Summary of Meaningful Use Readiness September, 2011

Essentials of the US Hospital IT Market - 4th EditionIn February 2009, the American Recovery and Reinvestment Act of 2009 (ARRA) was passed into law.  The health information technology (IT)-related provisions of this Act, known as HITECH (Health Information Technology for Economic and Clinical Health), authorized the federal government to enact a series of health IT-related initiatives in an effort to position IT as one of the key catalysts in bringing systemic changes to the organization, delivery and financing of healthcare. Known as meaningful use, these provisions were developed in three stages, each with a specific set of criteria. The criteria for Stage 1 of the meaningful use were released in July 2010 and include 14 core measures and 10 menu set objectives specific to eligible hospitals.1  In order for the hospital to qualify for the incentives, the hospitals are required to meet all 14 core measures, as well as half of the 10 menu-set objectives. 

In 2010, HIMSS Analytics began collecting meaningful use data in U.S. hospitals in order to determine the progress of how U.S. hospitals are preparing to meet the Stage 1 meaningful use criteria. 

Key findings:

  • Among the 778 hospital included in the September report, 38 percent of US hospitals meet 10 or more of the process core measures and at least five of the menu items.
  • Ten percent of the 778 hospitals in this sample have the capability to address all 14 core measures and at least five of the ten menu items. 
  • Another 31 percent of the hospitals should be prepared to meet Stage 1 of meaningful use shortly.  These hospitals have the capability to meet between 10 and 13 of the core items outlined in the meaningful use requirements AND have the capability to meet a minimum of three menu items. 
  • Hospitals that had the greater likelihood to meet the Stage 1 meaningful use criteria tended to be academic medical centers. 
  • There is a strong correlation between HIMSS Analytics EMR Adoption ModelSM (EMRAM) stage and capability to meet meaningful use requirements; meaning that as hospitals report increased adoption of IT systems relevant to a fully automated electronic health record (EHR), these hospitals are more likely to meet the Stage 1 meaningful use criteria.

This report is the first in a quarterly series. Future reports will continue to track progress in the capability of hospitals to meet the criteria needed to earn the Stage 1 incentives specified under meaningful use.

To purchase the September issue of the Summary of Meaningful Use Readiness Report, contact Amy Bergau at amy.bergau@himssanalytics.org or 312.638.9412. The report is delivered electronically and is $650 for a one-time deliverable. One year of quarterly updates is $2,200.

1 Because the focus of the HIMSS AnalyticsTM Database is a hospital-centric database, this report will focus on the readiness of hospitals to meet Stage 1 of meaningful use.