Data Input Manual ACO Specific Quality Measures

1. Data Input Manual ACO Specific Quality Measures

2. Table of Contents • Selection of Attributed ACO Patient…………………………………………………………...…….1 • Section of Proper Provider…………………………………………………………………………………2 • Input of Preventive Measures…………………………………………………………………………...3 • Blood Pressure • Adult Weight Screening and Follow-up • Tobacco Use Status and Cessation • Influenza Vaccination • Fall Risk Assessment • Depression Screening • Pneumococcal Vaccination • Colorectal Screening • Mammography Screening • Medication Reconciliation • Input of Diabetic Measures…………………………………………………………………….…………5 11. Blood Pressure 12. Tobacco Use Status 13. Hemoglobin A1c Control 14. Low Density Lipoprotein 15. Aspirin Use • Input of Hypertensive Measure………………………………………………………………………..7 16. Blood Pressure • Input of Coronary Artery Disease (CAD) Measures ……………….………………....……..9 17. Low Density Lipoprotein 18. ACE Inhibitor or ARB Therapy for patients with LVSD • Input of Ischemic Vascular Disease (IVD) Measures .……………..…………………....…11 19. Complete Lipid Panel and LDL Control 20. Use of Aspirin or Another Antithrombotic • Input of Heart Failure Measure……………………………………………………………………....13 21. Beta Blocker Therapy for LVSD

3. The initial step is to search for the proper patient. You will know if you are selecting the correct patient by the blue star. The star confirms that a patient belongs to your practice. DocSite User Manual – ACO Measures

4. Next, on each patient you MUST assign a provider. This will ensure the proper physician gets credited for the work being done. Scroll to the Providerssection on the main page. Once there, select Add New. While in the screen, select the proper clinician from the list on the left and the appropriate role on the right. DocSite User Manual – ACO Measures

5. Preventative Measures To begin data entry on your patient’s chart, start in the Online VP Entry Screen. Here is where you will find all of the measures. Note: you may have to scroll up and down the page to find these different measures. • Preventative Measures • Blood Pressure • Adult Weight Screening and Follow-up • Tobacco Use Status and Cessation • Influenza Vaccination • Continued… DocSite User Manual – ACO Measures

6. 5) Fall Risk Assessment 6) Depression Screening 7) Pneumococcal Vaccination 8) Colorectal Screening9) Mammography Screening 10) Medication Reconciliation DocSite User Manual – ACO Measures

7. Diabetic Measures For patients with Diabetes, you will need to add the condition. Under Online VP Entry, select the Conditions tab and Add Diabetes. • The Diabetic Measures are as follows • Blood Pressure • Tobacco Use Status • HBA1C • LDL • Continued… DocSite User Manual – ACO Measures

8. The final Diabetic Measure is for Aspirin Usage. This will need to be added to the patient’s medications list by selecting the Medicationstab within the Online VP Entryscreen. Here, simply select Add to add the medication. After addition of medication, you need to notate this within the measures. First, go to the Single Entryscreen. Here you will need to notate the provider, then select Aspirin/Antiplatelets from the Measure and fill out accordingly below. DocSite User Manual – ACO Measures

9. Hypertension (HTN) Measures For patients with Hypertension (HTN), you will need to add the condition. Under Online VP Entry, select the Conditions tab and Add Hypertension (HTN). DocSite User Manual – ACO Measures 7

10. Hypertension (HTN) Measures For your hypertensive patients, be sure to document their Blood Pressures. Go to the Online VP Entry and enter the appropriate data. DocSite User Manual – ACO Measures

11. CAD Measures For patients with CAD, you will need to add the condition. Under Online VP Entry, select the Conditions tab and Add CAD. DocSite User Manual – ACO Measures 9

12. CAD Measures First, you need to notate Aspirin/Antiplatelete therapy within the measures. First, go to the Single Entryscreen. Here you will need to notate the physician, then select Aspirin/Antiplatelets from the Measures list and document accordingly below. Also within the Single Entryscreen, you will need to document ACE/ARB therapy. In the same manner as above, select ACE/ARB from the Measures list and document accordingly. DocSite User Manual – ACO Measures

13. Ischemic Vascular Disease (IVD) Measures For patients with IVD, you will need to add the condition. Under Online VP Entry, select the Conditions tab and Add IVD. DocSite User Manual – ACO Measures 11

14. Ischemic Vascular Disease (IVD) Measures The first IVD measure to be documented is LDL Control. Under the Online VP Entry, enter the appropriate data next to the LDL measure. Lastly, document your patient’s Aspirin/Antiplatelet therapy. WithinSingle Entry, select the Aspirin/Antiplatelets measure from the Measures list. Fill out the data accordingly. Remember to save your work! DocSite User Manual – ACO Measures

15. Heart Failure Measures For patients with Heart Failure, you will need to add the condition. Under Online VP Entry, select the Conditions tab and Add Heart Failure. DocSite User Manual – ACO Measures 13

16. Heart Failure Measures For your patients with Heart Failure, you need to document Beta-Blocker Therapy. This is done by going to the Single Entryscreen, selecting Beta Blockers from the Measures list, and documenting accordingly. DocSite User Manual – ACO Measures