Difference between revisions of "C0Q Quality Reporting 1.0"

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== What is C0Q Quality Reporting? ==
+
== What is the Quality Measures Package? ==
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back: [[VistA_Meaningful_Use_Enhancements]]
 
 
[[Category:VistA Meaningful Use]]
 
[[Category:VistA Meaningful Use]]
  
−
The C0Q Quality Reporting Package is a mumps-based 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.  
+
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.  
  
−
[[PQRI xml sample file]]
+
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 AGPL version 3.0 or later.
  
−
== Licensing ==
+
http://www.gnu.org/licenses/agpl-3.0.html
  
 
== Installing C0Q Quality Reporting ==
 
== Installing C0Q Quality Reporting ==
  
 
=== System Requirements ===
 
=== System Requirements ===
 +
* VISTA running on an Mumps 95 compliant implementation
 +
* CCD/CCR GENERATION UTILTIES 1.2
 +
* PXRM*2.0*12
 +
* PXRM*2.0*17
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* TMG*1.0*17
 +
 +
=== Installation of the CCD/CCR Package ===
 +
 +
The software and documentation for the package is located [https://trac.opensourcevista.net/svn/ccr/tags/CCD-CCR_GENERATION_UTILITIES_1P2/ here]
 +
 +
Here are some brief instructions for installing this. Detailed instructions can be found in the above link.
 +
==== Pre-requisites ====
 +
# [https://downloads.va.gov/files/FOIA/Software/Patches_By_Application/NHIN-National%20Health%20Info%20Network/NHIN1_0.KID NHIN1_0.KID]
 +
# [https://downloads.va.gov/files/FOIA/Software/Patches_By_Application/NHIN-National%20Health%20Info%20Network/NHIN-1_SEQ-1_PAT-1.KID NHIN-1_SEQ-1_PAT-1.KID]
 +
 +
==== Main file installation ====
 +
# [https://trac.opensourcevista.net/svn/ccr/tags/CCD-CCR_GENERATION_UTILITIES_1P2/CCD-CCR_GENERATION_UTILITIES_1P2.KID CCD-CCR_GENERATION_UTILITIES_1P2.KID]
 +
# [https://trac.opensourcevista.net/svn/ccr/tags/CCD-CCR_GENERATION_UTILITIES_1P2/C0CRXN_DEF_0002.kids C0CRXN_DEF_0002.kids]
 +
# [https://trac.opensourcevista.net/svn/ccr/tags/CCD-CCR_GENERATION_UTILITIES_1P2/C0CRXN_DATA_102012_0100.gkids.tgz C0CRXN_DATA_102012_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).
 +
# [https://downloads.va.gov/files/FOIA/Software/Patches_By_Application/GMRV-VITALS/GMRV-5_SEQ-16_PAT-25.KID GMRV-5_SEQ-16_PAT-25.KID]
 +
# [https://downloads.va.gov/files/FOIA/Software/Patches_By_Application/USR-AUTHORIZATION%20SUBSCRIPTION/USR-1_SEQ-31_PAT-29.KID USR-1_SEQ-31_PAT-29.KID]
 +
# [https://downloads.va.gov/files/FOIA/Software/Patches_By_Application/COMBINED%20PATCH%20KIDS%20BUILDS/PXRM_2_0_12_MPB.KID PXRM*2.0*12 Multibuild]
 +
# [https://downloads.va.gov/files/FOIA/Software/Patches_By_Application/PXRM-CLINICAL%20REMINDERS/POLYTRAUMA_MARKER.KID PXRM*2.0*17 Multibuild]
 +
 +
You also need to install the TMG Growth Charts if you have not already done so.
 +
# [https://trac.opensourcevista.net/svn/PGC/tags/TMG-PGC/TMG-1.0-17.KIDS TMG-1.0-17.KIDS]
 +
 +
==== Main files 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.'''
 +
# [https://trac.opensourcevista.net/svn/qrda/C0Q/tags/QUALITY_MEASURES_1.0/QUALITY_MEASURES_1P0.KID QUALITY_MEASURES_1P0.KID] [https://trac.opensourcevista.net/svn/qrda/C0Q/trunk/kids/QUALITY_MEASURES_1.0.TXT README]
 +
# [https://trac.opensourcevista.net/svn/qrda/C0Q/tags/QUALITY_MEASURES_1.0/C0Q-1_SEQ-001_PAT-002.KID C0Q-1_SEQ-001_PAT-002.KID] [https://trac.opensourcevista.net/svn/qrda/C0Q/trunk/kids/C0Q-1_SEQ-001_PAT-002.TXT README]
 +
# [https://trac.opensourcevista.net/svn/qrda/C0Q/tags/QUALITY_MEASURES_1.0/C0Q-1_SEQ-002_PAT-003.KID C0Q-1_SEQ-002_PAT-003.KID] [https://trac.opensourcevista.net/svn/qrda/C0Q/trunk/kids/C0Q-1_SEQ-002_PAT-003.TXT README]
 +
# [https://trac.opensourcevista.net/svn/qrda/C0Q/tags/QUALITY_MEASURES_1.0/C0Q-1_SEQ-003_PAT-004.KID C0Q-1_SEQ-003_PAT-004.KID] [https://trac.opensourcevista.net/svn/qrda/C0Q/trunk/kids/C0Q-1_SEQ-003_PAT-004.TXT README]
 +
# [https://trac.opensourcevista.net/svn/qrda/C0Q/tags/QUALITY_MEASURES_1.0/C0Q-1_SEQ-004_PAT-001.KID C0Q-1_SEQ-004_PAT-001.KID] [https://trac.opensourcevista.net/svn/qrda/C0Q/trunk/kids/C0Q-1_SEQ-004_PAT-001.TXT README]
 +
# [https://trac.opensourcevista.net/svn/qrda/C0Q/tags/QUALITY_MEASURES_1.0/C0Q-1_SEQ-005_PAT-005.KID C0Q-1_SEQ-005_PAT-005.KID] [https://trac.opensourcevista.net/svn/qrda/C0Q/tags/QUALITY_MEASURES_1.0/C0Q-1_SEQ-005_PAT-005.TXT 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~|Configuration]] of Package ==
 +
 +
=== Outpatient [[Configuration~|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.
 +
 +
==== Performance Measures Set-Up ====
 +
 +
# Set-up MU Measure Parameters.
 +
# Create Patient Lists
 +
# Create new MU Utility Measures
 +
# Create a Measure Set containing all your utility measures
 +
# Use specified Reminder Rule Sets and Reminder Extracts to create patient lists in the Reminder Package
 +
# Fill in the names of your created patient lists in the Quality Measures section
 +
# Create a Measure Set containing all your quality measures
 +
# 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). YOU NEED TO CREATE A PARAMETER FOR EACH CLINIC.
 +
 +
From the main menu, choose the '''SETUP QUALITY REPORTING''' option.
 +
<pre>
 +
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: MU DR OFFICE -- Enter Name of Parameter
 +
  Are you adding 'MU DR OFFICE' as
 +
    a new C0Q PARAMETER (the 1ST)? No// y  (Yes)
 +
NAME: MU DR OFFICE  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:
 +
 +
Select C0Q PARAMETER NAME: ACME CLINIC #1
 +
  Are you adding 'ACME CLINIC #1' as a new C0Q PARAMETER (the 2ND)? No// Y
 +
  (Yes)
 +
NAME: ACME CLINIC #1//
 +
MEASUREMENT PERIOD KEY: MU12
 +
PARAMETER TYPE: OUT  OUTPATIENT
 +
EP MU MEASUREMENT SET:
 +
EP QUALITY MEASUREMENT SET:
 +
Select CLINIC: ACME CLINIC #1      DOCTOR,TEN
 +
  Are you adding 'ACME CLINIC #1' as a new CLINIC? No// Y  (Yes)
 +
Select CLINIC:
 +
PATIENT LIST LABEL:
 +
Select SUBSCRIBER:
 +
 +
Select C0Q PARAMETER NAME: ACME CLINIC #2
 +
  Are you adding 'ACME CLINIC #2' as a new C0Q PARAMETER (the 3RD)? No// Y
 +
  (Yes)
 +
NAME: ACME CLINIC #2//
 +
MEASUREMENT PERIOD KEY: MU12
 +
PARAMETER TYPE: OUT  OUTPATIENT
 +
EP MU MEASUREMENT SET:
 +
EP QUALITY MEASUREMENT SET:
 +
Select CLINIC: ACME CLINIC #2      DOCTOR,TEN
 +
  Are you adding 'ACME CLINIC #2' as a new CLINIC? No// Y  (Yes)
 +
Select CLINIC:
 +
PATIENT LIST LABEL:
 +
Select SUBSCRIBER:
 +
</pre>
 +
 +
===== Create Patient Lists =====
 +
After you have created the parameters, you need to have the software create the patient lists. Choose option '''EP UPDATE MU MEASURES''' from the parent menu. Once you select “EP UPDATE MU MEASURE” you should see several lines of text (a small subset of this text can be seen above).
 +
 +
<pre>
 +
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
 +
C0QLIST("MU12-EP-DR OFFICE-Patient",1)=""
 +
C0QLIST("MU12-EP-DR OFFICE-Patient",2)=""
 +
C0QLIST("MU12-EP-DR OFFICE-Patient",3)=""
 +
C0QLIST("MU12-EP-DR OFFICE-Patient",4)=""
 +
C0QLIST("MU12-EP-DR OFFICE-Patient",6)=""
 +
 +
Oct 04, 2012@91:00C0QLIST("MU12-EP-ACME CLINIC #1-Patient",7)=""
 +
C0QLIST("MU12-EP-ALL-PATIENTS",1)=""
 +
C0QLIST("MU12-EP-ALL-PATIENTS",2)=""
 +
C0QLIST("MU12-EP-ALL-PATIENTS",3)=""
 +
C0QLIST("MU12-EP-ALL-PATIENTS",4)=""
 +
C0QLIST("MU12-EP-ALL-PATIENTS",6)=""
 +
C0QLIST("MU12-EP-DR OFFICE-Patient",1)=""
 +
C0QLIST("MU12-EP-DR OFFICE-Patient",2)=""
 +
C0QLIST("MU12-EP-DR OFFICE-Patient",3)=""
 +
C0QLIST("MU12-EP-DR OFFICE-Patient",4)=""
 +
C0QLIST("MU12-EP-DR OFFICE-Patient",6)=""
 +
 +
Oct 04, 2012@84:00C0QLIST("MU12-EP-ACME CLINIC #1-Patient",7)=""
 +
C0QLIST("MU12-EP-ACME CLINIC #2-Patient",4)=""
 +
C0QLIST("MU12-EP-ALL-PATIENTS",1)=""
 +
C0QLIST("MU12-EP-ALL-PATIENTS",2)=""
 +
C0QLIST("MU12-EP-ALL-PATIENTS",3)=""
 +
C0QLIST("MU12-EP-ALL-PATIENTS",4)=""
 +
C0QLIST("MU12-EP-ALL-PATIENTS",6)=""
 +
C0QLIST("MU12-EP-ALL-PATIENTS",7)=""
 +
C0QLIST("MU12-EP-DR OFFICE-Patient",1)=""
 +
C0QLIST("MU12-EP-DR OFFICE-Patient",2)=""
 +
C0QLIST("MU12-EP-DR OFFICE-Patient",3)=""
 +
C0QLIST("MU12-EP-DR OFFICE-Patient",4)=""
 +
C0QLIST("MU12-EP-DR OFFICE-Patient",6)=""
 +
 +
CREATING MU12-EP-ACME CLINIC #1-Patient
 +
CREATING MU12-EP-ACME CLINIC #2-Patient
 +
CREATING MU12-EP-NoAllergyB index passed
 +
</pre>
 +
 +
MOVE MOVE MOVE MOVE
 +
 +
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).
 +
 +
MOVE MOVE MOVE MOVE
 +
 +
===== Create new MU Utility Measures =====
 +
The package distributes the MU Quality Measures; but the Utility measures you have to create on your own. Follow the table below to create the utility measures using option '''MU MEASURE EDIT'''. Example of how to enter them are below. If you are doing this for real, make sure to print the table and follow it.
 +
 +
{| class="wikitable"
