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CMS50/PQRS 374 Referral CONSULTATION

MU, CQR, PQRS, etc.

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dorotheatrusty

(@dorotheatrusty)

Posts: 148

Reputable Member

Topic starter

I recently watched a GE Webinar that referenced the following: These measures have updates to their workflows for the 2016 reporting period: CMS50 / PQRS 374 "Only the first order, where the EP is the ordering provider, is counted in the denominator.
Closing the loop requires linking a specific consultation to the first order used in the denominator. To close the loop, append the consultation report, add observation term CONSULTATION with the order code and date, e.g. (SCT-306315001^03/02/2016). Note that referral orders must be SNOMED CT codes in the format SCT-xxxxxxxx in the 'Referral' value set.”

Has anyone created a workflow for this yet? My main question is where are you referencing the SNOMED code?

Thanks for any help please!

Posted : July 11, 2016 8:09 am

adeliaw

(@adeliaw)

Posts: 4

Active Member

Dorotheatrusty,

I am not sure if you got your answer yet, but there is an ongoing discussion about this in the SSO also. In the CPS Quality Reporting Community.
As per the SNOMED. So far the workflow is manually done. But as of yet, it is not working for everyone, including myself, from what I am reading.

I made a separate flowsheet with the obs then copied and pasted the SCT codes that were mapped with the referrals done, along with the dates and then completed the Loop.

I am watching this closely since this is one of the measures all of our pediatricians can use.
Adelia

Posted : July 25, 2016 10:34 am

dorotheatrusty

(@dorotheatrusty)

Posts: 148

Reputable Member

Topic starter

Hi.. sorry just seeing this. I have not seen the discussion. Are there specific SNOMED codes that you are using for this. Are you doing TOC with Surescripts?

Posted : July 27, 2016 8:00 am

adeliaw

(@adeliaw)

Posts: 4

Active Member

Dorotheatrusty,

I watched the webinar yesterday on the updated CQR..
1. Have to have the 12.0.12 CPS. Which we do not have yet. So if you are not in the most updated it will not work.
2. Yes there are certain SNOMEDCT codes using. I get them from the Data Mapping in Administration. And from that list is where you put the SCT codes that go with each specialty referral.

administration-->charts--> settings-->data mappings-->chose the measure-->in value sets (choose Referral)-->will show up in data codes..

These SNOMEDCT codes need to put in with the specialist you use. Each one has their own SCT code. I had to do this since ours was not set up. Those SCT codes are then put in the flowsheet manually as per the workflow in the presentation.

I got instructions on how to do properly.. but found out that even though my workflow was correct, it will not work since I am not in 12.0.12 yet.

Steps:
1) enter referral order using the orders module (must use an acceptable code in the value set for referral)
2) receive consult report and import in using normal workflow (docutrack)
3) complete referral order
4) append consult report- full update – select clinical list update – that should show your obs term after documenting it.
5) When the update is open, minimize and edit flowsheet --> select view that contains CONSULTATION obs term
6) add value to CONSULTATION obs term that contains the following format "ordercode^orderdate"
7)sign document

Hope this is what you needed... If you need more on the SNOMED codes then please let me know and I can help a ltttle bit and if not can get the names of the people that can.

Posted : July 27, 2016 9:58 am

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