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10/17/2012
Reporting How‐To for Clinical Applications
Channel Setting Instructions for ResponseCard RF
1. Press and release the "GO" or "CH" button.
2. While the light is flashing red and green, enter the 2 digit channel code (i.e. channel 1 = 01, channel 21 = 21).
3. After the second digit is entered, Press and release the "GO" or "CH" button. The light should flash green to confirm.
4. Press and release the "1/A" button. The light should flash amber to confirm.
Heidi Kemp, VP of EHR Initiatives
Ericka Gardner, HMS Clinical Instructor
1
10/17/2012
Utilizing HMS Clinical Reports
for enhanced decision making
What department do you work in?
20%
1.
2.
3.
4.
5.
20%
20%
2
3
20%
20%
Pharmacy
Nursing
IT
Administration
Other
1
4
5
Patient Care Reports
REPORT NAME
WHERE TO FIND
PURPOSE
Patient Chart Component Report
HMS Patient Care
Reports Allows for printing
of specific components Clinical Documentation
Report
HMS Patient Care
Reports Allows for printing
of specific components Incomplete Assessment Report
HMS Patient Care
Reports Displays
assessments not
e‐signed
Patient Details Rounds Report
HMS Patient Care
Reports Display specific for patient encounter
NOTES
Include/Exclude
revisions & CV notes
Facility defined
through CHP menu
2
10/17/2012
Patient Care Reports
REPORT NAME
WHERE TO FIND
PURPOSE
Medication Profile Report
HMS Patient Care
Reports Listing of all meds, including Home Meds
Discharge Medications Report
HMS Patient Care
Reports Listing of all Discharge Meds
Transfer
Medications Report
HMS Patient Care
Reports Listing of all Transfer Meds
Clinical History Profile Report
HMS Patient Care
Reports Display all pieces of CHP
NOTES
Ability to add Physician & Patient Signature Line
Option to include
revisions
Patient Care Reports
REPORT NAME
WHERE TO FIND
PURPOSE
NOTES
Patient Facesheet
Report
HMS Patient Care
Reports Provide ability to print facesheet from Patient Care
Patient Discharge Summary Report
HMS Patient Care
Reports Displays all Meds, orders, and patient problems list
Transition of Care Document
Patient Transfer Summary Report
HMS Patient Care
Reports Displays all Meds, orders, and patient problems list
Transition of Care Document
All Orders Report
HMS Patient Care
Reports Based on order type Able to add patient or report type
detail & nurse acknowledgment
Patient Care Reports
REPORT NAME
Care Standards
WHERE TO FIND
HMS Patient Care
Reports PURPOSE
Override reason report NOTES
Pt. number, ordering physician, reason, date range, order set
3
10/17/2012
eMAR Reports
REPORT NAME
WHERE TO FIND
PURPOSE
NOTES
Administered Med eMAR Reports
Report
Reports based on Admin Date, Scheduled Date, & Med name
Sort by time frame, all users or user
Barcode Utilization eMAR Reports
Report
Were medications scanned? Not scanned? Why?
