Advance Directives

Configuring RPMS-EHR for Meaningful Use Resource Patient Management System Advance Directives

Presenters: Gayle Townsend PositionTitle Jan Chase, RHIT PositionTitle Angela Flanagan, BSN, RN, CDE OIT EHR Nurse Consultant David Taylor, MHS, RPh, PA-C, RN IHS/OIT EHR Training and Deployment Manager Advance Directives

MU Objective “Record advance directives for patients 65 years old or older.” - 42 CFR Part 495.6,(e)(2)(i) Advance Directives

Applicability • Eligible Hospitals • Critical Access Hospitals (CAH) Advance Directives

Training Objectives • Document advance directives in both Patient Registration and TIU note titles. Advance Directives

MU Measure Type of Measure: Rate Advance Directives

Threshold More than 50% of all unique patients 65 years old or older admitted to the EH’s or CAH’s inpatient department (POS 21) during the EHR reporting period have an indication of an advance directive status recorded as structured data. Advance Directives

RPMS Reporting Logic Denominator Inclusions: COUNT: each patient HAVING: an age of 65 years or older on date of admission AND HAVING: one or more admission dates to a hospital's or CAH's inpatient department (POS 21) during the EHR reporting period, defined as Service Category of H Advance Directives

RPMS Reporting Logic Numerator Inclusions: COUNT: each patient in the Denominator WHERE: structured data is present indicating one or more of the following conditions: • Anote title in the TIU Document Class "Advance Directive.“ • An Advance Directive value of "Yes" or "No" Advance Directives

RPMS Reporting Logic Measure Exclusion: • Eligible hospitals and CAHs who have no patient admissions for patients with an age of less than 65 years on date of admission during the EHR reporting period are excluded from this measure. Advance Directives

Configure RPMS Advance Directives

Configure EHR Advance Directives

Evidence of Functionality Advance Directives

Questions & DiscussionDemonstration Advance Directives

Advance Directives