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Measure #312 (NQF 0052) HITECH: Low Back Pain: Use of Imaging Studies

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Last Post by ErnieT 12 years ago

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ErnieT

(@erniet)

Posts: 479

Honorable Member

Topic starter

Has anyone used this measure for reporting for meaningful use? If so, what did you have to report to meet this measure?

Thanks,

Posted : May 31, 2012 12:14 am

kwolfe

(@kwolfe)

Posts: 63

Trusted Member

No, my understanding is that we can't use this measure because CPS isn't certified for it. If GE provided a report then it could be used, but otherwise a custom report probably can't. From reading the CQM faqs I think it's possible if the data was extracted and fed through another certified system that can generate the report, so maybe that's what you're asking 🙂

Some info from page 66 and 73 of https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/downloads/FAQsRemediatedandRevised.pdf

Does a provider have to record all clinical data in their certified EHR technology in order to accurately report complete clinical quality measure data for the Medicare and Medicaid EHR Incentive Programs?

We recognize that providers are continuing to implement new workflow processes to accurately capture clinical data in their certified EHR technology, but many providers are not able to capture all data at this time. Although we encourage providers to capture complete clinical data in order to provide the best care possible for their patients, for the purpose of reporting clinical quality measure data, CMS does not require providers to record all clinical data in their certified EHR technology at this time. CMS recognizes that this may yield numerator, denominator, and exclusion values for clinical quality measures in the certified EHR technology that are not identical to the values generated from other methods (such as record extraction). However, at this time CMS requires providers to report the clinical quality measure data exactly as it is generated as output from the certified EHR technology in order to successfully demonstrate meaningful use.

For the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs, if the certified EHR technology possessed by an eligible professional (EP) generates zero denominators for all clinical quality measures (CQMs) in the additional set that it can calculate, is the EP responsible for determining whether they have zero denominators or data for any remaining CQMs in the additional set that their certified EHR technology is not capable of calculating?

No, the EP is not responsible for determining the status of CQMs that their certified EHR technology is not capable of calculating.

Posted : May 31, 2012 2:40 am

ErnieT

(@erniet)

Posts: 479

Honorable Member

Topic starter

Ah. Would think you would be able to do this with diagnosis and order codes.

Did not know that GE was not certified for this measure.

Posted : May 31, 2012 2:42 am

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