Sort by All, Medication level or Patient Level & by user
Late Dose Report
eMAR Reports
Sort by time frame, all users or user
Missed Dose Report
eMAR Reports
Sort by time frame, all users or user
Pharmacy Reports
REPORT NAME
WHERE TO FIND
PURPOSE
NOTES
Patient Missing Info Pharmacy Reports Menu II
Gather data on missing information
Includes Ht/Wt,
Creatinine
Clearance, & Allergies
Medication Profile Pharmacy Report Report
Menu I
Full Medication Can include/exclude Profile for encounter Home, Discharge, Transfer meds
Meaningful Use Reports
REPORT NAME
Quality Health,
Engage Patient
& Family and
Care Coordination
Generate Patient Lists
WHERE TO FIND
PURPOSE
NOTES
Health Information > Meaningful Use Reports Menu
Meaningful Use calculated reports Smoking Status,
CPOE Med orders, Problem List, etc…Option to include patient detail for audit
Health Information > Meaningful Use Reports Menu > Quality Health Menu
Fulfills meaningful use Stage 1 menu item for Generate Patient Lists
Will become a core item in stage 2, utilizes the same diagnosis and medication class groupings that CDS uses (OEMAINT2 menu)
4
10/17/2012
Meaningful Use Reports
REPORT NAME
Summary
Meaningful Use Measure Report
Quality Measures
Reporting‐ ED Throughput
WHERE TO FIND
PURPOSE
NOTES
Health Information > Meaningful Use Reports Menu
Summary of all calculated meaningful use measures
Summary without patient detail, allow report to complete before requesting again
Health Information > Meaningful Use Reports Menu > Meaningful Use Quality Measures Menu> ED Throughput Report
Report for the 2 required ED throughput measures
Review the patient detail to identify patients with missing detail, System will automatically stratify patients on the report based upon diagnosis codes
Meaningful Use Reports
REPORT NAME
WHERE TO FIND
PURPOSE
NOTES
VTE and Stroke Patient Worklists
Health Information > Meaningful Use Reports Menu>Meaningful Use Quality Measures Menu>VTE and Stroke Initial Patient Worklist
Identify patients that meet the criteria for VTE and Stroke quality measures based upon diagnosis, age, LOS, etc
‐Value code tables are behind the scenes to identify which patients qualify for a measure
‐Converted to an online work list for VTE in v10.1 and stroke in v11.0
‐Paper worklist is still accurate but pts will not drop off as the record is completed
Meaningful Use Reports
REPORT NAME
VTE and Stroke Measure Reports
WHERE TO FIND
Health Information > Meaningful Use Reports Menu>Meaningful Use Quality Measures Menu>Measure Descriptions
PURPOSE
NOTES
Reports numerator, denominator, and exclusions for each stroke and VTE quality measure
‐Each measure has its own report
‐Report should be generated prior to attestation for the entire reporting period
‐System uses algorithms defined by the measure steward
‐In stage 2, CQM will be performed by BI 5
10/17/2012
What reports should your facility retain and for how long for MU attestation?
1. It’s an Electronic Health Record incentive program‐
reports are available on the system if audited
2. Monthly reports forever
3. Reports used for attestation for 6 years
4. Don’t know
25%
1
25%
25%
2
3
25%
4
After attestation…What should I keep?
• Automated Measure Calculation Reports – showing the numerators and denominators for each of the meaningful use measures that are numerically based. Include or save a version of each calculated measure report WITH patient detail run for the entire 90 day reporting period since these are the numerator and denominators that will be used. It is important to keep that copy since the numbers could change slightly in the event that accounts need to be combined or separated for billing purposes.
• Clinical Quality Measures Reports – clinical quality measures must be reported “exactly as generated as output from the certified EHR technology.” You will have a total of 14 individual reports even if some of them are zeros on the stroke measures. • Clinical Decision Support Rule – perhaps a dated screen shot to show that a CDS rule was implemented for the reporting period.
After attestation…What should I keep?
• Evidence of your data exchange test – whether the test was successful or not. When you perform the Connex tests, your implementation person will show you where the file resides.
• Documentation of the security risk analysis you conducted – what you did, deficiencies you identified, corrective actions you took.
• Your test of the ability to submit immunization data and/or syndromic
surveillance data – either proof that you conducted the test or documentation that the registry/public health agency cannot electronically accept the data (if you claim that exclusion).
• The actual Patient List you generated (if you selected this menu measure). One should be adequate as it is easy to generate more if asked in an audit situation.
6
10/17/2012
CMS Audit Process as we know it…
• Letter will be sent on CMS letterhead
• 4 types of documentation
• Documentation from ONC showing that CERHT was used
• Information about the method used to report emergency department admissions
• Documentation for attestation of core set of MU criteria
• Documentation for attestation of the required number of menu set objectives
• 2 weeks to submit from time the letter is received
Questions?
Thank You
Survey
7
10/17/2012
Your level of satisfaction regarding the instructor’s level of knowledge/expertise.
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Extremely Dissatisfied
NA/No Opinion
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5
Your level of satisfaction regarding the instructor’s ability to present information clearly and thoroughly.
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NA/No Opinion
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5
Your level of satisfaction regarding the instructor encouraging questions and class participation.
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NA/No Opinion
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8
10/17/2012
The amount of practical information delivered that you will be able to use on your job.
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NA/No Opinion
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Would you suggest this class for 2013?
1. Yes
2. No
3. NA
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