Slide Number8/19/2011
Martha Cornwell Riddell, DrPHMeaningful Use Advisor, Kentucky Regional
Extension CenterAssistant Professor, Health Services Mgmt., UK
Polly Mullins-Bentley, RN, RHIT, CPHQDeputy Executive Director
Governor’s Office of Electronic Health [email protected]
Kentucky EHR Initiatives
Slide Number
Overview• Review the reasons advancing Health Information Technology adoption• Provide a brief update on federal initiatives involving Health Information Technology (HIT)• Review the role of the Regional Extension Center in assisting clinicians’ move to meaningful use of HIT• Examine the Kentucky Health Information Exchange and discuss the current status
2
Slide Number3
Why Health Information Technology (HIT)?
• Implementation of HIT is proposed as a way to provide additional information to clinicians to facilitate a reduction in serious medical errors, rising healthcare costs and system inefficiencies.
(Thompson, 2004)
• Estimate annual $10.6 billion outpatient savings and $31.2 billion inpatient savings based on HIT efficiency benefits (Girosi, Meili,& Scoville, 2005)
• President Bush State of the Union (Jan 2006)President Obama State of the Union (Jan 2010)
Slide Number4
Where Healthcare is Going • Attempts to change how providers are paid have several
common elements: – All payments are value based even if the major goal is cost
containment;
– It is assumed that medical guidelines, standards and quality measures will play important roles in management;
– All systems require real-time electronic medical records;
– Most of the systems use teams to provide care.
Slide Number5
National Quality Strategy (NQS)
The Affordable Care Act (Public Law 111-148) calls on the Secretary of the
Department of Health and Human Services (HHS) to establish a national
quality strategy and a comprehensive strategic plan (the “National Quality
Strategy”) and to identify priorities to improve the delivery of health care
services, patient health outcomes, and population health.
Affordable Care Act signed March 31, 2010
Slide Number8/19/2011 6
NQS Framework
Slide Number
• Ensuring that each person and family is engaged as partners in their care.
• Promoting effective communication and coordination of care.
• Promoting the most effective prevention and treatment practices for the leading causes of mortality, starting with cardiovascular disease.
National Quality Strategy Priorities
7
Slide Number
• Working with communities to promote wide use of best practices to enable healthy living.
• Making quality care more affordable for individuals, families, employers, and governments by developing and spreading new health care delivery models.
• Making care safer by reducing harm caused in the delivery of care.
National Quality Strategy Priorities
8
Slide Number9
Policies and Infrastructure needed to Support the National Quality Strategy1. Payment
2. Public Reporting3. Quality Improvement/Technical Assistance4. Certification, Accreditation, and Regulation5. Consumer Incentives and Benefit Designs6. Measurement of Care Processes and Outcomes
7. Health Information Technology8. Evaluation and Feedback9. Training, Professional Certification, and Workforce and Capacity
Development10. Promoting Innovation and Rapid-Cycle Learning
Slide Number10
HITECH Framework: Meaningful Use at its Core
Privacy & Security Framework
Improved Individual & Population Health
Outcomes
IncreasedTransparency &
Efficiency
ImprovedAbility to Study &
Improve Care Delivery
ADOPTION
EXCHANGEState Grants for
Health Information Exchange
Standards & Certification Framework
Regional Extension Centers
Workforce Training
MEANINGFUL USE
Beacon Communities
Slide Number11
American Recovery and Reinvestment Act (ARRA)Health Information Technology for Economic and Clinical Health
(HITECH)
$19.2B
$17.2B Provider Incentives
$2B HIT (HHS/ONC)
Slide Number
Kentucky Health Information Exchange
Kentucky Regional Extension Center
JCTC Workforce Solutions
Federal eHealth Initiativ
es
12
Slide Number
13
Improve Quality
Engage Patients
Improve Care
Coordination
Improve Public Health
Ensure privacy
and security
Pillars of Meaningful Use
Slide Number
Pillars of Meaningful Use Explained
1) Improve quality, safety, efficiency, and reduce health disparities ▪Provide access to comprehensive patient health data for patient’s health care team▪Use evidence-based order sets and CPOE ▪Apply clinical decision support at the point of care▪Generate lists of patients who need care and use them to reach out to patients
2) Engage patients and families▪Provide patients and families with timely access to data, knowledge, and tools to make informed decisions and to manage their health
3) Improve care coordination▪Exchange meaningful clinical information among professional health care team
4) Improve population and public health▪Submit immunization, syndromic surveillance and reportable disease data to public health agencies
5) Ensure privacy and security protection for personal health information▪Protect confidential information through operating policies, procedures, and technologies▪Provide transparency of data sharing to patient
14
Slide Number15
Kentucky Regional Extension Center (KY-REC) Strategic Framework
Vision StatementThe long-term vision of Kentucky Regional Extension Center is to
improve the quality and value of health care for the people of Kentucky and to serve as a model for other areas that face similar challenges.
