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CQS GPRO Web Reporting Tool Webinar #3

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A Connected Community of Health | Copyright © 2013 Allscripts Healthcare Solutions, Inc.

CQS GPRO Web Reporting Tool

Webinar #3

January 2016

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A Connected Community of Health | Copyright © 2013 Allscripts Healthcare Solutions, Inc. 2

Agenda

GPRO Web Tool Prep

– Preparing to access the GPRO Web Tool

– Skipped Patients

– XML Files

Patient Matching

CQS GPRO Web Reporting Tool Walk-Through

2015 Measure Considerations

Notable Recommendations

Next Steps

Release

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A Connected Community of Health | Copyright © 2013 Allscripts Healthcare Solutions, Inc. 3

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A Connected Community of Health | Copyright © 2013 Allscripts Healthcare Solutions, Inc. 4

Preparing to Access GPRO Web Reporting Tool

You will need to access the

CQS

Production Database server

as

an Administrator

– The Tool will be placed on your CQS Prod DB server under the Admin/Support Username that was created during implementation

• If you do not know the Admin/Support account that was created during implementation we can provide it

• Request this information via your GPRO Web Reporting Tool case in SupportForce

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A Connected Community of Health | Copyright © 2013 Allscripts Healthcare Solutions, Inc. 5

GPRO Web Tool Prep: Skipped Patients

Skip patients that are deceased or otherwise “not

qualified for the sample” directly in the CMS Portal so

that the Tool doesn’t process those patients when

updating the XMLs

To be done before you download the XML files which will be processed in the Tool

– The GPRO Web Tool does not stop at a defined number of patients

– The GPRO Web Tool updates all fields that it can based on all matched patients which means that CQS might fill in data for more than the required number of patients

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A Connected Community of Health | Copyright © 2013 Allscripts Healthcare Solutions, Inc. 6

GPRO Web Tool Prep: XML Files

Save the Patients XML and Patient Medication XML files from

CMS on your

CQS Production Database Server

(where we will

place the Tool for you)

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A Connected Community of Health | Copyright © 2013 Allscripts Healthcare Solutions, Inc. 7

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GPRO Web Reporting Tool:

Patient Matching

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A Connected Community of Health | Copyright © 2013 Allscripts Healthcare Solutions, Inc. 8

Patient Matching Considerations

1.

Rename saved Patient Matching Reports

– Recommend adding date and Patient Matching criteria used in saved file name

2.

It is unlikely that CQS will match 100% of all patients

There may not be alignment between the CMS-provided patient

list and what is in the EHR/CQS

Match rate will be related to the data in EHR/PM/CQS

3.

Option 3 (HIC Match or Last Name + DOB Match) may

be the best option for some organizations

Sometimes a Patient HIC may change at the beginning of the

year

PCC and the GPRO Web Tool will use the current insurance/HIC

information

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A Connected Community of Health | Copyright © 2013 Allscripts Healthcare Solutions, Inc. 9

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GPRO Web Reporting Tool:

Walk-Through

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A Connected Community of Health | Copyright © 2013 Allscripts Healthcare Solutions, Inc. 10

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GPRO Web Reporting Tool:

2015 Measure Considerations

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A Connected Community of Health | Copyright © 2013 Allscripts Healthcare Solutions, Inc. 11

CARE-3: Medication Reconciliation

Pre-populated visit dates

– GPRO Web Tool verifies CMS pre-filled visit dates

– CMS guidelines = Med Rec done 2 days before & after

– GPRO Web Tool checks 5 days around CMS pre-populated date

Decide whether clicking “Med Rec” in EHR = “Meds documented”

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A Connected Community of Health | Copyright © 2013 Allscripts Healthcare Solutions, Inc. 12

PREV-5: Breast Cancer Screening

CMS Documentation/Verbiage Inconsistent

27-month look-back period for Mammogram

– GPRO Web Tool looks for Mammo between 10/1/13 - 12/31/15

Pilot group finding: SNOMED code (Bilateral

Mastectomy) inaccurately linked to “Unspecified

Mastectomy” problem in TWEHR

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A Connected Community of Health | Copyright © 2013 Allscripts Healthcare Solutions, Inc. 13

PREV-10: Tobacco Screening & Cessation

CQS picks up the most recent assessment

– If the most recent assessment on an active problem was done in 2016, the GPRO Web Tool will not be able to identify that assessments were done in 2014 or 2015 and would register that the tobacco screening was not done

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A Connected Community of Health | Copyright © 2013 Allscripts Healthcare Solutions, Inc. 14

GPRO Web Reporting Tool: Recommendations

1. Identify skipped patients before downloading Patients XML and Patient Medications XML files from the CMS GPRO Web Portal and saving on your CQS Prod DB Server

-

Tool will fill in data for all patients with a “Yes” match

2. Make and save copies of your “clean” Patients and Patient Discharge XML files before using in the CQS GPRO Web Tool

– If you inadvertently run the “Report & Update” job, you cannot go back and undo it

– If a “clean” copy of the XML files are not saved to another location, you will need to go back to the CMS GPRO Web Portal and download a new set of XML files

3. Rename saved Patient Matching Reports

– With Patient Matching criteria used in saved file name

4. Validate Clinical Data prior to submission to CMS

- Upload and review updated XML files in the CMS GPRO Web Portal

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A Connected Community of Health | Copyright © 2013 Allscripts Healthcare Solutions, Inc. 15

Next Steps

If you have a Change Control Policy in place

:

1. Post a comment via your GPRO Web Reporting Tool case on

SupportForce (SF) to notify TP not to install the Tool without approval

2. Submit your internal request for approval to install the CQS GPRO Web Reporting Tool ASAP

3. Update your GPRO Web Reporting Tool case informing TP approval to install the Tool has been obtained

Ensure your SecureLink gatekeeper will be open the

week of January 25

th

Submit questions regarding Reporting Tool via

Reporting Tool case

Review previous GPRO Web Reporting Tool Webinars

as needed

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A Connected Community of Health | Copyright © 2013 Allscripts Healthcare Solutions, Inc. 16

GPRO Web Reporting Tool: Release

• GPRO Web Reporting Tool is scheduled for release the week of January 25th

• TP will attach the CQS GPRO Web Reporting Tool User Guide to your Reporting Tool ticket

• TP will update your Reporting Tool SupportForce case once the Tool has been successfully installed

• Perform Patient Matching ‘Report’ function iteratively until you are satisfied with your unique patient matches

• Run the ‘Report & Update’ function to update XML files with clinical data

• After running the ‘Report & Update’ function of the Tool:

– Upload updated Patients XML & Patient Medications XML files to the CMS GPRO Web Portal

– Complete data validation and update data if needed directly in the CMS GPRO Web Portal

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A Connected Community of Health | Copyright © 2013 Allscripts Healthcare Solutions, Inc. 17

Resource Materials

2015 CQS GPRO Web Reporting Tool website

– http://www.teampraxis.com/cqs-training/2015-cqs-gpro-web-interface-reporting-tool/

2015 CQS GPRO Web Reporting Tool User Guide

– To be attached to your GPRO Web case on SupportForce

CMS GPRO Web Interface website

– https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/pqrs/gpro_web_interface.html

2015 CMS GPRO Web Interface User Manual

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A Connected Community of Health | Copyright © 2013 Allscripts Healthcare Solutions, Inc. 18

http://www.teampraxis.com/cqs-training/2015-cqs-gpro-web-interface-reporting-tool/ https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/pqrs/gpro_web_interface.html https://www.qualitynet.org/imageserver/pqri/gpro/GPROWebHelp/index.htm

References

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