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All EHR's Are Not Created Equal
- 1. CareLogic Enterprise and Meaningful Use 2014 for Eligible Professionals Why all certified EHRs are not created equal.
- 2. CareLogic “User Centered Design” process Eligible Professional Measure specifications User Input Technical requirements Final Rules PRODUCT
- 3. Stage 2 Core Measure 17: Use Secure Electronic Messaging (DIRECT)
- 4. Secure Electronic Messaging: other vendor Log into Direct Messaging Application, type message , send 4
- 6. Stage 2 Core Measure 15: Summary of Care Record for each transition of careHIE (C-CDA)
- 7. Exchanging and sharing secure clinical information -HIE (CCD)- other vendors transmit Generate a C-CDA in EHR Download C-CDA to desktop and save Upload C-CDA to DIRECT portal Log into the DIRECT Portal
- 8. Exchanging and sharing secure clinical information -HIE (CCD)- CareLogic Generate a C-CDA in CareLogic (DIRECT capability incorporated within CareLogic)
- 9. Stage 2 Core 6 Clinical Decision Support Rules (CDSR) and Clinical Quality Measures (CQMS)
- 10. Clinical Quality Measures EP Selects NQFs that are relevant to his practice and population he serves. Based on the NQFs selected, CareLogic tells you what you will need to gather data for that NQF. The Agency maps what they use for each of these assessments during set up.
- 11. Clinical Decision Support Rules (CDSR) and CQMs -other vendors Problem List Medication List Med Allergy List Demographics Clinical Decision Support Rules Vital Signs CDSR Laboratory tests & values/results
- 12. Clinical Decision Support Rules (CDSR) and CQMS-Carelogic Medication List Suicide Risk Assessment Med Allergy List Smoking status Demographics CDSR CQMS PHQ-9 Vital Signs Depression Screen Laboratory tests & values/results Problem List Appraisal for alcohol or chemical use
- 13. Managing Demographics for compliance
- 14. Managing Demographics for Compliance-other vendors Fed values Federal state values State MU values Meaningful use
- 15. Managing Demographics for Compliance-CareLogic Values mapped in background CareLogic Federal State Meaningful use
- 17. Disclaimer It is important that each individual take responsibility for understanding of the final rules and regulations of the Medicaid and Medicare EHR Incentive Programs. Qualifacts Systems, Inc. offers these presentations as a service and makes every effort to provide accurate information. We make no claim that our information is complete or contains no inaccuracies. Under no circumstances shall anyone associated with Qualifacts Systems, Inc. be liable for any incidental, indirect, consequential or special damages or loss of any kind including those resulting from the expected incentives themselves. Qualifacts Systems, Inc. in no way considers itself the ultimate authority or expert on the final rules and regulations of the Medicare and Medicaid EHR Incentive Programs and expects that each individual will consult the state-specific Medicaid EHR Incentive Program website for their specific states rules and/or the CMS website for the EHR Incentive Program Rules. It is important that each Eligible Professional note that CMS views the EP as ultimately responsible for the numerator and denominator and their Medicaid Encounter volume as well as the data used for attestation on the measures of Meaningful Use. CMS has announced there will be audits. “There are numerous pre-payment edit checks built into the EHR Incentive Programs’ systems to detect inaccuracies in eligibility, reporting and payment. Post-payment audits will also be completed during the course of the EHR Incentive Programs.”
Editor's Notes
- According to KLAS research, 50% of ambulatory practices are looking to switch EHR systems.* Top reasons to make the change include an inability to achieve Meaningful Use, a lack of support, and unfulfilled promises from the vendor. Qualifacts is committed to not building features but building capability that (in the EHR) that supports the provider and his business processes to he can deliver greater quality services with enhanced safety and have greater ability to measure the outcomes of those services.
- The user of our competitors EHR will have to leave the EHR, log into the DIRECT application, type a message, then send the secure message to a peer or consumer. This user will then have to log back into the Direct Application to check for a response to his message.
- In CareLogic Enterprise MU 2014, the provider will be able to send a secure message peer to peer or to a consumer through their portal directly from the Carelogic EHR. The provider will receive the message from the peer or consumer within CareLogic Enterprise as well.
- Consolidated-Clinical Document Architecture (C-CDA) With other vendors who use a separate application for DIRECT (CARE CONNECT) , the user will have to create the c-cda in the EHR, save it to their desktop, then log into the DIRECT application or portal, upload the document and send it attached to a message. Then go back and delete the C-CDA from their desktop.
- In CareLogic, because the C-CDA and the DIRECT capability are part of the EHR, the user can generate a C-CDA and send it directly from CareLogic to a peer or external entity. Can also send it to a consumer. Each consumer will need their own DIRECT address. We plan to offer this as part of the portal.
- An EHR is required to make available problem list, medication list, medication allergy list, demographics, vital signs, and Laboratory tests & values/results. But, the eligible professional is required to integrate the CQMs into the clinical decision support rules. The CQMs require additional data types to be available in the clinical decision support rules (CDSR) set up. Other EHRs will not be adding these additional data types to the CDSR.
- CareLogic will have the minimum data types available in clinical decision support rules- problem list, medication list, medication allergy list, demographics, vital signs, and Laboratory tests & values/results- and will also have the data types required to support the clinical quality measures such as “suicide risk assessment”, “smoking status”, “PHQ-9”, “Depression Screening”, and an “Appraisal for Alcohol or chemical use”.
- Meaningful Use uses the federal descriptors for race, ethnicity, language, and smoking status. State reporting and other compliance agencies often use different descriptors. In other EHRs, the user has to capture the data differently for each compliance entity.
- CareLogic allows the user to use the meaningful use descriptors in the user interface and have mapped values in the background (set up once) manage the differences for the state and other compliance agencies.