Mission StatementThe Kentucky Regional Extension Center based at the University of
Kentucky will assist primary care providers and critical access/rural hospitals with EHR adoption, HIE participation, and achievement of meaningful use.
Slide Number8/19/2011 16
HITECH Framework: Meaningful Use at its CoreKentucky Regional Extension Center
Slide Number17
Menu of KY-REC Services
• Complete Practice Readiness Assessment
• Identify Target Improvement Opportunities
• Address Practice Readiness Barriers
Initiation Phase
• Conduct a Practice Workflow Assessment
• Perform MU Gap Analysis
• Create a MU Work Plan
Planning• Facilitate Change
Management on EHR Resources
• Assist with Selection and Purchase of HER
• EHR Implementation or Modification for MU
• Facilitate HIE Connectivity
Implementation Phase
• Provide Supplemental UK REC Services
• Continuing Education• Onsite Coaching and
Mentoring
Monitoring Phase
• Demonstrate MU to CMS
Achieving Meaningful Use
Slide Number
Who is Eligible for Incentives?Eligible Providers- Medicare Eligible Providers- Medicaid Eligible Professionals (EPs)* Doctor of Medicine or OsteopathyDoctor of Dental Surgery or Dental Medicine Doctor of OptometryDoctor of Podiatric MedicineChiropractor
Eligible Professionals (EPs) Physicians (Pediatricians have special eligibility and payment rules)Nurse Practitioners (NPs)Certified Nurse-Midwives CNMs)DentistsPhysician Assistant (PAs) who lead a FQHC)or rural health clinic
Eligible Hospitals*Acute Care HospitalsCritical Access Hospitals (CAHs)
Eligible HospitalsAcute Care Hospitals, Critical Access HospitalsChildren’s Hospitals
18
Slide Number
How to get to MU: What are the Provisions?
Eligible Providers must comply with 20 objectives to reach meaningful use.Providers must attest to15 core objectives along with another 5 objectives
chosen off a menu list of 10 objectives.
Successful completion of 15 Core objectives
Successful completion
of 5 out of 10 Menu
objectives
Meaningful Use
19
Slide Number
Core Set 1. Use computerized order entry for medication orders.2. Implement drug-drug, drug-allergy checks.3. Generate and transmit permissible prescriptions electronically.4. Record demographics.5. Maintain an up-to-date problem list of current and active diagnoses.6. Maintain active medication list.7. Maintain active medication allergy list.8. Record and chart changes in vital signs.9. Record smoking status for patients 13 years old or older.10. Implement one clinical decision support rule. 11. Report ambulatory quality measures to CMS or the States.12. Provide patients with an electronic copy of their health information upon request.13. Provide clinical summaries to patients for each office visit.14. Capability to exchange key clinical information electronically among providers and patient authorized
entities.15. Protect electronic health information (privacy & security)
20
Slide Number
Menu Set 1. Implement drug-formulary checks.2. Incorporate clinical lab-test results into certified EHR as structured data.3. Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities,
research, and outreach.4. Send reminders to patients per patient preference for preventive/ follow-up care5. Provide patients with timely electronic access to their health information (including lab results, problem
list, medication lists, allergies)6. Use certified EHR to identify patient-specific education resources and provide to patient if appropriate.7. Perform medication reconciliation as relevant8. Provide summary care record for transitions in care or referrals.9. *Capability to submit electronic data to immunization registries and actual submission.10. *Capability to provide electronic syndromic surveillance data to public health agencies and actual
transmissions
21
Slide Number22
Thresholds Applicable core objectives and menu objectives have specific
thresholds a provider must meet.
