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CQR for 12

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CPS, C-EMR, PM

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guilfordmedical

(@guilfordmedical)

Posts: 203

Reputable Member

Has anyone had any luck yet getting access to CQR? We are still waiting! Almost one month into our 90 days and I have no idea how we are doing on MU2....

Ashley

Posted : July 23, 2014 4:48 am

mdoak

(@mdoak)

Posts: 92

Estimable Member

We finally had the technical installation of Qvera and the CQR channel on our four databases, but we're still working on the testing/verification phase. This whole process has been rather convoluted with registering on the website and then needing to call support to tell them you registered to really get activated. The actual install of QIE and the channel isn't so bad, but I still have some unanswered questions about creating a couple more users on the reporting site (doesn't seem possible from the GUI), why I am seeing such little data there, why all of the pretty graphs disappear if I select a different date range (even if I go back to the original selection)? It also seems utterly ridiculous that you hit "calculate now" and then have to wait 24 hours for the results to be available if you are lucky. They have some training webinars going on now. I am hoping they put them on the support site because I missed the first couple.

Another thing to note - when the nightly subscription job happens, the JBOSS server gets SLAMMED for a couple minutes with high CPU usage. It is after hourse for us so not a huge deal, but I still find it hard to believe that whatever it is doing would produce more load than 150 users pounding on the system all day long.

Posted : July 23, 2014 4:55 am

guilfordmedical

(@guilfordmedical)

Posts: 203

Reputable Member

We had our VAR and Qvera complete our installation and was told it would take a few days for data to appear. Well it has been 6 days and only 28 patients under one provider (out of 11) are displaying. I was told they would contact me a "few weeks" to make sure everything is working correctly.

I really do not know how anyone can attest for third qtr or 4th qtr with reporting (lack of) support like this!?!?

Ashley Corbean

Posted : July 27, 2014 11:02 pm

sborchardt

(@sborchardt)

Posts: 218

Reputable Member

Topic starter

We had CQR installed the 1st week in July and have had lots of problems with reports and data. We have had several calls with GE to try and figure out the problem. I have a BIG issues with Core #7. The GE user guide state you need a value in the obs PATPORTALPIN. This is fine, but now GE is saying every time a patient comes in you need to trigger that obs again to qualify. I disagree with this, if a patient was signed up last month or last year why do I need to update the obs?

Most of my reporting problems have to do with the portal measures. I am starting to think our third quarter is lost because of the reporting.

Posted : July 29, 2014 1:57 am

suefox51

(@suefox51)

Posts: 113

Estimable Member

Last I heard from GE is that they are having issues with "the cloud" - they have run out of space, or are close to running out of space, so that those that are utilizing it are moving at a snail's pace. Those that are not yet up on it need to wait for more "cloud" to appear. Cry

Posted : July 30, 2014 6:14 am

tnc

(@tnc)

Posts: 517

Honorable Member

mdoak said:

Another thing to note - when the nightly subscription job happens, the JBOSS server gets SLAMMED for a couple minutes with high CPU usage. It is after hourse for us so not a huge deal, but I still find it hard to believe that whatever it is doing would produce more load than 150 users pounding on the system all day long.

I have heard that future CPS releases will utilize a secondary jboss server. That will bring my "GE infrastructure Windows server license count to nine I believe. Thankfully I bought that Microsoft datacenter licensing

Mike Zavolas

Tallahassee Neurological Clinic

Posted : August 1, 2014 2:28 am

mdoak

(@mdoak)

Posts: 92

Estimable Member

Yea their requirements are ridiculous. They keep talking about architectural changes to give better serviceability, scalability, blah blah blah, but every version comes out and the requirements in terms of RAM, CPU, disk, number of third party add-ons (and thus servers) keep going up and up. Pushing the additional costs and maintenance complexity to the customer seems to be their answer rather than developing something using efficient coding practices. It's bad enough hosting CPS for one practice. Then imagine doing it for several and it really makes my head hurt. 🙂 To the end user, the solution might appear to be integrated, but to IT people, it is rough.

DB Server, JBoss/App Server, DES server, ESM Server, Faxcom server, Terminal servers (max 32 users per), etc are all required at minimum.

I wish they'd give some more transparency into the work they are supposedly doing on the back end to improve performance. Since the results of it have been pretty disappointing and their release notes/calls always speak in high level management terms (reduced crashing by xx%), I question the legitimacy of some of it.

