Medicare & Medicaid EHR Incentive Programs

1. Medicare & Medicaid EHR Incentive Programs HIT Policy Committee March 14, 2013

2. Registration and Payment Data

3. Active Registrations Active Registrations – January 2013

4. Medicaid Incentive Payments Medicaid Incentive Payments – January 2013 (Both MU and AIU) For final CMS reports, please visit: http://www.cms.gov/EHRIncentivePrograms/56_DataAndReports.asp

5. EHR Incentive Programs – January 2013 Totals EHR Incentive Programs

6. EHR Incentive Programs – January 2013 Totals EHR Incentive Programs

7. January – By the Numbers January – By the Numbers

8. January – By the Numbers January – By the Numbers

9. January – By the Numbers January – By the Numbers

10. January – By the Numbers January – By the Numbers

11. January – By the Numbers January – By the Numbers • Over 73% of all eligible hospitalshave received an EHR incentive payment for either MU or AIU • Over 73% have made a financial commitment to put an EHR in place • Approximately 35% or 1 out of every 3 Medicare EPsare meaningful users of EHRs • Approximately 40% -- 2 out of every 5Medicare and Medicaid EPshave made a financial commitment to an EHR • 58% of Medicare EPs receiving incentives are specialists (non primary care)

12. Medicare & Medicaid Payments for February 2013 Medicare & Medicaid Payments for February 2013 DRAFT ESTIMATES ONLY

13. Medicare & Medicaid Payments for February 2013 Medicare & Medicaid Payments for February 2013 DRAFT ESTIMATES ONLY

14. EHR Incentive Programs Attestation Data

15. 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 • 190,260 EPs had attested • 190,047 Successfully • 213 Unsuccessfully (231 EPs have resubmitted successfully) • 2,738 Hospital had attested • All successfully

16. 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, Clinical Lab Test Results, and Drug Formulary 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

17. 90 Day Performance Data

18. EP 2011 vs. 2012 90 DaysCore Objective Performance

19. EP 2011 vs. 2012 90 DaysMenu Objective Performance

20. Hospital 2011, 2012, and 2013, 90 Days, Core Objective Performance

21. Hospital 2011, 2012, and 2013, 90 Days, Menu Objective Performance

22. Returning Providers Performance Data

23. EP 1st vs. 2nd yearCore Objective Performance

24. EP 1st vs. 2nd yearMenu Objective Performance

25. Hospital1st vs. 2nd yearCore Objective Performance

26. Hospital1st vs. 2nd yearMenu Objective Performance

27. Aggregate Performance Data

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

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

30. EP Engage Patients and Their Families

31. EP Improve Care Coordination

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

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

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

35. EH Engage Patients and Their Families

36. EH Improve Care Coordination

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

38. For questions, please contact:Robert AnthonyOffice of E-Health Standards and ServicesCenters for Medicare & Medicaid Servicesrobert.anthony@cms.hhs.gov