Core Objective Stage 1 measure Generate and Transmit permissible prescriptions electronically (eRx)
More than 40% of all permissible prescriptions written by the eligible provider are transmittedelectronically using EHR certified technology
Slide Number23
Clinical Quality Measures
In addition to the 20 core and menu measures, providers must report 6 clinical quality measures:
•3 core quality measures • and an additional 3 from a set of 38.
Slide Number24
Meaningful Use Stage 2: The Escalator
Data Capture & Sharing
Add in key elements of NQS/delivery system reforms
Slide Number25
Medicare Incentive Payment Schedule
2010 2011
Fall 2010 EHR vendors receive certification
April 2011Attestation of meaningful usebegins
Jan. 2011Registration withCMS begins
May 2011CMS begins payments
2011-2012Clinicians can begin using a certified EHR in a meaningfulManner (must use for 90 days)
Slide Number26
Healthcare Today: A Disconnected System• Disconnected
islands of data
• Poor coordination
• Fragmented processes
• Limited connectivity
• Patients and clinicians often left without tools and data required
IDN/Hospital Imaging Center Tightly
Aligned Physician
Offices
Patient
Community
Pharmacy
Loosely Affiliated Physician
Offices
Non-Affiliated Practices
Reference Lab
Owned Practices
Clinics
Slide Number27
The KHIE Connection:Partnering to Improve Patient Health Outcomes
Polly Mullins-Bentley, RN, RHIT, CPHQDeputy Executive Director
Governor’s Office of Electronic Health [email protected]
Slide Number28
Health Information Exchange:
The electronic movement of health-related data and
information among organizations according to agreed
standards, protocols, and other criteria (ONC)
Slide Number8/19/2011 29
eHealth and Health Information Exchange in Kentucky • TODAY Kentucky has a LIVE operational state-wide health information
exchange because…• eHealth Milestones
• March/2005 • Legislation (Senate Bill 2) to create a secure interoperable statewide electronic health
network• Kentucky eHealth Network Board (KeHN)• Appointment of Health Information Exchange committee
• 2007 – 2008• Medicaid Transformation Grant Funding – $4.9 million• Built the technical infrastructure for the KHIE
• 2009• ARRA/HITECH Funding - $9.75 million• Provides Kentucky the advantage in progressing towards STATE-wide HIE• Governor’s Office of Electronic Health Information
• Executive Order of the Governor• Housed in the Cabinet for Health & Family Services
Slide Number30
How the Exchange ‘Works’• Data Sharing!• ADT’s/Demographics
• Populate the Community/Master Patient Index• Record Locator Service
• Locates all the patient encounters• Consolidates patient information for presentation to the provider
• Access • KHIE Community Portal/Virtual Health Record• Provider EHR Portal/Dashboard
Slide Number31
KHIE Community Portal (Virtual Health Record)
Slide Number32
KHIE Goal
Provide HIE Connectivity to as many providers as possible over the next two years with little or
no startup cost to the providers
Slide Number
KHIE Hospitals65 Intake Complete/PA in Process
Updated 11/30/2011
Adair
Allen
