Difference between revisions of "C0Q Quality Reporting 1.0"

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(→‎Create Patient Lists)
(→‎Configuration of Package)
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| Maintain active medication list || Check for the presence of electronically prescribed medications stored in the Non-VA Multiple in file 55 for this patient || MU12-EP-HasMed || MU12-EP-ALL-PATIENTS || Rate > 80%
 
| Maintain active medication list || Check for the presence of electronically prescribed medications stored in the Non-VA Multiple in file 55 for this patient || MU12-EP-HasMed || MU12-EP-ALL-PATIENTS || Rate > 80%
 
|-
 
|-
−
| Maintain active medication allergy list || [http://www.cms.gov/EHRIncentivePrograms/Downloads/6_Medication_Allergy_List.pdf Source] || [https://trac.opensourcevista.net/svn/mu-tests/stage-1/170.302.e%20Maintain%20active%20medication%20allergy%20list%20IN.pdf Fulfillment] || Rate > 80% || Check for the presence of allergies for this patient
+
| Maintain active medication allergy list || Check for the presence of allergy documentation for this patient || MU12-EP-HasAllergy || MU12-EP-ALL-PATIENTS || Rate > 80%
 
|-
 
|-
−
| Record required demographics || [http://www.cms.gov/EHRIncentivePrograms/Downloads/7_Record_Demographics.pdf Source] || [https://trac.opensourcevista.net/svn/mu-tests/stage-1/170.306.b%20Record%20demographics.pdf Fulfillment] || Rate > 50% || Check for the presence of Sex, DOB, Primary ID, Preferred Language, Race, Ethnicity for this patient. Lack of any one disqualifes you.
+
| Record required demographics || Check for the presence of Sex, DOB, Primary ID, Preferred Language, Race, Ethnicity for this patient. Lack of any one disqualifes you. || MU12-EP-HasDemographics || MU12-EP-ALL-PATIENTS  || Rate > 50%
 
|-
 
|-
−
| Record required vital signs || [http://http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/downloads/8%2520Record%2520Vital%2520Signs%25202011.pdf Source] || [https://trac.opensourcevista.net/svn/mu-tests/stage-1/170.302.f.1%20Vital%20Signs.pdf Fulfillment] || Rate > 50% || Check vital signs from July 3rd 2011 to present for this patient.
+
| Record required vital signs || Check vital signs from July 3rd 2011 to present for this patient || MU12-EP-HasVitalSigns || MU12-EP-ALL-PATIENTS || Rate > 50%
 
|-
 
|-
 
| Record smoking status for patients aged 13 yrs and up || [http://www.cms.gov/EHRIncentivePrograms/Downloads/9_Record_Smoking_Status.pdf Source] || [https://trac.opensourcevista.net/svn/mu-tests/stage-1/170.302.g%20Smoking%20Status.pdf Fulfillment] || Rate > 50% || Check health factors in the category Tobacco; see if patient will have these. If none found in the category, each possible health factor in a list is tried by itself.
 
| Record smoking status for patients aged 13 yrs and up || [http://www.cms.gov/EHRIncentivePrograms/Downloads/9_Record_Smoking_Status.pdf Source] || [https://trac.opensourcevista.net/svn/mu-tests/stage-1/170.302.g%20Smoking%20Status.pdf Fulfillment] || Rate > 50% || Check health factors in the category Tobacco; see if patient will have these. If none found in the category, each possible health factor in a list is tried by itself.

Revision as of 22:05, 4 October 2012

What is the Quality Measures Package?

The Quality Measures Package is an addition to VistA for reporting Meaningful Use and Quality Measurements. The package supports both inpatient and outpatient reporting, and computes the Meaningful Use measures from patient records.

For Quality Measurements, the reporting package relies on the VistA Reminders Patient Lists as the source for its reporting.

Licensing

The package is licensed under GPL version 2.0 or later.

http://www.gnu.org/licenses/gpl-2.0.html

Installing C0Q Quality Reporting

System Requirements

  • VISTA running on an Mumps 95 compliant implementation
  • CCD/CCR GENERATION UTILTIES 1.2
  • PXRM*2.0*12
  • PXRM*2.0*17
  • TMG*1.0*17

Installation of the CCD/CCR Package

The software and documentation for the package is located here

Here are some brief instructions for installing this. Detailed instructions can be found in the above link.

Pre-requisites

  1. NHIN1_0.KID
  2. NHIN-1_SEQ-1_PAT-1.KID

Main file installation

  1. CCD-CCR_GENERATION_UTILITIES_1P2.KID
  2. C0CRXN_DEF_0002.kids
  3. C0CRXN_DATA_072011_0100.gkids.tgz

Installation of the Quality Measures Package

Pre-requisites

Download and install the following FOIA VISTA patches if you don't already have them installed (they came out in 2009 and 2010).