 +
|-
 +
! # !! Measure !! Quality Measures Utility Logic !! Quality Measures Package Numerator !! Quality Measures Package Denominator !! Passing Rate
 +
|-
 +
| 1 || 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%
 +
|-
 +
| 2 || Implement drug-drug and drug-allergy interaction checks || N/A || N/A || N/A || Report YES. Core VISTA functionality. Also part of electronic prescribing.
 +
|-
 +
| 3 || Maintain an up-to-date problem list of current and active diagnoses  || Checks active problems. || MU12-EP-HasProblem || MU12-EP-ALL-PATIENTS || Rate > 80%
 +
|-
 +
| 4 || 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%
 +
|-
 +
| 5 || 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%
 +
|-
 +
| 6 || Maintain active medication allergy list || Check for the presence of allergy documentation for this patient || MU12-EP-HasAllergy || MU12-EP-ALL-PATIENTS || Rate > 80%
 +
|-
 +
| 7 || 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%
 +
|-
 +
| 8 || 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%
 +
|-
 +
| 9 || Record smoking status for patients aged 13 yrs and up || 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. || MU12-EP-HasSmokingStatus || MU12-EP-Over12 || Rate > 50%
 +
|-
 +
| 10 || Report clinical quality measures to CMS || N/A || N/A || N/A || Report YES. Reporting specific Quality Measures will be described later.
 +
|-
 +
| 11 || Implement 1 clinical decision support rule || N/A || N/A || N/A || Report YES. If you are doing eRx, using any clinical reminders; or using any order checks, you have met this requirement.
 +
|-
 +
| 12 || Provide patients with an electronic copy of their health information || '''NOT COLLECTIBLE IN VISTA. NO RELEASE OF INFORMATION PACKAGE. COLLECT MANUALLY''' || N/A || N/A || Rate > 50%
 +
|-
 +
| 13 || Provide clinical summaries for patients for each office visit within 3 days || '''NOT COLLECTIBLE IN VISTA. NO RELEASE OF INFORMATION PACKAGE. COLLECT MANUALLY''' || N/A || N/A || Rate > 50%
 +
|-
 +
| 14 || Perform at least 1 test of exchanging key clinical information with another entity electronically || Not checked. Report YES upon test performance. || N/A || N/A || Not checked. Report YES upon test performance.
 +
|-
 +
| 15 || Protect electronic health information || Not checked. Report YES upon test performance. || N/A || N/A || Not checked. Report YES upon test performance.
 +
|}
 +
 +
Here are the transcripts to do that:
 +
 +
<pre>
 +
Select SETUP QUALITY REPORTING Option: MU MEASURE EDIT
 +
 +
Select C0Q QUALITY MEASURE NAME: MU CORE MEASURE #1      CPOE
 +
NAME: MU CORE MEASURE #1//
 +
MEASURE TYPE: Performance//
 +
MU YEAR KEY:
 +
TITLE:
 +
VERY LONG DESCRIPTION:
 +
  THERE ARE NO LINES!
 +
  Edit? NO//
 +
DISPLAY NAME: CPOE//
 +
REPORTING NAME:
 +
ALTERNATIVE NUMERATOR LIST: MU12-EP-HasMed
 +
    1  MU12-EP-HasMed      MU12-EP-HasMed
 +
    2  MU12-EP-HasMedOrders      MU12-EP-HasMedOrders
 +
    3  MU12-EP-HasMedRecon      MU12-EP-HasMedRecon
 +
CHOOSE 1-3: 2  MU12-EP-HasMedOrders    MU12-EP-HasMedOrders
 +
ALTERNATIVE DENOMINATOR LIST: MU12-EP-ALL-PATIENTS      MU12-EP-ALL-PATIENTS
 +
 +
Select SETUP QUALITY REPORTING Option:  MU MEASURE EDIT
 +
 +
Select C0Q QUALITY MEASURE NAME:    MU CORE MEASURE #3    Problem List
 +
NAME: MU CORE MEASURE #3//
 +
MEASURE TYPE: Performance
 +
MU YEAR KEY:
 +
TITLE:
 +
VERY LONG DESCRIPTION:
 +
  THERE ARE NO LINES!
 +
  Edit? NO//
 +
DISPLAY NAME: Problem List//
 +
REPORTING NAME:
 +
ALTERNATIVE NUMERATOR LIST: MU12-EP-HasProblem//
 +
ALTERNATIVE DENOMINATOR LIST: MU12-EP-ALL-PATIENTS
 +
        //
 +
 +
Select SETUP QUALITY REPORTING Option:  MU MEASURE EDIT
 +
 +
Select C0Q QUALITY MEASURE NAME: MU CORE MEASURE #4
 +
  Are you adding 'MU CORE MEASURE #4' as
 +
    a new C0Q QUALITY MEASURE (the 91ST)? No// Y  (Yes)
 +
  C0Q QUALITY MEASURE DISPLAY NAME: ERx
 +
NAME: MU CORE MEASURE #4//
 +
MEASURE TYPE: p  Performance
 +
MU YEAR KEY: ?
 +
    Answer must be 1-30 characters in length.
 +
MU YEAR KEY:
 +
TITLE:
 +
VERY LONG DESCRIPTION:
 +
  THERE ARE NO LINES!
 +
  Edit? NO//
 +
DISPLAY NAME: ERx//
 +
REPORTING NAME:
 +
ALTERNATIVE NUMERATOR LIST: MU12-EP-HasERX      MU12-EP-HasERX
 +
ALTERNATIVE DENOMINATOR LIST: MU-EP-ALL??
 +
ALTERNATIVE DENOMINATOR LIST: MU12-EP-ALL-PATIENTS      MU12-EP-ALL-PATIENTS
 +
 +
Select C0Q QUALITY MEASURE NAME:
 +
 +
Select SETUP QUALITY REPORTING Option:  MU MEASURE EDIT
 +
 +
Select C0Q QUALITY MEASURE NAME: MU CORE MEASURE #5
 +
  Are you adding 'MU CORE MEASURE #5' as
 +
    a new C0Q QUALITY MEASURE (the 92ND)? No// y  (Yes)
 +
  C0Q QUALITY MEASURE DISPLAY NAME: MU12-EP-HasMed
 +
NAME: MU CORE MEASURE #5//
 +
MEASURE TYPE:
 +
MU YEAR KEY:
 +
TITLE:
 +
VERY LONG DESCRIPTION:
 +
  THERE ARE NO LINES!
 +
  Edit? NO//
 +
DISPLAY NAME: MU12-EP-HasMed// Active Medication List
 +
REPORTING NAME:
 +
ALTERNATIVE NUMERATOR LIST: MU12-EP-HasMed
 +
    1  MU12-EP-HasMed      MU12-EP-HasMed
 +
    2  MU12-EP-HasMedOrders      MU12-EP-HasMedOrders
 +
    3  MU12-EP-HasMedRecon      MU12-EP-HasMedRecon
 +
CHOOSE 1-3: 1  MU12-EP-HasMed    MU12-EP-HasMed
 +
ALTERNATIVE DENOMINATOR LIST: MU12-EP-ALL-PATIENTS      MU12-EP-ALL-PATIENTS
 +
 +
Select C0Q QUALITY MEASURE NAME:
 +
 +
Select SETUP QUALITY REPORTING Option:  MU MEASURE EDIT
 +
 +
Select C0Q QUALITY MEASURE NAME: MU CORE MEASURE #6
 +
  Are you adding 'MU CORE MEASURE #6' as
 +
    a new C0Q QUALITY MEASURE (the 93RD)? No// y  (Yes)
 +
  C0Q QUALITY MEASURE DISPLAY NAME: Allergy Documentation
 +
NAME: MU CORE MEASURE #6//
 +
MEASURE TYPE:
 +
MU YEAR KEY: ^meas,typ  MEASURE TYPE
 +
MEASURE TYPE: p  Performance
 +
MU YEAR KEY:
 +
TITLE:
 +
VERY LONG DESCRIPTION:
 +
  THERE ARE NO LINES!
 +
  Edit? NO//
 +
DISPLAY NAME: Allergy Documentation  Replace
 +
REPORTING NAME:
 +
ALTERNATIVE NUMERATOR LIST: MU12-EP-Has
 +
    1  MU12-EP-HasAllergy      MU12-EP-HasAllergy
 +
    2  MU12-EP-HasDemographics      MU12-EP-HasDemographics
 +
    3  MU12-EP-HasERX      MU12-EP-HasERX
 +
    4  MU12-EP-HasMed      MU12-EP-HasMed
 +
    5  MU12-EP-HasMedOrders      MU12-EP-HasMedOrders
 +
Press <Enter> to see more, '^' to exit this list,  OR
 +
CHOOSE 1-5: 1  MU12-EP-HasAllergy    MU12-EP-HasAllergy
 +
ALTERNATIVE DENOMINATOR LIST: MU12-EP-ALL-PATIENTS      MU12-EP-ALL-PATIENTS
 +
 +
Select C0Q QUALITY MEASURE NAME:
 +
 +
Select SETUP QUALITY REPORTING Option:  MU MEASURE EDIT
 +
 +
Select C0Q QUALITY MEASURE NAME: MU CORE MEASURE #7
 +
  Are you adding 'MU CORE MEASURE #7' as
 +
    a new C0Q QUALITY MEASURE (the 94TH)? No// y  (Yes)
 +
  C0Q QUALITY MEASURE DISPLAY NAME: Required Demographics Present?
 +
NAME: MU CORE MEASURE #7//
 +
MEASURE TYPE: p  Performance
 +
MU YEAR KEY:
 +
TITLE:
 +
VERY LONG DESCRIPTION:
 +
  THERE ARE NO LINES!
 +
  Edit? NO//
 +
DISPLAY NAME: Required Demographics Present?  Replace
 +
REPORTING NAME:
 +
ALTERNATIVE NUMERATOR LIST: MU12-EP-HasDemographics      MU12-EP-HasDemographic
 +
s
 +
ALTERNATIVE DENOMINATOR LIST: MU12-EP-ALL-PATIENTS      MU12-EP-ALL-PATIENTS
 +
 +
Select C0Q QUALITY MEASURE NAME:
 +
 +
Select SETUP QUALITY REPORTING Option:  MU MEASURE EDIT
 +
 +
Select C0Q QUALITY MEASURE NAME: MU CORE MEASURE #8
 +
  Are you adding 'MU CORE MEASURE #8' as
 +
    a new C0Q QUALITY MEASURE (the 95TH)? No// y  (Yes)
 +
  C0Q QUALITY MEASURE DISPLAY NAME: MU12-EP-HasVitalSigns
 +
NAME: MU CORE MEASURE #8//
 +
MEASURE TYPE: p  Performance
 +
MU YEAR KEY:
 +
TITLE:
 +
VERY LONG DESCRIPTION:
 +
  THERE ARE NO LINES!
 +
  Edit? NO//
 +
DISPLAY NAME: MU12-EP-HasVitalSigns  Replace ... With Record Vital Signs
 +
  Replace
 +
  Record Vital Signs
 +
REPORTING NAME:
 +
ALTERNATIVE NUMERATOR LIST: MU12-EP-HasVitalSigns      MU12-EP-HasVitalSigns
 +
ALTERNATIVE DENOMINATOR LIST: MU12-EP-ALL-PATIENTS      MU12-EP-ALL-PATIENTS
 +
 +
Select C0Q QUALITY MEASURE NAME: MU CORE MEASURE #9 ??
 +
 +
Select C0Q QUALITY MEASURE NAME:
 +
 +
Select SETUP QUALITY REPORTING Option:  MU MEASURE EDIT
 +
 +
Select C0Q QUALITY MEASURE NAME: MU CORE MEASURE #9
 +
  Are you adding 'MU CORE MEASURE #9' as
 +
    a new C0Q QUALITY MEASURE (the 96TH)? No// Y  (Yes)
 +
  C0Q QUALITY MEASURE DISPLAY NAME: Record Smoking Status
 +
NAME: MU CORE MEASURE #9//
 +
MEASURE TYPE: p  Performance
 +
MU YEAR KEY:
 +
TITLE:
 +
VERY LONG DESCRIPTION:
 +
  THERE ARE NO LINES!
 +
  Edit? NO//
 +
DISPLAY NAME: Record Smoking Status  Replace
 +
REPORTING NAME:
 +
ALTERNATIVE NUMERATOR LIST: MU12-EP-HasSmokingStatus      MU12-EP-HasSmokingSta
 +
tus
 +
ALTERNATIVE DENOMINATOR LIST: MU12-Over??
 +
ALTERNATIVE DENOMINATOR LIST: MU12-EP-Over12      MU12-EP-Over12
 +
</pre>
 +
 +
===== Create MU Measure SET and add MU Measure(s) =====
 +
Now for each clinic parameter you set-up, you need to set-up a Measurement Set. Each Measurement Set is what is used to report the clinic's performance.
 +