Anderson
Ballard
Barren
Bath
Bell
Boone
Bourbon
Boyd
Boyle
Bracken
Breathitt
Breckinridge
Bullitt
ButlerCaldwell
Calloway
Campbell
Carlisle
Carroll
Carter
Casey
Christian
Clark
Clay
Clinton
Crittenden
Cumberland
Daviess
Edmonson
Elliott
Estill
Fayette
Fleming
Floyd
Franklin
Fulton
Gallatin
Garrard
Grant
Graves
Grayson
Green
Greenup
Hancock
Hardin
Harlan
Harrison
Hart
Henderson
Henry
Hickman
Hopkins
Jackson
Jefferson
JessamineJohnson
Kenton
Knott
Knox
Larue
Laurel
Lawrence
Lee
Leslie Letcher
Lewis
Lincoln
Livingston
Logan
LyonMcCracken
McCreary
McLean
Madison Magoffin
Marion
Marshall
Martin
Mason
MeadeMenifee
Mercer
Metcalfe
Monroe
Montgomery
Morgan
Muhlenberg
Nelson
Nicholas
Ohio
Oldham
Owen
Owsley
Pendleton
Perry
Pike
Powell
Pulaski
Robertson
Rockcastle
Rowan
Russell
ScottShelby
Simpson
Spencer
Taylor
ToddTrigg
Trimble
Union
Warren
Washington
Wayne
Webster
Whitley
Wolfe
Woodford
West Virginia (KHIE Counties)RaleighSummers
Slide Number
Implementation Contacts235 Physician Practices/Labs/ Other by County
Updated 11/30/2011
Adair
Allen
Anderson
Ballard
Barren
Bath
Bell
Boone
Bourbon
Boyd
Boyle
Bracken
Breathitt
Breckinridge
Bullitt
ButlerCaldwell
Calloway
Campbell
Carlisle
Carroll
Carter
Casey
Christian
Clark
Clay
Clinton
Crittenden
Cumberland
Daviess
Edmonson
Elliott
Estill
Fayette
Fleming
Floyd
Franklin
Fulton
Gallatin
Garrard
Grant
Graves
Grayson
Green
Greenup
Hancock
Hardin
Harlan
Harrison
Hart
Henderson
Henry
Hickman
Hopkins
Jackson
Jefferson
Jessamine Johnson
Kenton
Knott
Knox
Larue
Laurel
Lawrence
Lee
Leslie Letcher
Lewis
Lincoln
Livingston
Logan
LyonMcCracken
McCreary
McLean
Madison Magoffin
Marion
Marshall
Martin
Mason
MeadeMenifee
Mercer
Metcalfe
Monroe
Montgomery
Morgan
Muhlenberg
Nelson
Nicholas
Ohio
Oldham
Owen
Owsley
Pendleton
Perry
Pike
Powell
Pulaski
Robertson
Rockcastle
Rowan
Russell
ScottShelby
Simpson
Spencer
Taylor
ToddTrigg
Trimble
Union
Warren
Washington
Wayne
Webster
Whitley
Wolfe
Woodford
Other Locations:Jellico, TN
Lewis
Slide Number
Combined Contacts338 Combined Hospitals/Physicians/Labs/Other by County
Updated 11/30/2011
Adair
Allen
Anderson
Ballard
Barren
Bath
Bell
Boone
Bourbon
Boyd
Boyle
Bracken
Breathitt
Breckinridge
Bullitt
ButlerCaldwell
Calloway
Campbell
Carlisle
Carroll
Carter
Casey
Christian
Clark
Clay
Clinton
Crittenden
Cumberland
Daviess
Edmonson
Elliott
Estill
Fayette
Fleming
Floyd
Franklin
Fulton
Gallatin
Garrard
Grant
Graves
Grayson
Green
Greenup
Hancock
Hardin
Harlan
Harrison
Hart
Henderson
Henry
Hickman
Hopkins
Jackson
Jefferson
JessamineJohnson
Kenton
Knott
Knox
Larue
Laurel
Lawrence
Lee
Leslie Letcher
Lewis
Lincoln
Livingston
Logan
LyonMcCracken
McCreary
McLean
Madison Magoffin
Marion
Marshall
Martin
Mason
MeadeMenifee
Mercer
Metcalfe
Monroe
Montgomery
Morgan
Muhlenberg
Nelson
Nicholas
Ohio
Oldham
Owen
Owsley
Pendleton
Perry
Pike
Powell
Pulaski
Robertson
Rockcastle
Rowan
Russell
ScottShelby
Simpson
Spencer
Taylor
ToddTrigg
Trimble
Union
Warren
Washington
Wayne
Webster
Whitley
Wolfe
Woodford
Hospital Physician Both
Slide Number
Participation Agreements Signed
• Total 102 – represents 201 provider organizations
