Medicare & Medicaid EHR Incentive Programs

1. Medicare & Medicaid EHR Incentive Programs HIT Policy Committee December 5, 2012

2. Registration and Payment Data

3. Active Registrations Active Registrations – October 2012

4. Active Registrations Active Registrations – October 2012

5. Medicare Incentive Payments Medicare Incentive Payments – October 2012 Meaningful Use (MU)

6. Medicare Incentive Payments Medicare Incentive Payments – October 2012 Meaningful Use For final CMS reports, please visit: http://www.cms.gov/EHRIncentivePrograms/56_DataAndReports.asp

7. Medicare Incentive Payments Medicare Incentive Payments – October 2012 Meaningful Use

8. Medicare Incentive Payments Medicaid Incentive Payments – October 2012 (Both MU and AIU) For final CMS reports, please visit: http://www.cms.gov/EHRIncentivePrograms/56_DataAndReports.asp

9. Medicare Incentive Payments Medicaid Incentive Payments – October 2012

10. EHR Incentive Programs – October 2012 Totals EHR Incentive Programs

11. EHR Incentive Programs – October 2012 Totals EHR Incentive Programs

12. October – by the numbers October – By the Numbers

13. October – by the numbers October – By the Numbers

14. October – by the numbers October – By the Numbers

15. October – by the numbers October – By the Numbers • Nearly 65% of all eligible hospitalshave received an EHR incentive payment for either MU or AIU • Nearly 65% have made a financial commitment to put an EHR in place • Approximately 26% or 1 out of every 4 Medicare EPsare meaningful users of EHRs • Approximately 31% -- nearly 1 out of every 3 -- Medicare and Medicaid EPshave made a financial commitment to an EHR • 58% of Medicare EPs receiving incentives specialists (non primary care)

16. Medicare & Medicaid Payments Medicare & Medicaid Payments for November 2012 DRAFT ESTIMATES ONLY

17. Medicare & Medicaid Payments Medicare & Medicaid Payments for November 2012 DRAFT ESTIMATES ONLY

18. EHR Incentive Programs Attestation Data

19. 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

20. 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 • 117,514 EPs had attested • 117,284 Successfully • 230 Unsuccessfully (214 EPs have resubmitted successfully) • 2,558 Hospital had attested • All successfully

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

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

23. EP Engage Patients and Their Families

24. EP Improve Care Coordination

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

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

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

28. EH Engage Patients and Their Families

29. EH Improve Care Coordination

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

31. REC Reported Challenges Full report: http://dashboard.healthit.gov/data/

32. Overall Top Ten MU Measures

33. Practice Issue Challenges

34. Vendor Issue Challenges

35. Top Five Challenges by Practice Type

36. Top Five MU Measures

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