1. Medication Allergy List Configuring RPMS-EHR for Meaningful Use Resource Patient Management System

2. Presenters: Mary Ann Niesen, PharmD IHS OIT EHR Pharmacy Consultant Carla Stearle, PharmD IHS OIT EHR Pharmacy Consultant Medication Allergy List

3. Core MU Objective “Maintain an active medication allergy list.” - 42 CFR Part 495.6,(d)(6)(i) Medication Allergy List

4. Applicability Eligible Professionals (EP) Eligible Hospitals Critical Access Hospitals (CAH) Medication Allergy List

5. Training Objectives Move drug allergies to the RPMS allergies list. Enter an adverse reaction in EHR. Remove a drug allergy from the problem list in EHR. Enter “no known allergies” in EHR. Search specific allergies using iCare search filter. Medication Allergy List

6. MU Measure Type of Measure: Rate The number of unique patients in the denominator who have at least one entry (or an entry stating that the patient has no known medication allergies) recorded as structured data in their medication allergy list. >80% The number of unique patients seen by the provider during the EHR reporting period. Medication Allergy List

7. Threshold More than 80% of all unique patients seen by the provider during the EHR reporting period have at least one entry (or an indication that the patient has no known medication allergies) recorded as structured data. Medication Allergy List

8. RPMS Reporting Logic Denominator Inclusions: COUNT: each patient HAVING: one or more face-to-face visits with the provider during the EHR reporting period Medication Allergy List

9. RPMS Reporting Logic Numerator Inclusions: COUNT: each patient in the Denominator HAVING: structured data present during the EHR reporting period WHERE: an active adverse reaction to a medication is recorded OR WHERE: a statement indicating no known allergies is recorded Medication Allergy List

10. RPMS Reporting Logic Measure Exclusion: None Medication Allergy List

11. Configure RPMS During our how-to session we will: 1.Discuss need to configure Drug-Drug & Drug Allergy Checks. 2.Move drug allergies to the RPMS Allergies List: a.Run the PLAL Report. b.Using RPMS or EHR: i.Add a drug allergy to the patient’s Allergies List. ii.Remove the drug allergy from the Problem List. c.Run the Patient Allergies Not Signed Off report. d.Check the Verification queue. e.Enter No Known Allergies at EHR’s Adverse Reactions. Medication Allergy List

12. Evidence of Functionality During our how-to session we will: 1.Verify that all of a patient’s drug allergies appear on the EHR Adverse Reactions pane. 2.Verify that the EHR Adverse Reactions pane of each patient having no drug allergies contains the entry “No Known Allergies.” Medication Allergy List

13. How-to Session Questions & Discussion Medication Allergy List