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CDS Rules and CQM for Classic MU2

CDS Rules and CQM for Classic MU2. Tips and discussion related to building Clinical Decision Support Rules for MU2. Please reference the accompanying Webinar located at https ://healthland.webex.com/healthland/lsr.php?RCID=707e6d5949d144668c6eeca6aafdb9e6. A Tour T hrough Central Station.

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CDS Rules and CQM for Classic MU2

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  1. CDS Rules and CQM for Classic MU2 Tips and discussion related to building Clinical Decision Support Rules for MU2 Please reference the accompanying Webinar located at https://healthland.webex.com/healthland/lsr.php?RCID=707e6d5949d144668c6eeca6aafdb9e6

  2. A Tour Through Central Station CONFIDENTIAL |

  3. CONFIDENTIAL |

  4. CONFIDENTIAL |

  5. Upcoming Educational Opportunities • Virtual - Meaningful Use Stage 2 Best Practices Friday June 6th at 1pm – Includes Meaningful Use Manager Dash Board view and CCDA – This class is 2 hours • Virtual - Classic Eligible Hospital – Meaningful Use Stage 2 Core Set Measures Offered 3 separate times: Tuesday June 17th at 10am, June 19th at 10am and June 25th at 10am. This class is 3 hours • Virtual – Classic Eligible Hospital Meaningful Use Stage 2 Menu Set and Clinical Quality Measures: Tuesday June 24th at 10am, Thursday June 26th at 10am and Monday, June 30th. This class is 3 hours • Register on Central Station. If class is not listed, email centralstation@healthland.com or • Reminder: This schedule may change without notice. Always check Central Station for the most accurate information CONFIDENTIAL |

  6. Core Measure #5 Clinical Decision Support • (1) Implement 5 clinical decision support interventions related to 4 or more clinical quality measures at a relevant point in patient care for the entire EHR reporting period.

  7. Core Measure #5 Clinical Decision Support • Absent four clinical quality measures related to EH or CAH patient population, CDS interventions must be related to high-priority health conditions. It is suggested that one of the 5 CDS interventions be related to improving healthcare efficiency

  8. Core Measure #5 Clinical Decision Support Part 2 • (2) The eligible hospital or CAH has enabled the functionality for drug-drug and drug-allergy interaction checks for the entire EHR reporting period

  9. Comparison to Stage 1 • Increased number of Clinical Decision Support rules from 1 to 5 • Added Drug-Drug and Drug-Allergy criteria to this measure • Continues to be Self-Attestation • No third party software required (However, if utilizing Problem List, would utilize SNOMED-CT codes for previous/current medical history) CONFIDENTIAL |

  10. Tips for creating 5 CDS rules for MU2 • All 5 Clinical Decision Support rules should be active for the ENTIRE reporting period • Take a screen shot of the CDS rule when created and activated. Retain to attach/upload for the Attestation process • Screen Shots can be attached to the Meaningful Use Manager Dashboard CONFIDENTIAL |

  11. 16 CQM’s Supported by Healthland • ED1 – Median Time from ED Arrival to ED Departure for Admitted ED Patients • ED2 – Median Admit Decision Time to ED Departure Time for Admitted Patients • ED3 – Median Time from ED Arrival to ED Departure for Discharged ED Patients *New* • Stroke2 – Discharged on Antithrombotic Therapy • Stroke3 – Anticoagulation Therapy for Atrial Fibrillation/Flutter • Stroke4 – Thrombolytic Therapy • Stroke5 – Antithrombotic Therapy by End of Hospital Day 2 • Stroke6 – Discharged on Statin Medication • Stroke8 – Stroke Education • Stroke10 – Assessed for Rehabilitation CONFIDENTIAL |

  12. 16 CQM’s Support by Healthland • VTE1 – VTE Prophylaxis • VTE2 – Intensive Care Unit VTE Prophylaxis • VTE3 – VTE Patients with Anticoagulant Overlap Therapy • VTE4 – VTE Patients Receiving Unfractionated Heparin with Dosages/Platelet Count Monitoring by Protocol • VTE5 – VTE Discharge Instruction • VTE6 – Incidence of Potential Preventable VTE CONFIDENTIAL |

  13. Clinical Decision Support Set-Up • Set-Up #1 – CDS rules based on or more of the following variables: Problem List, Medication List, Medication Allergy List, Demographics, Lab Results, Vital Signs, Department Orders • Go to IS Administration>Maintenance>Rules Alert Maintenance>New • Variables: • Demographics • Medications • Allergies • Lab results • Diagnosis (Problem List) • Med Allergies • Vital Signs CONFIDENTIAL |

  14. Clinical Decision Support Set-Up • Set-up #2 – Turn on Drug to Drug and Drug to Allergy Interaction Checking • Go to Pharmacy Maintenance>Setup Maintenance>MediSpan Settings tab • Perform Drug to Drug Interaction Checking field, Set to Y • Perform Drug to Allergy Interaction Checking field, Set to Y • In the Allergy Severity Filter field, select the desired setting for severity This setting must be set to moderate or higher. Default is set to Major Additional items of note: • Ensure that users have the appropriate user permissions in IS Administration>Maintenance>User Security Maintenance • Previously built CDS rules utilizing ICD-9 codes should be converted to SNOMED-CT codes as the problem list will be utilizing SNOMED-CT CONFIDENTIAL |

  15. CONFIDENTIAL |

  16. CONFIDENTIAL |

  17. User Guide is your friend! • Healthland Classic Meaningful Use Stage 2 User Guide is your guide to: • Measure Definition • Details of how we are capturing the Numerator and Denominator • Exclusions (if any) • Module and Data Elements Used in the software to capture information/data • Set Up Required • Comparison to Stage 1 • 3rd Party Software required • Trouble shooting/Tips and Notes Monitor for Updates to the Guide CONFIDENTIAL |

  18. Questions?

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