PURPOSE To investigate ophthalmologists' rate of attestation to meaningful use (MU) of their electronic health record (EHR) systems in the Medicare EHR Incentive Program and their continuity and success in receiving payments in comparison with other specialties. DESIGN Administrative database study. PARTICIPANTS Eligible professionals participating in the Medicare EHR Incentive Program. METHODS Based on publicly available data sources, subsets of payment and attestation data were created for ophthalmologists and for other specialties. The number of eligible professionals attesting was determined using the attestation data for each year and stage of the program. The proportion of attestations by EHR vendor was calculated using all attestations for each vendor. MAIN OUTCOME MEASURES Numbers of ophthalmologists attesting by year and stage of the Medicare EHR Incentive Program, incentive payments, and number of attestations by EHR vendor. RESULTS In the peak year of participation, 51.6% of ophthalmologists successfully attested to MU, compared with 37.1% of optometrists, 50.2% of dermatologists, 54.5% of otolaryngologists, and 64.4% of urologists. Across the 6 years of the program, ophthalmologists received an average of $17 942 in incentive payments compared with $11 105 for optometrists, $16 617 for dermatologists, $20 203 for otolaryngologists, and $23 821 for urologists. Epic and Nextgen were the most frequently used EHRs for attestation by ophthalmologists. CONCLUSIONS Ophthalmology as a specialty performed better than optometry and dermatology, but worse than otolaryngology and urology, in terms of the proportion of eligible professionals attesting to MU of EHRs. Ophthalmologists were more likely to remain in the program after their initial year of attestation compared with all eligible providers. The top 4 EHR vendors accounted for 50% of attestations by ophthalmologists.

中文翻译：

---

向美国眼科医生提供的使用电子健康记录的医疗保险奖励金：2011-2016年。

目的调查眼科医生对Medicare EHR奖励计划中电子健康记录（EHR）系统对有意义使用（MU）的证明率，以及与其他专科相比，其连续性和成功获得付款的成功率。设计行政数据库研究。参与者参加Medicare EHR激励计划的合格专业人员。方法基于公开可用的数据源，为眼科医生和其他专业创建了付款和证明数据的子集。使用该计划的每年和阶段的证明数据确定合格的专业人员证明的数量。EHR供应商的证明比例是使用每个供应商的所有证明计算的。主要观察指标按Medicare EHR激励计划的年份和阶段进行证明的眼科医生数量，奖励付款以及EHR供应商的证明数量。结果在参加高峰期，有51.6％的眼科医生成功地证明了MU，相比之下，验光师的比例为37.1％，皮肤科医生的比例为50.2％，耳鼻喉科医生的比例为54.5％，泌尿科的比例为64.4％。在该计划的6年中，眼科医生平均获得了17942美元的奖励金，而验光师平均为11105美元，皮肤科医生为16617美元，耳鼻喉科医生为20203美元，泌尿科医师为23821美元。Epic和Nextgen是眼科医生最常使用的EHR。结论眼科专业比眼科和皮肤科要好，但比耳鼻喉科和泌尿科要差，就证明EHR MU的合格专业人员的比例而言。与所有合格的提供者相比，眼科医生在获得证明的第一年之后更有可能留在该计划中。EHR排名前4位的供应商占眼科医生证明的50％。