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Centers for Medicare & Medicaid Services (CMS) EHR Incentive Program Measures

The CMS EHR Incentive Programs provide incentives to eligible office-based providers and hospitals to adopt electronic health records. Both the Medicare and Medicaid programs have separate criteria and eligible participants. These measures track the percentage of physicians, nurse practitioners, physician assistants, short-term general, Critical Access, and Children's hospitals that have demonstrated meaningul use of certified electronic health record technology and/or adopted, implemented, or ugraded any electronic health record. These measures track the rate of adoption and use of EHR technology certified by HHS in addition to adoption of other non-certified EHR technology. These measures are cumulative, representing the most recent data.

Data Source: CMS EHR Incentive Programs data

Data Range: 2013 - 2015

Last Updated: 06/01/2015

Download: [.csv]

API: https://dashboard.healthit.gov/api/open-api.php?source=Meaningful-Use-Acceleration-Scorecard.csv
*This data is API accessible. See /api for documentation and guidance on how to use the API.

Methods and Notes: These measures combine several data sources to calculate each measure. The CMS EHR Incentive Programs data provide the numerators for all twelve of these measures, and ONC uses two distinct data sets to calculate the denominators for these measures. Measures for physicians, nurse practitioners, and physician assistants are calculated using the 2013 SK&A Office-based Provider database. Measures for eligible and Critical Access hospitals are calculated using the most recent CMS Provider of Services (POS) file. Further information on this data and its application can be found in the Additional Information section of each measure.

Documentation:
Documentation data: [.json]

