1. How does TIME ONC (ARRA) Stage II Certification Benefit You?
9/22/2018
How does TIME ONC (ARRA) Stage II Certification Benefit You?
R. Anne Webber, BSN, MHA, RN, CNN
September 17, 2014

2. 9/22/2018
Objectives
State at least one aspect of the system security certification requirements
Compare the efficiency of care transition reconciliation of medications, problem list and allergies using electronic patient summaries vs. your current processes
Evaluate the utility of patient list reports for your facility
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3. 9/22/2018
Objectives (Cont.)
Describe how you will utilize TIME’s family health history application
Define how your facility can assist physicians to meet meaningful use requirements while rounding/seeing home patients in the dialysis unit
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4. 9/22/2018
Definitions
ONC (ARRA) Stage II Certification – Set of requirements that must be met by EHR systems to qualify for MU
Meaningful Use (MU) – Standards of physicians utilizing certified EHR system(s) in order to receive financial incentives or avoid penalties for not doing so
Encounter (Visit) – Interaction between patient and physician/extender (with or without others present)
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5. MU Security Changes System Audit Report
9/22/2018
MU Security Changes
System Audit Report
Path: System Administrator > Security > System Audit Report
Enter filter(s), search
Can review all actions by user including viewing records with no changes
New – audit item added when user copies print preview data to Notepad
ONC Certified
9/22/2018

6. Care Transition C-CDA Document (Export summary)
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Care Transition
C-CDA Document (Export summary)
Additional control of information shared (SP21)
Additional control of shared data date range
Requires secure exchange set up
Reconciliation for allergies, medications and problem list
Path: medical records, >>>
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7. Patient Lists Reports - Constraints
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Patient Lists Reports - Constraints
Demographics (Age, Gender, Race, Ethnicity)
Problem List (with our without)
Medications (with or without, including immunizations administered)
Lab Results (multiple tests, latest, trend, range, <, >, missing)
Allergies (has, doesn’t have)
Reports with one or combination of constraints
(Sample Reports)
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8. Patient List Examples Patients with active ESA order and HGB >12
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Patient List Examples
Patients with active ESA order and HGB >12
Patients without flu vaccine in last 4 months
Missing Hep B antibody and problem of Hep B protected in specified time frame
Your ideas?
9/22/2018

9. Assisting Physicians to Meet MU
9/22/2018
Assisting Physicians to Meet MU
Physician referral recruitment / retention
Incentives vs. penalties
Physicians must document via EHR for over 50% of their encounters
Some physician’s dialysis encounters represent >50% of their patient visits
Dialysis rounding encounters ‘count’ for MU by provider (physician/PA/NP)
Physician Note Summary Report - enhancements
9/22/2018

10. Physician Note Summary Enhancements
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Physician Note Summary Enhancements
Constrain by physician (include each member of shared rounding group)
Report changes (SP22):
Sorts by dialysis facility, then patient
Displays template name (visit type – monthly or weekly), physician and date/time of each visit
9/22/2018

11. Family Heath History Application
9/22/2018
Family Heath History Application
New application in SP21
Optional application
Enter each family member
Problem list
List is configurable via Health Conditions Configuration screen
Date of death (or age at death)
Death reason
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12. Demos Care Transitions Patient Lists Family History Application
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Demos
Care Transitions
Patient Lists
Constraints
Alerts
Running Report
Family History Application
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13. 9/22/2018
Resources Questions?
9/22/2018