Meaningful Use Matrix - Revision history

NeilArmstrong: A

2012-03-21T19:42:30Z

← Older revision		Revision as of 19:42, 21 March 2012
Line 55:		Line 55:
	; VistA		; VistA
	:		:
	== 2011 Objectives (HOPP 1): Demographic records ==		== 2011 Objectives (HOPP 1): Demographic [[~\|Record]]records ==
	Record primary language, insurance type, gender, race, ethnicity OP, IP		[[Record~\|Record]] primary language, insurance type, gender, race, ethnicity OP, IP
	; VistA		; VistA
	:		:
	== 2011 Objectives (HOPP 1): Vital Signs ==		== 2011 Objectives (HOPP 1): Vital Signs ==
	Record vital signs including height, weight, blood pressure OP, IP		[[Record~\|Record]] vital signs including height, weight, blood pressure OP, IP
	; VistA		; VistA
	:		:
Line 79:		Line 79:
	; VistA		; VistA
	:		:
	== 2011 Objectives (HOPP 2): Patient Electronic Health Record ==		== 2011 Objectives (HOPP 2): Patient Electronic Health [[Record~\Record]] ==
	Provide patients with electronic copy of- or electronic access to- clinical information (including lab results, problem list, medication lists, allergies) per patient preference (e.g., through PHR) OP, IP		Provide patients with electronic copy of- or electronic access to- clinical information (including lab results, problem list, medication lists, allergies) per patient preference (e.g., through PHR) OP, IP
	; VistA		; VistA
Line 136:		Line 136:
	: Smoking cessation is commonly tracked in Clinical Reminders		: Smoking cessation is commonly tracked in Clinical Reminders
	== 2011 Quality Measures Reporting (HOPP 1): BMI ==		== 2011 Quality Measures Reporting (HOPP 1): BMI ==
	- % of patients with recorded BMI OP		- % of patients with [[recorded~\|Record]] BMI OP
	; VistA		; VistA
	:		:
Line 204:		Line 204:
	: HL7 messaging in VistA is extensive, CPRS provides many kinds of Health Information, Continuity of Care information also overlaps with this data		: HL7 messaging in VistA is extensive, CPRS provides many kinds of Health Information, Continuity of Care information also overlaps with this data
	== 2011 Quality Measures Reporting (HOPP 3): sharing summaries ==		== 2011 Quality Measures Reporting (HOPP 3): sharing summaries ==
	% of transitions in care for which summary care record is shared (e.g., electronic, paper, eFax) OP, IP		% of transitions in care for which summary care [[record~\|Record]] is shared (e.g., electronic, paper, eFax) OP, IP
	; VistA		; VistA
	: Multiple methods exist to provide health summaries, including the Continuity of Care information.		: Multiple methods exist to provide health summaries, including the Continuity of Care information.
Line 210:		Line 210:
	Report up-to-date status for childhood immunizations OP		Report up-to-date status for childhood immunizations OP
	; VistA		; VistA
	: Pediatric care support in VistA is light, however the V IMMUNIZATION FileMan File from the IHS (RPMS) is supported as are the PXTT* menu options supporting the Immunization Record		: Pediatric care support in VistA is light, however the V IMMUNIZATION FileMan File from the IHS (RPMS) is supported as are the PXTT* menu options supporting the Immunization [[Record~\|Record]]
	== 2011 Quality Measures Reporting (HOPP 4): Reportable Lab Results ==		== 2011 Quality Measures Reporting (HOPP 4): Reportable Lab Results ==
	% reportable lab results submitted electronically IP		% reportable lab results submitted electronically IP
Line 228:		Line 228:
	: need clear definition of what is needed for a security risk assessment		: need clear definition of what is needed for a security risk assessment

	= 2013 Objectives & Measures (not ~~recorded~~ on this page yet)=		= 2013 Objectives & Measures (not [[record~\|Record]]ed on this page yet)=
	* Goal is to guide and support care processes and care coordination		* Goal is to guide and support care processes and care coordination

