Medicare & Medicaid EHR Incentive Programs

1. Medicare & Medicaid EHR Incentive Programs HIT Policy Committee October 2012 Elizabeth S Holland Director, HIT Initiatives Group, OESS, CMS

2. Registration and Payment Data

3. Active Registrations – September 2012 Active Registrations – September 2012

4. Active Registrations – 2012 States open for registration in September 2012 = Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Massachusetts, Maryland, Maine, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming

5. Active Registrations - 2012 Active Registrations – 2012

6. Medicare Incentive Payments – Sept. 2012 Meaningful Use (MU)-estimates!!

7. EHR Incentive Programs Attestation Data

8. 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 • 94,782 EPs had attested • 94,538 Successfully • 244 Unsuccessfully (200 EPs have resubmitted successfully) • 1,895 Hospital had attested • All successfully

9. 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, Drug Formulary, and Clinical Lab Test Results 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

10. EP Quality, Safety, Efficiency, and Reduce Health Disparities

11. EP Quality, Safety, Efficiency, and Reduce Health Disparities

12. EP Engage Patients and Their Families

13. EP Improve Care Coordination

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

15. EH Quality, Safety, Efficiency, and Reduce Health Disparities

16. EH Quality, Safety, Efficiency, and Reduce Health Disparities

17. EH Engage Patients and Their Families

18. EH Improve Care Coordination

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

20. Things to Remember Everyone starts in Stage 1 (although Medicaid has AIU) Hospitals have until November 30, 2012 to attest to receive first or second year payments) EPs in their second year can begin to attest January 1, 2013 EPs in their first year must start their reporting period by Oct 3, 2012 to receive a 2012 payment

21. Coming to our website soon Specification sheets for the Stage 2 measures Technical specification sheets for vendors More frequently asked questions Guidance on how to apply for payment adjustment hardship exceptions