<pre>
 +
Select SETUP QUALITY REPORTING Option: MEASURE SET EDIT
 +
 +
Select C0Q MEASUREMENT SET NAME: DR OFFICE CLINIC REPORT
 +
  Are you adding 'DR OFFICE CLINIC REPORT' as
 +
    a new C0Q MEASUREMENT SET (the 11TH)? No// Y  (Yes)
 +
NAME: DR OFFICE CLINIC REPORT//
 +
BEGIN DATE: 8/1  (AUG 01, 2012)
 +
END DATE: 10/31  (OCT 31, 2012)
 +
LOCKED:
 +
MU YEAR KEY:
 +
QRDA TEMPLATE ROOT:
 +
Select MEASURE: MU,C,1  MU CORE MEASURE #1    CPOE
 +
  Are you adding 'MU CORE MEASURE #1' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST: MU,DR  MU12-EP-DR OFFICE-Patient    MU12-EP-DR OFFICE-
 +
Patient
 +
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient    MU12-EP-DR OFFICE-Pa
 +
tient
 +
Select MEASURE: MU,C,2  MU 2011 INP CPOE    CPOE for Medications
 +
  Are you adding 'MU 2011 INP CPOE' as a new MEASURE? No// N  (No) ??
 +
Select MEASURE: MU,C,3  MU CORE MEASURE #3    Problem List
 +
  Are you adding 'MU CORE MEASURE #3' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient    MU12-EP-DR OFFICE-Pati
 +
ent
 +
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient    MU12-EP-DR OFFICE-Pa
 +
tient
 +
Select MEASURE: MU,C,4  MU CORE MEASURE #4    ERx
 +
  Are you adding 'MU CORE MEASURE #4' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient    MU12-EP-DR OFFICE-Pati
 +
ent
 +
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient    MU12-EP-DR OFFICE-Pa
 +
tient
 +
Select MEASURE: MU,C,5  MU CORE MEASURE #5    Active Medication List
 +
  Are you adding 'MU CORE MEASURE #5' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient    MU12-EP-DR OFFICE-Pati
 +
ent
 +
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient    MU12-EP-DR OFFICE-Pa
 +
tient
 +
Select MEASURE: MU,C,6  MU CORE MEASURE #6    Allergy Documentation
 +
  Are you adding 'MU CORE MEASURE #6' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient    MU12-EP-DR OFFICE-Pati
 +
ent
 +
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient    MU12-EP-DR OFFICE-Pa
 +
tient
 +
Select MEASURE: MU,C,7  MU CORE MEASURE #7    Required Demographics Present?
 +
  Are you adding 'MU CORE MEASURE #7' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient    MU12-EP-DR OFFICE-Pati
 +
ent
 +
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient    MU12-EP-DR OFFICE-Pa
 +
tient
 +
Select MEASURE: MU,C,8  MU CORE MEASURE #8    Record Vital Signs
 +
  Are you adding 'MU CORE MEASURE #8' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient    MU12-EP-DR OFFICE-Pati
 +
ent
 +
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient    MU12-EP-DR OFFICE-Pa
 +
tient
 +
Select MEASURE: MU,C,9  MU CORE MEASURE #9    Record Smoking Status
 +
  Are you adding 'MU CORE MEASURE #9' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient    MU12-EP-DR OFFICE-Pati
 +
ent
 +
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient    MU12-EP-DR OFFICE-Pa
 +
tient
 +
Select MEASURE:
 +
 +
Select C0Q MEASUREMENT SET NAME: ACME CLINIC #1 REPORT
 +
  Are you adding 'ACME CLINIC #1 REPORT' as
 +
    a new C0Q MEASUREMENT SET (the 12TH)? No// Y  (Yes)
 +
NAME: ACME CLINIC #1 REPORT  Replace
 +
BEGIN DATE: 8/1  (AUG 01, 2012)
 +
END DATE: 10/31  (OCT 31, 2012)
 +
LOCKED:
 +
MU YEAR KEY:
 +
QRDA TEMPLATE ROOT:
 +
Select MEASURE: MU,C,1  MU CORE MEASURE #1    CPOE
 +
  Are you adding 'MU CORE MEASURE #1' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST: MU,ACME,1  MU12-EP-ACME CLINIC #1-Patient    MU12-EP-A
 +
CME CLINIC #1-Patient
 +
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient    MU12-EP-ACME CL
 +
INIC #1-Patient
 +
Select MEASURE: MU,C,3  MU CORE MEASURE #3    Problem List
 +
  Are you adding 'MU CORE MEASURE #3' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient    MU12-EP-ACME CLIN
 +
IC #1-Patient
 +
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient    MU12-EP-ACME CL
 +
INIC #1-Patient
 +
Select MEASURE: MU,C,4  MU CORE MEASURE #4    ERx
 +
  Are you adding 'MU CORE MEASURE #4' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient    MU12-EP-ACME CLIN
 +
IC #1-Patient
 +
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient    MU12-EP-ACME CL
 +
INIC #1-Patient
 +
Select MEASURE: MU,C,5  MU CORE MEASURE #5    Active Medication List
 +
  Are you adding 'MU CORE MEASURE #5' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient    MU12-EP-ACME CLIN
 +
IC #1-Patient
 +
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient    MU12-EP-ACME CL
 +
INIC #1-Patient
 +
Select MEASURE: MU,C,6  MU CORE MEASURE #6    Allergy Documentation
 +
  Are you adding 'MU CORE MEASURE #6' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient    MU12-EP-ACME CLIN
 +
IC #1-Patient
 +
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient    MU12-EP-ACME CL
 +
INIC #1-Patient
 +
Select MEASURE: MU,C,7  MU CORE MEASURE #7    Required Demographics Present?
 +
  Are you adding 'MU CORE MEASURE #7' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient    MU12-EP-ACME CLIN
 +
IC #1-Patient
 +
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient    MU12-EP-ACME CL
 +
INIC #1-Patient
 +
Select MEASURE: MU,C,8  MU CORE MEASURE #8    Record Vital Signs
 +
  Are you adding 'MU CORE MEASURE #8' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient    MU12-EP-ACME CLIN
 +
IC #1-Patient
 +
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient    MU12-EP-ACME CL
 +
INIC #1-Patient
 +
Select MEASURE: MU,C,9  MU CORE MEASURE #9    Record Smoking Status
 +
  Are you adding 'MU CORE MEASURE #9' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient    MU12-EP-ACME CLIN
 +
IC #1-Patient
 +
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient    MU12-EP-ACME CL
 +
INIC #1-Patient
 +
Select MEASURE:
 +
 +
Select C0Q MEASUREMENT SET NAME: ACME CLINIC #2 REPORT
 +
  Are you adding 'ACME CLINIC #2 REPORT' as
 +
    a new C0Q MEASUREMENT SET (the 13TH)? No// Y  (Yes)
 +
NAME: ACME CLINIC #2 REPORT  Replace
 +
BEGIN DATE: 8/1  (AUG 01, 2012)
 +
END DATE: 10/31  (OCT 31, 2012)
 +
LOCKED:
 +
MU YEAR KEY:
 +
QRDA TEMPLATE ROOT: 
 +
Select MEASURE: MU,C,1  MU CORE MEASURE #1    CPOE
 +
  Are you adding 'MU CORE MEASURE #1' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST: MU,ACME,2  MU12-EP-ACME CLINIC #2-Patient    MU12-EP-A
 +
CME CLINIC #2-Patient
 +
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient    MU12-EP-ACME CL
 +
INIC #2-Patient
 +
Select MEASURE: MU,C,3  MU CORE MEASURE #3    Problem List
 +
  Are you adding 'MU CORE MEASURE #3' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient    MU12-EP-ACME CLIN
 +
IC #2-Patient
 +
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient    MU12-EP-ACME CL
 +
INIC #2-Patient
 +
Select MEASURE: MU,C,4  MU CORE MEASURE #4    ERx
 +
  Are you adding 'MU CORE MEASURE #4' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient    MU12-EP-ACME CLIN
 +
IC #2-Patient
 +
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient    MU12-EP-ACME CL
 +
INIC #2-Patient
 +
Select MEASURE: MU,C,5  MU CORE MEASURE #5    Active Medication List
 +
  Are you adding 'MU CORE MEASURE #5' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient    MU12-EP-ACME CLIN
 +
IC #2-Patient
 +
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient    MU12-EP-ACME CL
 +
INIC #2-Patient
 +
Select MEASURE: MU,C,6  MU CORE MEASURE #6    Allergy Documentation
 +
  Are you adding 'MU CORE MEASURE #6' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient    MU12-EP-ACME CLIN
 +
IC #2-Patient
 +
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient    MU12-EP-ACME CL
 +
INIC #2-Patient
 +
Select MEASURE: MU,C,7  MU CORE MEASURE #7    Required Demographics Present?
 +
  Are you adding 'MU CORE MEASURE #7' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient    MU12-EP-ACME CLIN
 +
IC #2-Patient
 +
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient    MU12-EP-ACME CL
 +
INIC #2-Patient
 +
Select MEASURE: MU,C,8  MU CORE MEASURE #8    Record Vital Signs
 +
  Are you adding 'MU CORE MEASURE #8' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST: Y??
 +
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient    MU12-EP-ACME CLIN
 +
IC #2-Patient
 +
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient    MU12-EP-ACME CL
 +
INIC #2-Patient
 +
Select MEASURE: MU,C,9  MU CORE MEASURE #9    Record Smoking Status
 +
  Are you adding 'MU CORE MEASURE #9' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient    MU12-EP-ACME CLIN
 +
IC #2-Patient
 +
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient    MU12-EP-ACME CL
 +
INIC #2-Patient
 +
Select MEASURE:
 +
</pre>
 +
 +
===== Update Parameters with the Measure Sets =====
 +
Now attach the Utility Measure Sets into the parameters.
 +
<pre>
 +
Select SETUP QUALITY REPORTING Option: EP EDIT PARMS
 +
 +
Select C0Q PARAMETER NAME: ??
 +
   
