1. Meaningful Use Office Hours Focus: MU Reports – Patient Volume, MU Performance Measures, Clinical Quality Measures Moderators: Cecelia Rosales, Carmen Land & Richard Kashinski Meaningful Use National Team DNC (Contractors) for U.S. Indian Health Service OIT Last Updated: December 28, 2011

2. Today’s Agenda Demo of all three reports used in MU: –Patient Volume –MU Performance Measures –Clinical Quality Measures Questions & Answers Session is being recorded on WebEx Link to recording available on MU Listserv Combined PowerPoint will be on website

3. Finding the Patient Volume Reports From the Certified EHR program, click on the resources tab On the left, click on RPMS session Logon Select IHS Core Option: EXEC Administrative Systems Menu

4. Finding the Patient Volume Reports Select Third Party Billing System: 3P Select Reports Menu: RPTP Select MEANINGFUL USE REPORTS: MURP Select PATIENT VOLUME REPORTS: MUPV Select PATIENT VOLUME REPORTS Option: PVP

5. Running a Patient Volume Report Select facility(s) Select individual or group For individual, enter name(s) of EPs Enter the Participation Year for your report Enter Report Period type (Automated, 90- day, User Specified) For 90-day, enter the reporting period start date

6. Running a Patient Volume Report Enter Report type (Summary, Abbreviated, Patient List) Review Report Summary details Select to Print or Return to Selection Criteria Review Report results

7. Demo run - Patient Volume Report

31. Wait for report to run –Length of time depends on number of Patient encounters data for EP View report

32. Summary Report Page 5

33. Meaningful Use Office Hours Focus: Performance Measures Moderator: Carmen Land Meaningful Use National Team Business Analyst DNC (Contractor) for U.S. Indian Health Service OIT Last Updated: December 28, 2011

34. Stage 1 MU Performance Report MU PM Report does not verify CMS Medicare or Medicaid EHR Incentive Program participation eligibility. Important: this report can indicate Meaningful Use has been achieved by an EP or facility that is not eligible (or not yet registered) to participate in the program. Please speak to your Area Meaningful Use Coordinator for guidance in determining eligibility.

35. RPMS Roll and Scroll 1.Select IHS Kernel Option: CORE 2.Select IHS Core Option: APC (Patient Care Component) 3.Selection Patient Care Component Option: MANR (PCC Management Reports) 4.Select PCC Management Reports Option: MUR (Meaningful Use Performance Reports) 5.Choose MU1P to run report for Eligible Professionals or MU1H to run report for Eligible Hospitals/Critical Access Hospitals

36. MU Performance Reports

37. Establish Meaningful Use ‘Clean Date’ (MUCD) MUCD was created to allow sites to verify that EHR order check parameter settings related to MU PM Drug Interaction Checks are set correctly Sites should use the data to correct any discrepancies. The MU PM Report will fail one or more of its core elements until the parameters are set properly. When site is configured correctly, the MU ‘Clean Date’ will be set equal to that day’s date. Running the option again doesn’t reset the date. The initial clean date’ remains the same.

38. Establish Meaningful Use ‘Clean Date’ (MUCD) Ten Order Checks to be enabled and set to mandatory: 1.Allergy-Contrast Media Interaction 2.Allergy-Drug Interaction 3.Critical Drug Interaction 4.Dangerous Meds for Patients >64 5.Estimated Creatinine Clearance 6.Glucophage-Contrast Media 7.Glucophage-Lab Results 8.No Allergy Assessment 9.Allergy Unassessible 10.Renal Functions Over Age 65

39. Establish Meaningful Use ‘Clean Date’ (MUCD)

41. Full or Summary Report Selection

43. May generate full report or summary report. Full report includes the cover page and details on each Performance Measure along with corresponding logic. Full report also includes a summary report. Summary report does not include programming logic. Both reports display previous and current performance results as well as Stage 1 targets.

44. Report Period Selection May run report for full year or a 90-day period Both coincide with CMS program parameters The MU program for EPs runs on a calendar year

45. Report Period Selection Report can be run for any date; however, MU cannot be achieved with the RPMS EHR prior to its date of certification and installation.

46. Calculating Previous Period Option for 90-Day Report Period If user chooses to include previous period data, calculate data from the period immediately preceding the selected 90- day report period in the previous step. –If user selects June 1, 2011 – August 31, 2011, report will also display March 1, 2011 – May 31, 2011. –If user chooses not to include previous period, report will reflect “N/A” in the reports output.

