Colorado EHR Incentive Program By the Numbers September 19, 2017 Micah L. Jones Department of Health Care Policy and Financing
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!
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
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
Most Common EHR Vendors (EPs) - Colorado Epic Systems Corporation NextGen Healthcare eclinicalworks, LLC Greenway Health, LLC* GE Healthcare Source: Colorado Medicaid Annual Reporting Tool
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
Some Common CQMs selected by EPs (2014 CQM definitions) CMS 122 - Diabetes: Hemoglobin A1c Poor Control: 562 unduplicated Providers CMS 165 - Controlling High Blood Pressure: 290 CMS 138 - 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 126 - Use of Appropriate Medications for Asthma: 71 Source: Colorado Medicaid Annual Reporting Tool
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
Health Information Exchange Percent of Colorado Physicians that Electronically Send or Receive Any Patient Health Information with Any Health Care Providers: 2015 57% Source: CDC/NCHS National Electronic Health Records Survey, Office-based Physician EHR Adoption and Use
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
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
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
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
Thank you! Micah L. Jones Medicaid Health IT Coordinator Department of Health Care Policy & Financing cohitnotifications@state.co.us