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Medicare & Medicaid  EHR Incentive Programs Robert Anthony Office E-Health Standards & Services HIT Policy Committee December 7, 2011
Active Registrations –  November 2011     November-11 YTD   Eligible Professional 10,241  114,925    Hospital 4  168   Total 10,245  115,093        Eligible Professional 8,172 39,437   Hospital 14 66   Total 8,186 39,503       Hospital  (registered for  both  Medicare & Medicaid ) 229 2,634             23,994 154,596
Medicare Incentive Payments –  November 2011  Meaningful Use (MU) November2011 Providers Paid November2011 Payments YTD  Providers Paid YTD  Payments Eligible Professional 4,255  $  76,590,000  10,155 $  182,790,000  Medicare Only Hospital 23  $  36,413,026  34 $  51,181,686  Medicare & Medicaid Hospital  (Medicare  Payment) 148 $  278,455,929  377 $  686,319,530  TOTAL 4,426 $  391,458,955  10,566 $  920,291,216
MU Analysis
Medicaid Incentive Payments –  November 2011  ESTIMATED NUMBERS Adopt, Implement, Upgrade (AIU) November2011 Providers Paid November2011 Payments YTD  Providers Paid YTD  Payments Eligible Professional 2,586 $  54,000,000 11,270 $  237,000,000 Medicare & Medicaid Hospital  (Medicaid Payment) + Medicaid Only Hospital 178 $  149,000,000 800 $  679,000,000 TOTAL 2,764 $  203,000,000 12,070 $  916,000,000
EHR Incentive Programs –  November 2011 Totals
EHR Incentive Programs –  November 2011
EHR Incentive Programs –  November 2011
EHR Incentive Programs –  Total Number of EPs 521,600 Total EPs
EHR Incentive Programs –  Total Number of Hospitals 5,011 Total Hospitals
EHR Incentive Programs – Overall Participation
Highlights ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Providers Included ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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.  Objective Performance Exclusion Deferral Recording objectives* 89%+ 8%* N/A CPOE 85% 14% N/A Electronic prescribing 77% 19% N/A Incorporate lab results 91% N/A 32% Drug-formulary checks N/A N/A 18% Patient lists N/A N/A 31% Send reminders to patients 61% 1% 77%
EP Engage Patients and Their Families Objective Performance Exclusion Deferral E – Copy of Health Information 95% 67% N/A Office visit summaries 77% 2% N/A Patient Education Resources 48% N/A 51% Timely electronic access 78% 1% 58%
EP Improve Care Coordination Objective Performance Exclusion Deferral Medication reconciliation 88% 3% 58% Summary of care at transitions 88% 2% 84%
EP Improve Population and Public Health *Performance is percentage of attesting providers who conducted test Objective Performance* Exclusion Deferral Immunizations 37% 38% 21% Syndromic Surveillance 2% 23% 70%
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.  Objective Performance Exclusion Deferral Recording objectives* +90% N/A 1% CPOE 84% N/A N/A Advance directives 95% 0% 16% Incorporate lab results 96% N/A 22% Drug-formulary checks N/A N/A 15% Patient lists N/A N/A 36%
EH Engage Patients and Their Families Objective Performance Exclusion Deferral E – copy of health information 96% 67% N/A E – copy of discharge Instructions 96% 60% N/A Patient education resources 71% N/A 62%
EH Improve Care Coordination Objective Performance Deferral Medication reconciliation 84% 74% Summary of care at transitions 80% 92%
EH Improve Population and Public Health *Performance is percentage of attesting providers who conducted test Objective Performance* Exclusion Deferral Immunizations 48% 15% 37% Reportable Lab Results 16% 7% 77% Syndromic Surveillance 15% 3% 82%

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MU Analysis

  • 1. Medicare & Medicaid EHR Incentive Programs Robert Anthony Office E-Health Standards & Services HIT Policy Committee December 7, 2011
  • 2. Active Registrations – November 2011     November-11 YTD   Eligible Professional 10,241 114,925   Hospital 4 168   Total 10,245 115,093       Eligible Professional 8,172 39,437   Hospital 14 66   Total 8,186 39,503       Hospital (registered for both Medicare & Medicaid ) 229 2,634             23,994 154,596
  • 3. Medicare Incentive Payments – November 2011 Meaningful Use (MU) November2011 Providers Paid November2011 Payments YTD Providers Paid YTD Payments Eligible Professional 4,255 $ 76,590,000 10,155 $ 182,790,000 Medicare Only Hospital 23 $ 36,413,026 34 $ 51,181,686 Medicare & Medicaid Hospital (Medicare Payment) 148 $ 278,455,929 377 $ 686,319,530 TOTAL 4,426 $ 391,458,955 10,566 $ 920,291,216
  • 5. Medicaid Incentive Payments – November 2011 ESTIMATED NUMBERS Adopt, Implement, Upgrade (AIU) November2011 Providers Paid November2011 Payments YTD Providers Paid YTD Payments Eligible Professional 2,586 $ 54,000,000 11,270 $ 237,000,000 Medicare & Medicaid Hospital (Medicaid Payment) + Medicaid Only Hospital 178 $ 149,000,000 800 $ 679,000,000 TOTAL 2,764 $ 203,000,000 12,070 $ 916,000,000
  • 6. EHR Incentive Programs – November 2011 Totals
  • 7. EHR Incentive Programs – November 2011
  • 8. EHR Incentive Programs – November 2011
  • 9. EHR Incentive Programs – Total Number of EPs 521,600 Total EPs
  • 10. EHR Incentive Programs – Total Number of Hospitals 5,011 Total Hospitals
  • 11. EHR Incentive Programs – Overall Participation
  • 12.
  • 13.
  • 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. Objective Performance Exclusion Deferral Recording objectives* 89%+ 8%* N/A CPOE 85% 14% N/A Electronic prescribing 77% 19% N/A Incorporate lab results 91% N/A 32% Drug-formulary checks N/A N/A 18% Patient lists N/A N/A 31% Send reminders to patients 61% 1% 77%
  • 15. EP Engage Patients and Their Families Objective Performance Exclusion Deferral E – Copy of Health Information 95% 67% N/A Office visit summaries 77% 2% N/A Patient Education Resources 48% N/A 51% Timely electronic access 78% 1% 58%
  • 16. EP Improve Care Coordination Objective Performance Exclusion Deferral Medication reconciliation 88% 3% 58% Summary of care at transitions 88% 2% 84%
  • 17. EP Improve Population and Public Health *Performance is percentage of attesting providers who conducted test Objective Performance* Exclusion Deferral Immunizations 37% 38% 21% Syndromic Surveillance 2% 23% 70%
  • 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. Objective Performance Exclusion Deferral Recording objectives* +90% N/A 1% CPOE 84% N/A N/A Advance directives 95% 0% 16% Incorporate lab results 96% N/A 22% Drug-formulary checks N/A N/A 15% Patient lists N/A N/A 36%
  • 19. EH Engage Patients and Their Families Objective Performance Exclusion Deferral E – copy of health information 96% 67% N/A E – copy of discharge Instructions 96% 60% N/A Patient education resources 71% N/A 62%
  • 20. EH Improve Care Coordination Objective Performance Deferral Medication reconciliation 84% 74% Summary of care at transitions 80% 92%
  • 21. EH Improve Population and Public Health *Performance is percentage of attesting providers who conducted test Objective Performance* Exclusion Deferral Immunizations 48% 15% 37% Reportable Lab Results 16% 7% 77% Syndromic Surveillance 15% 3% 82%