1. EHRp13 Allergies/ADR MU Perspective

2. Related MU Requirements Clinical Decision Support – drug-allergy order checks PHR, Clinical Summary, Transition of Care – Allergy lists Clinical Quality Measures – often needed for exclusions or exceptions

3. MU2 Data captured by Allergies/ADR FeatureUser input required for performance measure? Meets MU requirement Causative agent: RxNorm/UNII for ingredients NoMU2 Rule, CCDA Signs/symptoms: SNOMED CT® for signs/symptoms NoCCDA Causative agent/Signs/symptoms: SNOMED CT® for drug/reaction combinations NoCQM data capture

4. ADVERSE REACTION TRACKING

5. Adverse Reaction Component Captures information relating to adverse reactions, or documents that the patient has no known reactions Feeds into “Order Checks”, a type of Clinical Decision Support May be documented by several different user roles

6. Adverse Reaction Fields SectionNotes ReactionReactant, event code will be encoded on the back end. All fields in this section required. ObservedImplies direct observation as it happened by local staff members. Not required. Signs/SymptomsWill be encoded on the back end. Searchable by synonyms. At least one required. NOTE: source in this section is NOT required. CommentsNot required. Used to clarify or add information.

7. No Known Reactions

8. Document Adverse Reaction

9. Choose Reactant

11. Reactant not found

12. Complete Reaction Documentation

13. Completed Reaction

14. Other Actions Users may also perform other actions such as: – Editing a reaction – Inactivating a reaction – Marking a reaction as “entered in error” – Documenting the inability to confirm the patient’s reactions – Review details of a reaction – Toggle view between active reactions and all reactions

15. Other Preparation for MU Review Policies & Procedures Review Package settings – Divisions – Auto-verify settings – “top 10” sign/symptom list Review reactions on problem lists – Reports available for this – Ensure these are also in the Adverse Reaction package Review Adverse Reaction “clean up” lists

16. RESOURCES/QUESTIONS

17. Resources In depth training materials for the Adverse Reaction Tracking package are available here: – ftp://ftp.ihs.gov/pubs/EHR/Training/Manuals/EHR %20Adverse%20Reaction%20Tracking/ ftp://ftp.ihs.gov/pubs/EHR/Training/Manuals/EHR %20Adverse%20Reaction%20Tracking/ Package manuals are available here: – http://www.ihs.gov/RPMS/index.cfm?module=Ap plications&option=View&AC_ID=0 http://www.ihs.gov/RPMS/index.cfm?module=Ap plications&option=View&AC_ID=0

18. Feedback Feedback may be offered here: – http://www.ihs.gov/RPMS/index.cfm?module=Fe edback http://www.ihs.gov/RPMS/index.cfm?module=Fe edback – For general package feedback, choose the Application “Adverse Reaction Tracking (GMRA)” from the drop down. – For additions or changes to reactants or signs/symptoms, choose “Pharmacy – New Reactant/Symptom Request (PRSR)”

19. Questions?