  1. GMRV-5_SEQ-16_PAT-25.KID
  2. USR-1_SEQ-31_PAT-29.KID
  3. PXRM*2.0*12 Multibuild
  4. PXRM*2.0*17 Multibuild

You also need to install the TMG Growth Charts if you have not already done so.

  1. TMG-1.0-17.KIDS

Main file installation

Download and install the following builds:

IT IS VITAL THAT YOU READ THE README FILES PRIOR TO INSTALLING THE PATCHES. SOME PATCHES WILL WANT LAB TESTS TO BE LINKED. YOU MUST NOT SKIP THIS STEP OTHERWISE YOU WILL BREAK THE REMINDER BEING INSTALLED.

  1. QUALITY_MEASURES_1P0.KID README
  2. C0Q-1_SEQ-001_PAT-002.KID README
  3. C0Q-1_SEQ-002_PAT-003.KID README
  4. C0Q-1_SEQ-003_PAT-004.KID README
  5. C0Q-1_SEQ-004_PAT-001.KID README

Installation transcripts can be found in the respective readme files.

Post-installation Tasks

The package does not export any keys at the current time. The package's main menu is C0Q QUALITY MEASUREMENT MENU. A properly configured VISTA user who accesses this menu from their primary or secondary menus will be assumed henceforth. If you intend to place this menu on XUCORE, remember that it doesn't have a key protecting it currently. You will need to make your own.

Configuration of Package

Outpatient Configuration

Here is a summary of what we have to do to make the package work. Right now there are reciprocal dependencies in set-up that require you to go into different options more than once.

  1. Set-up MU Measure Parameters.
  2. Create Patient Lists
  3. Create new MU Utility Measures
  4. Create a Measure Set containing all your utility measures
  5. Use specified Reminder Rule Sets and Reminder Extracts to create patient lists in the Reminder Package
  6. Fill in the names of your created patient lists in the Quality Measures section
  7. Create a Measure Set containing all your quality measures
  8. Go back to your parameters and populate the Utility Measure Set and Quality Measure Set

Set-up MU Measure Parameters

Prior to building measures and measure sets, we must establish the parameters. If you’re building outpatient MU measures, “EP EDIT PARMS” should be selected (as seen above). If you’re building, inpatient MU measure, “INP EDIT PARMS” should be selected.

From the main menu, choose the SETUP QUALITY REPORTING option. 

Select QUALITY MEASUREMENT MENU Option: SETUP QUALITY REPORTING


          DISPLAY QUALITY MEASURES
          EDIT SUPERUSERS
          EP EDIT PARMS
          INP EDIT PARMS
          MEASURE SET EDIT
          MU MEASURE EDIT
          QUALITY MEASURE EDIT

Select SETUP QUALITY REPORTING Option: EP EDIT PARMS
Select C0Q PARAMETER NAME: MU2012 Clinic Reporting	-- Enter Name of Parameter
  Are you adding 'MU2012 Clinic Reporting' as 
    a new C0Q PARAMETER (the 1ST)? No// y  (Yes)
NAME: MU2012 Clinic Reporting  Replace 
MEASUREMENT PERIOD KEY: MU12	-- MUST PUT MU12 HERE OTHERWISE PACKAGE WON'T WORK!
PARAMETER TYPE:  OUTPATIENT		-- Inpatient or Outpatient
EP MU MEASUREMENT SET: 		-- To be left empty for now.  Will come back to add measure set.
EP QUALITY MEASUREMENT SET: 	-- To be left empty for now.  Will come back to add measure set.
Select CLINIC: DR OFFICE       DOCTOR,FOUR	--defines visit criteria.  To ONLY look for visits in a specific clinic, ward, etc.
  Are you adding 'DR OFFICE' as a new CLINIC (the 1ST for this C0Q PARAMETER)? 
No// y  (Yes)
Select CLINIC: 				-- NOTE: Package only support 1 clinic ONLY right now.
PATIENT LIST LABEL: 
Select SUBSCRIBER:

Create Patient Lists

GTM>D ^XUP	-- enter the programmer environment
Select OPTION NAME: COQ Q	-- enter C0Q module

 COPY OVER PATIENT LISTS
          ED-1 COMPUTATION
          ED-2 COMPUTATION
          EP UPDATE MU MEASURES
          INP UPDATE MU MEASURES
          PQRI MENU ...
          PQRI PRINT XML
 PRINT C0Q MEASURES
          SETUP QUALITY REPORTING ...

