1. Leila Samy, MPH Rural Health IT Coordinator Office of the National Coordinator for Health IT Hometown Health: Health IT and HIPAA Workshop September 26, 2014 Macon, Georgia Rural Health and Veteran Health

2. Office of the National Coordinator for Health IT 2 Leila Samy HHS Office of the National Coordinator for Health IT Within an agency charged with promoting nationwide adoption of technology in healthcare to transform healthcare delivery, my efforts are centered on ensuring that rural communities are not left behind.

3. What We’ll Cover Here 1.Data and trends in Health IT and eHealth National Georgia Rural CAH 2.White House Rural Council initiatives rural health veteran health 3.Links to resources What ONC has done to support rural health and Veterans Tools and resources for CAHs/rural hospitals adopting health IT Federal financing programs Privacy and Security resources Office of the National Coordinator for Health IT 3

4. Hospitals receiving incentive payments for EHR Adoption or Meaningful Use: 2011-2013 Office of the National Coordinator for Health IT 4 Click here for animated versionhere

5. Percent of Physicians e-Prescribing through an Electronic Health Record: 2008-2013 Office of the National Coordinator for Health IT 5 Click here for animated versionhere

6. 6 Created by HHS Office of the National Coordinator for Health IT, Office of Economic Analysis, Evaluation, and Modeling 200820102009201120122013 Percent of Physicians e-Prescribing through an Electronic Health Record Local Area Trends of EHR Adoption, 2008-2013

7. 200820102009201120122013 Created by HHS Office of the National Coordinator for Health IT, Office of Economic Analysis, Evaluation, and Modeling Percent of Physicians e-Prescribing through an Electronic Health Record Local Area Trends of EHR Adoption, 2008-2013 7

8. 200820102009201120122013 Created by HHS Office of the National Coordinator for Health IT, Office of Economic Analysis, Evaluation, and Modeling Percent of Physicians e-Prescribing through an Electronic Health Record Local Area Trends of EHR Adoption, 2008-2013 8

9. 200820102009201120122013 Created by HHS Office of the National Coordinator for Health IT, Office of Economic Analysis, Evaluation, and Modeling Percent of Physicians e-Prescribing through an Electronic Health Record Local Area Trends of EHR Adoption, 2008-2013 9

10. 200820102009201120122013 Created by HHS Office of the National Coordinator for Health IT, Office of Economic Analysis, Evaluation, and Modeling Percent of Physicians e-Prescribing through an Electronic Health Record Local Area Trends of EHR Adoption, 2008-2013 10

11. 200820102009201120122013 Created by HHS Office of the National Coordinator for Health IT, Office of Economic Analysis, Evaluation, and Modeling Percent of Physicians e-Prescribing through an Electronic Health Record Local Area Trends of EHR Adoption, 2008-2013 11

12. Office of the National Coordinator for Health Information Technology 12 Note: Payments for May 2012 and June 2013 include payments to Medicare Advantage providers. Source: CMS EHR Incentive Program Data as of 03/31/2014 Eligible Professionals and Hospitals Paid under the Medicare or Medicaid EHR Incentive Program 371,673 unique eligible professionals and hospitals ( 7 out of 10 of all eligible providers) have received a payment under the Medicare or Medicaid EHR Incentive Program

13. Office of the National Coordinator for Health Information Technology13 Source: CMS EHR Incentive Program Data as of 03/31/2014 Payments under the Medicare or Medicaid EHR Incentive Program Eligible Professionals and Hospitals The Medicare and Medicaid EHR Incentive Programs have cumulatively paid $22.9 billion in incentive payments as of March 2014 Note: Payments for May 2012 and June 2013 include payments to Medicare Advantage providers.

14. HOW ARE WE DOING IN GEORGIA? Progress with Health IT Adoption and eHealth in Georgia Office of the National Coordinator for Health IT 14

15. How are we doing in Georgia? Office of the National Coordinator for Health IT 15

16. How are we doing in Georgia? Office of the National Coordinator for Health IT 16

17. HOW ARE WE DOING IN RURAL? Progress with Adoption of Health IT and eHealth Office of the National Coordinator for Health IT 17

18. Rural: 38% Total: 34% Small primary care practices: 35% Note: From 2009 to 2011, the adoption rate for rural providers *more than doubled* and the percentage of rural physicians that have adopted EHRs slightly higher than for physicians overall Basic EHR adoption among office-based physicians in rural areas and small primary care practices Rural refers to physicians in a county outside of a Metropolitan Statistical Area. Small primary care practices refer to primary care physicians in practices with 10 or fewer physicians. Data source: National Ambulatory Medical Care Survey (NAMCS) Electronic Health Record Supplement mail surveys, 2008-2011. How Are We Doing in Rural Areas?

19. 19 Office of the National Coordinator for Health IT How Are We Doing in Rural Areas?

20. Payment Rates of Rural and Overall for Hospitals and Professionals November 2013 Rural professionals are participating in the EHR Incentive Programs at roughly the same rate as the national trend. However, rural hospitals are lagging behind the overall trend. Office of the National Coordinator for Health IT

21. 04/11/2013 Attested Not Attested from the HHS Office of the National Coordinator for Health IT 87 Percent of CAHs/SRHs Attested to MU Stage 1 Map identifies SRHs and CAHs (n=1.772) from the American Hospital Association and determines attestation status based on CMS EHR Incentive Program. Location of Small Rural Hospitals (SRH) and Critical Access Hospitals (CAH) by Attestation Status February 2014