Welcome to the EHR and Meaningful Use Support Center

Through the links and tabs on this page, we hope you will find useful, clear, and concise information.

The EHR and MU Support Center is here to assist clinics and providers in understanding and navigating the Meaningful Use program in ordder to improve their use of electronic health record technology, maximize incentive payments, and avoid payment adjustments.
The Medicare and Medicaid EHR incentive Programs (also known as “Meaningful Use” programs) began in 2011 and have progressed and changed over the years with  more changes ahead.

To date, Tribal, Federal, and Urban clinics within the Portland Area have earned approximately $3.7 million in incentive payments through the EHR incentive Programs while opportunities exist to earn more.
The EHR and MU Support Center seeks to provide support not only in meeting Meaningful Use, but also in supporting the day to day use of electronic health records to
better serve our patients and work towards reducing health disparities.

We can provide one-on-one support, with particular expertise in RPMS EHR. Troubleshooting, optimizing software, and providing customized training for both Clinical Application Coordinators (CACs) and end users are a few of the support activities we can offer. We are building a library of video recordings to assist both CACs and end users as well.

Contact Katie Johnson at or (503) 416-3272 for more information.

  • History
  • MU
  • Video Recordings
  • Resources
  • Contact Us


On February 17, 2009, the President signed the American Recovery and Reinvestment Act of 2009 (ARRA).  Title XIII of Division A and Title IV of Division B of ARRA, together cited as the Health Information Technology for Economic and Clinical Health Act (HITECH Act), include provisions to promote meaningful use of health information technology to improve the quality and value of American health care.  The HITECH Act also established the Office of the National Coordinator for Health Information Technology (ONC) within the U.S. Department of Health and Human Services (HHS) as the principal federal entity responsible for coordinating the effort to implement a nationwide health information technology (health IT) infrastructure that allows for the use and exchange of electronic health information in electronic format.

The HITECH Act (Title IV in Division B of ARRA) authorizes incentive payments for eligible Medicare and Medicaid providers’ meaningful use of certified electronic health record (EHR) technology.  By 2015, providers were expected to have adopted and be actively utilizing an EHR in compliance with the “meaningful use” definition or they are subject to financial penalties under Medicare (per Sections 4101(b) and 4102(b) of ARRA).  The detailed criteria to qualify for meaningful use incentive payments will be established by the Secretary of HHS (hereafter referred to as the Secretary) through the formal notice-and-comment rulemaking process.  For access to the most current publicly available information about meaningful use, please visit the Meaningful Use section of the ONC programmatic website at:

Through the American Recovery and Reinvestment Act (ARRA), ONC established 62 Regional Extension Centers (RECs) that assisted primary care providers in the adoption and meaningful use of electronic health records.  In 2011, the NPAIHB EHR and MU Support Center was established when the Northwest Portland Area Indian Health Board partnered with the National Indian Health Board to become a Regional Extension Center (REC) for the Portland Area.  The REC was established to help providers demonstrate Meaningful Use of a certified electronic health record.  The goal was to improve health outcomes and reduce health disparities in our population through the use of an electronic health record. The REC program proved successful.  As REC, we were able to assist over 160 providers in Portland Area with navigating the MU program registration process, upgrading to a certified EHR, achieving the meaningful use requirements, providing assistance with security risk assessments, and deployment of RPMS electronic prescribing of medications. The REC grant is complete, but the NPAIBH EHR and MU Support Center is in full operation.

The incentive portion of the Medicare EHR Incentive Program finishes in 2016.

Beginning in 2015, eligible professionals who do not successfully demonstrate meaningful use will be subject to a payment adjustment. The payment reduction starts at 1% and increases each year that an eligible professional does not demonstrate meaningful use, to a maximum of 5%

The payment adjustments are only on Medicare Part B Physician Fee Schedule reimbursements.

The payment adjustment is specific to the provider, is based on a 2 year look back period, and will follow the provider if they change employers.   Therefore, actions related to meeting MU now, in 2016, will have impacts on 2018 reimbursements.

The last year to begin participation in the Medicaid EHR incentive programs is 2016.  Incentive payments will continue through 2021.  Eligible professionals are eligible for incentive payments for 6 years, and participation years do not have to be consecutive.

There is no payment adjustment from Medicaid in this program.

To qualify for Medicaid program, you must be a Physician, Nurse practitioner, Certified nurse-midwife, Dentist, or a Physician Assistant who furnishes services in a Federally Qualified Health Center or Rural Health Clinic that is led by a physician assistant.  These are all called Eligible Providers or EPs.

To qualify for the Medicaid program, a provider must have at least 30% Medicaid patient volume.

Tribal clinics may include “needy patients” – those with no insurance – in their patient volume calculations when trying to reach the 30% threshold.

Review MU Recordings at:

Pursue RPMS Personal Health Record/Health Information Exchange/DIRECT Messaging deployment.

Contact Katie Johnson ( and Ron Won ( for more information

RPMS Pharmacy Package Training

Pharmacy Training Resources – This document combines links to recordings and supporting material in one document


Basic CAC for RPMS EHR – This document combines links to recordings and supporting material in one document

RPMS EHR Advanced TIU Training

RPMS EHR Advanced TIU – This document combines links to recordings and supporting material in one document

EHR Clinical Reminders Training

Clinical Reminders Resources (2016) – This document combines links to recordings and supporting material in one document

Clinical Reminders Resources (2015) – This document provides links to recordings in Adobe Connect.  Supporting materials can be downloaded from within the Adobe Connect recordings from the files pod

Project Contacts

Katie Johnson, Pharm D
Northwest Portland Area Indian Health Board
Project Director, NPAIHB Regional Extension Center
503-416-3272 (phone)
503-228-8182 (fax)

More NPAIHB Programs