Select QUALITY MEASUREMENT MENU Option: EP UPDATE MU MEASURES	
Jul 25, 2011@98:87:94
Jul 25, 2011@87:88:53
Jun 27, 2011@97:94:70
Jun 27, 2011@97:89:96
BAD HEALTH FACTOR: Non-Smoker (PMH)
BAD HEALTH FACTOR: Non-Tobacco User
BAD HEALTH FACTOR: Current Smoker - No
BAD HEALTH FACTOR: Current Smoker - Yes
CREATING MU12-EP-ALL-PATIENTS
CREATING MU12-EP-DR OFFICE-Patient
CREATING MU12-EP-FailedDemographics
CREATING MU12-EP-HasAllergy

If you are building Inpatient MU Measures, select INP UPDATE MU MEASURES instead of EP UPDATE MU MEASURES (as selected above). Once you select “UPDATE MU MEASURE” you should see several lines of text (a small subset of this text can be seen above). When selecting the UPDATE MU MEASURES option, the parameters for Clinics or Inpatient facilities for the Meaningful Use measures are being computed. The parameters then update the patient lists associated with the MU measures, creating new lists (lists are auto-generated for MU measures) only if none exist. They then look for MU Measurement Sets that are in the parameters, and update them, copying over numerator and denominator patient lists, counting them, and computing the percentage. A final update should be performed to ensure the most up-to date data is reported for your MU measure/measure set (see step 6).


3. Create MU Measures

Measure Quality Measures Utility Logic Quality Measures Package Numerator Quality Measures Package Denominator Passing Rate
CPOE -- Provider directly enters in orders Check for the presence of electronically prescribed medications stored in the Non-VA Multiple in file 55 for this patient MU12-EP-HasMedOrders MU12-EP-ALL-PATIENTS Rate > 30%
Implement drug-drug and drug-allergy interaction checks N/A N/A N/A Report YES. Core VISTA functionality. Also part of electronic prescribing.
Maintain an up-to-date problem list of current and active diagnoses Checks active problems. MU12-EP-HasProblem MU12-EP-ALL-PATIENTS Rate > 80%
Generate and transmit permissible prescriptions electronically (eRx) Check for the presence of electronically prescribed medications stored in the Non-VA Multiple in file 55 for this patient MU12-EP-HasERX MU12-EP-ALL-PATIENTS Rate > 40%
Maintain active medication list Check for the presence of electronically prescribed medications stored in the Non-VA Multiple in file 55 for this patient MU12-EP-HasMed MU12-EP-ALL-PATIENTS Rate > 80%
Maintain active medication allergy list Check for the presence of allergy documentation for this patient MU12-EP-HasAllergy MU12-EP-ALL-PATIENTS Rate > 80%
Record required demographics Check for the presence of Sex, DOB, Primary ID, Preferred Language, Race, Ethnicity for this patient. Lack of any one disqualifes you. MU12-EP-HasDemographics MU12-EP-ALL-PATIENTS Rate > 50%
Record required vital signs Check vital signs from July 3rd 2011 to present for this patient MU12-EP-HasVitalSigns MU12-EP-ALL-PATIENTS Rate > 50%
Record smoking status for patients aged 13 yrs and up Source Fulfillment Rate > 50% Check health factors in the category Tobacco; see if patient will have these. If none found in the category, each possible health factor in a list is tried by itself.
Report clinical quality measures to CMS Source Fulfillment Yes/No (Measures are reportable rates however) Not checked. Report YES.
Implement 1 clinical decision support rule Source Fulfillment Yes/No Not checked. Report YES.
Provide patients with an electronic copy of their health information Source Fulfillment Rate > 50% NOT COLLECTIBLE IN VISTA. NO RELEASE OF INFORMATION PACKAGE. COLLECT MANUALLY
Provide clinical summaries for patients for each office visit within 3 days Source Fulfillment Rate > 50% NOT COLLECTIBLE IN VISTA. NO RELEASE OF INFORMATION PACKAGE. COLLECT MANUALLY
Perform at least 1 test of exchanging key clinical information with another entity electronically Source Fulfillment Yes/No Not checked. Report YES.
Protect electronic health information Source

1 2 3 4 5 6

Yes/No Not checked. Report YES. 
GTM>D ^XUP	-- enter the programmer environment
Select OPTION NAME: COQ Q	-- enter C0Q module
     1   C0Q QUALITY MEASURE DEFINITION       QUALITY MEASURE DEFINITION
     2   C0Q QUALITY MEASUREMENT MENU       QUALITY MEASUREMENT MENU
CHOOSE 1-2: 2  C0Q QUALITY MEASUREMENT MENU     QUALITY MEASUREMENT MENU

          COPY OVER PATIENT LISTS
          ED-1 COMPUTATION
          ED-2 COMPUTATION
          EP UPDATE MU MEASURES
          INP UPDATE MU MEASURES
          PQRI MENU ...
          PQRI PRINT XML
          PRINT C0Q MEASURES
          SETUP QUALITY REPORTING ...

