"The use of electronic health records, and of health information technology as a whole, has the ability to transform the way health care is delivered in our nation," Secretary Leavitt said. "We believe that EHRs can help physicians deliver better, more efficient care for their patients, in part by reducing medical errors. This project is designed to demonstrate these benefits and help increase the use of this technology in practices where adoption has been the slowest -- at the individual physician and small practice level."
The communities selected to work with the Centers for Medicare & Medicaid Services (CMS) on the EHR demonstration project range from county and state level to multi-state collaborations. They include:
- Alabama
- Delaware
- Jacksonville, FL (multi-county)
- Georgia
- Maine
- Louisiana
- Maryland/Washington, DC
- Oklahoma
- Pittsburgh, PA (multi-county)
- South Dakota (multi-state)
- Virginia
- Madison, WI (multi-county)
In letters sent to communities not selected for the demonstration, Secretary Leavitt urged them to consider pursuing EHR incentive projects of their own, based on the work they have already done.
"A tremendous opportunity exists for communities to impact and improve health care delivery starting at the local level," Secretary Leavitt said. "While the number of sites selected was limited to 12, we are greatly encouraged by the substantial multi-stakeholder initiatives ongoing across the nation. It is my hope that those communities not selected and others that were not yet prepared to apply will continue working together to improve health care -- and consider creating their own incentive-based projects to advance the use of EHRs."
Over the five-year demonstration project, financial incentives will be provided to as many as 1,200 primary care physician practices in the selected communities that use certified EHRs to improve quality as measured by their performance on specific clinical quality measures. In addition to the incentive payments, bonus payments may be awarded based on a standardized survey measuring the number of EHR functionalities a physician group has incorporated into its practice. Total payments under the demonstration for all five years may be up to $58,000 per physician or $290,000 per practice.
Findings from the demonstration will help determine the role of EHRs in delivering high-quality care and reducing errors. The demonstration will also assess the role of incentive payments in encouraging adoption and use of EHRs.
The EHR demonstration project is an important step toward President Bush's goal of most Americans having a secure, interoperable electronic health record by 2014. For more information on the project, visit http://www.cms.hhs.gov/DemoProjectsEvalRpts/downloads/2008_Electronic_Health_Records_Demonstration.pdf.
To learn more about Connecting to Better Health Care, please visit www.hhs.gov/secretary/connecthealthcare.