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Meaningful Use Workgroup Deeming Subgroup Paul Tang, Chair. March 19, 2013. Deeming. Demonstrate high (top 30 percentile) or improved performance (20% reduction of gap between last year's performance and top quartile):. Prevention of high priority disease (pick 2)
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Meaningful Use WorkgroupDeeming SubgroupPaul Tang, Chair March 19, 2013
Deeming Demonstrate high (top 30 percentile) or improved performance (20% reduction of gap between last year's performance and top quartile): • Prevention of high priority disease (pick 2) • Breast cancer (mammography screening) • Colon cancer (colonoscopy screening) • Influenza (flu vax) • Pneumonia (pneumococcal vaccine) • Smoking (smoking screening and follow up) • Obesity (BMI screening and follow up) • Cardiovascular disease (LDL screen) • HTN (BP screen and follow up) • Control of high priority chronic health condition (pick 2 from) • HTN (BP control or improvement) • Diabetes (A1c control) • Heart attack (LDL control) • Asthma (controller med) • CHF (ACEI or ARB meds) • MI (beta blocker) • Care coordination • Close the referral loop • Disparities • Pick 2 high priority conditions (from #1 or 2) and stratify population report by disparity variables
Items Deemed If good performer or improver, then deemed in satisfaction with: • Demographics • CPOE • CDS • eRx • Structured labs • Patient lists • Reminders • Electronic notes • Test tracking • Clinical summary • Patient education • VDT • Secure patient messaging • Reconcile problems, meds, allergies
Open Questions • Alignment with CAHPS? • http://cahps.ahrq.gov/clinician_group/cgsurvey/abouthealthinformationtechnologyitemset.pdf • http://cahps.ahrq.gov/clinician_group/cgsurvey/aboutpatientcenteredmedicalhomeitemset.pdf • Public health?