Select QUALITY MEASUREMENT MENU Option: SETUP QUALITY REPORTING


          DISPLAY QUALITY MEASURES
          EDIT SUPERUSERS
          EP EDIT PARMS
          INP EDIT PARMS
          MEASURE SET EDIT
          MU MEASURE EDIT
          QUALITY MEASURE EDIT

Select SETUP QUALITY REPORTING Option: MU MEASURE EDIT

Select C0Q QUALITY MEASURE NAME: MU12 Allergy			-- MU12 Allergy is name of my measure
  Are you adding 'MU12 Allergy' as a new C0Q QUALITY MEASURE (the 103RD)? No// 
y  (Yes)
   C0Q QUALITY MEASURE DISPLAY NAME: Allergy List 			-- Allergy List is my display name
NAME: MU12 Allergy// 		-- Hit Enter to accept the default answer (same as name given)
MU YEAR KEY: MU12		-- Hit Enter to accept the default answer
TITLE: 			-- Hit Enter to bypass (optional)
VERY LONG DESCRIPTION:	-- Hit Enter to bypass (optional)
  1>
DISPLAY NAME: Allergy List // 	-- Hit Enter to accept the default answer
REPORTING NAME: 		    
ALTERNATIVE NUMERATOR LIST: MU12 	-- list used as the numerator to calculate measure percentage
     1   MU12-EP-ALL-PATIENTS       MU12-EP-ALL-PATIENTS
     2   MU12-EP-DR OFFICE-Patient       MU12-EP-DR OFFICE-Patient
     3   MU12-EP-FailedDemographics       MU12-EP-FailedDemographics
     4   MU12-EP-HasAllergy       MU12-EP-HasAllergy
     5   MU12-EP-HasDemographics       MU12-EP-HasDemographics
Press <RETURN> to see more, '^' to exit this list, OR
CHOOSE 1-5: 4  MU12-EP-HasAllergy     MU12-EP-HasAllergy
ALTERNATIVE DENOMINATOR LIST: MU12	-- list used as the denominator to calculate measure percentage
     1   MU12-EP-ALL-PATIENTS       MU12-EP-ALL-PATIENTS
     2   MU12-EP-DR OFFICE-Patient       MU12-EP-DR OFFICE-Patient
     3   MU12-EP-FailedDemographics       MU12-EP-FailedDemographics
     4   MU12-EP-HasAllergy       MU12-EP-HasAllergy
     5   MU12-EP-HasDemographics       MU12-EP-HasDemographics
Press <RETURN> to see more, '^' to exit this list, OR
CHOOSE 1-5: 1  MU12-EP-ALL-PATIENTS     MU12-EP-ALL-PATIENTS

Select C0Q QUALITY MEASURE NAME:
From year to year some MU measures may use the same numerator and dominator lists. If this applies to you, you can simply re-use and rename a measure instead of building a new measure from scratch. Also, in this example we only created one measure to be included in our MU measure set. If you would like multiple measures to be included, you would create additional measures and name accordingly. Please note: Consistent naming is crucial for keeping measures organized.


4. Create MU Measure SET and add MU Measure(s)
GTM>D ^XUP	-- enter the programmer environment
Select OPTION NAME: COQ Q	-- enter C0Q module
     1   C0Q QUALITY MEASURE DEFINITION       QUALITY MEASURE DEFINITION
     2   C0Q QUALITY MEASUREMENT MENU       QUALITY MEASUREMENT MENU
CHOOSE 1-2: 2  C0Q QUALITY MEASUREMENT MENU     QUALITY MEASUREMENT MENU

          COPY OVER PATIENT LISTS
          ED-1 COMPUTATION
          ED-2 COMPUTATION
          EP UPDATE MU MEASURES
          INP UPDATE MU MEASURES
          PQRI MENU ...
          PQRI PRINT XML
          PRINT C0Q MEASURES
          SETUP QUALITY REPORTING ...

Select QUALITY MEASUREMENT MENU Option: SETUP QUALITY REPORTING
Select SETUP QUALITY REPORTING Option: MEASURE SET EDIT

Select C0Q MEASUREMENTS SET NAME: MU12 Measure Set 	-- MU12 Measure set is name of my measure set
  Are you adding 'MU12 EP Measure Set' as 
    a new C0Q MEASUREMENTS (the 10TH)? No// y  (Yes)
SET NAME: MU12 EP Measure Set// 	-- Hit Enter to accept the default answer
BEGIN DATE: 1-1-2012  (JAN 01, 2012)	-- Beginning Date of visits to be included in the measure set
END DATE: 12-31-2012  (DEC 31, 2012)	-- Ending Date of visits to be included in the measure set
LOCKED: 				-- Can Lock the Measure Set once completed
MU YEAR KEY: MU12			-- Key is same as period Key used above
Select MEASURE: MU12			-- Add the MU measures created in step 3 to create your measure set
     1   MU12 Allergy       Allergy List 
CHOOSE 1-3: 1  MU12 Allergy     Allergy List 
  Are you adding 'MU12 Allergy' as a new MEASURE (the 1ST for this C0Q MEASUREM
ENTS)? No// y  (Yes)
  NUMERATOR FILTER LIST: 
  DENOMINATOR FILTER LIST: 
Select MEASURE: 

Select C0Q MEASUREMENTS SET NAME:
All applicable MU Measures created in Step 3 should be added to your Measure Set.