47. Provider Selection

48. IP: Individual Provider User is prompted to enter provider name Full or summary report generated for designated provider SEL: Selected Providers User is prompted to enter multiple provider names Full or summary report generated for each provider TAX: Provider Taxonomy List User is prompted for the taxonomy list name Full or summary report generated for each provider on the list

49. Demo Patient Inclusion & Attestation

50. Attestation

53. Report to be Generated

54. Output Selection Choose from the following output selections: P Print Report on Printer or Screen D Create Delimited output file (for use in Excel) B Both a Printed Report and Delimited File At the “Device” prompt, specify the device to print/display the report. Bug in deliminated report: exclusion column is returning inconsistent results

55. Summary Report for MU Attestation Requirements Summary report –for each measure: # of instances in Denominator and Numerator where measure was applicable, include exceptions. Must use EHR to calculate measure - no manual calculations. CMS currently does not have the capability to receive data electronically for all measures, and so is only requiring attestation in the meantime.

56. Summary Report Intro (1)

57. Summary Report Intro (2)

58. Summary Report Cover Page

59. Summary Report Page 1

60. Summary Report Page 2

61. Summary Report Page 3

62. Summary Report Page 4

63. Summary Report Page 5

64. Meaningful Use Office Hours Focus: Clinical Quality Measures Moderator: Richard Kashinski Meaningful Use National Team Business Analyst DNC (Contractor) for U.S. Indian Health Service OIT Last Updated: December 28, 2011

65. Agenda Where to find the CQM report for EPs How to run the CQM report for EPs Demonstration run of CQM report for EPs

66. Where to find the CQM reports From the Certified EHR program, click on the resources tab On the left, click on RPMS session Logon Select IHS Kernel Option: 1 IHS Core Select IHS Core Option: GPRA IHS Clinical Reporting System (CRS) Main Menu

67. Where to find the CQM reports Select IHS Clinical Reporting System (CRS) Main Menu Option: CI11 CRS 2011 Select CRS 2011 Option: RPT Reports Select Reports Option: MUP Meaningful Use Clinical Quality Measure Reports

68. How to Run a CQM Report cont. Select Meaningful Use Clinical Quality Measure Reports Option: EP EP Clinical Quality Measures Report Stage 1 Enter the reporting period length for your report: 1 90-Days Enter the reporting period start date. Enter Date: 10/1/2010

69. How to Run a CQM Report cont. Enter the Baseline Year to compare data to. Use a 4 digit year, e.g. 1999, 2000 Enter Year (e.g. 2000): 2009 Which Eligible Provider: USER,SUPER Which set of Measures should be included in this report: CM Core Measures

70. How to Run a CQM Report cont. Do you want patient lists for any of the measures? N// N Select Beneficiary Population to include in this report: 3// 3 Select an Output Option: P// Print Report on Printer or Screen Device: Home// Virtual View report

71. Demo of running CQM report

88. Wait for report to run –Length of time depends on number of CQM measures and data for EP View report

89. IHS Meaningful Use: Contact Information Chris Lamer, Meaningful Use Project Lead, IHS (615) 669-2747 Chris.Lamer@ihs.govChris.Lamer@ihs.gov Cathy Whaley, Meaningful Use Project Manager, DNC (520) 622-2069 Catherine.Whaley@ihs.govCatherine.Whaley@ihs.gov Cecelia Rosales, Meaningful Use National Team Lead (505) 248-4359 Cecelia.Rosales@ihs.govCecelia.Rosales@ihs.gov Richard Kashinski, Meaningful Use National Team Business Analyst (505) 248-4359 Richard.Kashinski@ihs.govRichard.Kashinski@ihs.gov Carmen Land, Meaningful Use National Team Business Analyst (505) 248-4402Carmen.Land@ihs.govCarmen.Land@ihs.gov JoAnne Hawkins, Meaningful Use Field Team Lead (505) 767-6600 x1525 JoAnne.Hawkins@ihs.govJoAnne.Hawkins@ihs.gov

90. Questions? Discussion Time Sign up for the MU Listserv! More questions, contact us at: MeaningfulUseTeam@ihs.gov

91. MU Office Hours Join us each Wednesday at 1 p.m. Mountain Time 1 st Week: Medicaid Patient Volume Report 2 nd Week: MU Performance Measures Report 3 rd Week: Clinical Quality Measures Report 4 th & 5 th Week: Other MU topics (registration, certification, etc)