- Over 90 percent of eligible hospitals use 2015 Edition Certified EHR Technology (CEHRT) as of October 2018, according to the most recent data from ONC.
This update comes as part of a set of data visualizations showing the percentage of hospitals using 2015 Edition CEHRT, as well as the percentage of EHR vendors offering 2015 edition certified health IT modules.
The infographics demonstrate the proportion of the marketshare using 2015 edition health IT modules from EHR vendors using data from the ONC Certified Health IT Product List (CHPL), the Medicare EHR Incentive Programs, and Medicare Physician Utilization and Payment.
“Market share approximations are determined through an analysis of the certified health IT products reported by participants in the Medicare EHR Incentive Program from 2011 to 2016,” clarified ONC. “Approximations use the most recently reported data for each unique clinician and hospital participant.”
New data from ONC also showed more than 90 percent of eligible clinicians have 2015 edition certified technology available from their most recently reported EHR developer.
Ultimately, the data shows that nearly all eligible hospitals and eligible clinicians currently use 2015 Edition CEHRT.
This finding comes as CMS works to finalize its proposed rule for Year 3 of the Quality Payment Program (QPP).
A particular point of contention among stakeholders submitting feedback about the proposed rule involved policies related to the use of 2015 Edition CEHRT.
While some organizations such as AMIA expressed support for policies requiring use of 2015 edition CEHRT beginning in 2019, associations including MGMA voiced concern about the “unrealistic timeframe and difficult-to-meet requirements” proposed for the 2019 reporting year of the Promoting Interoperability component of the Merit Based Incentive Payment System (MIPS).
MGMA recommended CMS allow MIPS and alternative payment model (APM) participants to use either 2014 or 2015 Edition CEHRT in 2019 and 2020.
However, given nearly all eligible hospitals and eligible clinicians are already using 2015 Edition CEHRT, QPP participants may be well-equipped to fulfill reporting requirements within the timeframe set out by the proposed rule.
According to AMIA, requiring that providers use CEHRT is necessary to achieving the promised benefits of a digitized healthcare industry.
“We view this as foundational for improved interoperability, patient data access, and better usability. Thus, we strongly support the agency’s proposal to extend this requirement to eligible clinicians (ECs) in this NPRM.”
ONC first published the infographics in March 2018.
In a Health IT Buzz blogpost, the federal agency stated it will continue to update the visualizations on a weekly basis to provide an up-to-date glance of the health IT developer community’s progress toward achieving 2015 ONC health IT certification.
Currently, Cerner, Epic, Allscripts, GE Healthcare, Medsphere Systems, eClinicalWorks, and Greenway Health meet 100 percent of the 2015 Edition base criteria.
Meanwhile, MEDITECH and CPSI meet 93 percent of criteria. Athenahealth meets 53 percent.
Overall, health IT developers are making progress toward meeting 2015 edition CEHRT criteria.
The ONC health IT certification program is currently undergoing changes and updates as part of a five-year plan to shift from utilizing testing tools developed by ONC to testing tools developed by the healthcare industry. The shift is part of an effort to fulfill provisions part of the 21st Century Cures Act.
Health IT developers, standards development organizations (SDOs), and others part of the private sector are encouraged to provide their own testing tools to replace the testing infrastructure currently in place and eliminate the need for public funding to support testing tools development.