We do report to a tumor registry, but this is a manual process. We also send transcription, labs and radiology reports to our RHIO. Anyone know if either of these would meet the measure? It's starting to look like a hardship exemption for 2015.
FYI (for Mike) the ICD10 code for bleeding eyes is H11.30. A question I'm still struggling with - what are the alternatives to using CQR for attestation?
The Stage 2 measure that we are most concerned about not meeting now is down to Summary of Care Measure B (FNC_2_Core_15) - Transitions of Care have to be sent electronically for 10% of transitions of care.
The requirement has changed so that it is no longer required that the TOC be sent via direct email, but it can be sent via Secure Messaging. That's great, except we cannot find out how to get the secure messaging to count in CQR. We have tested multiple ways, using SM Basic appended to the TOC saved in the chart, and adding the service provider as an Organization, with an email address. From our testing, neither of these cause the referral to be included in the numerator for this measure.
Our question, and we have been badgering GE about this with absolutely no response, is how is CQR going to count sending the TOC via secure message?
If anyone has any insight into this, we would much appreciate it.
It 's difficult to follow these threads when they get out of sequence! To tag on to Carolyn's post above, I'm also wondering about how others are addressing the seemingly loose exclusions on the Health Information Exchange measure. As far as I can tell, as long as the physicians are referring out less than 100 times in the reporting period (now 90 days) they are excluded. I am surprised though if I am correctly interpreting this that I am not seeing more people talking about it. for our physicians, its almost difficult not to be excluded under this criteria.
I do not want to detract from Carolyn's question as I am curious to see what others have to say about that as well but would appreciate some other thoughts on this too. Thanks!
Carolyn,
CQR will only recognize direct email addresses until GE finds a way to change CQR to match the ruling. It would require you to set up a manual tracking process off of your referrals. I would still use the standard process so you could run an inquiry against referrals via emr reports. We literally can't get email addresses is our problem now. Going to try and find an email to fax option to help us meet the measure.