Recently the Institute for Health Technology Transformation conducted an analysis of the most current data sets provided by the Centers for Medicare and Medicaid Services, Medicare and Medicaid EHR Incentive Programs attestations with the Office of the National Coordinator for Health IT, Certified Health IT Products List. The analysis concludes an extensive review of the data set by state, provider type, provider specialty, and practice setting.
Recently the Institute for Health Technology Transformation conducted an analysis of the most current data sets provided by the Centers for Medicare and Medicaid Services, Medicare and Medicaid EHR Incentive Programs attestations with the Office of the National Coordinator for Health IT, Certified Health IT Products List. The analysis concludes an extensive review of the data set by state, provider type, provider specialty, and practice setting. The Institute compiled a Meaningful Use Top 10 list by vendor, state and provider specialty.
The data set includes details on almost 23,000 attestations across the U.S. in a variety of specialties. For all of 2011 the Medicare and Medicaid EHR incentive program paid more than $2.5 billion to this group of hospitals and physicians. While final 2011 data won’t be available until March the current data present interesting findings and with over 176,000 active registrants for the EHR incentive program, 2012 should significantly outpace 2011 attestations and payments.
The vendor breakdown presented interesting data with Epic representing almost 28% of attestations in 2011. A large gap in market share is apparent with the next closest vendor, eClinicalWorks, capturing 8% of attestations. Some surprises include Cerner in the 10th spot with approximately 2%. Vendor data becomes very dispersed outside the top 10 reinforcing the range of certified EHR providers currently serving the health care market.
| Vendor Ranking | # of Attestations |
| Epic Systems Corporation | 6330 |
| eClinicalWorks LLC | 1847 |
| Allscripts | 1502 |
| athenahealth, Inc | 1158 |
| Community Computer Service, Inc. | 999 |
| GE Healthcare | 921 |
| NextGen Healthcare | 899 |
| e-MDs, Inc. | 770 |
| Greenway Medical Technologies, Inc. | 712 |
| Cerner Corporation | 567 |
State ranking may be less surprising with the most populated states leading in number of attestations. The Lone Star State leads the list representing almost 8% of attestations closely followed by Ohio with 7%. An interesting aspect of the ranking is that Wisconsin and Minnesota made the Top 10 while they are the 20th and 21st most populated states respectively. This trend reinforces that different levels of health IT progressiveness by region exist and is impacting adoption.
| State Ranking | # of Attestations |
| Texas | 1761 |
| Ohio | 1653 |
| Illinois | 1533 |
| Pennsylvania | 1450 |
| Florida | 1387 |
| California | 1287 |
| New York | 1272 |
| Minnesota | 963 |
| Massachusetts | 931 |
| Wisconsin | 812 |
Two specialties led the list by, family practice and internal with 20% and 18% of attestations respectively. The closest specialty to the top two was cardiovascular with 6% followed by podiatry with almost 5%. Outside the top four attestation specialties the number and range of specialties widens significantly.
| Specialty Ranking | # of Attestations |
| Family Practice | 4742 |
| Internal | 4146 |
| Cardiovascular | 1432 |
| Podiatry | 1124 |
| OBGYN | 955 |
| Gastroenterology | 872 |
| Orthopedic | 676 |
| Urology | 628 |
| Optometry | 614 |
| General | 606 |
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If you would like access to the Institute’s full analysis of 2011 Medicare and Medicaid attestation data please contact Andrea Thomas at (720) 539-1285 or andrea.thomas@ihealthtran.com.
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