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Suggested Reading  

Balfour DC 3rd, Evans S, Januska J, et al. Health information technology--results from a roundtable discussion. J Manag Care Pharm. 2009;15(1 Suppl A):10-17.

Blumenthal D, Tavenner M. The "meaningful use" regulation for electronic health records. N Engl J Med. 2010;363:501-504.

Boyd AD, Funk EA, Schwartz SM, Kaplan B, Keenan GM. Top EHR challenges in light of the stimulus. J Healthc Inf Manag. 2010;24:18-24.

Buntin MB, Blumenthal D. Health information technology: laying the infrastructure for national health reform. Health Aff (Millwood). 2010;29:1214-1219.

Centers for Medicare and Medicaid Services. EHR Incentive Program. Connecting America for Better Health. Overview. Available at: Accessed September 6, 2010.

Fortin J, Zywiak W. Beyond meaningful use: getting meaningful value from IT. Healthc Financ Manage. 2010;64:54-59.

George J, Bernstein PS. Using electronic medical records to reduce errors and risks in a prenatal network. Curr Opin Obstet Gynecol. 2009;21:527-531.

Goldstein MM, Thorpe JH. The first anniversary of the Health Information Technology for Economic and Clinical Health (HITECH) Act: the regulatory outlook for implementation. Perspect Health Inf Manag. 2010;7:1c.

Houston M. The psychiatric medical record, HIPAA, and the use of the electronic health record. Child Adolesc Psychiatr Clin North Am. 2010;19:107-114.

Irani JS, Middleton JL, Marfatia R, Omana ET, D'Amico F. The use of electronic health records in the exam room and patient satisfaction: a systematic review. J Am Board Fam Med. 2009;22:553-562.

Jha AK, DesRoches CM, Campbell EG, et al. The use of electronic health records in U.S. hospitals. N Engl J Med. 2009;360:1628-1638.

Klein K. So much to do, so little time. J Healthc Inf Manage. 2010;24:31-35.

Lorenzi NM, Kouroubali A, Detmer DE, Bloomrosen M. How to successfully select and implement electronic health records (EHR) in small ambulatory practice settings. BMC Medical Informatics Decision Making. 2009;9:15. Available at: Accessed September 5, 2010.

Office of the National Coordinator for Health Information Technology (ONC), Department of Health and Human Services. Health information technology: initial set of standards, implementation specifications, and certification criteria for electronic health record technology. Final rule. Fed Regist. 2010;75:44589-44654.

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Robert Wood Johnson Foundation. Health Policy Brief. August 24, 2010. Available at: Accessed September 5, 2010.

Walker JM, Carayon P, Levenson N, et al. EHR safety: the way forward to safe and effective systems. J Am Med Inform Assoc. 2008;15:272-277.

Wise PB. The meaning of meaningful use. Several technology applications are needed to qualify. Health Exec. 2010;25:20-21.


Medicare and Medicaid EHR Incentives: What Do You Know and Do You Know Enough?

  • Authors: Ronald Viggiani, MD
  • CME/CE Released: 1/10/2011
  • Valid for credit through: 1/10/2012
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Target Audience and Goal Statement

This activity is intended for physicians and other clinicians who qualify as eligible professionals for incentive payments from the federal government for implementation and adoption of a certified electronic health record (EHR).

The goal of this activity is to promote awareness of and participation in the Health Information Technology for Economic and Clinical Health (HITECH) Act incentive program for implementation, adoption, and demonstration of meaningful use of EHRs.

Upon completion of this activity, participants will be able to:

  1. Assess their current knowledge of the HITECH Act and meaningful use, and identify opportunities for learning
  2. Assess their current knowledge of EHR benefits and identify opportunities for learning
  3. Identify common barriers to successful EHR implementation


As an organization accredited by the ACCME, Medscape, LLC, requires everyone who is in a position to control the content of an education activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines "relevant financial relationships" as financial relationships in any amount, occurring within the past 12 months, including financial relationships of a spouse or life partner, that could create a conflict of interest.

Medscape, LLC, encourages Authors to identify investigational products or off-label uses of products regulated by the US Food and Drug Administration, at first mention and where appropriate in the content.


  • Ronald Viggiani, MD

    Director, Scientific Affairs and Editorial Services, Medscape, LLC


    Disclosure: Ronald Viggiani, MD, has disclosed no relevant financial relationships.

    Dr. Viggiani does not intend to discuss off-label uses of drugs, mechanical devices, biologics, or diagnostics approved by the FDA for use in the United States.

    Dr. Viggiani does not intend to discuss investigational drugs, mechanical devices, biologics, or diagnostics not approved by the FDA for use in the United States.

Editor and Nurse Planner

  • Susan L. Smith, MN, PhD

    Senior Scientific Director, Medscape, LLC


    Disclosure: Susan L. Smith, MN, PhD, has disclosed no relevant financial relationships.

CME Reviewer(s)

  • Nafeez Zawahir, MD

    CME Clinical Director, Medscape, LLC


    Disclosure: Nafeez Zawahir, MD, has disclosed no relevant financial relationships.

Accreditation Statements

    For Physicians

  • Medscape, LLC is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

    Medscape, LLC designates this educational activity for a maximum of 0.50 AMA PRA Category 1 Credit(s)™ . Physicians should only claim credit commensurate with the extent of their participation in the activity.

    Medscape, LLC staff have disclosed that they have no relevant financial relationships.

    Contact This Provider

    For Nurses

  • Medscape, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

    Awarded 0.50 contact hour(s) of continuing nursing education for RNs and APNs; 0.50 contact hours are in the area of pharmacology.

    Accreditation of this program does not imply endorsement by either Medscape, LLC or ANCC.

    Contact This Provider

For questions regarding the content of this activity, contact the accredited provider for this CME/CE activity noted above. For technical assistance, contact [email protected]

Instructions for Participation and Credit

There are no fees for participating in or receiving credit for this online educational activity. For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.

This activity is designed to be completed within the time designated on the title page; physicians should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period that is noted on the title page.

Follow these steps to earn CME/CE credit*:

  1. Read the target audience, learning objectives, and author disclosures.
  2. Study the educational content online or printed out.
  3. Online, choose the best answer to each test question. To receive a certificate, you must receive a passing score as designated at the top of the test. Medscape Education encourages you to complete the Activity Evaluation to provide feedback for future programming.

You may now view or print the certificate from your CME/CE Tracker. You may print the certificate but you cannot alter it. Credits will be tallied in your CME/CE Tracker and archived for 6 years; at any point within this time period you can print out the tally as well as the certificates by accessing "Edit Your Profile" at the top of your Medscape homepage.

*The credit that you receive is based on your user profile.


Medicare and Medicaid EHR Incentives: What Do You Know and Do You Know Enough?

Authors: Ronald Viggiani, MDFaculty and Disclosures

CME/CE Released: 1/10/2011

Valid for credit through: 1/10/2012



The goals of continuing medical education (CME)/nurse continuing education (CE) and professional development are to acquire and retain knowledge that will enhance clinical practice and improve patient outcomes.

The following self-assessment is offered for CME/CE credit and is designed to test your current knowledge and skills related to a new incentive program that supports the effective use of electronic health records (EHRs).

Because the questions in this activity are designed for self-assessment, you will not be penalized for incorrect answer choices. In fact, many of the questions do not have a right or wrong answer.

This self-assessment is part of a large educational curriculum on EHRs. Data from this survey will help shape the content of the other activities in the curriculum to best meet the educational and clinical performance gaps identified.

Why not assess your clinical practice and earn CME/CE credit in the process? Your participation in this initiative is greatly appreciated.

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