While use of electronic health records (EHRs) can improve coordination and quality of care, patient safety, outcomes reporting, and provider efficiency, some physicians have been slow to adopt the technology. To encourage the meaningful use of EHRs, the federal government created an incentive program for clinicians and hospitals. This report summarized findings from a survey of California physicians about their current use of EHRs and their eligibility for the incentive program. The Health Information Technology for Economic and Clinical Health (HITECH) Act, part of the American Recovery and Reinvestment Act of 2009, authorized Medicare and Medicaid (Medi-Cal in California) to make incentive payments to clinicians and hospitals for EHR use to improve health care delivery. HITECH incentive payments will total up to $27 billion over 10 years, with $2 billion to $3 billion going to California hospitals and providers. The Centers for Medicare and Medicaid Services (CMS) has given the California Department of Health Care Services (DHCS) responsibility for identifying California physicians who are eligible to receive Medi-Cal EHR incentive payments. In 2011, faculty at the University of California, san Francisco, working on behalf of the California Medicaid Research Institute, developed and conducted a survey to help DHCS estimate the extent to which California physician currently use EHRs and the number of physicians in California who would be eligible for Medi-Cal incentive payments. Responses to this survey can be considered baseline data on HER availability and use prior to implementation of Medi-Cal EHR incentive payments because all responses were submitted several months before DHCS began registering individual providers, group practices, clinics, and hospitals for the program.
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