NeilArmstrong: Added glossary link to Allergy~

2012-02-22T07:15:11Z

Added glossary link to Allergy~

← Older revision		Revision as of 07:15, 22 February 2012
Line 36:		Line 36:
	: Computerized Provider Order Entry (CPOE) is provided through [[CPRS]]		: Computerized Provider Order Entry (CPOE) is provided through [[CPRS]]
	== 2011 Objectives (HOPP 1): Drug Checks ==		== 2011 Objectives (HOPP 1): Drug Checks ==
	Implement drug-drug, drug-allergy, drug-formulary checks OP, IP		Implement drug-drug, drug-[[allergy~\|Allergy]], drug-formulary checks OP, IP
	; VistA		; VistA
	:		:
Line 52:		Line 52:
	:		:
	== 2011 Objectives (HOPP 1): Med Allergies ==		== 2011 Objectives (HOPP 1): Med Allergies ==
	Maintain active medication allergy list OP, IP		Maintain active medication [[allergy~\|Allergy]] list OP, IP
	; VistA		; VistA
	:		:

Kdtop at 21:31, 27 January 2010

2010-01-27T21:31:01Z

← Older revision		Revision as of 21:31, 27 January 2010
Line 1:		Line 1:
			'''NOTE: The page below is an older version of governmental requirements. Please see updated page:''' [[Meaningful Use (WG6)]]


	There is a meaningful use matrix published on the Health & Human Services (HHS) website at http://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_11113_872719_0_0_18/Meaningful%20Use%20Matrix.pdf		There is a meaningful use matrix published on the Health & Human Services (HHS) website at http://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_11113_872719_0_0_18/Meaningful%20Use%20Matrix.pdf

DavidWhitten: /* 2011 Objectives & Measures */

2009-06-16T20:17:15Z

2011 Objectives & Measures

Show changes

DavidWhitten at 19:04, 16 June 2009

2009-06-16T19:04:25Z

← Older revision		Revision as of 19:04, 16 June 2009
Line 1:		Line 1:
	There is a meaningful use matrix published on the Health & Human Services (HHS) website at http://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_11113_872719_0_0_18/Meaningful%20Use%20Matrix.pdf		There is a meaningful use matrix published on the Health & Human Services (HHS) website at http://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_11113_872719_0_0_18/Meaningful%20Use%20Matrix.pdf

	This web page is a beginning of addressing the issue of whether VistA based systems support all of the requirements listed there, and tries to explain exactly how these are supported.		This web page is a beginning of addressing the issue of whether VistA based systems support all of the requirements listed there, and tries to explain exactly how these are supported.

DavidWhitten: /* 2013 Objectives & Measures (not done yet) */

2009-06-16T19:03:38Z

2013 Objectives & Measures (not done yet)

← Older revision		Revision as of 19:03, 16 June 2009
Line 131:		Line 131:
	Conduct or update a security risk assessment and implement security updates as necessary		Conduct or update a security risk assessment and implement security updates as necessary

	= 2013 Objectives & Measures (not ~~done~~ yet)=		= 2013 Objectives & Measures (not recorded on this page yet)=
	* Goal is to guide and support care processes and care coordination		* Goal is to guide and support care processes and care coordination

DavidWhitten at 19:01, 16 June 2009

2009-06-16T19:01:59Z

New page

There is a meaningful use matrix published on the Health & Human Services (HHS) website at http://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_11113_872719_0_0_18/Meaningful%20Use%20Matrix.pdf

This web page is a beginning of addressing the issue of whether VistA based systems support all of the requirements listed there, and tries to explain exactly how these are supported.

