1. Kentucky Regional Extension CenterStatus Update - Hospitals Dr. Barry Little Physician Advisor barry.little@uky.edu 859+323-3092

2. Agenda • KYREC milestones • MU estimates & reports – CMS, GAO • KYREC stats • EHR Incentive fund distribution • Q & A

3. KYREC – milestones • Jan • 2011 • July • 2011 • Oct • 2011 • Aug • 2012 Hospital Services 30 EH, MU = 9 18 EHs Stage 1 MU = 3

4. CMS Estimate: Rate of MU by Eligible Hospitals (Low Scenario)

5. GAO Report – July 2012 • 16% of hospitals successfully attested to MU in 2011 • PPS hospitals (18.5%) twice as likely to successfully attest as CAHs (8.2%) • Urban hospitals (18.3%) -vs.- Rural hospitals (12.2%)

6. KYREC Stats • Currently 30% (9/30) of KYREC EHs have successfully attested Stage 1 MU • CAHs = 19% (4/21), RHs = 56 % (5/9) • Ten (10) additional hospitals planning to attest FFY ’12 • If successful, KYREC MU rate will = 63%

7. EHR Incentive $: Medicaid/Medicare • 10% of CAH/RH nationwide have received Medicaid AUI payment • KY overall = 57% • KYREC hospitals = 93%; FFY’12 Projection = 100% • Total Amount KY Medicaid EHs = $58M; Medicare $26M

8. EHR Incentive $: Medicaid/Medicare

9. Meaningful Use Goals • Improve quality, safety, efficiency, and reduce health disparities • Engage patients and families • Improve care coordination • Ensure adequate privacy and security protections for personal health info • Improve population and public health

10. Staying the course Questions ? “That when the sea was calm all boats alike show'd mastership in floating;” W. Shakespeare, The Tragedy of Coriolanus