MGMA, Legislative and Executive Advocacy Response Network (LEARN) Research Summary on the Federal Electronic Health Record

Incentive Program
The Medical Group Management Association (MGMA) conducted research to determine the ability of medical groups to meet the meaningful use requirements and qualify for the Centers for Medicare & Medicaid Services (CMS) electronic health record (EHR) incentive programs. Below are key findings from the research.
1. Are you aware that the government is offering incentives through the Medicare and Medicaid programs to encourage eligible providers to become “meaningful users” of an electronic health record (EHR) system? Response Response Answer Options Percent Count Yes No 98.6% 1.4% 433 6 439 6

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2. How does your practice's health/medical records system store information for the majority of the practice's patients? Answer Options On paper medical records and charts With a computer system where paper records and charts are scanned and filed electronically, also known as a document imaging management system (DIMS) With an electronic health record (EHR) system that stores patient medical and demographic information in a computer database. An EHR can also include features of a DIMS. I do not work for an organization that stores medical information about patients. Other Please describe other. Response Percent 31.9% 5.6%

Response Count 137 24

55.1% 2.8% 4.7%

237 12 20 32 430 15

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Copyright ©2010. Medical Group Management Association, 104 Inverness Terrace East, Englewood, Colorado, 80112. www.mgma.com. All rights reserved.

MGMA, Legislative and Executive Advocacy Response Network (LEARN) Research Summary on the Federal Electronic Health Record Incentive Program
3. Is your practice planning on implementing an EHR? Answer Options Yes, within the next 6 months Yes, within the next 7 to 12 months Yes, within the next 13 to 24 months Yes, within the next 25 to 36 months No, not within the next 3 years Do not know Response Percent 24.6% 30.3% 21.1% 5.7% 8.6% 9.7% Response Count 43 53 37 10 15 17 175 270

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4. As a practice that does not currently use an EHR, how likely is it that some of your providers will ever attempt to qualify for either the Medicare or Medicaid EHR incentive? Response Response Answer Options Percent Count Very unlikely Unlikely Neutral Likely Very likely Do not know 12.4% 11.2% 14.7% 17.6% 41.8% 2.4% 21 19 25 30 71 4 170 275

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Copyright ©2010. Medical Group Management Association, 104 Inverness Terrace East, Englewood, Colorado, 80112. www.mgma.com. All rights reserved.

MGMA, Legislative and Executive Advocacy Response Network (LEARN) Research Summary on the Federal Electronic Health Record Incentive Program
5. What is the highest level of Certification Commission for Health Information Technology (CCHIT) certification your EHR has achieved? Answer Options 2006 certified 2007 certified 2008 certified 2011 certified Not CCHIT certified Do not know Response Percent 1.7% 5.7% 37.8% 10.0% 8.3% 36.5% Response Count 4 13 87 23 19 84 230 215

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6. What communication has your EHR vendor issued to you regarding its ability to be certified at the level required for your providers to qualify for the incentive? Response Response Answer Options Percent Count Vendor has provided no communication on this issue Vendor has communicated that it is reviewing the meaningful use criteria Vendor has indicated that it may have the ability to qualify our providers for the incentive Vendor has told us that our providers will have the ability to qualify for the incentive Vendor has contractually guaranteed that our providers will have the ability to qualify for the incentive 17.0% 20.1% 13.8% 41.1% 8.0% 38 45 31 92 18 224 221

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Copyright ©2010. Medical Group Management Association, 104 Inverness Terrace East, Englewood, Colorado, 80112. www.mgma.com. All rights reserved.