= Health Outcomes Policy Priorities =
* Improve quality, safety, efficiency, and reduce health disparities
* Engage patients and families
* Improve care coordination
* Improve population and public health
* Ensure adequate privacy and security protections for personal health information
= Care Goals of Health Outcomes Policy Priorities (HOPP) =
== Care Goals of HOPP 1: Improve quality, safety, efficiency, and reduce health disparities ==
* Provide access to comprehensive patient health data for patient’s health care team
* Use evidence-based order sets and CPOE
* Apply clinical decision support at the point of care
* Generate lists of patients who need care and use them to reach out to patients (e.g., reminders, care instructions, etc)
* Report to patient registries for quality improvement, public reporting, etc
== Care Goal of HOPP 2: Engage patients and families ==
* Provide patients and families with access to data, knowledge, and tools to make informed decisions and to manage their health
== Care Goals of HOPP 3: Improve care coordination ==
* Exchange meaningful clinical information among professional health care team
== Care Goals of HOPP 4: Improve population and public health ==
* Communicate with public health agencies
== Care Goals of HOPP 5: Ensure adequate privacy and security protections for personal health information ==
* Ensure privacy and security protections for confidential information through operating policies, procedures, and technologies and compliance with applicable law
* Provide transparency of data sharing to patient

= 2011 Objectives & Measures =
* Goal is to electronically capture in coded format and to report health information and to use that information to track key clinical conditions
== 2011 Objectives (HOPP 1): CPOE ==
Use CPOE for all order types including medications OP, IP
Computerized Provider Order Entry (CPOE) is provided through [[CPRS]]
== 2011 Objectives (HOPP 1): Drug Checks ==
Implement drug-drug, drug-allergy, drug-formulary checks OP, IP
== 2011 Objectives (HOPP 1): Problem List ==
Maintain an up-to-date problem list OP, IP
== 2011 Objectives (HOPP 1): E-Prescriptions ==
Generate and transmit permissible prescriptions electronically (eRx) OP
== 2011 Objectives (HOPP 1): Active Meds ==
Maintain active medication list OP, IP
== 2011 Objectives (HOPP 1): Med Allergies ==
Maintain active medication allergy list OP, IP
== 2011 Objectives (HOPP 1): Demographic records ==
Record primary language, insurance type, gender, race, ethnicity OP, IP
== 2011 Objectives (HOPP 1): Vital Signs ==
Record vital signs including height, weight, blood pressure OP, IP
== 2011 Objectives (HOPP 1): EHR Lab Test Results ==
Incorporate lab-test results into EHR OP, IP
== 2011 Objectives (HOPP 1): Condition Specific Patient Lists ==
Generate lists of patients by specific condition to use for quality improvement, reduction of disparities, and outreach OP
== 2011 Objectives (HOPP 1): Reminders to Patients ==
Send reminders to patients per patient preference for preventive /follow up care OP, IP
== 2011 Objectives (HOPP 1): Encounter Progress Notes ==
Document a progress note for each encounter OP
== 2011 Objectives (HOPP 2): Patient Electronic Health Record ==
Provide patients with electronic copy of- or electronic access to- clinical information (including lab results, problem list, medication lists, allergies) per patient preference (e.g., through PHR) OP, IP
== 2011 Objectives (HOPP 2): Patient Education ==
Provide access to patient-specific educational resources OP, IP
== 2011 Objectives (HOPP 2): Patient Encounter Clinical Summary ==
Provide clinical summaries for patients for each encounter OP, IP
== 2011 Objectives (HOPP 3): Share Clinical Information ==
Exchange key clinical information among providers of care (e.g., problems, medications, allergies, test results) OP, IP
== 2011 Objectives (HOPP 3): Medical Reconciliation ==
Perform medication reconciliation at relevant encounters OP, IP
== 2011 Objectives (HOPP 4): Immunization Registry ==
Submit electronic data to immunization registries where required and accepted OP, IP
== 2011 Objectives (HOPP 4): Reportable Lab Results ==
Provide electronic submissions of reportable lab results to public health agencies IP
== 2011 Objectives (HOPP 4): Syndrome Surveillance ==
Provide electronic syndrome surveillance data to public health agencies according to applicable law and practice IP

== 2011 Objectives (HOPP 5): HIPAA ==
Compliance with HIPAA Privacy and Security Rules and state laws

== 2011 Objectives (HOPP 5): Fair Data Sharing ==
Compliance with fair data sharing practices set forth in the Nationwide Privacy and Security Framework (released by The Department of Health and Human Services in December 2008. It is anticipated that further revisions may be made to this document during the calendar year 2010.)

