Stage 2 -Medent Imaging & CQM & Clinical Decision Support August 13, 2014
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1 Stage 2 -Medent Imaging & CQM & Clinical Decision Support August 13, 2014
2 MENU MEASURE- IMAGING RESULTS ATTACHED
3 Menu Measure: Imaging Results Attached MENU Objective: Imaging results consisting of the image itself and any explanation or other accompanying information are accessible through CEHRT. Measure: More than 10% of all tests whose result is one or more images ordered by the EP during the EHR reporting period are accessible through CEHRT. Exclusion: Any EP who orders less than 100 tests whose result is an image during the EHR reporting period; or any EP who has no access to electronic imaging results at the start of the EHR reporting period.
4 Menu Measure: Imaging Results Attached Image Tests (denominator): This report is based on xray orders/general orders, not patients. This report will ONLY look at orders ordered during the reporting period. (order date not create date) Xray/general orders marked Other Provider are not included in this report Image Results Attached (numerator): This is the number of xray/general orders that have an image result attached (Image Attached checkbox has been checked and there is at least one report linked to the order).
5 Menu Measure: Imaging Results Attached To set up X-ray/Order Reports Navigation: Medical Records > Medical Records Setup > All Orders > X-ray Setup: Possibly also Orders if DI testing ordered under General Orders.
6 Menu Measure: Imaging Results Attached Document for X-Ray Reports
7 Menu Measure: Imaging Results Attached Press Select All items that would qualify as a result should be pulled over to the right side.
8 Menu Measure: Imaging Results Attached Note: It does not matter how the user answers the prompt Link this as a "Report" versus a regular document link? The report is simply looking that the documents have been attached to the appropriate areas, linked above and that the Image Attached checkbox has been checked.
9 Menu Measure: Imaging Results Attached To meet this measure, the image result must either be incorporated into MEDENT or accessible via a link to the image with accompanying information (if such information is available). Image results that are scanned into MEDENT may be counted in the numerator. The user must manually identify when images are attached to a test.
10 CLINICAL QUALITY MEASURES
11 Clinical Quality Measures In 2014, EPs must report on 9 of the 64 approved CQMs CMS has identified core CQM s- which are encouraged but not required. 9 CQMs for the adult population 9 CQMs for the pediatric population 2014 Clinical Quality Measures by Domain All providers must select CQM s from at least 3 of the 6 HHS National Quality Strategy domains. Patient & Family Engagement Patient Safety Care Coordination Population & Public Health Efficient Use of Healthcare Resources Clinical Processes / Effectiveness
12 Clinical Quality Measures Domain Measure Measure Title Core (Rec.) First, pick 3 Second, pick 9 of these. Patient and Family CMS130 NQF 0384* Oncology: Medical and Radiation Pain Intensity Quantified Engagement Patient and Family of CMS66 these. NQF TBD* Functional status assessment for knee replacement Engagement Patient Safety CMS68 NQF 0419* Documentation of Current Medications in the Medical Record A Patient Safety CMS132 NQF 0564* Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures Care Coordination CMS50 NQF TBD* Closing the referral loop: receipt of specialist report A Population/ Public Health CMS155 NQF 0024 Weight Assessment and Counseling for Nutrition and Physical Activity P for Children and Adolescents Population/ Public Health CMS138 NQF 0028 Preventive Care and Screening: Tobacco Use: Screening and A Cessation Intervention Population/ Public Health CMS22 NQF TBD* Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented Efficient Use of CMS146 NQF 0002 Appropriate Testing for Children with Pharyngitis P Healthcare Resources Efficient Use of CMS166 NQF 0052 Use of Imaging Studies for Low Back Pain A Healthcare Resources Clinical Process/ Effectiveness CMS137 NQF 0004 Initiation and Engagement of Alcohol and Other Drug Dependence Treatment Clinical Process/ CMS165 NQF 0018 Controlling High Blood Pressure A Effectiveness Clinical Process/ CMS125 NQF 0031 Breast Cancer Screening Effectiveness Clinical Process/ Effectiveness CMS124 NQF 0032 Cervical Cancer Screening
13 Clinical Quality Measures
14 Clinical Quality Measures
15 Clinical Quality Measures
16 Clinical Quality Measures To select CQM s that you would like to use, click on the deactivated tab and all of the measures will appear. You will have to contact Medent to reactive them. You can submit a support ticket with Medent with the measures.
17 Clinical Quality Measures Once you have selected the measures you want, and they are reactivated they will appear with all the other measures highlighted in purple as CQM formulas. Applicable CQM s will then appear on the patient s DM/HM screen.
18 CLINICAL DECISION SUPPORT
19 Clinical Decision Support CMS Definition: Use clinical decision support to improve performance on high priority health conditions. Measures: Measure 1: Implement five clinical decision support interventions related to four or more clinical quality measures at a relevant point in patient care for the entire EHR reporting period. Absent four clinical quality measures related to an EP s scope of practice or patient population, the clinical decision support interventions must be related to high-priority health conditions. Measure 2: The EP has enabled and implemented the functionality for drug-drug and drug-allergy interaction checks for the entire EHR reporting period. Exclusion: For the second measure, any EP who writes fewer than 100 medication orders during the EHR reporting period.
20 Clinical Decision Support Select the CQM that you would like to make a CDS rule and click Clinical Decision Support on the toolbar. Click enter/edit formula.
21 Clinical Decision Support
22 Clinical Decision Support
23 QUESTIONS??
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CMS Incentive Programs: Timeline And Reporting Requirements Webcast Association of Northern California Oncologists May 21, 2013 Objective This webcast will address CMS s Incentive Program reporting requirements