 +
  Choose from:
 +
  ACME CLINIC #1 
 +
  ACME CLINIC #2 
 +
  MU DR OFFICE 
 +
       
 +
        You may enter a new C0Q PARAMETER, if you wish
 +
 
 +
Select C0Q PARAMETER NAME: MU DR OFFICE 
 +
NAME: MU DR OFFICE//
 +
MEASUREMENT PERIOD KEY: MU12//
 +
PARAMETER TYPE: OUTPATIENT//
 +
EP MU MEASUREMENT SET: DR OFFICE CLINIC REPORT 
 +
EP QUALITY MEASUREMENT SET:
 +
Select CLINIC: DR OFFICE//
 +
PATIENT LIST LABEL:
 +
Select SUBSCRIBER:
 +
 +
Select C0Q PARAMETER NAME: ACME CLINIC #1 
 +
NAME: ACME CLINIC #1//
 +
MEASUREMENT PERIOD KEY: MU12//
 +
PARAMETER TYPE: OUTPATIENT//
 +
EP MU MEASUREMENT SET: ACME,1  ACME CLINIC #1 REPORT
 +
EP QUALITY MEASUREMENT SET:
 +
Select CLINIC: ACME CLINIC #1//
 +
PATIENT LIST LABEL:
 +
Select SUBSCRIBER:
 +
 +
Select C0Q PARAMETER NAME: ACME CLINIC #2 
 +
NAME: ACME CLINIC #2//
 +
MEASUREMENT PERIOD KEY: MU12//
 +
PARAMETER TYPE: OUTPATIENT//
 +
EP MU MEASUREMENT SET: ACME,2  ACME CLINIC #2 REPORT
 +
EP QUALITY MEASUREMENT SET:
 +
Select CLINIC: ACME CLINIC #2//
 +
PATIENT LIST LABEL:
 +
Select SUBSCRIBER:
 +
</pre>
 +
 +
===== Update MU Measure(s) =====
 +
To populate the data for the reports, now you need to go back and run EP UPDATE MU MEASURES. Everytime you run this, it will update the data from the system.
 +
 +
<pre>
 +
Select QUALITY MEASUREMENT MENU Option: ep update MU MEASURES
 +
Oct 03, 2012@91:70
 +
Oct 03, 2012@82:92:71C0QLIST("MU12-EP-DR OFFICE-Patient",4)=""
 +
C0QLIST("MU12-EP-DR OFFICE-Patient",6)=""
 +
 +
Oct 04, 2012@91:00C0QLIST("MU12-EP-ACME CLINIC #1-Patient",7)=""
 +
C0QLIST("MU12-EP-ALL-PATIENTS",4)=""
 +
C0QLIST("MU12-EP-ALL-PATIENTS",6)=""
 +
C0QLIST("MU12-EP-DR OFFICE-Patient",4)=""
 +
C0QLIST("MU12-EP-DR OFFICE-Patient",6)=""
 +
 +
Oct 04, 2012@84:00C0QLIST("MU12-EP-ACME CLINIC #1-Patient",7)=""
 +
C0QLIST("MU12-EP-ACME CLINIC #2-Patient",4)=""
 +
C0QLIST("MU12-EP-ALL-PATIENTS",4)=""
 +
C0QLIST("MU12-EP-ALL-PATIENTS",6)=""
 +
C0QLIST("MU12-EP-ALL-PATIENTS",7)=""
 +
C0QLIST("MU12-EP-DR OFFICE-Patient",4)=""
 +
C0QLIST("MU12-EP-DR OFFICE-Patient",6)=""
 +
B index passed
 +
6
 +
Calling GETMEDS6 SOAP Web Service Call for 6
 +
Patient 6 Rx 1
 +
DeaClassCode: 0
 +
PharmacyType: 0
 +
Patient 6 Rx 2
 +
DeaClassCode: 0
 +
PharmacyType: 0
 +
Patient 6 Rx 3
 +
DeaClassCode: 0
 +
PharmacyType: 0
 +
Patient 6 Rx 4
 +
DeaClassCode: 0
 +
PharmacyType: 0
 +
IENs ?+16,1,11, ready to file
 +
Saving ERXDEN of 0 for Patient RUNNER,ROAD (6)
 +
Fileman Data Array
 +
C0QFDA(1130580001.3111,"?+16,1,11,",.01): ERXDEN
 +
C0QFDA(1130580001.3111,"?+16,1,11,",.02): 0
 +
Patient 6 Rx 1
 +
DeaClassCode: 0
 +
PharmacyType: 0
 +
Patient 6 Rx 2
 +
DeaClassCode: 0
 +
PharmacyType: 0
 +
Patient 6 Rx 3
 +
DeaClassCode: 0
 +
PharmacyType: 0
 +
Patient 6 Rx 4
 +
DeaClassCode: 0
 +
PharmacyType: 0
 +
IENs ?+16,1,11, ready to file
 +
Saving ERXNUM of 0 for Patient RUNNER,ROAD (6)
 +
Fileman Data Array
 +
C0QFDA(1130580001.3111,"?+16,1,11,",.01): ERXNUM
 +
C0QFDA(1130580001.3111,"?+16,1,11,",.02): 0
 +
C0QFDA(1130580001.2011,"1,14,",1.1)=1
 +
C0QFDA(1130580001.20111,"+1,1,14,",.01)=6
 +
C0QFDA(1130580001.2011,"1,14,",2.1)=2
 +
C0QFDA(1130580001.20112,"+1,1,14,",.01)=4
 +
C0QFDA(1130580001.20112,"+2,1,14,",.01)=6
 +
C0QFDA(1130580001.2011,"1,14,",3)=50
 +
C0QFDA(1130580001.2011,"2,14,",1.1)=1
 +
C0QFDA(1130580001.20111,"+1,2,14,",.01)=4
 +
C0QFDA(1130580001.2011,"2,14,",2.1)=2
 +
C0QFDA(1130580001.20112,"+1,2,14,",.01)=4
 +
C0QFDA(1130580001.20112,"+2,2,14,",.01)=6
 +
C0QFDA(1130580001.2011,"2,14,",3)=50
 +
C0QFDA(1130580001.2011,"3,14,",1.1)=1
 +
C0QFDA(1130580001.20111,"+1,3,14,",.01)=6
 +
C0QFDA(1130580001.2011,"3,14,",2.1)=2
 +
C0QFDA(1130580001.20112,"+1,3,14,",.01)=4
 +
C0QFDA(1130580001.20112,"+2,3,14,",.01)=6
 +
C0QFDA(1130580001.2011,"3,14,",3)=50
 +
C0QFDA(1130580001.2011,"4,14,",1.1)=1
 +
C0QFDA(1130580001.20111,"+1,4,14,",.01)=6
 +
C0QFDA(1130580001.2011,"4,14,",2.1)=2
 +
C0QFDA(1130580001.20112,"+1,4,14,",.01)=4
 +
C0QFDA(1130580001.20112,"+2,4,14,",.01)=6
 +
C0QFDA(1130580001.2011,"4,14,",3)=50
 +
C0QFDA(1130580001.2011,"5,14,",1.1)=2
 +
C0QFDA(1130580001.20111,"+1,5,14,",.01)=4
 +
C0QFDA(1130580001.20111,"+2,5,14,",.01)=6
 +
C0QFDA(1130580001.2011,"5,14,",2.1)=2
 +
C0QFDA(1130580001.20112,"+1,5,14,",.01)=4
 +
C0QFDA(1130580001.20112,"+2,5,14,",.01)=6
 +
C0QFDA(1130580001.2011,"5,14,",3)=100
 +
C0QFDA(1130580001.2011,"6,14,",1.1)=2
 +
C0QFDA(1130580001.20111,"+1,6,14,",.01)=4
 +
C0QFDA(1130580001.20111,"+2,6,14,",.01)=6
 +
C0QFDA(1130580001.2011,"6,14,",2.1)=2
 +
C0QFDA(1130580001.20112,"+1,6,14,",.01)=4
 +
C0QFDA(1130580001.20112,"+2,6,14,",.01)=6
 +
C0QFDA(1130580001.2011,"6,14,",3)=100
 +
C0QFDA(1130580001.2011,"7,14,",1.1)=2
 +
C0QFDA(1130580001.20111,"+1,7,14,",.01)=4
 +
C0QFDA(1130580001.20111,"+2,7,14,",.01)=6
 +
C0QFDA(1130580001.2011,"7,14,",2.1)=2
 +
C0QFDA(1130580001.20112,"+1,7,14,",.01)=4
 +
C0QFDA(1130580001.20112,"+2,7,14,",.01)=6
 +
C0QFDA(1130580001.2011,"7,14,",3)=100
 +
C0QFDA(1130580001.2011,"8,14,",1.1)=1
 +
C0QFDA(1130580001.20111,"+1,8,14,",.01)=4
 +
C0QFDA(1130580001.2011,"8,14,",2.1)=1
 +
C0QFDA(1130580001.20112,"+1,8,14,",.01)=4
 +
C0QFDA(1130580001.2011,"8,14,",3)=100
 +
C0QFDA(1130580001.2011,"1,15,",1.1)=0
 +
C0QFDA(1130580001.2011,"1,15,",2.1)=1
 +
C0QFDA(1130580001.20112,"+1,1,15,",.01)=7
 +
C0QFDA(1130580001.2011,"1,15,",3)=0
 +
C0QFDA(1130580001.2011,"2,15,",1.1)=0
 +
C0QFDA(1130580001.2011,"2,15,",2.1)=1
 +
C0QFDA(1130580001.20112,"+1,2,15,",.01)=7
 +
C0QFDA(1130580001.2011,"2,15,",3)=0
 +
C0QFDA(1130580001.2011,"3,15,",1.1)=0
 +
C0QFDA(1130580001.2011,"3,15,",2.1)=1
 +
C0QFDA(1130580001.20112,"+1,3,15,",.01)=7
 +
C0QFDA(1130580001.2011,"3,15,",3)=0
 +
C0QFDA(1130580001.2011,"4,15,",1.1)=0
 +
C0QFDA(1130580001.2011,"4,15,",2.1)=1
 +
C0QFDA(1130580001.20112,"+1,4,15,",.01)=7
 +
C0QFDA(1130580001.2011,"4,15,",3)=0
 +
C0QFDA(1130580001.2011,"5,15,",1.1)=0
 +
C0QFDA(1130580001.2011,"5,15,",2.1)=1
 +
C0QFDA(1130580001.20112,"+1,5,15,",.01)=7
 +
C0QFDA(1130580001.2011,"5,15,",3)=0
 +
C0QFDA(1130580001.2011,"6,15,",1.1)=1
 +
C0QFDA(1130580001.20111,"+1,6,15,",.01)=7
 +
C0QFDA(1130580001.2011,"6,15,",2.1)=1
 +
C0QFDA(1130580001.20112,"+1,6,15,",.01)=7
 +
C0QFDA(1130580001.2011,"6,15,",3)=100
 +
C0QFDA(1130580001.2011,"7,15,",1.1)=0
 +
C0QFDA(1130580001.2011,"7,15,",2.1)=1
 +
C0QFDA(1130580001.20112,"+1,7,15,",.01)=7
 +
C0QFDA(1130580001.2011,"7,15,",3)=0
 +
C0QFDA(1130580001.2011,"8,15,",1.1)=1
 +
C0QFDA(1130580001.20111,"+1,8,15,",.01)=7
 +
C0QFDA(1130580001.2011,"8,15,",2.1)=1
 +
C0QFDA(1130580001.20112,"+1,8,15,",.01)=7
 +
C0QFDA(1130580001.2011,"8,15,",3)=100
 +
C0QFDA(1130580001.2011,"1,16,",1.1)=0
 +
C0QFDA(1130580001.2011,"1,16,",2.1)=1
 +
C0QFDA(1130580001.20112,"+1,1,16,",.01)=4
 +
C0QFDA(1130580001.2011,"1,16,",3)=0
 +
C0QFDA(1130580001.2011,"2,16,",1.1)=1
 +
C0QFDA(1130580001.20111,"+1,2,16,",.01)=4
 +
C0QFDA(1130580001.2011,"2,16,",2.1)=1
 +
C0QFDA(1130580001.20112,"+1,2,16,",.01)=4
 +
C0QFDA(1130580001.2011,"2,16,",3)=100
 +
C0QFDA(1130580001.2011,"3,16,",1.1)=0
 +
C0QFDA(1130580001.2011,"3,16,",2.1)=1
 +
C0QFDA(1130580001.20112,"+1,3,16,",.01)=4
 +
C0QFDA(1130580001.2011,"3,16,",3)=0
 +
C0QFDA(1130580001.2011,"4,16,",1.1)=0
 +
C0QFDA(1130580001.2011,"4,16,",2.1)=1
 +
C0QFDA(1130580001.20112,"+1,4,16,",.01)=4
 +
C0QFDA(1130580001.2011,"4,16,",3)=0
 +
C0QFDA(1130580001.2011,"5,16,",1.1)=1
 +
C0QFDA(1130580001.20111,"+1,5,16,",.01)=4
 +
C0QFDA(1130580001.2011,"5,16,",2.1)=1
 +
C0QFDA(1130580001.20112,"+1,5,16,",.01)=4
 +
C0QFDA(1130580001.2011,"5,16,",3)=100
 +
C0QFDA(1130580001.2011,"6,16,",1.1)=1
 +
C0QFDA(1130580001.20111,"+1,6,16,",.01)=4
 +
C0QFDA(1130580001.2011,"6,16,",2.1)=1
 +
C0QFDA(1130580001.20112,"+1,6,16,",.01)=4
 +
C0QFDA(1130580001.2011,"6,16,",3)=100
 +
C0QFDA(1130580001.2011,"7,16,",1.1)=1
 +
C0QFDA(1130580001.20111,"+1,7,16,",.01)=4
 +
C0QFDA(1130580001.2011,"7,16,",2.1)=1
 +
C0QFDA(1130580001.20112,"+1,7,16,",.01)=4
 +
C0QFDA(1130580001.2011,"7,16,",3)=100
 +
C0QFDA(1130580001.2011,"8,16,",1.1)=1
 +
C0QFDA(1130580001.20111,"+1,8,16,",.01)=4
 +
C0QFDA(1130580001.2011,"8,16,",2.1)=1
 +
C0QFDA(1130580001.20112,"+1,8,16,",.01)=4
 +
C0QFDA(1130580001.2011,"8,16,",3)=100
 +
 +
 +
Select QUALITY MEASUREMENT MENU Option:
 +
</pre>
 +
 +
===== Print C0Q Measures =====
 +
Print the measures now. You are now done for the Utility Measures.
 +
 +
<pre>
 +
Select QUALITY MEASUREMENT MENU Option: PRINT C0Q MEASURES
 +
</pre>
 +
<pre> 
 +
Select C0Q MEASUREMENT SET NAME: DR OFFICE CLINIC REPORT 
 +
 +
DEVICE: PHOME  HOME PRINTER
 +
C0Q MEASUREMENTS LIST                                  OCT 5,2012@14:22  PAGE 1
 +
MEASURE:DISPLAY NAME      DENOMINATOR    NUMERATOR          PERCENTAGE
 +
--------------------------------------------------------------------------------
 +
 +
 +
CPOE                              2            1            50.00
 +
 +
Problem List                      2            1            50.00
 +
 +
ERx                                2            1            50.00
 +
 +
Active Medication List            2            1            50.00
 +
 +
Allergy Documentation              2            2            100.00
 +
 +
Required Demographics              2            2            100.00
 +
Present?
 +
 +
Record Vital Signs                2            2            100.00
 +
 +
Record Smoking Status              1            1            100.00
 +
 +
</pre>
 +
<pre>
 +
Select C0Q MEASUREMENT SET NAME: ACME CLINIC #1 REPORT 
 +
 +
DEVICE: PHOME  HOME PRINTER
 +
C0Q MEASUREMENTS LIST                                  OCT 5,2012@14:22  PAGE 1
 +
MEASURE:DISPLAY NAME      DENOMINATOR    NUMERATOR          PERCENTAGE
 +
--------------------------------------------------------------------------------
 +
 +
 +
CPOE                              1            0              0.00
 +
 +
Problem List                      1            0              0.00
 +
 +
ERx                                1            0              0.00
 +
 +
Active Medication List            1            0              0.00
 +
 +
Allergy Documentation              1            0              0.00
 +
 +
Required Demographics              1            1            100.00