• Healthcare Systems/Hospitals• Representing 56 hospitals
• Physicians/Clinics/Health Departments• 86 Physicians/Clinics• 1 Health Department
• Laboratories• LabCorp• Cumberland Medical Lab• Kentucky Division of Laboratories
• Immunization Registry• Kentucky Cancer Registry
Slide Number
KHIE Participation AgreementsHospitals/Physicians by County
102Signed PA’sUpdated 11/30/2011
Adair
Allen
Anderson
Ballard
Barren
Bath
Bell
Boone
Bourbon
Boyd
Boyle
Bracken
Breathitt
Breckinridge
Bullitt
ButlerCaldwell
Calloway
Campbell
Carlisle
Carroll
Carter
Casey
Christian
Clark
Clay
Clinton
Crittenden
Cumberland
Daviess
Edmonson
Elliott
Estill
Fayette
Fleming
Floyd
Franklin
Fulton
Gallatin
Garrard
Grant
Graves
Grayson
Green
Greenup
Hancock
Hardin
Harlan
Harrison
Hart
Henderson
Henry
Hickman
Hopkins
Jackson
Jefferson
JessamineJohnson
Kenton
Knott
Knox
Larue
Laurel
Lawrence
Lee
Leslie Letcher
Lewis
Lincoln
Livingston
Logan
LyonMcCracken
McCreary
McLean
Madison Magoffin
Marion
Marshall
Martin
Mason
MeadeMenifee
Mercer
Metcalfe
Monroe
Montgomery
Morgan
Muhlenberg
Nelson
Nicholas
Ohio
Oldham
Owen
Owsley
Pendleton
Perry
Pike
Powell
Pulaski
Robertson
Rockcastle
Rowan
Russell
ScottShelby
Simpson
Spencer
Taylor
ToddTrigg
Trimble
Union
Warren
Washington
Wayne
Webster
Whitley
Wolfe
Woodford
Hospital Physician Lab Combination
Other Participation Agreements:• Kentucky Immunization Registry• Kentucky Cancer Registry• Kentucky State Laboratory• Cumberland Medical Lab• Labcorp
Slide Number
LIVE ConnectionsHospitals/Physicians/Labs by County
Updated 10/28/2011
Adair
Allen
Anderson
Ballard
Barren
Bath
Bell
Boone
Bourbon
Boyd
Boyle
Bracken
Breathitt
Breckinridge
Bullitt
ButlerCaldwell
Calloway
Campbell
Carlisle
Carroll
Carter
Casey
Christian
Clark
Clay
Clinton
Crittenden
Cumberland
Daviess
Edmonson
Elliott
Estill
Fayette
Fleming
Floyd
Franklin
Fulton
Gallatin
Garrard
Grant
Graves
Grayson
Green
Greenup
Hancock
Hardin
Harlan
Harrison
Hart
Henderson
Henry
Hickman
Hopkins
Jackson
Jefferson
JessamineJohnson
Kenton
Knott
Knox
Larue
Laurel
Lawrence
Lee
Leslie Letcher
Lewis
Lincoln
Livingston
Logan
LyonMcCracken
McCreary
McLean
Madison Magoffin
Marion
Marshall
Martin
Mason
MeadeMenifee
Mercer
Metcalfe
Monroe
Montgomery
Morgan
Muhlenberg
Nelson
Nicholas
Ohio
Oldham
Owen
Owsley
Pendleton
Perry
Pike
Powell
Pulaski
Robertson
Rockcastle
Rowan
Russell
ScottShelby
Simpson
Spencer
Taylor
ToddTrigg
Trimble
Union
Warren
Washington
Wayne
Webster
Whitley
Wolfe
Woodford
Hospital Physician Lab Combination
Others:• Kentucky Immunization Registry• State Lab (Microbiology)• Grundy, VA
Slide Number
Current Data Exchange
Participant ADT LAB RAD TRN MRG PATH VXU Silver (pull CCD) Other # of
FacilitiesPikeville Medical Center X 1
University of Kentucky X 1
Trover Clinic X 1
University of Louisville X X X X X 1
Murray Calloway County Hospital X X X 1
Commonwealth Health Corporation (Bowling Green) X X X X X X 3
Ephraim McDowell Hospital X X X X X 2
Baptist Healthcare System, Inc. X 1
King’s Daughters Medical Center X X X X 1
Twin Lakes Medical Center X X X X X 1
Big Sandy Health Care X 5
