Anyone having trouble with this one? Its slightly different than the stage 1 measure and its a real pain because of the way its worded.
In stage 1 our providers were up around 97-99% as all our labs are CPOE and interfaced back. However now the measure has been tweaked and only wants results that are "positive/negative affirmation or numeric format". This has caused our numbers to plummet to down around 20-30% because so many of our labs have text or observations in them.
Has anyone run into this issue yet and found a solution. I know the main EMR for our hospital is having to manually filter out certain types of labs but I don't know if CPS is flexible enough to be able to do that.
Hi,
As you say, the MU criteria says you only need to include "positive/negative affirmation or numeric format" in the numerator and denominator. But when you create your reports, it's not easy to distinguish between lab results that have the positive/negative/numeric values and those that don't. Pathology reports are typically not numeric.
We solved part of that problem for our EMR-Link customers (and I'm not sure if you are one or not). It's where we allow you to rename some of your lab result documents ... to a Pathology Report, versus a Lab Result. Then, you can suppress Pathology Reports from your calculations altogether. You'll get an increased percentage.
We describe it in a newsletter we just published. I can forward a copy to you if you send me your email.
Pat Wolfram. Liaison HealthCare director of EMR/Lab integration.
We created a custom document type of 'lab other' and use it for any labs we don't order. The labs we do order, we enter obs terms when the reports come back- we are orthopaedic and don't order much lab so it is manageable until we figure out a lab interface. It is very easy to set up in Docutrak/Indexing client and worked great for us last year. We used CQR to get our numbers and it worked fine.