 +
Present?
 +
 +
Record Vital Signs                1            0              0.00
 +
 +
Record Smoking Status              1            1            100.00
 +
 +
</pre>
 +
<pre>
 +
Select C0Q MEASUREMENT SET NAME: ACME CLINIC #2 REPORT 
 +
 +
DEVICE: PHOME  HOME PRINTER
 +
C0Q MEASUREMENTS LIST                                  OCT 5,2012@14:23  PAGE 1
 +
MEASURE:DISPLAY NAME      DENOMINATOR    NUMERATOR          PERCENTAGE
 +
--------------------------------------------------------------------------------
 +
 +
 +
CPOE                              1            0              0.00
 +
 +
Problem List                      1            1            100.00
 +
 +
ERx                                1            0              0.00
 +
 +
Active Medication List            1            0              0.00
 +
 +
Allergy Documentation              1            1            100.00
 +
 +
Required Demographics              1            1            100.00
 +
Present?
 +
 +
Record Vital Signs                1            1            100.00
 +
 +
Record Smoking Status              1            1            100.00
 +
 +
</pre>
 +
 +
==== Quality Measures Set-Up ====
 +
The following two tables are the Rosetta Stone. I would recommend that you print these prior to setting up the package.
 +
 +
Quality Measures supported by the package:
 +
{| class="wikitable"
 +
|-
 +
! Measure !! Human Name !! Type !! Name in VISTA !! How to Generate Counts in VISTA
 +
|-
 +
| NQF0013 || Hypertenstion || Core || MU EP NQF 0013 || Reminder Rule Sets
 +
|-
 +
| NQF0028A || Tobacco Screen || Core || MU EP NQF 0028A || Reminder Rule Sets
 +
|-
 +
| NQF0028B || Tobacco Intervention || Core || MU EP NQF 0028B || Reminder Rule Sets
 +
|-
 +
| NQF0421 || Adult BMI || Core || MU EP NQF 0421 || Reminder Extract
 +
|-
 +
|
 +
|-
 +
| NQF0024A || Children BMI 11-17 || Alternate Core || MU EP NQF 0024 11-17Y || Reminder Rule Sets
 +
|-
 +
| NQF0024B || Children BMI 2-10 || Alternate Core || MU EP NQF 0024 2-10Y || Reminder Rule Sets
 +
|-
 +
| NQF0041 || Flu Vaccination || Alternate Core || MU EP NQF 0041 || Reminder Rule Sets
 +
|-
 +
| NQF0038 || Infants' Immunizations || Alternate Core || various || Reminder Extract
 +
|-
 +
|
 +
|-
 +
| NQF0059 || DM: A1C Control || Additional || MU EP NQF 0059 || Reminder Rule Sets
 +
|-
 +
| NQF0061 || DM: LDL Control || Additional || MU EP NQF 0061 || Reminder Rule Sets
 +
|-
 +
| NQF0064 || DM: BP Control || Additional || MU EP NQF 0064 || Reminder Rule Sets
 +
|}
 +
 +
<pre>
 +
C0Q QUALITY MEASURE List                                                                                                   
 +
NAME                            NUMERATOR RULE SET                  DENOMINATOR RULE SET                EXTRACT DEFINITION
 +
----------------------------------------------------------------------------------------------------------------------------------------------
 +
 +
MU EP NQF 0013                  MU NQF0013 HTN NUMER2 RS            MU NQF0013 HTN DENOM2 RS           
 +
MU EP NQF 0024                  MU NQF0024 BMI 2-17YR NUM RS        MU NQF0024 BMI 2-17YRS DEM RS       
 +
MU EP NQF 0024 11-17Y          MU NQF0024 BMI PERCENTILE 11-17Y RS  MU NQF0024 BMI 11-17Y DENOM RS     
 +
MU EP NQF 0024 2-10Y            MU NQF0024 BMI PERCENTILE 2-10Y RS  MU NQF0024 BMI 2-10Y DENOM RS       
 +
MU EP NQF 0028A                MU NQF0028A TOBACCO SCREEN NUM RS    MU NQF0028B TOBACCO INTERV DENOM RS 
 +
MU EP NQF 0028B                MU NQF0028B TOBACCO INTERV NUM2 RS  MU NQF0028B TOBACCO INTERV DENOM RS 
 +
MU EP NQF 0038 NUM1 DPT        MU NQF0038 NUM1 DPT RS              MU NQF0038 DENOM RS                  MU NQF0038 CHILDREN'S IMMUNIZATIONS
 +
MU EP NQF 0038 NUM10 FLU        MU NQF0038 NUM10 INFLUENZA RS        MU NQF0038 DENOM RS                  MU NQF0038 CHILDREN'S IMMUNIZATIONS
 +
MU EP NQF 0038 NUM11 COMBO5    MU NQF0038 NUM11 COMBO5 RS          MU NQF0038 DENOM RS                  MU NQF0038 CHILDREN'S IMMUNIZATIONS
 +
MU EP NQF 0038 NUM12 COMBO6    MU NQF0038 NUM12 COMBO6 RS          MU NQF0038 DENOM RS                  MU NQF0038 CHILDREN'S IMMUNIZATIONS
 +
MU EP NQF 0038 NUM2 IPV        MU NQF0038 NUM2 IPV RS              MU NQF0038 DENOM RS                  MU NQF0038 CHILDREN'S IMMUNIZATIONS
 +
MU EP NQF 0038 NUM3 MMR        MU NQF0038 NUM3-ALL RS              MU NQF0038 DENOM RS                  MU NQF0038 CHILDREN'S IMMUNIZATIONS
 +
MU EP NQF 0038 NUM4 HiB        MU NQF0038 NUM4 HIB RS              MU NQF0038 DENOM RS                  MU NQF0038 CHILDREN'S IMMUNIZATIONS
 +
MU EP NQF 0038 NUM5 HEP B      MU NQF0038 NUM5 RS                  MU NQF0038 DENOM RS                  MU NQF0038 CHILDREN'S IMMUNIZATIONS
 +
MU EP NQF 0038 NUM6 VZV        MU NQF0038 NUM6 VZV RS              MU NQF0038 DENOM RS                  MU NQF0038 CHILDREN'S IMMUNIZATIONS
 +
MU EP NQF 0038 NUM7 PCV        MU NQF0038 NUM7 PCV RS              MU NQF0038 DENOM RS                  MU NQF0038 CHILDREN'S IMMUNIZATIONS
 +
MU EP NQF 0038 NUM8 HEP A      MU NQF0038 NUM8 HEP A RS            MU NQF0038 DENOM RS                  MU NQF0038 CHILDREN'S IMMUNIZATIONS
 +
MU EP NQF 0038 NUM9 RV          MU NQF0038 NUM9 RV RS                MU NQF0038 DENOM RS                  MU NQF0038 CHILDREN'S IMMUNIZATIONS
 +
MU EP NQF 0041                  MU NQF0041 FLU RS                    MU NQF0041 FLU DENOM RS             
 +
MU EP NQF 0059                  MU NQF0059 HBA1C NUM RS              MU NQF0059 DM DENOM-ALL RS         
 +
MU EP NQF 0061                  MU NQF0061 NUM DM BP<140/90 RS      MU NQF0059 DM DENOM-ALL RS         
 +
MU EP NQF 0064                  MU NQF0064 NUM LDL RS                MU NQF0059 DM DENOM-ALL RS         
 +
MU EP NQF 0421                  MU NQF0421 BMI NUM ALL RS            MU NQF0421 BMI DENOM ALL RS          MU NQF0421 ADULT BMI
 +
</pre>
 +
 +
A brief mention regarding on what you need to report: You need to report the 3 core measures and the 3 additional measures. Only if the denominator of any of the core measures is zero, you need to report any alternate core in addition. If all your 3 cores have denominators of zero, you need to report all 3 alternate cores in addition.
 +
 +
Here is a brief description of the steps we have to do in order to calculate the quality measurements.
 +
# Create the Patient Lists using the Reminders Package
 +
## If there are only rule sets in the above table for a given measure, use these rule sets.
 +
## If there is an extract, you must use the extract.
 +
# Add the patient lists to each of the Quality Measures
 +
# Add the Quality Measures to the Measure Sets
 +
# Update the Outpatient Quality Measures
 +
# Print the Measure Sets
 +
 +
I will illustrate the process with the Core Measures
 +
===== Create the Patient Lists using the Reminders Package =====
 +
====== Getting the Patient Lists ======
 +
Navigate to the Patient Lists Management Menu from the reminders package:
 +
<pre>
 +
Select Reminder Managers Menu Option: ?
 +
 +
  CF    Reminder Computed Finding Management ...
 +
  RM    Reminder Definition Management ...
 +
  SM    Reminder Sponsor Management ...
 +
  TXM    Reminder Taxonomy Management ...
 +
  TRM    Reminder Term Management ...
 +
  LM    Reminder Location List Management ...
 +
  RX    Reminder Exchange
 +
  RT    Reminder Test
 +
  OS    Other Supporting Menus ...
 +
  INFO  Reminder Information Only Menu ...
 +
  DM    Reminder Dialog Management ...
 +
  CP    CPRS Reminder [[Configuration~|Configuration]] ...
 +
  RP    Reminder Reports ...
 +
  MST    Reminders MST Synchronization Management ...
 +
  PL    Reminder Patient List Menu ...
 +
  PAR    Reminder Parameters ...
 +
  XM    Reminder Extract Menu ...
 +
  GEC    GEC Referral Report
 +
 +
Enter ?? for more options, ??? for brief descriptions, ?OPTION for help text.
 +
 +
Select Reminder Managers Menu Option: PL  Reminder Patient List Menu
 +
 +
Select Reminder Patient List Menu Option: ? 
 +
 +
  LRM    List Rule Management
 +
  PLM    Patient List Management
 +
 +
Enter ?? for more options, ??? for brief descriptions, ?OPTION for help text.
 +
 +
Select Reminder Patient List Menu Option: PLM
 +
</pre>
 +
 +
You will see a screen like this:
 +
<pre>
 +
Reminder User Patient List    Oct 08, 2012@16:31:18          Page:    1 of    2
 +
Available Patient Lists.
 +
Item  Reminder Patient List Name                    Created          Patients
 +
    1  CAD                                            7/29/05@13:15:55        0
 +
    2  DOQIT CAD M1 2006                              7/30/05@09:42:55        0
 +
    3  DOQIT CAD M7 2005                              7/30/05@10:23:48        2
 +
    4  DOQIT CAD M8 2005                              7/30/05@09:45:37        0
 +
    5  DOQIT CAD M9 2005                              7/30/05@09:45:46        0
 +
    6  DOQIT CAD registerd yyyy nn                    7/29/05@17:24:15        2
 +
    7  DOQIT DM M7 2005                              7/30/05@12:37:41        3
 +
    8  DOQIT DM M8 2005                              7/30/05@11:51:19        0
 +
    9  DOQIT DM PATIENT LIST 10 2005                  7/29/05@13:15:57        0
 +
  10  DOQIT DM PATIENT LIST 8 2005                  7/28/05@11:33:41        0
 +
  11  DOQIT DM PATIENT LIST 9 2005                  7/28/05@17:26:05        0
 +
  12  DOQIT HF M7 2005                              7/30/05@11:22:59        3
 +
  13  DOQIT HF Mnn yyyy                              7/30/05@09:21:48        0
 +
  14  DOQIT HF mm2005 PATIENT LIST                  7/29/05@13:16          0
 +
  15  DOQIT HTN M7 2005                              7/30/05@11:32:15        3
 +
  16  DOQIT HTN PATIENT LIST 7 2005                  7/30/05@09:47:42        0
 +
+        + Next Screen  - Prev Screen  ?? More Actions                    >>>
 +
CO  Copy Patient List    DE  Delete Patient List  CV  Change View
 +
COE  Copy to OE/RR Team  DCD  Display Creation Doc LRM  List Rule Management
 +
CR  Create Patient List  DSP  Display Patient List QU  Quit
 +
Select Item: Next Screen// CR
 +
</pre>
  
