Stage 2: 12 Preventive Care (Core) (Patient Reminders)
We have really been making great headway on our MU2 workflows. We decided to use this as a marketing tool.
We needed to send the preventive reminder to 10% of all unique patient seen twice in the past 24 months -- AND the preferred contact method has to be letter! Key item!
After thinking about this we did several different clinical reminders to meet 10%.
First we had to run a SQL script and change patients seen in the past 2 years contact method to letter. Really we created a active report where we could put a date range in.
We developed a few different letters, loaded then in a folder labeled actionable reminder. Our letters are set up where address fits in a window envelope. We decided to use this as a type of marketing. We used our Sports updates from our web site as a bases of the letter and include our sports update in the letter. You can view them on our web site http://chortho.com/sports-medicine-updates - we did several started with preventing sports injuries.
Set up a inquiry
Patients with:
1. Provider you are doing
2. Date range on appointments 2 years before date of reporting period.
3. Problem with a description of --- we used shoulder and sent a injury prevention letter
3. Preferred contact letter
You must use the inquiry to print the reminders -- since the inquiry can not pull patient with 2 appointments -- send a larger number to meet the goal -- we set ours to be at 15% to prevent an audit problems
Here is a review of the requirements
Objective
Use clinically relevant information to identify patients who should receive reminders for preventive/follow-up care and send these patients the reminders, per patient preference.
Measure
More than 10 percent of all unique patients who have had 2 or more office visits with the EP within the 24 months before the beginning of the EHR reporting period were sent a clinically relevant reminder, per patient preference when available.
Exclusion
Any EP who has had no office visits in the 24 months before the EHR reporting period.
References
EHR Incentive Program Specification: http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/downloads/Stage2_EPCore_12_PreventiveCare.pdf
Calculation
Description
Percentage of all unique patients who have had two or more office visits with the EP within the 24 months before the beginning of the EHR reporting period and who were provided a patient reminder per patient preference. The method of communication that patients prefer to receive their reminders such as (but not limited to) by mail, by phone or by secure messaging., when available during the reporting period.
Denominator - so look at the CQR dashboard and your denominator is there.
Count 1 for every unique patient who has had 2 or more office visits with the EP in the 24 months prior to the beginning of the EHR reporting period.
Patient of Provider - Patient is seen by the eligible professional in the last 2 years prior to the start of the reporting period. The 2 years is based on the standard CMS new patient definition.
Numerator -- only 10%
Of the patients in the denominator, count 1 for every patient who was sent a reminder per patient preference, when available during the EHR reporting period.
Setup, workflows, and best practices
Setup
To add or change letters, go to Administration > Charts > Letters > Letter Templates.
Create a folder with the word "actionable" as part of the title, where letter templates are stored. For example, a folder can have a title of "Actionable Reminders". Subfolders can be created under the "actionable" folder.
An actionable reminder is for preventive or follow-up care that prompts the patient to take a new action. For example, a reminder to a patient about her upcoming mammogram is not considered an actionable reminder because the patient has already scheduled the mammogram. However, a reminder to a patient that she is due for a mammogram and need to schedule one, is considered an actionable reminder because the patient must take a new action to schedule the appointment.
Workflows
Current product supports sending reminders through inquiries and letter templates.
Note. You may need to modify the location of existing letters to use for this purpose. Changes do not retroactively apply to past audit events.
Send reminders from the Inquiries module
Before using this feature, store reminder letter templates in a root level Letters folder with “Actionable” in the folder name. When letters are sent using these templates they are considered for Meaningful Use.
After configuring and running an inquiry to identify a list of patients, select Send Reminder in the Activity list to set up and print a reminder letter for each patient.
The EP or user (on behalf of the EP) who generates the letter is counted in the numerator.
Be aware that CQR will account for the full denominator of the measure, but will ONLY count numerators for patients sent Letters, whose preferred contact method is "Letter". When attesting, providers can use the list of “Unmet” patients in the numerator, create reminders according to the patients' preference and provide them to the patients. The providers can then add that number to the numerator when the providers attest. (EPs should keep a separate log or record for audit purposes).
Hope this helps -- Debi
Posted : February 8, 2015 8:44 am