5. Link Measure Set to Parameter
GTM>D ^XUP	-- enter the programmer environment
Select OPTION NAME: COQ Q	-- enter C0Q module
     1   C0Q QUALITY MEASURE DEFINITION       QUALITY MEASURE DEFINITION
     2   C0Q QUALITY MEASUREMENT MENU       QUALITY MEASUREMENT MENU
CHOOSE 1-2: 2  C0Q QUALITY MEASUREMENT MENU     QUALITY MEASUREMENT MENU

         COPY OVER PATIENT LISTS
          ED-1 COMPUTATION
          ED-2 COMPUTATION
          EP UPDATE MU MEASURES
          INP UPDATE MU MEASURES
          PQRI MENU ...
          PQRI PRINT XML
          PRINT C0Q MEASURES
          SETUP QUALITY REPORTING ...

Select QUALITY MEASUREMENT MENU Option: SET-UP QUALITY REPORTING

          DISPLAY QUALITY MEASURES
          EDIT SUPERUSERS
          EP EDIT PARMS
          INP EDIT PARMS
          MEASURE SET EDIT
          MU MEASURE EDIT
          QUALITY MEASURE EDIT

Select SETUP QUALITY REPORTING Option: EP EDIT PARMS		-- or INP EDIT PARMS depending on INP or OP
Select C0Q PARAMETER NAME: MU12  MU2012 Clinic Reporting	-- Parameter created in Step 1
NAME: MU2012 Clinic Reporting  Replace 				-- Hit Enter to accept the default answer
MEASUREMENT PERIOD KEY: MU12// 				-- Hit Enter to accept the default answer
PARAMETER TYPE: OUTPATIENT// 				-- Hit Enter to accept the default answer
EP MU MEASUREMENT SET: MU12 EP Measure Set  			-- Add MU Measure Set created in Step 5
EP QUALITY MEASUREMENT SET: 					-- Hit Enter to accept the default answer
Select CLINIC: DR OFFICE// 					-- Hit Enter to accept the default answer
PATIENT LIST LABEL: 						-- Hit Enter to accept the default answer
Select SUBSCRIBER: 						-- Hit Enter to accept the default answer

Select C0Q PARAMETER NAME:
Your MU Measure Set (which includes MU Measures and visit time frame) is now linked to your parameter. **MU MEASURE BUILD IS COMPLETE**


6. Update MU Measure(s)
Prior to printing or displaying MU Measure perform an UPDATE MU MEASURE. This will ensure we are printing or displaying the most up to date data in the system. To complete this task, follow the instructions outlined in Step 2.


7. Print C0Q Measures
GTM>D ^XUP	-- enter the programmer environment
Select OPTION NAME: COQ Q	-- enter C0Q module
     1   C0Q QUALITY MEASURE DEFINITION       QUALITY MEASURE DEFINITION
     2   C0Q QUALITY MEASUREMENT MENU       QUALITY MEASUREMENT MENU
CHOOSE 1-2: 2  C0Q QUALITY MEASUREMENT MENU     QUALITY MEASUREMENT MENU

COPY OVER PATIENT LISTS
          ED-1 COMPUTATION
          ED-2 COMPUTATION
          EP UPDATE MU MEASURES
          INP UPDATE MU MEASURES
          PQRI MENU ...
          PQRI PRINT XML
          PRINT C0Q MEASURES
          SETUP QUALITY REPORTING ...

Select QUALITY MEASUREMENT MENU Option: Print C0Q MEASURES
Select C0Q MEASUREMENTS SET NAME: MU12 EP Measure Set  

DEVICE:   TELNET
C0Q MEASUREMENTS LIST                          MAR  7,2012  08:20    PAGE 1
MEASURE:DISPLAY NAME      DENOMINATOR    NUMERATOR           PERCENTAGE
--------------------------------------------------------------------------------


Allergy List                      55            23             42.00
Following Build, the above steps will allow you to view (validate the build) and print the MU Measure build created.

