Meaningful Use
Performance Measures Report
Donna St Cyr, James Croft,
JoAnne Hawkins
Data Networks Corporation
Contractors for U.S. Indian Health
Service
Goals
•
At the end of this session, participants should be
able to
:
• Understand which reports are available to run for
Eligible Professionals (EP)
• Understand which reports are available to run for
Eligible Hospitals and Critical Access Hospitals
(EHs/CAHs)
• Be familiar with attestation and exclusion questions
• Run MU Performance Measure Report for EPs
APCM v2.0 P4
Eligible Professionals
Eligible Hospitals
Stage 1, 2014
13 Core Objectives
5 of 9 Menu Set
9 CQMs* (3 across 6 domains)
Stage 1, 2014
11 Core Objectives
5 of 10 Menu Set
16 CQMs* (3 across 6 domains)
Stage 2, 2014
17 Core Objectives
3 of 6 Menu Objectives
9 CQMs* (3 across 6 domains)
Stage 2, 2014
16 Core Objectives
3 of 6 Menu Objectives
16 CQMs* (3 across 6 domains)
Enhancements
• Additional reporting period selections
• Respond to attestation and exclusion
questions for multiple providers
• Summary output changes
• Ability to run EH reports by observation or
ED method
2014/2015 Performance Measure Reports
******************************************** ** PCC Management Reports ** ** Meaningful Use Performance Reports ** ********************************************
IHS PCC Suite Version 2.0
2013 DEMO HOSPITAL
S111 Meaningful Use 2011 Stage 1 Performance Reports ... S113 Meaningful Use 2013 Stage 1 Performance Reports ...
S114 Meaningful Use 2014/2015 Stage 1 Performance Rpts ...
S214 Meaningful Use 2014/2015 Stage 2 Performance Rpts ...
2014/2015 Stage 1 MU Reports
********************************************** PCC Management Reports ** ** Meaningful Use Performance Reports ** ** 2014/2015 Stage 1 Performance Reports ** ********************************************
IHS Performance Measure Reports Version 2.0 (Patch 4)
2013 DEMO HOSPITAL
M14P 2014/2015 Stage 1 MU Performance Report - EPs
PL14 2014/2015 Stage 1 MU Patient Lists - EPs
M14H 2014/2015 Stage 1 MU Performance Report - Hospitals HL14 2014/2015 Stage 1 MU Patient List - Hospitals
2014/2015 Stage 2 MU Reports
********************************************** PCC Management Reports ** ** Meaningful Use Performance Reports ** ** 2014/2015 Stage 2 Performance Reports ** ********************************************
IHS Performance Measure Reports Version 2.0 (Patch 4)
2013 DEMO HOSPITAL
M24P 2014/2015 Stage 2 MU Performance Report - EPs PL24 2014/2015 Stage 2 MU Patient Lists - EPs
M24H 2014/2015 Stage 2 MU Performance Report - Hospitals HL24 2014/2015 Stage 2 MU Patient List - Hospitals
Reporting Period Selections
Select one of the following:
1 Quarter: January 1 - March 31
2 Quarter: April 1 - June 30
3 Quarter: July 1 - September 30
4 Quarter: October 1 - December 31
5 User Defined 90-Day Report
6 User Defined Date Range
Select Report Period: (1-6):
Select one of the following:
1 Quarter: October 1 - December 31
2 Quarter: January 1 - March 31
3 Quarter: April 1 - June 30
4 Quarter: July 1 - September 30
5 User Defined 90-Day Report
6 User Defined Date Range
Select Report Period: (1-6):
Attestation and Exclusions
Attestation
1.
Clinical Decision Support (EP
and EH)
2.
Drug to Drug – Drug to Allergy
interaction checks (EP and EH)
3.
Protect Electronic Health
Information (EP and EH)
4.
Patient List (EP and EH)
5.
Summary of Care (EP and EH)
6.
Immunization (EP and EH)
7.
Syndromic Surveillance EP and
EH)
8.
Specialized Registry (EP)
9.
Reportable Lab Results (EH)
Exclusion
1.
Patient Electronic Access (EP
and EH)
2.
e-Prescribing (EP)
3.
Vital Signs (EP)
4.
Secure Messaging (EP)
5.
Summary of Care (EP)
Ability to Respond for Multiple Providers
For Example:
Clinical Decision Support Rule Attestations: Five clinical decision support interventions related to four clinical quality measures and high-priority health conditions within your scope of practice were implemented at a relevant point in patient care for the entire EHR reporting period.
• Do all selected providers included in this report attest to this? YES//
Were drug-drug and drug-allergy interaction checks turned on for the entire EHR reporting period?
• Do all selected providers included in this report attest to this? YES//
•
Note: This will not work for the Vital Signs measure. Each question will have
to be answered for each provider individually.
Hospital Report
Observation Method vs. All ED Method
• Ability to report based on different denominator
method
Select one of the following:
E All Emergency Department
O Observation Method
Observation Services Method
vs. ED Method
•
The all emergency department method:
• Includes all patients admitted to the inpatient
department (POS 21) either directly or through the
emergency department and all patients receiving
services in the emergency department (POS 23)
•
The observation services method:
• Includes all patients admitted to the inpatient
department (POS 21) either directly or through the
emergency department and patients who initially
present to the emergency department (POS 23) and
receive observation services
• Note: Patients who receive observation services under both
the outpatient department (POS 22) and emergency
department (POS 23) are included in the denominator under
this method.
ED Denominator vs. Observation
ED Method denominator:
1.
A hospitalization, defined as Service Category of H
2.
An emergency department visit defined as clinic code of
Emergency Department-30 and a Service Category of A
Observation Method denominator:
1.
A hospitalization, defined as Service Category of H
Performance Measure Report
*** IHS 2014/2015 Stage 2 Meaningful Use Performance Measure Report for EPs *** Provider Name: FORM, BENNY P
Report Period: Mar 12, 2014 to Mar 12, 2014
--- STAGE 2 2014/2015 EP MEANINGFUL USE PERFORMANCE REPORT SUMMARY MENU SET MEASURES (EPs must meet 3 out of 5)
--- Current Excl
Performance Measures Target Rate Num Den Met
---
1. Syndromic Surveillance*+ Yes N/A N/A N/A Yes
2. Electronic Notes >30% 0.00% 0 0 N/A
3. Imaging Results >10% 0.00% 0 0 Yes 4. Family Health History >20% 0.00% 0 0 No
5. Report to Specialized Reg*+ Yes N/A N/A N/A Yes
* Indicates Public Health Performance Measure.
