Health Information Technology
The Medicare Electronic Health Record Incentive Program: Provider Performance on Core and Menu Measures
Article first published online: 21 DEC 2013
© Health Research and Educational Trust
Health Services Research
Volume 49, Issue 1pt2, pages 325–346, February 2014
How to Cite
Wright, A., Feblowitz, J., Samal, L., McCoy, A. B. and Sittig, D. F. (2014), The Medicare Electronic Health Record Incentive Program: Provider Performance on Core and Menu Measures. Health Services Research, 49: 325–346. doi: 10.1111/1475-6773.12134
- Issue published online: 17 JAN 2014
- Article first published online: 21 DEC 2013
- Electronic medical records;
- meaningful use;
- CMS ;
- HITECH Act
To measure performance by eligible health care providers on CMS's meaningful use measures.
Medicare Electronic Health Record Incentive Program Eligible Professionals Public Use File (PUF), which contains data on meaningful use attestations by 237,267 eligible providers through May 31, 2013.
Cross-sectional analysis of the 15 core and 10 menu measures pertaining to use of EHR functions reported in the PUF.
Providers in the dataset performed strongly on all core measures, with the most frequent response for each of the 15 measures being 90–100 percent compliance, even when the threshold for a particular measure was lower (e.g., 30 percent). PCPs had higher scores than specialists for computerized order entry, maintaining an active medication list, and documenting vital signs, while specialists had higher scores for maintaining a problem list, recording patient demographics and smoking status, and for providing patients with an after-visit summary. In fact, 90.2 percent of eligible providers claimed at least one exclusion, and half claimed two or more.
Providers are successfully attesting to CMS's requirements, and often exceeding the thresholds required by CMS; however, some troubling patterns in exclusions are present. CMS should raise program requirements in future years.