Wilmer Eye Institute and Division of Health Sciences Informatics, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Casey Eye Institute, Oregon Health and Sciences University, Portland, Oregon.
Ophthalmology. 2019 Jul;126(7):928-934. doi: 10.1016/j.ophtha.2019.01.030. Epub 2019 Feb 13.
To investigate ophthalmologists' rate of attestation to meaningful use (MU) of their electronic health record (EHR) systems in the Medicare EHR Incentive Program and their continuity and success in receiving payments in comparison with other specialties.
Administrative database study.
Eligible professionals participating in the Medicare EHR Incentive Program.
Based on publicly available data sources, subsets of payment and attestation data were created for ophthalmologists and for other specialties. The number of eligible professionals attesting was determined using the attestation data for each year and stage of the program. The proportion of attestations by EHR vendor was calculated using all attestations for each vendor.
Numbers of ophthalmologists attesting by year and stage of the Medicare EHR Incentive Program, incentive payments, and number of attestations by EHR vendor.
In the peak year of participation, 51.6% of ophthalmologists successfully attested to MU, compared with 37.1% of optometrists, 50.2% of dermatologists, 54.5% of otolaryngologists, and 64.4% of urologists. Across the 6 years of the program, ophthalmologists received an average of $17 942 in incentive payments compared with $11 105 for optometrists, $16 617 for dermatologists, $20 203 for otolaryngologists, and $23 821 for urologists. Epic and Nextgen were the most frequently used EHRs for attestation by ophthalmologists.
Ophthalmology as a specialty performed better than optometry and dermatology, but worse than otolaryngology and urology, in terms of the proportion of eligible professionals attesting to MU of EHRs. Ophthalmologists were more likely to remain in the program after their initial year of attestation compared with all eligible providers. The top 4 EHR vendors accounted for 50% of attestations by ophthalmologists.
调查在医疗保险电子健康记录（EHR）激励计划中，眼科医生对其 EHR 系统进行有意义使用（MU）认证的比例，并与其他专业相比，调查他们在获得支付方面的连续性和成功率。
行政数据库研究。
符合条件并参与医疗保险 EHR 激励计划的专业人员。
基于公开可用的数据源，为眼科医生和其他专业人员创建了支付和认证数据的子集。使用该计划每年和每个阶段的认证数据确定合格专业人员的认证数量。使用每个供应商的所有认证计算了 EHR 供应商的认证比例。
按医疗保险 EHR 激励计划的年份和阶段、激励性支付以及 EHR 供应商的认证数量划分的眼科医生认证数量。
在参与的高峰期，51.6%的眼科医生成功认证了 MU，而视光师的比例为 37.1%，皮肤科医生为 50.2%，耳鼻喉科医生为 54.5%，泌尿科医生为 64.4%。在该计划的 6 年中，眼科医生平均获得 17942 美元的激励性支付，而视光师为 11105 美元，皮肤科医生为 16617 美元，耳鼻喉科医生为 20203 美元，泌尿科医生为 23821 美元。Epic 和 Nextgen 是眼科医生进行认证时最常使用的 EHR。
在有资格的专业人员中，眼科作为一个专业，在 EHR 的 MU 认证比例方面表现优于视光和皮肤科，但逊于耳鼻喉科和泌尿科。与所有合格的供应商相比，眼科医生在初始认证后更有可能继续留在该计划中。前 4 大 EHR 供应商占眼科医生认证的 50%。
