In 2009 2009, 31 % reported that they had no programs to implement EMR. This year 2010, only 21 % say they haven’t any plans to implement. Motorists of IT Adoption The NaviNet survey indicates that nearly doubly many supplier offices’ IT buying decisions are driven by concern about not really becoming reimbursed versus the potential to gain incentives. This year 2010, when respondents were asked what external elements were influencing their offices’ decisions about changes to technology, 53 % said CMS mandates–a 14 % spike over 2009. CMS mandates outline guidelines for claims submission and you will be required for reimbursement for Medicare and Medicaid. Administrative concerns continue being a pressing concern for providers, more so than clinical concerns or potential monetary incentives.It is eminently quantifiable and yet stubbornly not. The objective of widespread EHR adoption, as envisioned by the Obama administration in 2008, was allowing a changeover from volume-structured to value-based payments: a digital infrastructure was needed for measuring quality. At the time, however, significantly less than 17 percent of physician methods were using EHRs, and their systems lacked necessary data-capture capabilities often. Given the high up-front costs and uncertainty concerning future returns, financial and cultural hurdles to adoption had been formidable.