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• Describe eligible hospital attestation patterns
• Define stage 2 eligible providers
• Describe preliminary stage 2 attestation patterns
2
AGENDA
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
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
11
• 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