C0Q PACKAGE - CONFIGURATION of QUALITY MEASURES for MU

The following configuration instructions ONLY apply to the building and reporting of Quality Measures. Patient lists used to configure
C0Q quality measures are created via the Reminders Package. Patient List/Reminders build is not included in these configuration instructions.
ASSUMPTIONS:
- The install guide applies to VistA systems running on Linux/GT.M
- The install steps assume the VistA software is already installed and the environment variables/aliases are defined in your system.
- These instructions assume you are logged into VistA as a user who has access to configure the C0Q package.
INSTRUCTIONS:
1. Set-up Parameters
Log into VistA (user must have access to C0Q package). From GTM prompt:
GTM>D ^XUP	-- enter the programmer environment
Select OPTION NAME: COQ Q	-- enter C0Q module
     1   C0Q QUALITY MEASURE DEFINITION       QUALITY MEASURE DEFINITION
     2   C0Q QUALITY MEASUREMENT MENU       QUALITY MEASUREMENT MENU
CHOOSE 1-2: 2  C0Q QUALITY MEASUREMENT MENU     QUALITY MEASUREMENT MENU	
Select QUALITY MEASUREMENT MENU Option: SETUP QUALITY REPORTING	-- menu for C0Q set-up

          DISPLAY QUALITY MEASURES
          EDIT SUPERUSERS
          EP EDIT PARMS
          INP EDIT PARMS
          MEASURE SET EDIT
          MU MEASURE EDIT
          QUALITY MEASURE EDIT

Select SETUP QUALITY REPORTING Option: EP EDIT PARMS
Prior to building quality measures and quality measure sets, we must establish the parameters. If you’re building outpatient quality
measures, “EP EDIT PARMS” should be selected (as seen above). If you’re building, inpatient quality measures, “INP EDIT PARMS” should be
selected.
   
Select C0Q PARAMETER NAME: MU2012 Quality Measures	-- Enter Name of Parameter
  Are you adding 'MU2012 Quality Measures' as 
    a new C0Q PARAMETER (the 1ST)? No// y  (Yes)
NAME: MU2012 Quality Measures  Replace 
MEASUREMENT PERIOD KEY: MU12	-- Period Key groups measures and lists so easy to locate and search
PARAMETER TYPE:  OUTPATIENT		-- defines criteria for MU Measure data
EP MU MEASUREMENT SET: 		-- To be left empty.  We are building Quality Measures NOT MU measures.
EP QUALITY MEASUREMENT SET: 		-- To be left empty for now.  We will come back to add quality measure set.
Select CLINIC:	--Clinic NOT required for quality measure build.  The clinic (if applicable) should be built into the reminder/patient list 
build 
PATIENT LIST LABEL: 
Select SUBSCRIBER: 	- SUBCRIBER field designates who is allowed to see the specific quality measure set.
End of Quality Measure Parameter Set-up. [Enter] out of the menu until you reach the QUALITY MEASUREMENT MENU (C0Q Q menu as seen below): 
          COPY OVER PATIENT LISTS
          ED-1 COMPUTATION
          ED-2 COMPUTATION
          EP UPDATE MU MEASURES
          INP UPDATE MU MEASURES
          PQRI MENU ...
          PQRI PRINT XML
          PRINT C0Q MEASURES
          SETUP QUALITY REPORTING ...

Select SETUP QUALITY REPORTING Option:
2. Create Quality Measures 
GTM>D ^XUP	-- enter the programmer environment
Select OPTION NAME: COQ Q	-- enter C0Q module
     1   C0Q QUALITY MEASURE DEFINITION       QUALITY MEASURE DEFINITION
     2   C0Q QUALITY MEASUREMENT MENU       QUALITY MEASUREMENT MENU
CHOOSE 1-2: 2  C0Q QUALITY MEASUREMENT MENU     QUALITY MEASUREMENT MENU

          COPY OVER PATIENT LISTS
          ED-1 COMPUTATION
          ED-2 COMPUTATION
          EP UPDATE MU MEASURES
          INP UPDATE MU MEASURES
          PQRI MENU ...
          PQRI PRINT XML
          PRINT C0Q MEASURES
          SETUP QUALITY REPORTING ...

Select QUALITY MEASUREMENT MENU Option: SETUP QUALITY REPORTING

          DISPLAY QUALITY MEASURES
          EDIT SUPERUSERS
          EP EDIT PARMS
          INP EDIT PARMS
          MEASURE SET EDIT
          MU MEASURE EDIT
          QUALITY MEASURE EDIT

Select SETUP QUALITY REPORTING Option: QUALITY MEASURE EDIT
  
Select C0Q QUALITY MEASURE NAME: MU EP NQF 0024      		-- Name of my quality measure.  
NAME: MU EP NQF 0024// 		
MU YEAR KEY: 
TITLE: NQF0024 Weight Assessment and Counseling for Children and Adolescents
           Replace 					-- Title of my quality measure
VERY LONG DESCRIPTION:			-- Description of my quality measure
  1>Percentage of patients 2 -17 years of age 
  2>who had an outpatient visit with a Primary Care Physician 
  3>(PCP) or OB/GYN and who had evidence of BMI 
  4>percentile documentation, counseling for nutrition and 
  5>counseling for physical activity during the measurement 
  6>year.
EDIT Option: 
DISPLAY NAME: NQF0024 Weight Assessment and Counseling for Children and Adolescents   Replace							
	