Data FieldData DescriptionAdditional Information
regionRegion // The region name for the data. This includes all 50 states and the District of Columbia.
region_codeRegion Code // The region abbreviation for the data. This includes all 50 states and the District of Columbia.
periodTime Period // Time period for the data. The first four digits correspond to the year of the data, and any other digits refer to the month of the data, beginning with "01"/January and ending with "12"/December.
pct_md_pa_np_mu_aiuPercentage of Physicians, Physician Assistants, and Nurse Practitioners that have Demonstrated Meaningful Use of CEHRT and or AIU any EHR // The percentage of all office-based medical doctors, doctors of osteopathy, nurse practitioners, and physician assistants that have demonstrated meaningful use of certified electronic health record technology (CEHRT) and/or adopted, implemented, or upgrade (AIU) any electronic health record. This includes the demonstration of meaningful use through either the Medicare and Medicaid EHR Incentive Programs, and AIU through the Medicaid EHR Incentive Program.The numerator for this measure is calculated from CMS EHR Incentive Program data through the time period of this data set. The numerator excludes non-MD/DO practitioners (chiropractors, dentists, optometrists, and podiatrists) who participated in the Incentive Programs. These exclusions are made due to the nature of the data used to calculate the denominator for this measure. The denominator is calculated from the SK&A Office-based Provider database. The database only includes data on medical doctors, doctors of osteopathy, nurse practitioners, and physician assistants practicing in ambulatory care settings. ONC uses the SK&A database to approximate these provider counts at the state level, as CMS does not provide state level counts of providers eligible to participate in the Incentive Programs. The denominator is a count of all these provider types in ambulatory settings in the U.S., not a count of all providers eligible to participate in the Incentive Programs. Some of the providers included in the denominator may not be eligible to participate in the Incentive Programs. This measure may, therefore, underestimate the percentage of eligible providers participating in the Incentive Programs. It should be interpreted as a count of all U.S. physicians, nurse practitioners, and physician assistants that have participated in the Incentive Programs through the time period of the data.
pct_md_pa_np_muPercentage of Physicians, Physician Assistants, and Nurse Practitioners that have Demonstrated Meaningful Use of CEHRT // The percentage of all office-based medical doctors, doctors of osteopathy, nurse practitioners, and physician assistants that have demonstrated meaningful use of certified electronic health record technology (CEHRT). This includes the demonstration of meaningful use through either the Medicare and Medicaid EHR Incentive Programs.The numerator for this measure is calculated from CMS EHR Incentive Program data through the time period of this data set. The numerator excludes non-MD/DO practitioners (chiropractors, dentists, optometrists, and podiatrists) who participated in the Incentive Programs. These exclusions are made due to the nature of the data used to calculate the denominator for this measure. The denominator is calculated from the SK&A Office-based Provider database. The database only includes data on medical doctors, doctors of osteopathy, nurse practitioners, and physician assistants practicing in ambulatory care settings. ONC uses the SK&A database to approximate these provider counts at the state level, as CMS does not provide state level counts of providers eligible to participate in the Incentive Programs. The denominator is a count of all these provider types in ambulatory settings in the U.S., not a count of all providers eligible to participate in the Incentive Programs. Some of the providers included in the denominator may not be eligible to participate in the Incentive Programs. This measure may, therefore, underestimate the percentage of eligible providers participating in the Incentive Programs. It should be interpreted as a count of all U.S. physicians, nurse practitioners, and physician assistants that have participated in the Incentive Programs through the time period of the data.
pct_md_mu_aiuPercentage of Physicians that have Demonstrated Meaningful Use of CEHRT and or AIU any EHR // The percentage of all office-based medical doctors and doctors of osteopathy that have demonstrated meaningful use of certified electronic health record technology (CEHRT) and/or adopted, implemented, or upgrade (AIU) any electronic health record. This includes the demonstration of meaningful use through either the Medicare and Medicaid EHR Incentive Programs, and AIU through the Medicaid EHR Incentive Program.The numerator for this measure is calculated from CMS EHR Incentive Program data through the time period of this data set. The numerator excludes non-MD/DO practitioners (chiropractors, dentists, optometrists, and podiatrists) who participated in the Incentive Programs. These exclusions are made due to the nature of the data used to calculate the denominator for this measure. The denominator is calculated from the SK&A Office-based Provider database. The database only includes data on medical doctors, doctors of osteopathy, nurse practitioners, and physician assistants practicing in ambulatory care settings. ONC uses the SK&A database to approximate these provider counts at the state level, as CMS does not provide state level counts of providers eligible to participate in the Incentive Programs. The denominator is a count of all MD/DOs in ambulatory settings in the U.S., not a count of all MD/DOs eligible to participate in the Incentive Programs. Some of the MD/DOs included in the denominator may not be eligible to participate in the Incentive Programs. This measure may, therefore, underestimate the percentage of eligible MD/DOs participating in the Incentive Programs. It should be interpreted as a count of all U.S. MD/DOs that have participated in the Incentive Programs through the time period of the data.
pct_md_muPercentage of Physicians that have Demonstrated Meaningful Use of CEHRT // The percentage of all office-based medical doctors and doctors of osteopathy that have demonstrated meaningful use of certified electronic health record technology (CEHRT). This includes the demonstration of meaningful use through either the Medicare and Medicaid EHR Incentive Programs.The numerator for this measure is calculated from CMS EHR Incentive Program data through the time period of this data set. The numerator excludes non-MD/DO practitioners (chiropractors, dentists, optometrists, and podiatrists) who participated in the Incentive Programs. These exclusions are made due to the nature of the data used to calculate the denominator for this measure. The denominator is calculated from the SK&A Office-based Provider database. The database only includes data on medical doctors, doctors of osteopathy, nurse practitioners, and physician assistants practicing in ambulatory care settings. ONC uses the SK&A database to approximate these provider counts at the state level, as CMS does not provide state level counts of providers eligible to participate in the Incentive Programs. The denominator is a count of all MD/DOs in ambulatory settings in the U.S., not a count of all MD/DOs eligible to participate in the Incentive Programs. Some of the MD/DOs included in the denominator may not be eligible to participate in the Incentive Programs. This measure may, therefore, underestimate the percentage of eligible MD/DOs participating in the Incentive Programs. It should be interpreted as a count of all U.S. MD/DOs that have participated in the Incentive Programs through the time period of the data.