Posted : August 4, 2014 2:54 am

tnc

(@tnc)

Posts: 517

Honorable Member

mdoak said:

Yea their requirements are ridiculous. They keep talking about architectural changes to give better serviceability, scalability, blah blah blah, but every version comes out and the requirements in terms of RAM, CPU, disk, number of third party add-ons (and thus servers) keep going up and up. Pushing the additional costs and maintenance complexity to the customer seems to be their answer rather than developing something using efficient coding practices. It's bad enough hosting CPS for one practice. Then imagine doing it for several and it really makes my head hurt. 🙂 To the end user, the solution might appear to be integrated, but to IT people, it is rough.

Man, you aren't kidding. I let the requirements for the CPS app drive my hardware and some client software (IE and OS) decisions for the organization. I have adjusted my budget accordingly but the IE version has caused some trouble for some of the government/healthcare websites because some still require an older version of IE.

I saw a road map once. It showed the CPS (Logician/MPM) model going towards a web based application (think Jboss). This would be great if it wasn't IE because it would allow a tablet, laptop, PC, or phone be used as long as they adhere to AJAX standards or something similar and not ActiveX. That road map, however, was before the government takeover of health care and the MU I/II reporting requirements which seem to be driving development instead of innovation. Seems like GE (and others) are just trying to keep up.

I have to say that we don't seem to have many problems here with CPS12. I have several users with issues but can't put my finger on what they are doing. I do not have a thin client environment though. Maybe that is why I am not seeing as much of this kind of thing.

Posted : August 5, 2014 2:30 am

guilfordmedical

(@guilfordmedical)

Posts: 203

Reputable Member

Updates on CQR since GE's update this weekend? According to their "town hall webinar" last week-after the upgrade the reports are to refresh every 2 hours. I logged on at noon EST and clicked refresh and the notification said 24 hours still. I just logged on again (3.5 hours later) and no reports.

Has anyone else had success?

Thanks!

acorbean

Posted : August 12, 2014 5:37 am

sborchardt

(@sborchardt)

Posts: 218

Reputable Member

Topic starter

CQR not working for us either, it now shows there are 173 Core measures. When you look at the report it repeats each measure 7-15 times. For one of my Ortho physicians it tells me my denominator is 4, I show 305 office visits that should qualify for July. Note when I ran the report mid July it said the physician had 86 in the denominator. The last calculate date the reports pull is August 7th. Frown

Steph

Posted : August 13, 2014 1:58 am

mdoak

(@mdoak)

Posts: 92

Estimable Member

Maybe it's just me, but it seems like at this point GE would be better off issuing a set of Crystal Reports that works with 12 and just letting people use that to attest and try for CQR next year. Certainly that would be an easier task to accomplish than all of the backend work going on with the CQR site added to all of the QIE interfaces that need to be installed and configured, and all of the training that needs to happen.

We're sort of in this stage right now where we don't know where the problem is – in what we are capturing, in how its mapped, in the transmission process, in the ingest process on GE's side, or just a display issue on the website. Trying to troubleshoot anything is obnoxious since there isn't much transparency into what is going on at their end and you have to wait 24 hours to see if you get the results you were hoping for. If I heard from even one or two customers that everything is working 100%, I'd feel better that at least the website and probably the ingestion process works. I don't even know if that's the case right now.

Posted : August 13, 2014 2:05 am

(@thaulk)

Posts: 131

Estimable Member

All we seem to be getting is ACK errors and Channel errors ---frustrating

Posted : August 13, 2014 2:46 am

guilfordmedical

(@guilfordmedical)

Posts: 203

Reputable Member

Can someone explain these instructions for restarted QVERA/CQR from the notes released yesterday(We have done everything except this):

Export at least one CCDA document for a single patient from the Inquiries Module.
• First create a Find Patient inquiry, and then select Export Patients in the Activity list.

Are they referring to the Chart reports- Inquiries? If so, what inquiry to run and then there is not an option to export patients.........

Posted : August 13, 2014 5:10 am

mdoak

(@mdoak)

Posts: 92

Estimable Member

I believe you are on the right track by going to Chart Inquiries.

If there isn't an option to export the patient, there is a permission for that and your user probably does not have it. It is under Administration | Users | Security | Security by permission | Clinical Inquiries/Reports and it's called "Export Patients.

As far as why this is necessary, I don't know. It would seem that waiting for the nightly job to occur would be sufficient.

Posted : August 13, 2014 5:15 am

guilfordmedical

(@guilfordmedical)

Posts: 203

Reputable Member

After reviewing it again, the option is "Clinical Quality Measure", not as it is listed in the release instructions. Once you click on that, a pop up box appears and says 'Export request sent".

I really doubt doing this will fix our CQR reporting issues.......

Posted : August 13, 2014 5:31 am

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