1. Advance Directives Configuring RPMS-EHR for Meaningful Use Resource Patient Management System

2. Presenters: Gayle Townsend PositionTitle Jan Chase, RHIT PositionTitle Angela Flanagan, BSN, RN, CDE OIT EHR Nurse Consultant David Taylor, MHS, RPh, PA-C, RN IHS/OIT EHR Training and Deployment Manager Advance Directives

3. MU Objective “Record advance directives for patients 65 years old or older.” - 42 CFR Part 495.6,(e)(2)(i) Advance Directives

4. Applicability Eligible Hospitals Critical Access Hospitals (CAH) Advance Directives

5. Training Objectives Document advance directives in both Patient Registration and TIU note titles. Advance Directives

6. MU Measure Type of Measure: Rate The number of unique patients in the denominator with an indication of an advanced directive entered using structured data. >50% The number of unique patients age 65 or older admitted to an eligible hospital's or CAH's inpatient department (POS 21) during the EHR reporting period. Advance Directives

7. Threshold More than 50% of all unique patients 65 years old or older admitted to the EH’s or CAH’s inpatient department (POS 21) during the EHR reporting period have an indication of an advance directive status recorded as structured data. Advance Directives

8. RPMS Reporting Logic Denominator Inclusions: COUNT: each patient HAVING: an age of 65 years or older on date of admission AND HAVING: one or more admission dates to a hospital's or CAH's inpatient department (POS 21) during the EHR reporting period, defined as Service Category of H Advance Directives

9. RPMS Reporting Logic Numerator Inclusions: COUNT: each patient in the Denominator WHERE: structured data is present indicating one or more of the following conditions: – A note title in the TIU Document Class "Advance Directive.“ – An Advance Directive value of "Yes" or "No" Advance Directives

10. RPMS Reporting Logic Measure Exclusion: Eligible hospitals and CAHs who have no patient admissions for patients with an age of less than 65 years on date of admission during the EHR reporting period are excluded from this measure. Advance Directives

11. Configure RPMS Advance Directives

12. Configure EHR Advance Directives

13. Evidence of Functionality Advance Directives

14. Questions & Discussion Demonstration Advance Directives