Professional Documents
Culture Documents
What is a "Unique Patient”?
• Patient may have multiple encounters
within a reporting period
• In Meaningful Use statistics report, patient
will only be counted one time
CPOE‐Medication Orders
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4/12/2011
Pharmacy OE
Drug‐Drug/Drug‐Allergy
Interaction Checks
Drug Formulary Checks
• Indications to clinician if drug is non-
formulary
• Shown in red in IV and UD order entry in
CPOE
• Pharmacy OE has column on right side
w/indicator
• Column w/“Yes” or “No” indicator for Home
Medication lists
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4/12/2011
Drug‐Formulary Interaction Checks
Home Medication List
w/Formulary Indicator
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4/12/2011
Maintain Problem List
Free Text
Will Not be Counted in MU Statistics
Status List
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4/12/2011
Active Medication List
• May be viewed in Patient Care, eMAR,
Clinical View and Pharmacy application
• If eMAR is not installed, but Patient Care
is Medication List is viewed from Patient
is,
Care worklist
• Flag for “No Meds Prescribed”
Med List in Clinical View
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4/12/2011
Active Medication Allergy List
• Entered/maintained in Clinical History
Profile
• Stored in Medical Record
– May
M copy ffrom “Previous
“P i E
Encounter”
t ” on
subsequent admissions
• With HMS Connex, may be imported from
other provider
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4/12/2011
Record Demographics
• More than 50% of unique patients
admitted to hospital have demographics
recorded as structured data
• Data captured at registration
registration--Preferred
Preferred
Language, Gender, Race, Ethnicity, Date
of Birth
• Date & Preliminary Cause of Death in
event of mortality
Record Vital Signs
• More than 50% of unique patients age 2
and over admitted to eligible hospital—
record height, weight and blood pressure
as structured data
• Calculate and display BMI—system
calculation when height and weight are
entered via CHP
• Plot and display growth charts for children
2-20 years
Record Smoking Status
• More than 50% of unique patients 13
years and older admitted to eligible
hospital
• New “Wellness”
Wellness tab in CHP
• May add to Admission Database with CHP
response type
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4/12/2011
Provide Patients with Electronic
Copy of Health Information
• More than 50% of patients in inpatient or
emergency department of hospital who
request electronic copy of health record
are provided it within 3 business days
• Includes diagnostic test results, problem
list, medication lists, medication allergies
and discharge summary & procedures
• Need Clinical View and/or Patient Care
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4/12/2011
Patient Request for
Discharge Summary
• More than 50% of patients (IP or ED) who
request electronic copy of discharge
instructions are provided one
• Discharge Plan available in PC
documentation and included on Discharge
Summary
• New options in PC and CV (Documents
provided.)
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4/12/2011
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4/12/2011
Record Advance Directives
• More than 50% of patients 65 years or
older admitted to hospital have indication
of and advance directive status recorded
• Registration process provides process for
flagging
• May be entered through Clinical History
Profile
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4/12/2011
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4/12/2011
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4/12/2011
Clinical Lab Tests
• More than 40% of clinical lab tests with
results in positive/negative or numeric
format are incorporated into EHRs as
structured data
• HMS Result Reporting
Numeric Results‐‐GUI
Numeric Results‐‐JAVA
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4/12/2011
Text Results‐‐GUI
Text Results‐JAVA
Provide Education Resources‐10%
• May print patient education for
medications from eMAR and Pharmacy
• Exit Care
• PC Di
Discharge
h Pl
Plan may bbe structured
t t d ffor
educational purposes
• Documentation of Patient Education
provided with new functionality in 9.2
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4/12/2011
Medication Reconciliation
• 50% of patients admitted to eligible
hospital’s or CAH’s inpatient or emergency
department had MR completed
• Home Medication Reconciliation through
eMAR, Clinical View and CHP
• Discharge/Transfer Med List-field to verify
reconciliation
• Flags for “No Home Meds” or “None”
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4/12/2011
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4/12/2011
Provide Summary of Care Record for
50% of Transitions/Referrals
• Discharge/Transfer Summary Report
Capability to Exchange Clinical
Information
• Perform at least one test of certified EHR
technology’s capacity to exchange key
clinical information
Conduct Security‐Risk Analysis
• Conduct or review security risk analysis
per 45 CFR 164.308(a) and implement
security updates as necessary and correct
identified security deficiencies as part of
risk management process
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4/12/2011
Submit Immunization Data
• Perform at least one test of certified EHR
technology’s capacity to submit electronic
data to immunization registries and follow
up submission if test is successful
• State Registry must be prepared to
receive data
Submit Lab Results to Public Health
Agencies
• Perform at least one test of certified EHR
technology’s capacity to provide electronic
submission of reportable lab results to
public health agencies and follow up
submission if test is successful
Submit Electronic Syndromic
Surveillance Data to PH Agency
• Performed at least one test of certified
EHR technology’s capacity to provide
electronic syndromic surveillance data to
PH agencies and follow-up
follow up submission if
test is successful
• Exception: Agency does not have
capacity to receive information
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4/12/2011
Questions???
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