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Trouble meeting 50% Portal Threshold

MU, CQR, PQRS, etc.

Last Post by Anonymous 1 second ago

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kkopp

(@kkopp)

Posts: 333

Honorable Member

Topic starter

Is anyone else having a hard time meeting the 50% portal threshold? We reside in a small rural community with a large elderly population. We ask every patient, I would say 4 out of 5 decline the portal. Any ideas on increasing these numbers????

Posted : June 30, 2015 9:59 am

vjones

(@vjones)

Posts: 17

Eminent Member

There is an observation term to record when the Portal Access is declined. You can populate the Obs term manually, with a quick text, or by marking the PIN Generator (for Kryptiq/SureScripts Portal) as 'declined'.

If you offer, and the patient declines portal access - marking them as 'declined portal access' will remove that patient from the denominator as an exclusion.

Therefore if you have a 100 patient sample --> 50 patients sign up, and 25 patients decline --> you would have 75% Portal Access for the measure.

Hope that helps!

Posted : June 30, 2015 10:09 am

DVI1501

(@dvi1501)

Posts: 80

Trusted Member

CMS allows you to count declines as long as the patient has all the information needed to sign up for the portal on their own.

We had to create a document that time-stamped OBS term PATPORTALPIN in the background, stating that we offered it to them but they declined and have all the necessary tools to sign up. It pushed us in the high 90% when added to the patients that did sign up. We are on MedFusion.

Posted : June 30, 2015 10:11 am

pdangelo

(@pdangelo)

Posts: 140

Estimable Member

We are on EZAccess and have enabled the auto-enroll function. This assigns a username/password (even if they don't have an email account). We then provide all of the information to the patient/family for enrollment. We also require new patient registration and prescription refills via the portal, which can be done by an authorized family member.

Posted : June 30, 2015 10:36 am

petemarkey

(@petemarkey)

Posts: 373

Honorable Member

pdangelo

doesn't the portal password need to expire at some point? I was just wondering about this. How can you really provide documentation for them to access the portal later "without further intervention".

Posted : June 30, 2015 12:38 pm

kkopp

(@kkopp)

Posts: 333

Honorable Member

Topic starter

Does anyone have the documentation or know where to find it regarding CMS allowing patients to decline the patient portal? And does the same go for EH?

Posted : July 3, 2015 6:07 am

DVI1501

(@dvi1501)

Posts: 80

Trusted Member

kkopp:

http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/PatientElecAccTipsheet_06182014-.pdf

Posted : July 8, 2015 7:27 am

ematis

(@ematis)

Posts: 5

Active Member

From here http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/PatientElecAccTipsheet_06182014-.pdf

says

Q: When calculating Measure #1, how should eligible professionals and eligible hospitals account for patients who do not wish to receive access to their health information?

A: A patient can choose not to access their health information, or "opt-out." Patients cannot be removed from the denominator for opting out of receiving access. If a patient opts out, a provider may count them in the numerator if they have been given all the information necessary to opt back in without requiring any follow up action from the provider, including, but not limited to, a user ID and password, information on the patient website, and how to create an account.

Posted : July 8, 2015 7:41 am

kkopp

(@kkopp)

Posts: 333

Honorable Member

Topic starter

Thank you!!

Posted : July 9, 2015 2:59 am

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