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

2. Presenters: Janna Morris, MPS, MT IHS OIT EHR Laboratory Consultant Clarence Smiley, MPH, MT IHS OIT Laboratory Consultant Jennette Chase-Wilson, MS, MT IHS OIT HER Laboratory Consultant Lab Results into EHR

3. Menu Set MU Objective “Incorporate clinical lab-test results into certified EHR technology as structured data.” - 42 CFR Part 495.6,(e)(2)(i) Lab Results into EHR

4. Applicability Eligible Professionals (EP) Eligible Hospitals Critical Access Hospitals (CAH) Lab Results into EHR

5. Training Objectives Incorporate clinical lab-test results into certified EHR technology as structured data. Create a lab test in RPMS. Lab Results into EHR

6. 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. Lab Results into EHR

7. Threshold More than 40% of all clinical lab test results ordered by the provider 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. Lab Results into EHR

8. 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 Lab Results into EHR

9. 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 Lab Results into EHR

10. 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. Lab Results into EHR

11. Configure RPMS During our how-to session we will: 1.Create a Lab Test: a.Create a Data Name. b.Create a Lab Test in the Laboratory Test File. c.Add the test to a Load/Work List File. d.Add the test to an Auto Instrument File. e.Add a Current Procedural Terminology Code. f.Create a Quick Order for the test. g.Make the Quick Order available on the Lab menu. Lab Results into EHR

12. Configure RPMS (cont.) 2.Implement the Reference Lab Interface. 3.Configure the Point of Care (POC) Lab: a.Create the POC accession area using VA FileMan. b.Create a POC test. c.Add the POC test to BLR BEHO POC control file. Lab Results into EHR

13. Configure EHR During our how-to session we will: Create the Lab POC Button Lab Results into EHR

14. Evidence of Functionality During our how-to session we will: Invoke the new lab test. Lab Results into EHR

15. How-to Session Questions & Discussion Lab Results into EHR