1. Kentucky Regional Extension Center Status 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 Hospital Services 18 EHsStage 1 MU = 3 Jan 2011 July 2011 Oct 2011 30 EH, MU = 9 Aug 2012

4. CMS Estimate: Rate of MU by Eligible Hospitals (Low Scenario) FISCAL YEARELIGIBLE HOSPITAL % 201116.8 % 201221.8 % 201332.1 % 201447.6 % 201566.4 % 201685.9 % 201791.4 %

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