REPORTING NAME: NQF0027// 					 
NUMERATOR PATIENT LIST: MU NQF0024   -- Reminder Patient List (numerator) for this quality measures should be added.  
     1   MU NQF0024 OBESITY KIDS DENOM PL  
     2   MU NQF0024 OBESITY KIDS NUM PL  
CHOOSE 1-2: 2  MU NQF0024 OBESITY KIDS NUM PL	-- Reminder Patient List (denominator) for this quality measure should be added.
DENOMINATOR PATIENT LIST: MU NQF0024
     1   MU NQF0024 OBESITY KIDS DENOM PL  
     2   MU NQF0024 OBESITY KIDS NUM PL  
CHOOSE 1-2: 1  MU NQF0024 OBESITY KIDS DENOM PL
QRDA TEMPLATE ROOT: 
QRDA CODE: :
In this step we are creating a Quality Measure and linking the proper numerator and denominator patient lists (from the reminders package)
to the quality measure. These patient lists identify our population and our percentages are calculated based on list data. When installed,
the C0Q package will likely have several Meaningful Use Quality Measures and patient lists available. If you are unable to find an applicable
patient list, we recommend you look for an existing list, shared on the WV trac server. From the WV trac server you can download and import
the .prd files (import into the reminders package), saving you hours of work. Please reference the reminders package for import instructions.
https://trac.opensourcevista.net/browser/quality/tags/mu/PRD
In addition, from year to year some quality measures may use the same numerator and dominator lists. If this applies to you, you can simply
re-use (refresh) and rename a measure instead of building a new measure from scratch. Also, in this example we only created one quality
measure to be included in our quality measure set. If you would like multiple measures to be included, you would create additional measures
and name accordingly. Please note: Consistent naming is crucial for keeping measures organized.


3. Create Quality Measure SET and add Quality Measure(s)
GTM>D ^XUP	-- enter the programmer environment
Select OPTION NAME: COQ Q	-- enter C0Q module
     1   C0Q QUALITY MEASURE DEFINITION       QUALITY MEASURE DEFINITION
     2   C0Q QUALITY MEASUREMENT MENU       QUALITY MEASUREMENT MENU
CHOOSE 1-2: 2  C0Q QUALITY MEASUREMENT MENU     QUALITY MEASUREMENT MENU

          COPY OVER PATIENT LISTS
          ED-1 COMPUTATION
          ED-2 COMPUTATION
          EP UPDATE MU MEASURES
          INP UPDATE MU MEASURES
          PQRI MENU ...
          PQRI PRINT XML
          PRINT C0Q MEASURES
          SETUP QUALITY REPORTING ...

Select QUALITY MEASUREMENT MENU Option: SETUP QUALITY REPORTING

          DISPLAY QUALITY MEASURES
          EDIT SUPERUSERS
          EP EDIT PARMS
          INP EDIT PARMS
          MEASURE SET EDIT
          MU MEASURE EDIT
          QUALITY MEASURE EDIT

Select SETUP QUALITY REPORTING Option: MEASURE SET EDIT
Select C0Q MEASUREMENTS SET NAME: MU12 Quality Measure Set  	-- Name of my measure set
  Are you adding 'MU12 Quality Measure Set' as 
    a new C0Q MEASUREMENTS (the 12TH)? No// y  (Yes)
SET NAME: MU12 Quality Measure Set  Replace 
BEGIN DATE: 	--Begin Date is NOT required for quality measure build.  The date (if applicable) should be built into the reminder build.
END DATE: 	--End Date is NOT required for quality measure build.  The date (if applicable) should be built into the reminder build.
LOCKED: 	-- Measure Set LOCK should be set after reporting period has ended.
MU YEAR KEY:  MU12
Select MEASURE: MU EP NQF 0024	-- Adding our quality measure (created in step 2) to our measure set
Select MEASURE: MU EP NQF 0024       NQF0024 Weight Assessment and Counseling for Children and Adolescents 
  Are you adding 'MU EP NQF 0024' as a new MEASURE (the 1ST for this C0Q MEASUREMENTS)? No// y  (Yes)
  NUMERATOR FILTER LIST: 
  DENOMINATOR FILTER LIST: 
Select MEASURE:

Select C0Q MEASUREMENTS SET NAME:
All applicable Quality Measures created in Step 2 should be added to your Measure Set.
4. Link Measure Set to Parameter
GTM>D ^XUP	-- enter the programmer environment
Select OPTION NAME: COQ Q	-- enter C0Q module
     1   C0Q QUALITY MEASURE DEFINITION       QUALITY MEASURE DEFINITION
     2   C0Q QUALITY MEASUREMENT MENU       QUALITY MEASUREMENT MENU
CHOOSE 1-2: 2  C0Q QUALITY MEASUREMENT MENU     QUALITY MEASUREMENT MENU

         COPY OVER PATIENT LISTS
          ED-1 COMPUTATION
          ED-2 COMPUTATION
          EP UPDATE MU MEASURES
          INP UPDATE MU MEASURES
          PQRI MENU ...
          PQRI PRINT XML
          PRINT C0Q MEASURES
          SETUP QUALITY REPORTING ...

