Michelle Pichardo, MPH Institute for Family Health Quality Reporting: How to Get the Data you Want?

Primary team members CIO - Weston Willett CMIO - Joseph Lurio MD Sr. Applications Engineer - Jonah Piascik, Leigh Garvey Clinical Analysts - Stephnie Cargill-Skeeling RN, Rachel Berg, Adam Szerencsy DO Business Systems Manager - Alison Meyers Quality Reporting Analyst - Kwame Kitson MD Director of Billing/ AR Analyst - Kathleen Creswell

No more searching for lost charts, or waiting for someone to return a chart, or figuring out what that says!

Endless reporting possibilities

Where to start?

Structured data can be complex

Define basic information from the EHR Patient identification Demographics Insurance type Visit information Problem list/diagnoses Orders, meds, procedures, labs

Meeting multiple types of reporting requests Clinical Financial Operational Local, state, and national agencies Private Funders Research

Developing a report specification document Identify the specific parameters. Share with project team Review a test run of the report

Childhood immunization measure Numerator:  Number of children <= 2yrs of age as of 12/31/08 who have received all of the following immunizations - 4 DTP/DTap, 3 IPV, 1 MMR,3 Hib, 3 HepB, 1 VZV, and 4 Pneumoccocal conjugate within the reporting period (1/1/08 thru 12/31/08). Denominator:  Number of all children <=2yrs of age as of 12/31/08 with at least one medical encounter during the reporting period (1/1/08 thru 12/31/08).

Additional criteria to consider:  Were born on or after January 1, 2006 and on or before December , and  Were first seen by the clinic prior to their second birthday, and  Were seen for a medical encounter at least once during 2008  Include all children meeting this criterion regardless of whether or not they came to the clinic specifically for vaccinations or well child care.  Children who had a contraindication for a specific vaccine should be excluded

Immunization CPT code mapping --DTP/DTap (4 dose schedule) ot.CPT_CODE IN ('90700','90701','90701','90720','90721','90723','90698') --IPV (3 dose schedule) or ot.CPT_CODE IN ('90712','90713','90723','90698') --MMR (1 dose schedule) or ot.CPT_CODE IN ('90707','90710') --Hib (3 dose schedule) or ot.CPT_CODE IN ('90645','90646','90647','90648','90720','90721','90737','90748','90698') --HepB (3 dose schedule) or ot.CPT_CODE IN ('90636','90723','90731','90740','90743','90744','90745','90746','90747','90748') --VZV (1 dose schedule) or ot.CPT_CODE IN ('90710','90716') --Pneumococcal (4 dose schedule) or ot.CPT_CODE IN ('90669','90732')

Other key points Set reporting priorities Participate in team member meetings Maintain good documentation