Colorado EHR Incentive Program By the Numbers

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1 Colorado EHR Incentive Program By the Numbers September 19, 2017 Micah L. Jones Department of Health Care Policy and Financing

2 About the Speaker Micah L. Jones, J.D. Medicaid Health IT Coordinator Program Lead, Medicaid EHR Incentive Program Department of Health Care Policy and Financing Interests: Game of Thrones (the show and the books), Snapchat, Health Care Law and Technology law (I m a lawyer), corgis, and more!

3 Percent of Colorado Hospitals that Adopted Certified EHRs: 2015 All Hospitals: 100 Percent (US = 96 percent) Small Rural: 100 Percent (US = 94 percent) Critical Access: 100 percent (US = 96 percent) Source: American Hospital Association (AHA) Annual Survey/Health IT Supplement

4 Percent of Colorado Physicians that Adopted Certified EHRs by Physician Specialty: 2015 All Physicians: 90 Percent (US = 78 percent) Primary Care: 93 Percent (US = 81 percent) Specialists: 86 percent (US = 75 percent) Source: CDC/NCHS National Electronic Health Records Survey, Office-based Physician EHR Adoption and Use

5 Most Common EHR Vendors (EPs) - Colorado Epic Systems Corporation NextGen Healthcare eclinicalworks, LLC Greenway Health, LLC* GE Healthcare Source: Colorado Medicaid Annual Reporting Tool

6 Most Common EHR Systems (EHs) - Colorado Medical Information Technology, Inc. (MEDITECH) Epic Systems Corporation Cerner Corporation HCA Information Technology & Services, Inc.* Healthland* Source: EHR Products Used for Meaningful Use Attestation

7 Some Common CQMs selected by EPs (2014 CQM definitions) CMS Diabetes: Hemoglobin A1c Poor Control: 562 unduplicated Providers CMS Controlling High Blood Pressure: 290 CMS Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention: 279 CMS 69 - Preventive Care and Screening: Body Mass Index Screening and Follow-Up: 242 CMS Use of Appropriate Medications for Asthma: 71 Source: Colorado Medicaid Annual Reporting Tool

8 Health Information Exchange Colorado Physicians that Electronically Send, Receive, Find or Use (Integrate) Patient Health Information from Outside Health Care Providers Send: 31 percent (US = 21 percent) Receive: 38 percent (US = 25 percent) Find: 47 percent (US = 34 percent) Use: 17 percent (US = 13 percent) Source: CDC/NCHS National Electronic Health Records Survey, Office-based Physician EHR Adoption and Use

9 Health Information Exchange Percent of Colorado Physicians that Electronically Send or Receive Any Patient Health Information with Any Health Care Providers: % Source: CDC/NCHS National Electronic Health Records Survey, Office-based Physician EHR Adoption and Use

10 Health Information Exchange Percent of Colorado Hospitals that Electronically Send, Receive, Find or Use (Integrate) Patient Health Information from Outside Health Care Providers: 2015 Send: 95 percent (US = 85 percent) Receive: 83 percent (US = 65 percent) Find: 63 percent (US = 52 percent) Use: 63 percent (US = 38 percent) Source: ONC/American Hospital Association Annual Survey Information Technology Supplement, Non-federal Acute Care Hospital EHR Adoption and Use

11 Patient Engagement Percent of Colorado Physician that Provided Electronic Capabilities to their Patients: 2015 Secure Messaging: 83 percent (64 percent) View, Download, & Transmit (VDT): 17 percent (US = 16 percent)* Percent of Colorado Hospitals that Provided Electronic Capabilities to their Patients: 2015 Secure Messaging: 80 percent (US = 63 percent) VDT: 73 percent (US = 73 percent) Sources: ONC/American Hospital Association Annual Survey Information Technology Supplement, Non-federal Acute Care Hospital EHR Adoption and Use; CDC/NCHS National Electronic Health Records Survey, Office-based Physician EHR Adoption and Use

12 Cumulative number of EPs to receive payment for AIU and MU AIU MU 3205 Payments to EPs 2,478 Payments to EPs $67 Million in AIU payments $22 Million in MU payments

13 Cumulative number of EHs to receive payment for AIU and MU AIU MU 92 Eligible Hospitals $25 Million in AIU payments 251 Payments to EHs $60.5 Million in Payments

14 Thank you! Micah L. Jones Medicaid Health IT Coordinator Department of Health Care Policy & Financing

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