−
==== Infrastructure Dependencies ====
+
Type CR to Create a Patient List then follow the prompts. Create these 5 lists: The Hypertension Numerator and Denomiator, and the Tobacco Denominator and two Numerators.
  
−
==== VistA Package Dependencies ====
+
<pre>
 +
Select PATIENT LIST name: MU NQF0013 HTN DENOM2 PL 08/12-10/12
 +
  Are you adding 'MU NQF0013 HTN DENOM2 PL 08/12-10/12' as
 +
    a new REMINDER PATIENT LIST? No// Y  (Yes)
  
−
=== Downloading the Software ===
+
Secure list?: N// O
  
−
=== Installation and Configuration ===
+
Purge Patient List after 5 years?: N// O
  
−
=== ASSUMPTIONS: ===
+
Select LIST RULE SET:   MU NQF0013 HTN DENOM2 RS    RULE SET
−
::- 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 load and install KIDS.
 
  
−
=== INSTRUCTIONS: ===
+
Enter Patient List BEGINNING DATE: 8/1/12  (AUG 01, 2012)
 +
Enter Patient List ENDING DATE: 10/31/12  (OCT 31, 2012)
  
−
:1. Download Build
+
Include deceased patients on the list? N// O
−
:: Download the latest C0Q build bundle (kid) from WorldVistA’s trac server (e.g. C0Q_1_0_1_T16.KID):
+
 
−
https://trac.opensourcevista.net/browser/qrda/C0Q/trunk/kids
+
Include test patients on the list? N// O
 +
Queue the CREATE PATIENT LIST for MU NQF0013 HTN DENOM2 PL 08/12-10/12:
 +
Enter the date and time you want the job to start.
 +
It must be after 10/08/2012@16:29:43
 +
Start the task at: N
 +
</pre>
 +
 
 +
<pre>
 +
Select PATIENT LIST name: MU NQF0013 HTN NUMER2 PL 08/12-10/12
 +
  Are you adding 'MU NQF0013 HTN NUMER2 PL 08/12-10/12' as
 +
    a new REMINDER PATIENT LIST? No// Y  (Yes)
 +
 
 +
Secure list?: N// O
 +
 
 +
Purge Patient List after 5 years?: N// O
 +
 
 +
Select LIST RULE SET:    MU NQF0013 HTN NUMER2 RS    RULE SET
 +
 
 +
Enter Patient List BEGINNING DATE: 8/1/12  (AUG 01, 2012)
 +
Enter Patient List ENDING DATE: 10/31/12  (OCT 31, 2012)
 +
 
 +
Include deceased patients on the list? N// O
 +
 
 +
Include test patients on the list? N// O
 +
Queue the CREATE PATIENT LIST for MU NQF0013 HTN NUMER2 PL 08/12-10/12:
 +
Enter the date and time you want the job to start.
 +
It must be after 10/08/2012@16:29:43
 +
Start the task at: N
 +
</pre>
 +
 
 +
<pre>
 +
Select PATIENT LIST name: MU NQF0028B TOBACCO INTERV DENOM 8/12-10/12
 +
  Are you adding 'MU NQF0028B TOBACCO INTERV DENOM 8/12-10/12' as
 +
    a new REMINDER PATIENT LIST? No// y  (Yes)
 +
 
 +
Secure list?: N// O
 +
 
 +
Purge Patient List after 5 years?: N// O
 +
 
 +
Select LIST RULE SET: MU NQF0028B TOBACCO INTERV DENOM RS      RULE SET
 +
 
 +
Enter Patient List BEGINNING DATE: 8/1  (AUG 01, 2012)
 +
Enter Patient List ENDING DATE: 10/31  (OCT 31, 2012)
 +
 
 +
Include deceased patients on the list? N// O
 +
 
 +
Include test patients on the list? N// O
 +
Queue the CREATE PATIENT LIST for MU NQF0028B TOBACCO INTERV DENOM 8/12-10/12:
 +
Enter the date and time you want the job to start.
 +
It must be after 10/09/2012@10:10:58
 +
Start the task at:
 +
</pre>
 +
 
 +
<pre>
 +
Select PATIENT LIST name: MU NQF0028A TOBACCO SCREEN NUM 8/12-10/12
 +
  Are you adding 'MU NQF0028A TOBACCO SCREEN NUM 8/12-10/12' as
 +
    a new REMINDER PATIENT LIST? No// Y  (Yes)
 +
 
 +
Secure list?: N// O
 +
 
 +
Purge Patient List after 5 years?: N// O
 +
 
 +
Select LIST RULE SET: MU NQF0028A TOBACCO SCREEN NUM RS      RULE SET
 +
 
 +
Enter Patient List BEGINNING DATE: 8/1 (AUG 01, 2012)
 +
Enter Patient List ENDING DATE: 10/31  (OCT 31, 2012)
 +
 
 +
Include deceased patients on the list? N// O
 +
 
 +
Include test patients on the list? N// O
 +
Queue the CREATE PATIENT LIST for MU NQF0028A TOBACCO SCREEN NUM 8/12-10/12:
 +
Enter the date and time you want the job to start.
 +
It must be after 10/09/2012@10:12:16
 +
Start the task at: N
 +
</pre>
 +
 
 +
<pre>
 +
Select PATIENT LIST name: MU NQF0028B TOBACCO INTERV NUM2 8/12-10/12
 +
  Are you adding 'MU NQF0028B TOBACCO INTERV NUM2 8/12-10/12' as
 +
    a new REMINDER PATIENT LIST? No// Y  (Yes)
 +
 
 +
Secure list?: N// O
 +
 
 +
Purge Patient List after 5 years?: N// O
 +
 
 +
Select LIST RULE SET: MU NQF0028B TOBACCO INTERV NUM2 RS      RULE SET
 +
 
 +
Enter Patient List BEGINNING DATE: 8/1  (AUG 01, 2012)
 +
Enter Patient List ENDING DATE: 10/31  (OCT 31, 2012)
 +
 
 +
Include deceased patients on the list? N// O
 +
 
 +
Include test patients on the list? N// O
 +
Queue the CREATE PATIENT LIST for MU NQF0028B TOBACCO INTERV NUM2 8/12-10/12:
 +
Enter the date and time you want the job to start.
 +
It must be after 10/09/2012@10:14:14
 +
Start the task at: N
 +
</pre>
 +
The result will look like this. You patient counts will be different. You need to be worried if the denominators are zero; it most probably means that you are not filling out the encounter forms.
 +
<pre>
 +
  19  MU NQF0013 HTN DENOM2 PL 08/12-10/12          10/8/12@16:29:58        1
 +
  20  MU NQF0013 HTN NUMER2 PL 08/12-10/12          10/8/12@16:39:14        1
 +
  21  MU NQF0028A TOBACCO SCREEN NUM 8/12-10/12      10/9/12@10:12:30        1
 +
  22  MU NQF0028B TOBACCO INTERV DENOM 8/12-10/12    10/9/12@10:11:15        2
 +
  23  MU NQF0028B TOBACCO INTERV NUM2 8/12-10/12    10/9/12@10:14:28        1
 +
</pre>
 +
 
 +
====== Getting the Extracts ======
 +
A word to the wise: a lot or all of the measures could have been done as extracts. However, the package was designed around patient lists. The reason extracts were used for two measures is that this was the only way to transport the rule sets.
 +
 
 +
There are steps here combining extracts from separate months. You can configure the extract to be quarterly or yearly and skip these rather mundane steps; however, you will be only be able to do a specific Quarter or Year.
 +
 
 +
To get to extracts, type XM from the main Reminders Manager menu. We will use the menu '''MA''' for our work; but you can edit the extracts using '''ED''' if you wish.
 +
 
 +
<pre>
 +
Select Reminder Managers Menu Option: XM  Reminder Extract Menu
 +
 
 +
Select Reminder Extract Menu Option: ?
 +
 
 +
  MA    Reminder Extract Management
 +
  ED    Extract Definition Management
 +
  EC    Extract Counting Rule Management
 +
  EG    Extract Counting Group Management
 +
  LR    List Rule Management
 +
 
 +
Enter ?? for more options, ??? for brief descriptions, ?OPTION for help text.
 +
</pre>
 +
 
 +
Type '''MA'''
 +
 
 +
<pre>
 +
Select Reminder Extract Menu Option: MA
 +
 
 +
Reminder Extract Management  Oct 09, 2012@10:16:01          Page:    1 of    1
 +
Available Extract Definitions:
 +
 
 +
Item  Extract Type                                                  Class     
 +
    1  MRM-CAD                                                      LOCAL     
 +
    2  MU NQF0038 CHILDREN'S IMMUNIZATIONS                          LOCAL     
 +
    3  MU NQF0421 ADULT BMI                                          LOCAL     
 +
    4  VA-IHD QUERI                                                  NATIONAL 
 +
    5  VA-MH QUERI                                                  NATIONAL 
 +
    6  VA-OEF/OIF MONITOR                                            NATIONAL 
 +
    7  VOE DOQ-IT CAD EXTRACTION                                    LOCAL     
 +
    8  VOE DOQ-IT DM EXTRACTION                                      LOCAL     
 +
    9  VOE DOQ-IT HF EXTRACTION                                      LOCAL     
 +
  10  VOE DOQ-IT HTN EXTRACTION                                    LOCAL     
 +
  11  VOE DOQ-IT PC EXTRACTION                                      LOCAL     
 +
 
 +
 
 +
 
 +
 
 +
          + Next Screen  - Prev Screen  ?? More Actions                     
 +
EDM  Extract Definition Management      QU  Quit
 +
VSE  View/Schedule Extract
 +
Select Item: Quit// 3   
 +
Select Action:  (EDM/VSE): VSE//
 +
</pre>
 +
 
 +
Type 3 to choose the Extract '''MU NQF0421 ADULT BMI''' and enter. Your entry number may be different.
 +
 
 +
<pre>
 +
Examine/Schedule Extract      Oct 09, 2012@10:16:46          Page:    0 of    0
 +
 
 +
          Extract Name: MU NQF0421 ADULT BMI
 +
  Next Extract Period:
 +
      Scheduled to Run:                          View: Creation Date Order
 +
 
 +
Item  Extract Summary            Date Created        Transmission Date  Auto
 +
 
 +
 
 +
 
 +
 
 +
 
 +
 
 +
 
 +
 
 +
 
 +
 
 +
 
 +
          + Next Screen  - Prev Screen  ?? More Actions                     
 +
CV  Change View          ME  Manual Extract      QU  Quit
 +
ES  Extract Summary      MT  Manual Transmission
 +
DE  Delete Extract      TH  Transmission History
 +
Select Item: Quit// ME
 +
</pre>
 +
 
 +
Type '''ME'''. Run an extract for the specific months you are interested in. If you are reporting 3 months for MU Stage 1, you need to do this 3 times.
 +
 
 +
<pre>
 +
Select EXTRACT PERIOD (Mnn/yyyy): // M10/2012
 +
 
 +
 
 +
WARNING -This period is not complete until 10/31/2012
 +
 
 +
Are you sure you want to run a MU NQF0421 ADULT BMI extract for M10 2012? N// YES
 +
 
 +
Purge Patient List after 5 years?: N// O
 +
 
 +
Purge Extract Summary after 5 years?: N// O
 +
Queue a Reminder Extract MU NQF0421 ADULT BMI for M10/2012
 +
Enter the date and time you want the job to start.
 +
It must be after 10/09/2012@10:17:47
 +
Start the task at: N
 +
</pre>
 +
<pre>
 +
Select EXTRACT PERIOD (Mnn/yyyy): // M09/2012
 +
 
 +
 
 +
Are you sure you want to run a MU NQF0421 ADULT BMI extract for M09 2012? N// YES
 +
 
