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Patient Portal Access - how is this tracked?

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Last Post by bruins1986 9 years ago

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dorotheatrusty

(@dorotheatrusty)

Posts: 148

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Topic starter

So I am trying to figure out if we are not using the GE CQR Dashboard how do you track Measure for patient portal access.

• EP Measure 1: More than 50 percent of all unique patients seen by the EP during the EHR reporting period are provided timely access to view online, download, and transmit to a third party their health information subject to the EP's discretion to withhold certain information.

Any help is needed at this point.. playing catch up.

thanks!

Posted : December 10, 2015 3:43 am

mjharunk

(@mjharunk)

Posts: 191

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What are you using for a Patient Portal solution. Kryptiq/Surescripts?

We use Kryptiq/Surescripts and developed a Crystal Report to track pin generation within 4 business days of an office visit. We are using CR for all functional measures. We jumped off the CQR train a year ago.

Posted : December 10, 2015 3:58 am

dorotheatrusty

(@dorotheatrusty)

Posts: 148

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Topic starter

Yup.. we are looking to report not through CQR. We are not doing too well there. Yes we use Kryptiq/Surescripts. Not sure what CR is. Also would you be willing to share that report? Thanks!

Posted : December 10, 2015 4:03 am

mjharunk

(@mjharunk)

Posts: 191

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CR = Crystal Report.

Posted : December 10, 2015 4:07 am

SLHV

(@slhv)

Posts: 478

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To be specific, CQR keys on the patientportalpin obs value. I believe if that obs term contains any value at all, that patient counts toward the numerator.

Posted : December 10, 2015 4:13 am

Adam Daniel

(@adaniel)

Posts: 524

Prominent Member

We are also struggling with this, we have been populating the obs PATPORTALPIN with offered for those patients that have declined the portal but none of these are showing up (patients not appearing in met or unmet).

The obs gets populated after the OV the next day and the patient has declined the portal once at check-in, during the visit, with clinical staff and at checkout.

Posted : December 10, 2015 4:27 am

dduschel

(@dduschel)

Posts: 207

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Now users meerly have to have been provided access. The requirements to view, download, transmit is no longer required for 2015. PATPORTALPIN any value qualifies on CQR.... at least pre SP11; who knows after that. So done, issued or declined would work.

Posted : December 10, 2015 4:33 am

tleonard

(@tleonard)

Posts: 31

Eminent Member

Are you sure it reports off the patportalpin obs term and not the MUactivitylog table? We are using the web sign up method for signups, and the patportalpin for declines and both are being picked up. Sign ups do not have the patportalpin obs term filled in since they never fill out the declined document.

Posted : December 10, 2015 7:44 am

SLHV

(@slhv)

Posts: 478

Honorable Member

I'm pretty sure I've seen that in writing somewhere by GE, but I don't recall where. I could be wrong.

Populating the patportalpin obs term has been the apparent consensus across the various discussions I've read as well.

Posted : December 10, 2015 7:51 am

tleonard

(@tleonard)

Posts: 31

Eminent Member

According to the CPS MU guide, patportalpin obs term (to me) looks to be more of a trigger that when filled in, it updates the muactivitylog table with an muactivitylogtypeid of 510. I feel that CQR has to be looking at the muactivitylog for this measure for the overall count of patients provided access since so many practices only use the patportalpin obs term for patients who wish to decline using the portal, and use the web sign up method (which doesn't generate the patportalpin obs term) for patients who wish to enroll in using the portal.

"When the patient chart is updated and signed....the MUActivityLog will record that portal access was provided."

Posted : December 10, 2015 8:35 am

gpincomb

(@gpincomb)

Posts: 278

Reputable Member

Michael, I would also be interested in the Crystal Reports .rpt file that you used for your report or at the very least the SQL code that you can view within the Crystal Reports application while in a specific report. I know the SQL code from the report will probably not be exactly what I need as usually the base SQL code behind the report ends up leaving out some pieces, but I think it should at least get me close if you are not willing to share your .rpt file.

Posted : December 10, 2015 11:16 am

bruins1986

(@bruins1986)

Posts: 233

Reputable Member

This might be one of those random scenarios that GE requires the patient to have a responsible provider in registration to "count". Any chance there is a correlation between missing patients and this being blank in registration?

Also don't forget the 4 business days requirement - if you saw the patient on Oct 8th and then again on December 10th (and generated the PIN at the second visit) you've already "missed" this patient since they had an office visit outside of 4 business days from the PIN/Portal access ("when the provider has access to it" or whatever that specific wording is from CMS).

Posted : December 15, 2015 6:17 am

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