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Incentive Programs For EHR Adoption Growing
Momentum is building behind incentives for physicians to adopt electronic health records (EHRs) in their medical practices, according to research by the Certification Commission for Healthcare Information Technology (CCHIT).
In its first search for programs that have sprung up to subsidize physician adoption of health information technology over the past two years, the Certification Commission found 90 initiatives in the public and private sectors. The 90 programs in the CCHIT Incentive Index catalog represent at least $700 million in potential funding for EHR software and implementation costs.
CCHIT said of those programs:
50 have been launched by hospital organizations in response to federal "safe harbor" regulations announced in 2006. Under those rules, hospitals can subsidize up to 85 percent of certain costs for physicians to acquire, implement and maintain EHRs which are CCHIT-certified for their offices.
40 incentive programs are being offered by government agencies, insurance plans, employer coalitions and public-private partnerships, of which 20 explicitly call for CCHIT-certified technology.
For the rest, the certification of EHR products constitutes a first step in the selection process.
CCHIT said Bridges to Excellence offers bonuses for use of CCHIT-certified EHRs. Most recently, Bridges to Excellence has chosen to deem use of a CCHIT-certified EHR as sufficient qualification to demonstrate use of electronic information at levels that put physicians in line for monetary bonuses as a reward for superior management of patients with chronic ailments.
Two of the Newtown, Conn.-based organization’s programs reward physicians who systematically organize their practices to monitor the health of their patients and intervene expeditiously to prevent or lessen the effects of problems associated with chronic illnesses.
By using a CCHIT-certified EHR, physicians under the Physician Office Link program can get up to a $50 bonus per year for each patient whose treatment meets expectations of at least one clinicalimprovement program, such as for diabetes, heart or back-pain care. Alternatively, physicians can get up to $125 per year for each patient treated under a new program rewarding superior results of care provided under a comprehensive patient management approach known as the "medical home" care model, CCHIT said.
Information from the newly compiled CCHIT Incentive Index shows that at least 43,000 physicians are being offered subsidies or participation in state or local initiatives. This is a conservative estimate; numbers of physicians affected by the programs were either available or calculable in 41 of the 90 total programs identified, said John Morrissey, the report’s author and the commission’s communication manager.
Equally conservative is the finding that incentive programs are pouring at least $700 million into the healthcare field for adoption of EHRs and other health IT; that figure is based on 36 programs reporting current and anticipated financial investments and commitments.
The programs include the federal government’s biggest initiative to date, the $150 million Medicare demonstration project that will provide incentive payments to 1,200 physician practices for using certified EHRs to improve quality of patient care. The largest known regional commitment to accelerate adoption of certified interoperable EHRs is in New York, which is distributing $157 million already to regional networks and community alliances of physician practices representing more than 18,000 physicians and is poised to announce a new round of funding in November, CCHIT said.
Address: Certification Commission for Healthcare Information Technology, 200 S. Wacker Dr., Suite 3100, Chicago, IL 60606; (312) 674-4930, www.cchit.org.
This article was taken from:
The Executive Report on Managed Care
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