1. CDSS, queries and statistics FLL July 2011 Claudia Wente-Waedlich

2. OverviewOverview CDSS – clinical decision support system Queries – medical selections, marketing selections, outcome analysis – with names … Statistics – numbers, numbers, numbers, …

3. Definition and relevance for stimulus CDSS CDSS – Clinical decision support system – Implement one clinical decision support rule relevant to specialty or high clinical priority along with the ability to track compliance with that rule. Implement one clinical decision support rule relevant to specialty or high clinical priority along with the ability to track compliance that rule Implement one clinical decision support rule CDS Module

4. CDSS features and functions CDSS (Clinical decision support system) – Building the filter criteria – Assembling the catalog for the different filters Purpose: – Patient education – Candidate filtering – Clinical studies – Clinical workflows – Medical programs – Stimulus requirement

5. Definition and relevance for stimulus Queries Queries: Generate patient lists by specific conditions to use for quality improvement, reduction of disparities, research, or outreach. Send patient reminders per patient preference for preventive/follow-up care. – Threshold:20% – Denominator: All patients 65 years or older or 5 years old or younger – Numerator:Letter “REMIND…..DOC” exists Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research or outreach Generate at least one report listing patients of the EP, eligible hospital or CAH with a specific condition Query function Send reminders to patients per patient preference for preventive/ follow up care More than 20% of all unique patients 65 years or older or 5 years old or younger were sent an appropriate reminder during the EHR reporting period Query function and letter

6. Queries features and functions Queries, medical selections: – Prepared selections -> e.g. day report – Individual selections -> medical selections New glaucoma drug How many diabetes patients are in the clinic stored Purpose: – What outcome analysis are needed? – How often are these analysis needed? – Stimulus requirements

7. Definition and relevance for stimulus Statistics Statistics: – Report ambulatory clinical quality measures to CMS or, in the case of Medicaid EPs, the States. (Not measured in Stimulus Dashboard) Report ambulatory clinical quality measures to CMS or the States For 2011, provide aggregate numerator, denominator, and exclusions through attestation as discussed in section II(A)(3) of this final rule; For 2012, electronically submit the clinical quality measures as discussed in section II(A)(3) of this final rule Automated measure calculation

8. Statistics features and functions Most documented observation classes Most documented diagnosis Most documented therapies Etc.

9. SoftwareSoftware Software Presentation