MGMA, Legislative and Executive Advocacy Response Network (LEARN) Research Summary on the Federal Electronic Health Record Incentive Program
7. As a practice that uses an EHR, how likely is it that some of your providers will attempt to qualify for either the Medicare or Medicaid EHR incentive by the end of 2011? Response Response Answer Options Percent Count Very unlikely Unlikely Neutral Likely Very likely Do not know 7.1% 4.4% 4.0% 17.7% 65.0% 1.8% 16 10 9 40 147 4 226 219

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8. How important are Medicare and Medicaid incentive payments to your practice in establishing the financial viability of an EHR upgrade or purchase? Response Response Answer Options Percent Count Very unimportant Unimportant Neutral Important Very important Do not know 14.2% 6.3% 17.7% 25.3% 35.9% 0.5% 56 25 70 100 142 2 395 50

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Copyright ©2010. Medical Group Management Association, 104 Inverness Terrace East, Englewood, Colorado, 80112. www.mgma.com. All rights reserved.

MGMA, Legislative and Executive Advocacy Response Network (LEARN) Research Summary on the Federal Electronic Health Record Incentive Program
9. Using your best judgment, how easy or difficult will it be or was it for your practice to meet the following meaningful use criteria by the end of 2011? Answer Options Enable the functionality of a certified EHR to implement drug-drug, drug-allergy, and drugformulary checks. Use a certified EHR to implement five clinical decision support rules relevant to a physician’s specialty. Use the computerized provider order entry (CPOE) feature of a certified EHR for at least 80 percent of all orders. Very easy 56 19 35 Easy 111 52 81 Neutral 63 75 71 Difficult 69 90 79 Very difficult 41 71 67 Do not know 29 61 35 Rating Average 2.79 3.46 3.19 Response Count 369 368 368 369 76

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10. Using your best judgment, how easy or difficult will it be or was it for your practice to meet the following meaningful use criteria by the end of 2011? Answer Options Perform at least one test of a certified EHR's capability to submit electronic data to immunization registries. Perform at least one test of a certified EHR's capability to provide electronic syndromic surveillance data to public health agencies. Perform at least one test of a certified EHR's capability to electronically exchange key clinical information among providers of care and patient authorized entities. Very easy 12 7 Easy 34 34 Neutral 68 65 Difficult 79 74 Very difficult 64 76 Do not know 105 106 Rating Average 3.58 3.70 Response Count 362 362

11

45

69

83

83

70

3.63

361 363 82

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Copyright ©2010. Medical Group Management Association, 104 Inverness Terrace East, Englewood, Colorado, 80112. www.mgma.com. All rights reserved.

MGMA, Legislative and Executive Advocacy Response Network (LEARN) Research Summary on the Federal Electronic Health Record Incentive Program
11. Using your best judgment, how easy or difficult will it be or was it for your practice to meet the following meaningful use criteria by the end of 2011? Answer Options Use a certified EHR to send preventive and followup care reminders to at least 50 percent of all patients that are 50 years of age and over. Use a certified EHR to fulfill at least 80 percent of all patient requests for an electronic copy of their health information within 48 hours. Use a certified EHR to provide at least 10 percent of all patients with electronic access to their health information within 96 hours of the information being available. Use a certified EHR to provide clinical summaries to patients for at least 80 percent of all office visits. Very easy 24 21 Easy 63 65 Neutral 80 68 Difficult 87 78 Very difficult 58 84 Do not know 41 37 Rating Average 3.29 3.44 Response Count 353 353

14 26

44 82

54 67

90 79

99 67

52 32

3.72 3.25

353 353 353 92

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12. Using your best judgment, how easy or difficult will it be or was it for your practice to meet the following meaningful use criteria by the end of 2011? Answer Options Use a certified EHR to perform medication reconciliation for at least 80 percent of relevant encounters and transitions of care. Create a summary of care record from a certified EHR for at least 80 percent of transitions of care and referrals. Very easy 16 20 Easy 62 71 Neutral 79 84 Difficult 77 75 Very difficult 62 46 Do not know 57 57 Rating Average 3.36 3.19 Response Count 353 353 354 91

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Copyright ©2010. Medical Group Management Association, 104 Inverness Terrace East, Englewood, Colorado, 80112. www.mgma.com. All rights reserved.

