How does TIME ONC (ARRA) Stage II Certification Benefit You? 9/22/2018 How does TIME ONC (ARRA) Stage II Certification Benefit You? R. Anne Webber, BSN, MHA, RN, CNN September 17, 2014

9/22/2018 Objectives State at least one aspect of the system security certification requirements Compare the efficiency of care transition reconciliation of medications, problem list and allergies using electronic patient summaries vs. your current processes Evaluate the utility of patient list reports for your facility 9/22/2018

9/22/2018 Objectives (Cont.) Describe how you will utilize TIME’s family health history application Define how your facility can assist physicians to meet meaningful use requirements while rounding/seeing home patients in the dialysis unit 9/22/2018

9/22/2018 Definitions ONC (ARRA) Stage II Certification – Set of requirements that must be met by EHR systems to qualify for MU Meaningful Use (MU) – Standards of physicians utilizing certified EHR system(s) in order to receive financial incentives or avoid penalties for not doing so Encounter (Visit) – Interaction between patient and physician/extender (with or without others present) 9/22/2018

MU Security Changes System Audit Report 9/22/2018 MU Security Changes System Audit Report Path: System Administrator > Security > System Audit Report Enter filter(s), search Can review all actions by user including viewing records with no changes New – audit item added when user copies print preview data to Notepad ONC Certified 9/22/2018

Care Transition C-CDA Document (Export summary) 9/22/2018 Care Transition C-CDA Document (Export summary) Additional control of information shared (SP21) Additional control of shared data date range Requires secure exchange set up Reconciliation for allergies, medications and problem list Path: medical records, >>> 9/22/2018

Patient Lists Reports - Constraints 9/22/2018 Patient Lists Reports - Constraints Demographics (Age, Gender, Race, Ethnicity) Problem List (with our without) Medications (with or without, including immunizations administered) Lab Results (multiple tests, latest, trend, range, <, >, missing) Allergies (has, doesn’t have) Reports with one or combination of constraints (Sample Reports) 9/22/2018

Patient List Examples Patients with active ESA order and HGB >12 9/22/2018 Patient List Examples Patients with active ESA order and HGB >12 Patients without flu vaccine in last 4 months Missing Hep B antibody and problem of Hep B protected in specified time frame Your ideas? 9/22/2018

Assisting Physicians to Meet MU 9/22/2018 Assisting Physicians to Meet MU Physician referral recruitment / retention Incentives vs. penalties Physicians must document via EHR for over 50% of their encounters Some physician’s dialysis encounters represent >50% of their patient visits Dialysis rounding encounters ‘count’ for MU by provider (physician/PA/NP) Physician Note Summary Report - enhancements 9/22/2018

Physician Note Summary Enhancements 9/22/2018 Physician Note Summary Enhancements Constrain by physician (include each member of shared rounding group) Report changes (SP22): Sorts by dialysis facility, then patient Displays template name (visit type – monthly or weekly), physician and date/time of each visit 9/22/2018

Family Heath History Application 9/22/2018 Family Heath History Application New application in SP21 Optional application Enter each family member Problem list List is configurable via Health Conditions Configuration screen Date of death (or age at death) Death reason 9/22/2018

Demos Care Transitions Patient Lists Family History Application 9/22/2018 Demos Care Transitions Patient Lists Constraints Alerts Running Report Family History Application 9/22/2018

9/22/2018 Resources Questions? 9/22/2018