 +
Purge Patient List after 5 years?: N// O
 +
 
 +
Purge Extract Summary after 5 years?: N// O
 +
Queue a Reminder Extract MU NQF0421 ADULT BMI for M09/2012
 +
Enter the date and time you want the job to start.
 +
It must be after 10/09/2012@10:22:20
 +
Start the task at: N
 +
</pre>
 +
<pre>
 +
Select EXTRACT PERIOD (Mnn/yyyy): // M08/2012
 +
 
 +
 
 +
Are you sure you want to run a MU NQF0421 ADULT BMI extract for M08 2012? N// YES
 +
 
 +
Purge Patient List after 5 years?: N// O
 +
 
 +
Purge Extract Summary after 5 years?: N// O
 +
Queue a Reminder Extract MU NQF0421 ADULT BMI for M08/2012
 +
Enter the date and time you want the job to start.
 +
It must be after 10/09/2012@10:23:13
 +
Start the task at: N
 +
</pre>
 +
 
 +
Now go back to the Patient List menu. You will find a large number of lists created by the Extracts.
 +
 
 +
<pre>
 +
+Item--Reminder Patient List Name---------------------Created----------Patients-
 +
    1  DOQIT CAD registerd yyyy nn                    7/29/05@17:24:15        2  PUB  F 
 +
    2  MU NQF0013 HTN DENOM2 PL 08/12-10/12          10/8/12@16:29:58        1  PUB  F 
 +
    3  MU NQF0013 HTN NUMER2 PL 08/12-10/12          10/8/12@16:39:14        1  PUB  F 
 +
    4  MU NQF0028A TOBACCO SCREEN NUM 8/12-10/12      10/9/12@10:12:30        1  PUB  F 
 +
    5  MU NQF0028B TOBACCO INTERV DENOM 8/12-10/12    10/9/12@10:11:15        2  PUB  F 
 +
    6  MU NQF0028B TOBACCO INTERV NUM2 8/12-10/12    10/9/12@10:14:28        1  PUB  F 
 +
    7  MU NQF0421 65Y BMI HIGH NUM1 PL M08/2012      10/9/12@10:23:25        0  PVT  F 
 +
    8  MU NQF0421 65Y BMI HIGH NUM1 PL M09/2012      10/9/12@10:22:38        0  PVT  F 
 +
    9  MU NQF0421 65Y BMI HIGH NUM1 PL M10/2012      10/9/12@10:17:59        0  PVT  F 
 +
  10  MU NQF0421 65Y BMI LOW NUM1 PL M08/2012        10/9/12@10:23:25        0  PVT  F 
 +
  11  MU NQF0421 65Y BMI LOW NUM1 PL M09/2012        10/9/12@10:22:38        0  PVT  F 
 +
  12  MU NQF0421 65Y BMI LOW NUM1 PL M10/2012        10/9/12@10:17:59        0  PVT  F 
 +
  13  MU NQF0421 65Y BMI NL NUM1 PL M08/2012        10/9/12@10:23:25        0  PVT  F 
 +
  14  MU NQF0421 65Y BMI NL NUM1 PL M09/2012        10/9/12@10:22:38        0  PVT  F 
 +
  15  MU NQF0421 65Y BMI NL NUM1 PL M10/2012        10/9/12@10:17:59        0  PVT  F 
 +
  16  MU NQF0421 65Y BMI NUM1-ALL PL M08/2012        10/9/12@10:23:25        0  PVT  F 
 +
  17  MU NQF0421 65Y BMI NUM1-ALL PL M09/2012        10/9/12@10:22:38        0  PVT  F 
 +
  18  MU NQF0421 65Y BMI NUM1-ALL PL M10/2012        10/9/12@10:17:59        0  PVT  F 
 +
  19  MU NQF0421 <65Y BMI HIGH NUM2 PL M08/2012      10/9/12@10:23:25        0  PVT  F 
 +
  20  MU NQF0421 <65Y BMI HIGH NUM2 PL M09/2012      10/9/12@10:22:38        0  PVT  F 
 +
  21  MU NQF0421 <65Y BMI HIGH NUM2 PL M10/2012      10/9/12@10:18          1  PVT  F 
 +
  22  MU NQF0421 <65Y BMI LOW NUM2 PL M08/2012      10/9/12@10:23:25        0  PVT  F 
 +
  23  MU NQF0421 <65Y BMI LOW NUM2 PL M09/2012      10/9/12@10:22:38        0  PVT  F 
 +
  24  MU NQF0421 <65Y BMI LOW NUM2 PL M10/2012      10/9/12@10:18          0  PVT  F 
 +
  25  MU NQF0421 <65Y BMI NL NUM2 PL M08/2012        10/9/12@10:23:26        0  PVT  F 
 +
  26  MU NQF0421 <65Y BMI NL NUM2 PL M09/2012        10/9/12@10:22:38        0  PVT  F 
 +
  27  MU NQF0421 <65Y BMI NL NUM2 PL M10/2012        10/9/12@10:18          1  PVT  F 
 +
  28  MU NQF0421 <65Y BMI NUM2-ALL PL M08/2012      10/9/12@10:23:26        0  PVT  F 
 +
  29  MU NQF0421 <65Y BMI NUM2-ALL PL M09/2012      10/9/12@10:22:38        0  PVT  F 
 +
  30  MU NQF0421 <65Y BMI NUM2-ALL PL M10/2012      10/9/12@10:18          2  PVT  F 
 +
  31  MU NQF0421 BMI DENOM ALL PL M08/2012          10/9/12@10:23:26        0  PVT  F 
 +
  32  MU NQF0421 BMI DENOM ALL PL M09/2012          10/9/12@10:22:38        0  PVT  F 
 +
  33  MU NQF0421 BMI DENOM ALL PL M10/2012          10/9/12@10:18          2  PVT  F 
 +
  34  MU NQF0421 BMI DENOM1 PL M08/2012              10/9/12@10:23:26        0  PVT  F 
 +
  35  MU NQF0421 BMI DENOM1 PL M09/2012              10/9/12@10:22:38        0  PVT  F 
 +
  36  MU NQF0421 BMI DENOM1 PL M10/2012              10/9/12@10:18          0  PVT  F 
 +
  37  MU NQF0421 BMI DENOM2 PL M08/2012              10/9/12@10:23:26        0  PVT  F 
 +
  38  MU NQF0421 BMI DENOM2 PL M09/2012              10/9/12@10:22:38        0  PVT  F 
 +
  39  MU NQF0421 BMI DENOM2 PL M10/2012              10/9/12@10:18          2  PVT  F 
 +
  40  MU NQF0421 BMI NUM ALL PL M08/2012            10/9/12@10:23:26        0  PVT  F 
 +
  41  MU NQF0421 BMI NUM ALL PL M09/2012            10/9/12@10:22:38        0  PVT  F 
 +
  42  MU NQF0421 BMI NUM ALL PL M10/2012            10/9/12@10:18          2  PVT  F 
 +
</pre>
 +
 
 +
Now, combine the Numerators and Denominators for the Reporting Period:
 +
 
 +
Combine these:
 +
<pre>
 +
  31  MU NQF0421 BMI DENOM ALL PL M08/2012          10/9/12@10:23:26        0  PVT  F 
 +
  32  MU NQF0421 BMI DENOM ALL PL M09/2012          10/9/12@10:22:38        0  PVT  F 
 +
  33  MU NQF0421 BMI DENOM ALL PL M10/2012          10/9/12@10:18          2  PVT  F 
 +
</pre>
 +
 
 +
and these
 +
 
 +
<pre>
 +
  40  MU NQF0421 BMI NUM ALL PL M08/2012            10/9/12@10:23:26        0  PVT  F 
 +
  41  MU NQF0421 BMI NUM ALL PL M09/2012            10/9/12@10:22:38        0  PVT  F 
 +
  42  MU NQF0421 BMI NUM ALL PL M10/2012            10/9/12@10:18          2  PVT  F 
 +
</pre>
 +
You combine them by going into the Rules Menu, choosing CV to change view, then going into the Patient List Rule view. In there, you will create 6 patient list rules, one for each of the months. Then you CV back to Rule Set view, and add two rule sets, one combining the 3 denominator Patient List Rules, and one combining the 3 numerator Patient List Rules. Last, in the Patient Lists menu create the Patient Lists from these two rules sets for the final numerator and denominator. Following is the transcipt of this operation:
 +
 
 +
>> Go into the Rules menu first (PL > LRM from the main Reminders Manager menu), then type "CV".
 +
 
 +
<pre>
 +
    Select one of the following:
 +
 
 +
          F        Finding Rule
 +
          P        Patient List Rule
 +
          R        Reminder Rule
 +
          S        Rule Set
 +
 
 +
TYPE OF VIEW: F// P
 +
</pre>
 +
You will see this:
 +
<pre>
 +
List Rule Management          Oct 09, 2012@10:31:17          Page:    1 of    3
 +
 
 +
 
 +
 
 +
Item  Patient List Rule Name                                        Class     
 +
    1  MU NQF0038 NUM1 DPT PR                                        LOCAL     
 +
    2  MU NQF0038 NUM2 IPV PR                                        LOCAL     
 +
    3  MU NQF0038 NUM3-1 PR                                          LOCAL     
 +
    4  MU NQF0038 NUM3-2 PR                                          LOCAL     
 +
    5  MU NQF0038 NUM3-3 PR                                          LOCAL     
 +
    6  MU NQF0038 NUM3-4 PR                                          LOCAL     
 +
    7  MU NQF0038 NUM3-ALL PR                                        LOCAL     
 +
    8  MU NQF0038 NUM5 HEP B PR                                      LOCAL     
 +
    9  MU NQF0038 NUM6 VZV PR                                        LOCAL     
 +
  10  MU NQF0038 NUM7 PCV PR                                        LOCAL     
 +
  11  MU NQF0421 65Y BMI HIGH NUM1 PLL                              LOCAL     
 +
  12  MU NQF0421 65Y BMI LOW NUM1 PLL                              LOCAL     
 +
  13  MU NQF0421 65Y BMI NL NUM1 PLL                                LOCAL     
 +
+        + Next Screen  - Prev Screen  ?? More Actions                     
 +
CV  Change View                        TEST (Test Rule Set)
 +
CR  Create Rule                        QU  Quit
 +
DR  Display/Edit Rule
 +
Select Item: Next Screen// CR
 +
</pre>
 +
Type CR to create patient list rules. You will do this 6 times.
 +
<pre>
 +
NAME: MU NQF0421 BMI DENOM ALL PL M08/2012 PR  Replace
 +
SHORT DESCRIPTION:
 +
CLASS: L  LOCAL
 +
USE EXISTING PT LIST: MU NQF0421 BMI DENOM ALL PL M08/2012 
 +
Input your edit comments.
 +
Edit? NO//
 +
</pre>
 +
<pre>
 +
NAME: MU NQF0421 BMI DENOM ALL PL M09/2012 PR  Replace
 +
SHORT DESCRIPTION:
 +
CLASS: L  LOCAL
 +
USE EXISTING PT LIST: MU NQF0421 BMI DENOM ALL PL M09/2012 
 +
Input your edit comments.
 +
Edit? NO//
 +
</pre>
 +
<pre>
 +
NAME: MU NQF0421 BMI DENOM ALL PL M10/2012 PR  Replace
 +
SHORT DESCRIPTION:
 +
CLASS: L  LOCAL
 +
USE EXISTING PT LIST: MU NQF0421 BMI DENOM ALL PL M10/2012 
 +
Input your edit comments.
 +
Edit? NO//
 +
</pre>
 +
<pre>
 +
NAME: MU NQF0421 BMI NUM ALL PL M08/2012 PR  Replace
 +
SHORT DESCRIPTION:
 +
CLASS: L  LOCAL
 +
USE EXISTING PT LIST: MU NQF0421 BMI NUM ALL PL M08/2012 
 +
Input your edit comments.
 +
Edit? NO//
 +
</pre>
 +
<pre>
 +
NAME: MU NQF0421 BMI NUM ALL PL M09/2012 PR  Replace
 +
SHORT DESCRIPTION:
 +
CLASS: L  LOCAL
 +
USE EXISTING PT LIST: MU NQF0421 BMI NUM ALL PL M09/2012 
 +
Input your edit comments.
 +
Edit? NO//
 +
</pre>
 +
<pre>
 +
NAME: MU NQF0421 BMI NUM ALL PL M10/2012 PR  Replace
 +
SHORT DESCRIPTION:
 +
CLASS: L  LOCAL
 +
USE EXISTING PT LIST: MU NQF0421 BMI NUM ALL PL M10/2012 
 +
Input your edit comments.
 +
Edit? NO//
 +
</pre>
 +
Now you will change back to the Rule Set view.
 +
<pre>
 +
    Select one of the following:
 +
 
