Who is achieving meaningful use year-over-year? How does performance on meaningful use objectives vary? Progress and Performance

  8. Majority of eligible professionals return to attest year after year 2011-2013 attestation patterns among Medicare professionals who first attested to meaningful use in 2011 2012 2013 2011 Year 2 Year 3 Year 1 58k Medicare eligible professionals attested in 2011 75%attested in 2011, 2012, and 2013 75% 84% 84% attested in 2012 44%of providers who attested in 2011 and skipped 2012 returned in 2013 9% 7% 19%skipped 2013 16% 9% 16% skipped 2012 9%skipped 2012 and 2013. Attested in year Attested ever but skipped current year Note: Providers skipping a year include providers who may have retired or no longer be in active practice. Based on analysis of CMS Medicare and Medicaid EHR Incentive Program Electronic Health Record Products Used for Attestation public use data file, March 2014. http://www.healthdata.gov/data/dataset/cms-medicare-and-medicaid-ehr-incentive-program-electronic-health-record-products-used

  9. Some types of physicians were more likely to skip both 2012 and 2013 than others Percent of physicians in 2011 attestation cohort who skipped attestation in 2012 and 2013 by characteristic Note: Physician specialty and age are from the CMS EHR Incentive Programs and the 2011 American Medical Association Masterfile. Group size is the number of providers counted under the same billing ID in the 2013 PECOS dataset. Urban is metropolitan; Rural is non-metropolitan. All physician data were merged via NPI to the CMS EHR Incentive Program data through April, 2014. Does not include Medicare Advantage providers.

  10. Progress and performance among Eligible Professionals in the first 3 years of the EHR Incentive Program Who achieved meaningful use in first 3 years? Who is achieving meaningful use year-over-year? How does performance on meaningful use objectives vary? Progress and Performance

  11. Performance relative to core objective thresholds increases with each payment year and new cohort Average performance relative to core objective thresholds by cohort and year of attestation, Medicare physicians Physicians in their 3rd year of meaningful use scored an average of 86% above the thresholds across all core objectives **Average performance relative to core objective thresholds statistically higher (p<0.001) than reference year/cohort (attestation year 1 and 2011 cohort) in regression model controlling for other physician and practice characteristics. Cohort indicates the year the physician first attested to Medicare Meaningful Use. Score is the average percentage by which the professional exceeded the threshold across all core objectives. Based on Medicare attestation data through April 2014.

  12. Physicians in larger practices and participating in PCMH have higher average performance relative to core objective thresholds Average performance relative to core objective thresholds by group size and PCMH certification No major differences by other characteristics such as physician age and urban/rural location Note: Group size is the number of providers counted under the same billing ID in the 2013 PECOS dataset. Patient-Centered Medical Home (PCMH) certification reflects National Committee for Quality Assurance PCMH certification as of May, 2014. All physician data were merged via NPI to the CMS EHR Incentive Program data through April, 2014.

  13. Plans for next update in July: Early Stage 2 experience Plans for Next Update

  14. Questions? Questions?

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