Harrison Memorial Hospital X X 1
Ky. Div. of Laboratory Services Micro results 1
Lourdes Hospital X X X 2
Ky. Immunization Registry Phase 1 live 1
Appalachian Regional Healthcare X X 7
Rockcastle Regional Hospital X X 1
Wayne County Hospital X 1
Murray Vision Center CCD via edge services 3
As of 11/03/2011
Total Facilities Connected: 35
Slide Number8/19/2011 40
Kentucky Health Information Exchange Outreach Coordinator Regions
Adair
Allen
Anderson
Ballard
Barren
Bath
Bell
Boone
Bourbon
Boyd
Boyle
Bracken
Breathitt
Breckinridge
Bullitt
ButlerCaldwell
Calloway
Campbell
Carlisle
Carroll
Carter
Casey
Christian
Clark
Clay
Clinton
Crittenden
Cumberland
Daviess
Edmonson
Elliott
Estill
Fayette
Fleming
Floyd
Franklin
Fulton
Gallatin
Garrard
Grant
Graves
Grayson
Green
Greenup
Hancock
Hardin
Harlan
Harrison
Hart
Henderson
Henry
Hickman
Hopkins
Jackson
Jefferson
JessamineJohnson
Kenton
Knott
Knox
Larue
Laurel
Lawrence
Lee
Leslie Letcher
Lewis
Lincoln
Livingston
Logan
LyonMcCracken
McCreary
McLean
Madison Magoffin
Marion
Marshall
Martin
Mason
MeadeMenifee
Mercer
Metcalfe
Monroe
Montgomery
Morgan
Muhlenberg
Nelson
Nicholas
Ohio
Oldham
Owen
Owsley
Pendleton
Perry
Pike
Powell
Pulaski
Robertson
Rockcastle
Rowan
Russell
ScottShelby
Simpson
Spencer
Taylor
ToddTrigg
Trimble
Union
Warren
Washington
Wayne
Webster
Whitley
Wolfe
Woodford
Region 1 – Laura ShonkRegion 2 – Teresa PoffRegion 3 – Ann O’HaraRegion 4 – Dawn GasserRegion 5 – Pat Robinson
Slide Number8/19/2011 41
KHIE and CHFS Cabinet Resources:The Advantage
• KHIE is the resource for Cabinet data– 3 years of Medicaid Claims Data currently available in production with nightly data
load updates
• State Laboratory Results– Newborn Screenings– All other legally available state lab tests available– Currently in testing mode with the two lab vendors
• Immunization Registry – Currently in design phase to connect the Immunization Registry to the KHIE
• Public Health – Reportable Diseases– Syndromic Surveillance Reporting
Slide Number8/19/2011 42
Benefits of HIE Participation• Access to comprehensive patient information
• Encounters• Lab results • Radiology reports• Transcribed reports• Medication history/allergies
• Meaningful Use criteria• Immunization Registry/Reportable diseases
Slide Number
Quality of Diabetes Care: Patients Treated by Physicians using EHR vs. Paper Medical Records
Source: Cebul, R. D., M.D.; et al. (2011). Electronic Health Records and Quality of Diabetes Care. New England Journal of Medicine, 365:825-833. Retrieved from http://www.nejm.org/doi/full/10.1056/NEJMsa1102519#t=article
* Even after adjusting for patient demographic characteristics and insurance type, differences remain significant; p<0.001
% of Patients Receiving Care
A significantly higher proportion of patients being treated by
physicians with EHRs received care that aligns with accepted
treatment standards *
Slide Number
What’s Possible? With a Connected Community
CommunityPharmacy
ImagingCenter
Loosely Affiliated Physicians
Hospitals
Patients
Tightly Aligned Physicians
Better CoordinationSafer CareMore Cost-Effective Care
