1. Clinical Lab Test Results Configuring RPMS-EHR for Meaningful Use Resource Patient Management System

2. Presenters: Angela Kihega, RHIT Oklahoma City Area HIM Consultant Andrea Scott, MBA, BS Navajo Area Clinical Applications Coordinator Clarence Smiley, MPH, MT IHS OIT Laboratory Consultant Clinical Lab Test Results

3. Training Objectives Understand the MU objective and the measure Compare and contrast Laboratory Package, Reference Lab Interface, Point of Care lab & PCC Data Entry of structured laboratory data Discuss the unintended consequences of entering laboratory results into PCC data entry in the Electronic Health Record environment Clinical Lab Test Results

4. Objective and Measure Incorporate clinical lab-test results into certified EHR technology as structured data. More than 40% of all clinical lab test results ordered by the provider or by an authorized provider of the hospital for patients admitted to its inpatient or emergency department during the EHR reporting period, the results of which are either in a positive/negative or numerical format, are incorporated in certified EHR technology as structured data. Clinical Lab Test Results

5. MU Measure Type of Measure: Rate The number of lab test results whose results are expressed in a positive or negative affirmation or as a number, which are incorporated as structured data. >40% The number of lab tests ordered by the provider during the EHR reporting period whose results are expressed in a positive or negative affirmation or as a number. Clinical Lab Test Results

6. RPMS Reporting Logic Denominator Inclusions: COUNT: each V LAB entry ordered by an eligible provider during the EHR reporting period WHERE: the lab test is NOT a Pap Smear, determined by using the BGP PAP SMEAR TEST lab taxonomy AND WHERE: the result of the test is not equal to “canc” (canceled) AND WHERE: (EPs only) the ordering provider on the V LAB entry is the provider for which the report is being run Clinical Lab Test Results

7. RPMS Reporting Logic Numerator Inclusions: COUNT: each test in the denominator WHERE: the status flag is resulted WHERE: Results does not equal “comment” OR WHERE: Results = “comment” AND WHERE: Comments does not equal null Clinical Lab Test Results

8. RPMS Reporting Logic Measure Exclusion: EPs who order no lab tests having results that are displayed in either a positive/negative or numeric format during the EHR reporting period are excluded from this measure. Clinical Lab Test Results

9. What HIM Needs to Know Process for staff to request corrections Difference between POC documentation, regular hospital labs and outside labs Cumulative Lab Reports Different ways to print lab results Process of providing patients with lab results (Doctors input) Clinical Lab Test Results

10. Configuration Point of Care Testing – POC Test Codes Reference Laboratory Tests – Reference Lab Test Codes – Reference Lab Interface Configuration Lab CPT Code Configuration Clinical Lab Test Results

11. How-to Session Print lab results Look up lab results Enter POC from Data Entry Clinical Lab Test Results

12. Policy and Procedure Review Clinical Lab Test Results

13. Questions & Discussion Clinical Lab Test Results