Health IT Policy Committee Meeting

Data Analytics Update

January 13, 2015

• Describe eligible hospital attestation patterns

• Define stage 2 eligible providers

• Describe preliminary stage 2 attestation patterns

2

AGENDA

Attestation trends

Historically, many eligible providers did not attest until after the close of the fiscal (hospitals) or calendar (professionals) year

First-time meaningful use attestations by the quarter the attestation was submitted

Eligible hospital FY2014 attestations followed historical trends

N=3,592. CMS EHR Incentive Program data through November 30, 2014. Hospitals have until December 31, 2014, to attest to FY2014 Meaningful Use activity.

Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-140

200

400

600

800

1000

1200

1400FY2014 eligible hospital attestations by attestation month

Stage 2 eligible Stage 1 eligible New to MU in FY2014

Num

ber o

f hos

pita

ls th

at a

ttes

ted

each

mon

th

Last day for Medicare Subsection (d) EHs to attest to MU to avoid payment adjustments

Stage 2 attestations

Not all eligible providers are able to attest to stage 2 in 2014

Stage 2 eligible42%

Stage 1 eligible58%

Stage 2 eligible56%

Stage 1 eligible44%

Proportion of eligible providers by meaningful use eligibility stage

Only eligible providers who have completed two years of stage 1 meaningful use (i.e. those that first attested in 2011 or 2012), are eligible to attest to stage 2 in 2014.

Eligible ProfessionalsEligible Hospitals and CAHs

N=537,600N=4,993

With one month remaining to attest, almost 8 in 10 stage 2-eligible hospitals have attested

*Stage 2-eligible hospitals that attested to stage 1 meaningful use took advantage of the Flexibility Rule options. Among stage 2-eligible hospitals that attested to stage 1, 65% attested using 2014 certified EHR technology; 13% used a combination of 2011 and 2014 certified EHR technology; 23% used 2011 certified EHR technology.

Stage 1*23%

Stage 277%

Stage 2-eligible hospital attestations through November 2014

Hospitals had through December 2014 to attest

Stage 2 eligible56%

Stage 1 eligible44%

Eligible Hospitals and CAHs

N=2,115N=4,993

Stage 2

60%

Stage 1*

40%

Stage 2-eligible professional attestations through November 2014

EPs have through February, 2015, to attest

Preliminary stage 2-eligible professional attestations, with 3 months remaining for EPs to attest

Stage 2 eligible42%

Stage 1 eligible58%

Eligible Professionals

*Stage 2-eligible EPs that attested to stage 1 meaningful use took advantage of the Flexibility Rule options. Among stage 2-eligible EPs that attested to stage 1, 25% attested using 2014 certified EHR technology; 7% used a combination of 2011 and 2014 certified EHR technology; 68% used 2011 certified EHR technology.

N=24,783N=537,600

Summary

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• Historically, eligible hospitals and professionals attest after their reporting year closes– Most hospitals attested after FY2014 closed– Eligible professionals have until February 2015 to attest

• Not all EPs and EHs are eligible for stage 2– 56% of EHs are eligible – 42% of EPs are eligible

• Among providers eligible for stage 2 in 2014:– More than 8 in 10 hospitals have attested; among those,

77% attested to stage 2– 13% of professionals have attested; of those, almost 6 in 10

attested to stage 2

Questions