HHS Secretary Mike Leavitt has named 12 communities that will participate in a national Medicare demonstration project that provides incentive payments to physicians for using certified electronic health records (EHR) to improve the quality of patient care. The five-year, first-of-its-kind project is expected to improve the quality of care provided to an estimated 3.6 million Americans.

"The use of electronic health records, and of health information technology as a whole, has the ability to transform the way health care is delivered in our nation," Secretary Leavitt said. "We believe that EHRs can help physicians deliver better, more efficient care for their patients, in part by reducing medical errors. This project is designed to demonstrate these benefits and help increase the use of this technology in practices where adoption has been the slowest - at the individual physician and small practice level."

The communities selected to work with the Centers for Medicare & Medicaid Services (CMS) on the EHR demonstration project range from county- and state- level to multi-state collaborations. They include:
* Alabama
* Delaware
* Jacksonville, FL (multi-county)
* Georgia
* Maine
* Louisiana
* Maryland/Washington, DC
* Oklahoma
* Pittsburgh, PA (multi-county)
* South Dakota (multi-state)
* Virginia
* Madison, WI (multi-county)

These 12 communities were selected through a competitive process from a field of more than 30 applicants. They demonstrated active collaboration among stakeholders, including physicians and other providers, health plans, employers, government and consumers; existing or planned private sector initiatives related to health information technology and quality reporting; and adequate size to recruit a sufficient number of primary care physician practices. They also demonstrated close ties to the medical community and ability to work closely with CMS to recruit physician practices to participate in the demonstration.

In letters sent to communities not selected for the demonstration, Secretary Leavitt urged them to consider pursuing EHR incentive projects of their own, based on the work they have already done.

"A tremendous opportunity exists for communities to impact and improve health care delivery starting at the local level," Secretary Leavitt said. "While the number of sites selected was limited to 12, we are greatly encouraged by the substantial multi-stakeholder initiatives ongoing across the nation. It is my hope that those communities not selected and others that were not yet prepared to apply will continue working together to improve health care - and consider creating their own incentive-based projects to advance the use of EHRs."

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