pct_np_mu_aiuPercentage of Nurse Practitioners that have Demonstrated Meaningful Use of CEHRT and or AIU any EHR // The percentage of all office-based nurse practitioners that have demonstrated meaningful use of certified electronic health record technology (CEHRT) and/or adopted, implemented, or upgrade (AIU) any electronic health record. This includes the demonstration of meaningful use through the Medicaid EHR Incentive Programs, and AIU through the Medicaid EHR Incentive Program. Nurse practitioners are only eligible to participate in the Medicaid Program.The numerator for this measure is calculated from CMS EHR Incentive Program data through the time period of this data set. The denominator is calculated from the SK&A Office-based Provider database. The database includes data on all U.S. nurse practitioners practicing in ambulatory care settings. ONC uses the SK&A database to approximate these provider counts at the state level, as CMS does not provide state level counts of providers eligible to participate in the Incentive Programs. The denominator is a count of all nurse practitioners in ambulatory settings in the U.S., not a count of all nurse practitioners eligible to participate in the Incentive Programs. Some of the nurse practitioners included in the denominator may not be eligible to participate in the Incentive Programs. This measure may, therefore, underestimate the percentage of eligible nurse practitioners participating in the Incentive Programs. It should be interpreted as a count of all U.S. nurse practitioners that have participated in the Incentive Programs through the time period of the data.
pct_np_muPercentage of Nurse Practitioners that have Demonstrated Meaningful Use of CEHRT // The percentage of all office-based nurse practitioners that have demonstrated meaningful use of certified electronic health record technology (CEHRT). This includes the demonstration of meaningful use through the Medicaid EHR Incentive Programs. Nurse practitioners are only eligible to participate in the Medicaid Program.The numerator for this measure is calculated from CMS EHR Incentive Program data through the time period of this data set. The denominator is calculated from the SK&A Office-based Provider database. The database includes data on all U.S. nurse practitioners practicing in ambulatory care settings. ONC uses the SK&A database to approximate these provider counts at the state level, as CMS does not provide state level counts of providers eligible to participate in the Incentive Programs. The denominator is a count of all nurse practitioners in ambulatory settings in the U.S., not a count of all nurse practitioners eligible to participate in the Incentive Programs. Some of the nurse practitioners included in the denominator may not be eligible to participate in the Incentive Programs. This measure may, therefore, underestimate the percentage of eligible nurse practitioners participating in the Incentive Programs. It should be interpreted as a count of all U.S. nurse practitioners that have participated in the Incentive Programs through the time period of the data.
pct_pa_mu_aiuPercentage of Physician Assistants that have Demonstrated Meaningful Use of CEHRT and or AIU any EHR // The percentage of all office-based physician assistants that have demonstrated meaningful use of certified electronic health record technology (CEHRT) and/or adopted, implemented, or upgrade (AIU) any electronic health record. This includes the demonstration of meaningful use through the Medicaid EHR Incentive Programs, and AIU through the Medicaid EHR Incentive Program. Physician assistants are only eligible to participate in the Medicaid Program. Only physician assistants in Federal Qualified Health Centers (FQHCs) are eligible to participate.The numerator for this measure is calculated from CMS EHR Incentive Program data through the time period of this data set. The denominator is calculated from the SK&A Office-based Provider database. The database includes data on all U.S. phyician assistants practicing in ambulatory care settings. ONC uses the SK&A database to approximate these provider counts at the state level, as CMS does not provide state level counts of providers eligible to participate in the Incentive Programs. The denominator is a count of all phyician assistants in ambulatory settings in the U.S., not a count of all phyician assistants eligible to participate in the Incentive Programs. Some of the phyician assistants included in the denominator may not be eligible to participate in the Incentive Programs. This measure may, therefore, underestimate the percentage of eligible phyician assistants participating in the Incentive Programs. It should be interpreted as a count of all U.S. phyician assistants that have participated in the Incentive Programs through the time period of the data.
pct_pa_muPercentage of Physician Assistants that have Demonstrated Meaningful Use of CEHRT // The percentage of all office-based physician assistants that have demonstrated meaningful use of certified electronic health record technology (CEHRT). This includes the demonstration of meaningful use through the Medicaid EHR Incentive Programs. Physician assistants are only eligible to participate in the Medicaid Program. Only physician assistants in Federal Qualified Health Centers (FQHCs) are eligible to participate.The numerator for this measure is calculated from CMS EHR Incentive Program data through the time period of this data set. The denominator is calculated from the SK&A Office-based Provider database. The database includes data on all U.S. phyician assistants practicing in ambulatory care settings. ONC uses the SK&A database to approximate these provider counts at the state level, as CMS does not provide state level counts of providers eligible to participate in the Incentive Programs. The denominator is a count of all phyician assistants in ambulatory settings in the U.S., not a count of all phyician assistants eligible to participate in the Incentive Programs. Some of the phyician assistants included in the denominator may not be eligible to participate in the Incentive Programs. This measure may, therefore, underestimate the percentage of eligible phyician assistants participating in the Incentive Programs. It should be interpreted as a count of all U.S. phyician assistants that have participated in the Incentive Programs through the time period of the data.