Owned Practices/
ClinicsReference
Lab
Non-affiliated Practices
Slide Number8/19/201145
Medicaid Incentive Payments
• 62 Hospitals paid $45.8 million • 582 Providers paid $12.3 million• Total Paid $58.1 million
• 81 hospitals registered for payment• 1024 providers registered for payment
Slide Number
eHR Incentive PaymentHospitals Payments by County
As of November 28, 2011
Adair
Allen
Anderson
Ballard
Barren
Bath
Bell
Boone
Bourbon
Boyd
Boyle
Bracken
Breathitt
Breckinridge
Bullitt
ButlerCaldwell
Calloway
Campbell
Carlisle
Carroll
Carter
Casey
Christian
Clark
Clay
Clinton
Crittenden
Cumberland
Daviess
Edmonson
Elliott
Estill
Fayette
Fleming
Floyd
Franklin
Fulton
Gallatin
Garrard
Grant
Graves
Grayson
Green
Greenup
Hancock
Hardin
Harlan
Harrison
Hart
Henderson
Henry
Hickman
Hopkins
Jackson
Jefferson
Jessamine Johnson
Kenton
Knott
Knox
Larue
Laurel
Lawrence
Lee
Leslie Letcher
Lewis
Lincoln
Livingston
Logan
LyonMcCracken
McCreary
McLean
Madison Magoffin
Marion
Marshall
Martin
Mason
MeadeMenifee
Mercer
Metcalfe
Monroe
Montgomery
Morgan
Muhlenberg
Nelson
Nicholas
Ohio
Oldham
Owen
Owsley
Pendleton
Perry
Pike
Powell
Pulaski
Robertson
Rockcastle
Rowan
Russell
ScottShelby
Simpson
Spencer
Taylor
ToddTrigg
Trimble
Union
Warren
Washington
Wayne
Webster
Whitley
Wolfe
Woodford
Total Hospital Incentive Payments to date$45,826,628.45
Slide Number
eHR Incentive PaymentPhysician Payments by County
As of November 28, 2011
Adair
Allen
Anderson
Ballard
Barren
Bath
Bell
Boone
Bourbon
Boyd
Boyle
Bracken
Breathitt
Breckinridge
Bullitt
ButlerCaldwell
Calloway
Campbell
Carlisle
Carroll
Carter
Casey
Christian
Clark
Clay
Clinton
Crittenden
Cumberland
Daviess
Edmonson
Elliott
Estill
Fayette
Fleming
Floyd
Franklin
Fulton
Gallatin
Garrard
Grant
Graves
Grayson
Green
Greenup
Hancock
Hardin
Harlan
Harrison
Hart
Henderson
Henry
Hickman
Hopkins
Jackson
Jefferson
Jessamine Johnson
Kenton
Knott
Knox
Larue
Laurel
Lawrence
Lee
Leslie Letcher
Lewis
Lincoln
Livingston
Logan
LyonMcCracken
McCreary
McLean
Madison Magoffin
Marion
Marshall
Martin
Mason
MeadeMenifee
Mercer
Metcalfe
Monroe
Montgomery
Morgan
Muhlenberg
Nelson
Nicholas
Ohio
Oldham
Owen
Owsley
Pendleton
Perry
Pike
Powell
Pulaski
Robertson
Rockcastle
Rowan
Russell
ScottShelby
Simpson
Spencer
Taylor
ToddTrigg
Trimble
Union
Warren
Washington
Wayne
Webster
Whitley
Wolfe
Woodford
Total Provider Incentive Payments to date $11,588,333.34
Slide Number8/19/2011 48
Slide Number8/19/2011
Questions?Martha Cornwall Riddell, DrPH
Meaningful Use AdvisorKY Regional Extension Center
Assistant Professor, Health Services Mgmt, [email protected]
Kentucky Regional Extension Center2333 Alumni Park Plaza, Suite 200
Lexington, KY 405171-888-KY-REC-EHR
[email protected] www.ky-rec.orgwww.facebook/ehrresource.com
Polly Mullins-Bentley, RN, RHIT, CPHQDeputy Executive Director
Governor’s Office of Electronic Health [email protected]
Kentucky Health Information ExchangeGovernor's Office of Electronic Health Information
Cabinet for Health and Family Services275 E. Main Street, 4W-A, Frankfort, KY 40621
(502) 564-7992 [email protected] http://khie.ky.gov
