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I logged into CHUG for the same question(s). In reviewing the CPS MU User Guide for HgA1c and Diabetes Foot Exam and Eye Exam, I'm finding it looks like Stage 2 is moving away from the observation code data collection for these measures and is requiring us to create new orders mapped to the recommended SNOMED codes. This is a HUGE workflow change, as the encounter form currently captures the observation terms. Are they now requiring providers/MA's or enter orders for these in order to capture this data? Does anyone know if GE has included a new encounter form in CPS12 that works with these new orders?
Posted : August 26, 2014 12:37 am
Topic starter
Good Morning
Has anyone had to do this? I am trying to find more information on it than I get in the CPS Help. I am curios as to the order part, do we need to map our Orders (for HGBA1C etc) to SNOMED codes for them to be counted? Any help would be appreciated.
Laurie
Posted : August 26, 2014 12:37 am
Yes, GE stated that SNOMED codes will be required as the trigger for Quality counting (Orders=Procedures). I recommend you check out the three CQR webinars from July available on the GE website.
Theoretically, you might have from 1 up to 33 Service Order Codes on each OV depending upon how many measures record. My form guru created a text-component to automatically push a Service Order code (SNOMED-CT: 308335008: Patient encounter procedure (procedure)) into each note as the placeholder to force the patient's CCD-A across to CQR. Providers dislike it since it lacks clinical value.
CCC 9.0 is to include a 'widget' of code where you can more-easily program the if-then logic, similar as to how CCC Immunizations target different age-ranges or genders. For example, "if patient >50 and sex = Male and COLONOSCOPY obsdate < 10yrs)" then SNOMED...
Our plan is to push these all automatically without provider activity. Whether it is at opening the visit or when clicking on a form remains to be determined. If it is at opening, then all the Orders clutter appears under the Orders button when providers add new Orders and also in the Orders tab. It would be much smoother for viewing the Chart if a new MU table existed like FH.
{IF DOCUMENT.OV_ORDER == "
" THEN
MEL_ADD_ORDER("S",
"PQRI", "SNOMED-CT:
308335008: Patient encounter procedure (procedure)", "", "",
"", "",
"1", "N",
"", "")
ELSE ""
ENDIF
}
Posted : August 27, 2014 11:26 pm
Topic starter
Thanks! You only have to map the order to a snomed code if you perform the procedure. So a diabetic patient who gets their annual diabetic eye exam from an eye doctor, we would not have to map that order. But a HGBA1C that is done in the office, we do map that order. Well that's my understanding. We have a call with our GE CC next week.
Laurie
Posted : August 27, 2014 11:49 pm
If you check the GE website, the CCC 9.0 Release Notes are now available, with documentation on its new Conditional Action Metrics (CAM) widget.
Posted : August 28, 2014 1:57 am
So the newest CCC forms are not built with these codes and push to the orders when you perform certain exams like the diabetic foot exam. Someone has to map these or add them to orders. I heard this on one of the webinar but did not understand.
Posted : September 18, 2014 12:42 pm