pct_hospitals_mu_aiuPercentage of Eligible and Critical Access Hospitals that have Demonstrated Meaningful Use of CEHRT and or AIU any EHR // The percentage of short-term general and Critical Access hospitals that have demonstrated meaningful use of certified electronic health record technology (CEHRT) and/or adopted, implemented, or upgrade (AIU) any electronic health record. This includes the demonstration of meaningful use through either the Medicare and Medicaid EHR Incentive Programs, and AIU through the Medicaid EHR Incentive Program. Critical Access hospitals are facilities with no more than 25 beds and located in a rural area further than 35 miles from the nearest hospital, and/or are located in a mountainous region.The numerator for this measure is calculated from CMS EHR Incentive Program data through the time period of this data set. The denominator for this measure is calculated from the CMS Provider of Services (POS) file. The POS file includes data on all non-ambulatory and some ambulatory care settings registered to participate in the Medicare and Medicaid fee-for-service programs. POS data includes registration, accreditation, and certification information about each facility. The POS data includes all hospitals eligible to participate in the Incentive Programs. The POS data is analyzed to determine if hospitals are currently active. A hospital may be inactive because it is closed, has consolidated reporting with another hospital, or has been decertified by CMS (and thus not eligible to participate in the fee-for-service or Incentive Programs). Any hospital deemed inactive is removed from the denominator count to make the most precise estimation of eligible hospitals at the state level. Any hospital deemed inactive is also excluded from the numerator to approximate the most accurate measure of active, eligible hospitals participating in the Incentive Programs.
pct_hospitals_muPercentage of Eligible and Critical Access Hospitals that have Demonstrated Meaningful Use of CEHRT // The percentage of short-term general and Critical Access hospitals that have demonstrated meaningful use of certified electronic health record technology (CEHRT). This includes the demonstration of meaningful use through either the Medicare and Medicaid EHR Incentive Programs. Critical Access hospitals are facilities with no more than 25 beds and located in a rural area further than 35 miles from the nearest hospital, and/or are located in a mountainous region.The numerator for this measure is calculated from CMS EHR Incentive Program data through the time period of this data set. The denominator for this measure is calculated from the CMS Provider of Services (POS) file. The POS file includes data on all non-ambulatory and some ambulatory care settings registered to participate in the Medicare and Medicaid fee-for-service programs. POS data includes registration, accreditation, and certification information about each facility. The POS data includes all hospitals eligible to participate in the Incentive Programs. The POS data is analyzed to determine if hospitals are currently active. A hospital may be inactive because it is closed, has consolidated reporting with another hospital, or has been decertified by CMS (and thus not eligible to participate in the fee-for-service or Incentive Programs). Any hospital deemed inactive is removed from the denominator count to make the most precise estimation of eligible hospitals at the state level. Any hospital deemed inactive is also excluded from the numerator to approximate the most accurate measure of active, eligible hospitals participating in the Incentive Programs.
pct_cah_small_rural_mu_aiuPercentage of Critical Access and Small Rural Hospitals that have Demonstrated Meaningful Use of CEHRT and or AIU any EHR // The percentage of Critical Access and small, rural short-term general hospitals that have demonstrated meaningful use of certified electronic health record technology (CEHRT) and/or adopted, implemented, or upgrade (AIU) any electronic health record. This includes the demonstration of meaningful use through either the Medicare and Medicaid EHR Incentive Programs, and AIU through the Medicaid EHR Incentive Program. Critical Access hospitals are facilities with no more than 25 beds and located in a rural area further than 35 miles from the nearest hospital, and/or are located in a mountainous region. Small hospitals have fewer than 100 inpatient beds. Rural hospitals are located in non-metropolitan areas.The numerator for this measure is calculated from CMS EHR Incentive Program data through the time period of this data set. The denominator for this measure is calculated from the CMS Provider of Services (POS) file. The POS file includes data on all non-ambulatory and some ambulatory care settings registered to participate in the Medicare and Medicaid fee-for-service programs. POS data includes registration, accreditation, and certification information about each facility. The POS data includes all hospitals eligible to participate in the Incentive Programs. The POS data is analyzed to determine if hospitals are currently active. A hospital may be inactive because it is closed, has consolidated reporting with another hospital, or has been decertified by CMS (and thus not eligible to participate in the fee-for-service or Incentive Programs). Any hospital deemed inactive is removed from the denominator count to make the most precise estimation of eligible hospitals at the state level. Any hospital deemed inactive is also excluded from the numerator to approximate the most accurate measure of active, eligible hospitals participating in the Incentive Programs.
pct_cah_small_rural_muPercentage of Critical Access and Small Rural Hospitals that have Demonstrated Meaningful Use of CEHRT // The percentage of Critical Access and small, rural short-term general hospitals that have demonstrated meaningful use of certified electronic health record technology (CEHRT). This includes the demonstration of meaningful use through either the Medicare and Medicaid EHR Incentive Programs. Critical Access hospitals are facilities with no more than 25 beds and located in a rural area further than 35 miles from the nearest hospital, and/or are located in a mountainous region. Small hospitals have fewer than 100 inpatient beds. Rural hospitals are located in non-metropolitan areas.The numerator for this measure is calculated from CMS EHR Incentive Program data through the time period of this data set. The denominator for this measure is calculated from the CMS Provider of Services (POS) file. The POS file includes data on all non-ambulatory and some ambulatory care settings registered to participate in the Medicare and Medicaid fee-for-service programs. POS data includes registration, accreditation, and certification information about each facility. The POS data includes all hospitals eligible to participate in the Incentive Programs. The POS data is analyzed to determine if hospitals are currently active. A hospital may be inactive because it is closed, has consolidated reporting with another hospital, or has been decertified by CMS (and thus not eligible to participate in the fee-for-service or Incentive Programs). Any hospital deemed inactive is removed from the denominator count to make the most precise estimation of eligible hospitals at the state level. Any hospital deemed inactive is also excluded from the numerator to approximate the most accurate measure of active, eligible hospitals participating in the Incentive Programs.

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