1. Data Input Manual ACO Specific Quality Measures

2. Table of Contents Selection of Attributed ACO Patient…………………………………………………………...…….1 Section of Proper Provider…………………………………………………………………………………2 Input of Preventive Measures…………………………………………………………………………...3 1.Blood Pressure 2.Adult Weight Screening and Follow-up 3.Tobacco Use Status and Cessation 4.Influenza Vaccination 5.Fall Risk Assessment 6.Depression Screening 7.Pneumococcal Vaccination 8.Colorectal Screening 9.Mammography Screening 10.Medication Reconciliation Input of Diabetic Measures…………………………………………………………………….…………5 11. Blood Pressure 12. Tobacco Use Status 13. Hemoglobin A1c Control 14. Low Density Lipoprotein 15. Aspirin Use Input of Hypertensive Measure………………………………………………………………………..7 16. Blood Pressure Input of Coronary Artery Disease (CAD) Measures ……………….………………....……..9 17. Low Density Lipoprotein 18. ACE Inhibitor or ARB Therapy for patients with LVSD Input of Ischemic Vascular Disease (IVD) Measures.……………..…………………....…11 19. Complete Lipid Panel and LDL Control 20. Use of Aspirin or Another Antithrombotic Input of Heart Failure Measure……………………………………………………………………....13 21. Beta Blocker Therapy for LVSD

3. DocSite User Manual – ACO Measures 1 The initial step is to search for the proper patient. You will know if you are selecting the correct patient by the blue star. The star confirms that a patient belongs to your practice.

4. DocSite User Manual – ACO Measures 2 Next, on each patient you MUST assign a provider. This will ensure the proper physician gets credited for the work being done. Scroll to the Providers section on the main page. Once there, select Add New. While in the screen, select the proper clinician from the list on the left and the appropriate role on the right.

5. DocSite User Manual – ACO Measures 3 To begin data entry on your patient’s chart, start in the Online VP Entry Screen. Here is where you will find all of the measures. Note: you may have to scroll up and down the page to find these different measures. Preventative Measures 1)Blood Pressure 2)Adult Weight Screening and Follow-up 3)Tobacco Use Status and Cessation 4)Influenza Vaccination Continued… Preventative Measures

6. DocSite User Manual – ACO Measures 4 5) Fall Risk Assessment 6) Depression Screening 7) Pneumococcal Vaccination 8) Colorectal Screening 9) Mammography Screening 10) Medication Reconciliation

7. DocSite User Manual – ACO Measures 5 For patients with Diabetes, you will need to add the condition. Under Online VP Entry, select the Conditions tab and Add Diabetes. The Diabetic Measures are as follows 1)Blood Pressure 2)Tobacco Use Status 3)HBA1C 4)LDL Continued… Diabetic Measures

8. DocSite User Manual – ACO Measures 6 The final Diabetic Measure is for Aspirin Usage. This will need to be added to the patient’s medications list by selecting the Medications tab within the Online VP Entry screen. Here, simply select Add to add the medication. After addition of medication, you need to notate this within the measures. First, go to the Single Entry screen. Here you will need to notate the provider, then select Aspirin/Antiplatelets from the Measure and fill out accordingly below.

9. DocSite User Manual – ACO Measures 7 For patients with Hypertension (HTN), you will need to add the condition. Under Online VP Entry, select the Conditions tab and Add Hypertension (HTN). Hypertension (HTN) Measures

10. DocSite User Manual – ACO Measures 8 For your hypertensive patients, be sure to document their Blood Pressures. Go to the Online VP Entry and enter the appropriate data. Hypertension (HTN) Measures

11. DocSite User Manual – ACO Measures 9 For patients with CAD, you will need to add the condition. Under Online VP Entry, select the Conditions tab and Add CAD. CAD Measures

12. DocSite User Manual – ACO Measures 10 First, you need to notate Aspirin/Antiplatelete therapy within the measures. First, go to the Single Entry screen. Here you will need to notate the physician, then select Aspirin/Antiplatelets from the Measures list and document accordingly below. Also within the Single Entry screen, you will need to document ACE/ARB therapy. In the same manner as above, select ACE/ARB from the Measures list and document accordingly. CAD Measures

13. DocSite User Manual – ACO Measures 11 For patients with IVD, you will need to add the condition. Under Online VP Entry, select the Conditions tab and Add IVD. Ischemic Vascular Disease (IVD) Measures

14. DocSite User Manual – ACO Measures 12 The first IVD measure to be documented is LDL Control. Under the Online VP Entry, enter the appropriate data next to the LDL measure. Lastly, document your patient’s Aspirin/Antiplatelet therapy. Within Single Entry, select the Aspirin/Antiplatelets measure from the Measures list. Fill out the data accordingly. Remember to save your work! Ischemic Vascular Disease (IVD) Measures

15. DocSite User Manual – ACO Measures 13 For patients with Heart Failure, you will need to add the condition. Under Online VP Entry, select the Conditions tab and Add Heart Failure. Heart Failure Measures

16. DocSite User Manual – ACO Measures 14 For your patients with Heart Failure, you need to document Beta-Blocker Therapy. This is done by going to the Single Entry screen, selecting Beta Blockers from the Measures list, and documenting accordingly. Heart Failure Measures