== 2011 Quality Measures Reporting (HOPP 1): Diabetes/A1c==
- % diabetics with A1c under control OP
== 2011 Quality Measures Reporting (HOPP 1): Hypertension==
- % hypertensive patients with BP under control OP
== 2011 Quality Measures Reporting (HOPP 1): LDL ==
- % of patients with LDL under control OP
== 2011 Quality Measures Reporting (HOPP 1): smoking ==
- % of smokers offered smoking cessation counseling OP, IP
== 2011 Quality Measures Reporting (HOPP 1): BMI ==
- % of patients with recorded BMI OP
== 2011 Quality Measures Reporting (HOPP 1): VTE ==
- % eligible surgical patients who received VTE prophylaxis IP
== 2011 Quality Measures Reporting (HOPP 1): % of CPOE ==
- % of orders entered directly by physicians through CPOE
== 2011 Quality Measures Reporting (HOPP 1): elderly high risk meds ==
- Use of high-risk medications in the elderly OP, IP
== 2011 Quality Measures Reporting (HOPP 1): colorectal screening ==
- % of patients over 50 with annual colorectal cancer screenings OP
== 2011 Quality Measures Reporting (HOPP 1): mammogram ==
- % of females over 50 receiving annual mammogram OP
== 2011 Quality Measures Reporting (HOPP 1): aspirin ==
- % patients at high-risk for cardiac events on aspirin prophylaxis OP
== 2011 Quality Measures Reporting (HOPP 1): pneumovax ==
% of patients with current pneumovax OP
== 2011 Quality Measures Reporting (HOPP 1): flu vaccine ==
% eligible patients who received flu vaccine OP
== 2011 Quality Measures Reporting (HOPP 1): coded lab results ==
% lab results incorporated into EHR in coded format OP,IP
== 2011 Quality Measures Reporting (HOPP 1): demographics reports ==
Stratify reports by gender, insurance type, primary language, race, ethnicity OP, IP
== 2011 Quality Measures Reporting (HOPP 2): ePHR access ==
% of all patients with access to personal health information electronically OP, IP
== 2011 Quality Measures Reporting (HOPP 2): Patient Education ==
% of all patients with access to patient-specific educational resources OP, IP
== 2011 Quality Measures Reporting (HOPP 2): encounter clinical summaries ==
% of encounters for which clinical summaries were provided OP, IP
== 2011 Quality Measures Reporting (HOPP 3): 30 day readmission ==
Report 30-day readmission rate IP
== 2011 Quality Measures Reporting (HOPP 3): med reconciliation ==
% of encounters where med reconciliation was performed OP, IP
== 2011 Quality Measures Reporting (HOPP 3): external exchange ability ==
Implemented ability to exchange health information with external clinical entity (specifically labs, care summary and medication lists) OP, IP
== 2011 Quality Measures Reporting (HOPP 3): sharing summaries ==
% of transitions in care for which summary care record is shared (e.g., electronic, paper, eFax) OP, IP
== 2011 Quality Measures Reporting (HOPP 4): Immunization ==
Report up-to-date status for childhood immunizations OP
== 2011 Quality Measures Reporting (HOPP 4): Reportable Lab Results ==
% reportable lab results submitted electronically IP
== 2011 Quality Measures Reporting (HOPP 5): Comply with HIPAA ==
Full compliance with HIPAA Privacy and Security Rules
== 2011 Quality Measures Reporting (HOPP 5): No ongoing investigations ==
An entity under investigation for a HIPAA privacy or security violation cannot achieve meaningful use until the entity is cleared by the investigating authority
== 2011 Quality Measures Reporting (HOPP 5): Security Risk Assessment ==
Conduct or update a security risk assessment and implement security updates as necessary

= 2013 Objectives & Measures (not done yet)=
* Goal is to guide and support care processes and care coordination