Select QUALITY MEASUREMENT MENU Option: SET-UP QUALITY REPORTING

          DISPLAY QUALITY MEASURES
          EDIT SUPERUSERS
          EP EDIT PARMS
          INP EDIT PARMS
          MEASURE SET EDIT
          MU MEASURE EDIT
          QUALITY MEASURE EDIT

Select SETUP QUALITY REPORTING Option: EP EDIT PARMS		-- or INP EDIT PARMS depending on INP or OP
Select C0Q PARAMETER NAME: MU2012 Quality Measures	-- Parameter created in Step 1
NAME: MU2012 Quality Measures Replace 				-- Hit Enter to accept the default answer
MEASUREMENT PERIOD KEY: MU12// 				-- Hit Enter to accept the default answer
PARAMETER TYPE: OUTPATIENT// 				-- Hit Enter to accept the default answer
EP MU MEASUREMENT SET:   				-- Leave blank, we are not creating a MU measure set
EP QUALITY MEASUREMENT SET:   MU12 Quality Measure Set  	-- Add Quality Measure Set created in Step 3
Select CLINIC: 					-- Hit Enter to accept the default answer
PATIENT LIST LABEL: 				-- Hit Enter to accept the default answer
Select SUBSCRIBER: 				-- Hit Enter to accept the default answer

Select C0Q PARAMETER NAME:
Your Quality Measure Set is now linked to your parameter. ** QUALITY MEASURE BUILD IS COMPLETE**


5. Copy Over Patient Lists
Prior to printing or displaying Quality Measure data, a copy of the patient list (that are being used in your quality measure set) data is

needed. To update: 

GTM>D ^XUP	-- enter the programmer environment
Select OPTION NAME: COQ Q	-- enter C0Q module
     1   C0Q QUALITY MEASURE DEFINITION       QUALITY MEASURE DEFINITION
     2   C0Q QUALITY MEASUREMENT MENU       QUALITY MEASUREMENT MENU
CHOOSE 1-2: 2  C0Q QUALITY MEASUREMENT MENU     QUALITY MEASUREMENT MENU

         COPY OVER PATIENT LISTS
          ED-1 COMPUTATION
          ED-2 COMPUTATION
          EP UPDATE MU MEASURES
          INP UPDATE MU MEASURES
          PQRI MENU ...
          PQRI PRINT XML
          PRINT C0Q MEASURES
          SETUP QUALITY REPORTING ...

Select QUALITY MEASUREMENT MENU Option: COPY OVER PATIENT LISTS
Select C0Q MEASUREMENTS SET NAME: MU12 Quality Measure Set  
C0QFDA(1130580001.2011,"1,12,",1.1)=2
C0QFDA(1130580001.20111,"+1,1,12,",.01)=13
C0QFDA(1130580001.20111,"+2,1,12,",.01)=14
C0QFDA(1130580001.2011,"1,12,",2.1)=13
C0QFDA(1130580001.20112,"+1,1,12,",.01)=12
C0QFDA(1130580001.20112,"+10,1,12,",.01)=90
C0QFDA(1130580001.20112,"+11,1,12,",.01)=91………….
This will ensure we are printing or displaying the most up to date data in the system.
6. Print C0Q Measures
GTM>D ^XUP	-- enter the programmer environment
Select OPTION NAME: COQ Q	-- enter C0Q module
     1   C0Q QUALITY MEASURE DEFINITION       QUALITY MEASURE DEFINITION
     2   C0Q QUALITY MEASUREMENT MENU       QUALITY MEASUREMENT MENU
CHOOSE 1-2: 2  C0Q QUALITY MEASUREMENT MENU     QUALITY MEASUREMENT MENU

COPY OVER PATIENT LISTS
          ED-1 COMPUTATION
          ED-2 COMPUTATION
          EP UPDATE MU MEASURES
          INP UPDATE MU MEASURES
          PQRI MENU ...
          PQRI PRINT XML
          PRINT C0Q MEASURES
          SETUP QUALITY REPORTING ...

Select QUALITY MEASUREMENT MENU Option: Print C0Q MEASURES

Select C0Q MEASUREMENTS SET NAME: MU12 Quality Measure Set  

DEVICE:   TELNET
C0Q MEASUREMENTS LIST                          APR  4,2012  07:50    PAGE 1
MEASURE:DISPLAY NAME      DENOMINATOR    NUMERATOR           PERCENTAGE
--------------------------------------------------------------------------------

NQF0024 Weight                    13             2             15.00
Assessment and
Counseling for Children
and Adolescents

Contributors

- George Lilly
- Oroville Hosptial
- Ryan Grimm and Luke Dubay (Install and Config documentation)
-Twin Cities EMR Consulting, LLC. (Minneapolis, MN)

Future Development

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