MGMA, Legislative and Executive Advocacy Response Network (LEARN) Research Summary on the Federal Electronic Health Record Incentive Program
13. Using your best judgment, how easy or difficult will it be or was it for your practice to meet the following meaningful use criteria by the end of 2011? Answer Options Conduct a security risk analysis of a certified EHR in accordance with government standards and implement security updates as necessary. Very easy 10 Easy 50 Neutral 83 Difficult 70 Very difficult 57 Do not know 82 Rating Average 3.42 Response Count 352 352 93

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14. Using your best judgment, how easy or difficult will it be or was it for your practice to meet the following meaningful use criteria by the end of 2011? Answer Options Create at least one report from a certified EHR that lists patients with a specific condition. Use a certified EHR to report clinical quality measures to CMS and state Medicaid offices in the form and manner specified by CMS. Very easy 58 11 Easy 158 54 Neutral 60 68 Difficult 29 75 Very difficult 22 67 Do not know 23 74 Rating Average 2.39 3.48 Response Count 350 349 354 91

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Copyright ©2010. Medical Group Management Association, 104 Inverness Terrace East, Englewood, Colorado, 80112. www.mgma.com. All rights reserved.

MGMA, Legislative and Executive Advocacy Response Network (LEARN) Research Summary on the Federal Electronic Health Record Incentive Program
15. Not including the temporary decrease in productivity that is possible with any implementation of an EHR, estimate the change in productivity for an eligible provider implementing all of the 25 proposed meaningful use criteria. Response Response Answer Options Percent Count Increase more than 10% Increase 6% to 10% Increase 1% to 5% No change Decrease 1% to 5% Decrease 6% to 10% Decrease more than 10% Do not know 1.1% 2.8% 5.1% 9.4% 14.2% 22.7% 31.0% 13.6% 4 10 18 33 50 80 109 48 352 93

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16. The federal government has announced that it will expand the meaningful use criteria in 2013 and 2015. How important is it that the government fully pilot test these more comprehensive meaningful use criteria before requiring them? Response Response Answer Options Percent Count Very unimportant Unimportant Neutral Important Very important Do not know 17.6% 0.0% 2.3% 3.7% 76.4% 0.0% 62 0 8 13 269 0 352 93

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Copyright ©2010. Medical Group Management Association, 104 Inverness Terrace East, Englewood, Colorado, 80112. www.mgma.com. All rights reserved.

MGMA, Legislative and Executive Advocacy Response Network (LEARN) Research Summary on the Federal Electronic Health Record Incentive Program
17. Which of the following best describes your organization? Answer Options Independent medical practice Hospital or integrated delivery system (IDS) or medical practice owned by hospital or IDS Medical school faculty practice plan or academic clinical science department Federally qualified health center, community health center or similar practice Retail walk-in primary care clinic Freestanding ambulatory surgery center (ASC) Management services organization (MSO) Physician practice management company (PPMC) Independent practice association (IPA) Health care consulting, legal or accounting firm Insurance company or health maintenance organization (HMO) Other Please describe other. Response Percent 80.1% 11.1% 1.4% 0.6% 0.0% 0.3% 0.9% 0.6% 0.9% 0.6% 0.3% 3.4% Response Count 282 39 5 2 0 1 3 2 3 2 1 12 16 352 93

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Copyright ©2010. Medical Group Management Association, 104 Inverness Terrace East, Englewood, Colorado, 80112. www.mgma.com. All rights reserved.

MGMA, Legislative and Executive Advocacy Response Network (LEARN) Research Summary on the Federal Electronic Health Record Incentive Program
18. How many full-time-equivalent (FTE) physicians work for your medical practice? Answer Options 1 to 5 6 to 10 11 to 20 21 to 50 51 to 100 101 or more Not applicable Response Percent 31.0% 21.0% 19.3% 14.5% 6.8% 6.3% 1.1% Response Count 109 74 68 51 24 22 4 352 93

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Copyright ©2010. Medical Group Management Association, 104 Inverness Terrace East, Englewood, Colorado, 80112. www.mgma.com. All rights reserved.