Objective
Use secure electronic messaging in the EHR to effectively communicate with patients on relevant health matters.
Description
At least one secure electronic message sent to the eligible provider (EP) by more than 5% of unique patients (or their representatives) using the secure messaging functionalities of the EHR.
Performance metric
Denominator
Count of unique patients with an Office Visit and/or Office Visit Prev. Med. and/or Prenatal Visit and/or Telemedicine Visit type clinical encounter associated with a given provider ID within the reporting date range.
Numerator
Portion of the denominator where the EP has received a message from the patient (or his/her representative) from Web View or the RelayHealth portal.
Ratio
The resulting percentage must be more than 5%.
Exclusions
Any EP who:
• has no office visits during the EHR reporting period.
• conducts 50% or more of his/her patient encounters in a county that does not have 50% or more of its housing units with 3 Mbps broadband availability according to the latest information available from the FCC on the first day of the EHR reporting period.
Important notes
Web View or the RelayHealth portal must be installed and fully integrated to meet this objective successfully.
Patients with access (username and password) to Web View or the RelayHealth portal will be the only ones who have the ability to send a secure message to providers.
The denominator for this objective includes all unique patients seen by the EP during the reporting period, not just those who have been given access to Web View or the RelayHealth portal.
McKesson recommends that ALL patients be set up with access to the web portal with a username and password as best practice. To encourage your patients to use the portal to send a message to
Configuration Chapter 17 - Core Objective 17 - Secure Message from Patient
the EP, consider initiating a message to all patients (for example, as a follow-up after each visit).
This practice has proven to elicit higher rates of response from the patients.
Configuration
Provider Maintenance
Providers may designate operators other than themselves to receive secure messages from patients.
To designate another operator to receive secure messages from patients:
1. Select Maintenance > Providers. The Providers Maintenance Select screen appears.
2. Select the appropriate provider and click the Edit button. The Provider Maintenance Edit screen appears.
Figure 113. Provider Maintenance Edit screen 3. Select the Records tab.
4. Enter an operator ID in the Operator ID for Download Messages field and click the OK button.
Chapter 17 - Core Objective 17 - Secure Message from Patient Web View Audit Trail
Access Levels > Reports > General Reports > Web View Audit Trail report Access Levels > General tab > External Systems/Proxy Settings
Steps to access/edit access levels have not changed since previous versions of the product. Follow the same steps as before.
Web View Audit Trail
The Web View Audit Trail report allows operators to view the details of patients who have sent a secure message to a provider in Web View.
To generate the Web View Audit Trail report:
1. Select Reports > Web View Audit Trail. The Web View Audit Trail Report screen appears.
Figure 114. Web View Audit Trail Report screen 2. Enter the provider and date range.
3. In the Event Type section, select all of the desired check boxes.
4. Click the OK button and follow the prompts to generate and print the Web View Audit Trail report.
NOTE: This report is for information and internal tracking purposes. You do not have to run this report to generate the numerator or denominator for the performance metric. No further
configuration is required.
Obtaining and saving a RelayHealth certificate
If RelayHealth patient portal is used, a RelayHealth digital certificate and password is necessary to complete the configuration. This usually is provided to a practice/organization by the RelayHealth portal implementation team.
RelayHealth Secure Messaging Metrics Chapter 17 - Core Objective 17 - Secure Message from Patient
If you do not have the certificate, contact your account manager, VAR, or the Practice Partner support team.
For detailed instructions on saving the certificate to the application server, see the RelayHealth Certificates topic in the online help.
RelayHealth Secure Messaging Metrics
This feature in the External Systems menu imports data with details of patients who have logged in to the RelayHealth portal to view, download, and/or transmit various items from their health records.
To generate RelayHealth Secure Messaging Metrics:
1. Select Maintenance > Setup > External Systems. The External Systems screen appears.
2. Select RelayHealth Secure Messaging Metric and click the Edit button. The RelayHealth Secure Messaging Metrics screen appears.
Figure 115. RelayHealth Secure Messaging Metrics screen 3. Select the Schedule Active check box.
4. Enter a date in the Beginning field and the desired interval in the Runs Every field.
Chapter 17 - Core Objective 17 - Secure Message from Patient End user training (for patients)
6. Click the Choose Certificate button and follow the prompts to select the RelayHealth digital certificate saved as per instructions (in the online help).
7. Enter the password in the Password field.
8. Click the OK button to save the changes.
End user training (for patients)
Train all patients to log into their Web View or RelayHealth portal and create and send message to their providers.
No other tasks are required.
Notes
Once the configurations have been completed, when a provider receives a message from a patient via Web View or the RelayHealth portal, it is “flagged” automatically in the database. The
numerator for the metric will reflect this when the EHR Performance Metrics report is run.
Notes Chapter 17 - Core Objective 17 - Secure Message from Patient