 +
          F        Finding Rule
 +
          P        Patient List Rule
 +
          R        Reminder Rule
 +
          S        Rule Set
 +
 
 +
TYPE OF VIEW: F// S
 +
</pre>
 +
Now, combine the Patient List Rules in a rule set.
 +
 
 +
Numerators:
 +
<pre>
 +
NAME: MU NQF0421 BMI NUM ALL 8/12-10/12 RS  Replace
 +
SHORT DESCRIPTION:
 +
CLASS: L  LOCAL
 +
Select SEQUENCE: 10
 +
  Are you adding '10' as a new SEQUENCE (the 1ST for this REMINDER LIST RULE)? No// Y
 +
  (Yes)
 +
  SEQUENCE LIST RULE: MU NQF0421 BMI NUM ALL PL M08/2012 PR      PATIENT LIST
 +
  LIST RULE: MU NQF0421 BMI NUM ALL PL M08/2012 PR
 +
        //
 +
  OPERATION: A  ADD PATIENT
 +
  SEQUENCE BEGINNING DATE/TIME:
 +
  SEQUENCE ENDING DATE/TIME:
 +
Select SEQUENCE: 20
 +
  Are you adding '20' as a new SEQUENCE (the 2ND for this REMINDER LIST RULE)? No// Y
 +
  (Yes)
 +
  SEQUENCE LIST RULE: MU NQF0421 BMI NUM ALL PL M09/2012 PR      PATIENT LIST
 +
  LIST RULE: MU NQF0421 BMI NUM ALL PL M09/2012 PR
 +
        //
 +
  OPERATION: A  ADD PATIENT
 +
  SEQUENCE BEGINNING DATE/TIME:
 +
  SEQUENCE ENDING DATE/TIME:
 +
Select SEQUENCE: 30
 +
  Are you adding '30' as a new SEQUENCE (the 3RD for this REMINDER LIST RULE)? No// Y
 +
  (Yes)
 +
  SEQUENCE LIST RULE: MU NQF0421 BMI NUM ALL PL M10/2012 PR      PATIENT LIST
 +
  LIST RULE: MU NQF0421 BMI NUM ALL PL M10/2012 PR
 +
        //
 +
  OPERATION: A  ADD PATIENT
 +
  SEQUENCE BEGINNING DATE/TIME:
 +
  SEQUENCE ENDING DATE/TIME:
 +
Select SEQUENCE: 
 +
Input your edit comments.
 +
Edit? NO//
 +
</pre>
 +
Denominators:
 +
<pre>
 +
NAME: MU NQF0421 BMI DEN ALL 8/12-10/12 RS  Replace
 +
SHORT DESCRIPTION:
 +
CLASS: L  LOCAL
 +
Select SEQUENCE: 10
 +
  Are you adding '10' as a new SEQUENCE (the 1ST for this REMINDER LIST RULE)? No// Y
 +
  (Yes)
 +
  SEQUENCE LIST RULE: MU NQF0421 BMI DENOM ALL PL M08/2012 PR      PATIENT LIST
 +
  LIST RULE: MU NQF0421 BMI DENOM ALL PL M08/2012 PR
 +
        //
 +
  OPERATION: A  ADD PATIENT
 +
  SEQUENCE BEGINNING DATE/TIME:
 +
  SEQUENCE ENDING DATE/TIME:
 +
Select SEQUENCE: 20
 +
  Are you adding '20' as a new SEQUENCE (the 2ND for this REMINDER LIST RULE)? No// Y
 +
  (Yes)
 +
  SEQUENCE LIST RULE: MU NQF0421 BMI DENOM ALL PL M09/2012 PR      PATIENT LIST
 +
  LIST RULE: MU NQF0421 BMI DENOM ALL PL M09/2012 PR
 +
        //
 +
  OPERATION: A  ADD PATIENT
 +
  SEQUENCE BEGINNING DATE/TIME:
 +
  SEQUENCE ENDING DATE/TIME:
 +
Select SEQUENCE: 30
 +
  Are you adding '30' as a new SEQUENCE (the 3RD for this REMINDER LIST RULE)? No// Y
 +
  (Yes)
 +
  SEQUENCE LIST RULE: MU NQF0421 BMI DENOM ALL PL M10/2012 PR      PATIENT LIST
 +
  LIST RULE: MU NQF0421 BMI DENOM ALL PL M10/2012 PR
 +
        //
 +
  OPERATION: A  ADD PATIENT
 +
  SEQUENCE BEGINNING DATE/TIME:
 +
  SEQUENCE ENDING DATE/TIME:
 +
Select SEQUENCE:
 +
Input your edit comments.
 +
Edit? NO//
 +
</pre>
 +
Now go to Patient List Management option, and then create the combined lists (PL > PLM on the menu system; then type CR)
 +
 
 +
Numerator:
 +
<pre>
 +
Select PATIENT LIST name: MU NQF0421 BMI NUM ALL PL 8/12-10/12
 +
  Are you adding 'MU NQF0421 BMI NUM ALL PL 8/12-10/12' as
 +
    a new REMINDER PATIENT LIST? No// Y  (Yes)
 +
 
 +
Secure list?: N// O
 +
 
 +
Purge Patient List after 5 years?: N// O
 +
 
 +
Select LIST RULE SET: MU,NQF0421,RS
 +
    1  MU NQF0421 65Y BMI HIGH NUM1 RS      RULE SET
 +
    2  MU NQF0421 65Y BMI LOW NUM1 RS      RULE SET
 +
    3  MU NQF0421 65Y BMI NL NUM1 RS      RULE SET
 +
    4  MU NQF0421 65Y BMI NUM1-ALL RS      RULE SET
 +
    5  MU NQF0421 <65Y BMI HIGH NUM2 RS      RULE SET
 +
Press <Enter> to see more, '^' to exit this list,  OR
 +
CHOOSE 1-5:
 +
    6  MU NQF0421 <65Y BMI LOW NUM2 RS      RULE SET
 +
    7  MU NQF0421 <65Y BMI NL NUM2 RS      RULE SET
 +
    8  MU NQF0421 <65Y BMI NUM2-ALL RS      RULE SET
 +
    9  MU NQF0421 BMI DEN ALL 8/12-10/12 RS      RULE SET
 +
    10  MU NQF0421 BMI DENOM ALL RS      RULE SET
 +
Press <Enter> to see more, '^' to exit this list,  OR
 +
CHOOSE 1-10: 9  MU NQF0421 BMI DEN ALL 8/12-10/12 RS    RULE SET
 +
 
 +
Enter Patient List BEGINNING DATE: 
 +
This is a required response. Enter '^' to exit
 +
Enter Patient List BEGINNING DATE: 8/1/12  (AUG 01, 2012)
 +
Enter Patient List ENDING DATE: 10/31/12  (OCT 31, 2012)
 +
 
 +
Include deceased patients on the list? N// O
 +
 
 +
Include test patients on the list? N// O
 +
Queue the CREATE PATIENT LIST for MU NQF0421 BMI NUM ALL PL 8/12-10/12:
 +
Enter the date and time you want the job to start.
 +
It must be after 10/09/2012@10:47:23
 +
Start the task at: N
 +
</pre>
 +
 
 +
Denominator
 +
<pre>
 +
Select PATIENT LIST name: MU NQF0421 BMI DENOM ALL PL 8/12-10/12
 +
  Are you adding 'MU NQF0421 BMI DENOM ALL PL 8/12-10/12' as
 +
    a new REMINDER PATIENT LIST? No// Y  (Yes)
 +
 
 +
Secure list?: N// O
 +
 
 +
Purge Patient List after 5 years?: N// O
 +
 
 +
Select LIST RULE SET: MU,NQF0421,DEN,RS
 +
    1  MU NQF0421 BMI DEN ALL 8/12-10/12 RS      RULE SET
 +
    2  MU NQF0421 BMI DENOM ALL RS      RULE SET
 +
    3  MU NQF0421 BMI DENOM1 RS      RULE SET
 +
    4  MU NQF0421 BMI DENOM2 RS      RULE SET
 +
CHOOSE 1-4: 1  MU NQF0421 BMI DEN ALL 8/12-10/12 RS    RULE SET
 +
 
 +
Enter Patient List BEGINNING DATE: 8/1  (AUG 01, 2012)
 +
Enter Patient List ENDING DATE: 10/31  (OCT 31, 2012)
 +
 
 +
Include deceased patients on the list? N// O
 +
 
 +
Include test patients on the list? N// O
 +
Queue the CREATE PATIENT LIST for MU NQF0421 BMI DENOM ALL PL 8/12-10/12:
 +
Enter the date and time you want the job to start.
 +
It must be after 10/09/2012@10:49:28
 +
Start the task at: N
 +
</pre>
 +
 
 +
After this, you should then see two lines like these somewhere in the Patient lists (NB: these lines are not adjacent)
 +
 
 +
<pre>
 +
  31  MU NQF0421 BMI DENOM ALL PL 8/12-10/12        10/9/12@10:49:42        2
 +
  41  MU NQF0421 BMI NUM ALL PL 8/12-10/12          10/9/12@10:47:43        2
 +
</pre>
 +
 
 +
In the end, you may want to copy the list names into a document to copy and paste them into Quality Measures package.
 +
<pre>
 +
      MU NQF0013 HTN DENOM2 PL 08/12-10/12          10/8/12@16:29:58        1  PUB  F 
 +
      MU NQF0013 HTN NUMER2 PL 08/12-10/12          10/8/12@16:39:14        1  PUB  F 
 +
      MU NQF0028A TOBACCO SCREEN NUM 8/12-10/12      10/9/12@10:12:30        1  PUB  F 
 +
      MU NQF0028B TOBACCO INTERV DENOM 8/12-10/12    10/9/12@10:11:15        2  PUB  F 
 +
      MU NQF0028B TOBACCO INTERV NUM2 8/12-10/12    10/9/12@10:14:28        1  PUB  F
 +
      MU NQF0421 BMI DENOM ALL PL 8/12-10/12        10/9/12@10:49:42        2
 +
      MU NQF0421 BMI NUM ALL PL 8/12-10/12          10/9/12@10:47:43        2
 +
</pre>
 +
===== Add the patient lists to each of the Quality Measures =====
 +
Now add these to the Quality Measures package for each entry, making sure the numerators and denominators are correctly matched.
 +
 
 +
Use the '''QUALITY MEASURE EDIT''' option in the Quality Measures Set-Up menu.
 +
 
 +
<pre>
 +
Select C0Q QUALITY MEASURE NAME: MU,NQF,0013  MU EP NQF 0013    NQF0013 Hyperte
 +
nsion: Blood Pressure Measurement
 +
NAME: MU EP NQF 0013//
 +
MU YEAR KEY:
 +
TITLE: NQF0013 Hypertension: Blood Pressure Measurement
 +
          Replace
 +
VERY LONG DESCRIPTION:
 +
Percentage of patient visits for patients 
 +
aged 18 years and older with a diagnosis of hypertension
 +
who have been seen for at least 2 office visits, with blood
 +
pressure (BP) recorded
 +
 
 +
  Edit? NO//
 +
DISPLAY NAME: NQF0013 Hypertension: Blood Pressure Measurement
 +
          Replace
 +
REPORTING NAME: NQF0013//
 +
NUMERATOR PATIENT LIST: MU NQF0013 HTN NUMER2 PL 08/12-10/12
 +
        //
 +
DENOMINATOR PATIENT LIST: MU NQF0013 HTN DENOM2 PL 08/12-10/12
 +
        //
 +
QRDA TEMPLATE ROOT: 2.16.840.1.113883.3.249.11.56
 +
          Replace
 +
QRDA CODE: PQRI-13//
 +
</pre>
 +
<pre>
 +
Select C0Q QUALITY MEASURE NAME: MU,NQF,0028
 +
    1  MU EP NQF 0028A      NQF0028A Tobacco Use Assessment
 +
    2  MU EP NQF 0028B      NQF0028B Tobacco Use Assessment and Cessation Int
 +
ervention
 +
CHOOSE 1-2: 1  MU EP NQF 0028A    NQF0028A Tobacco Use Assessment
 +
NAME: MU EP NQF 0028A//
 +
MU YEAR KEY:
 +
TITLE: NQF0028A Preventive Care and Screening  Measure Pair: a. Tobacco Use Asse
 +
ssment,b. Tobacco Cessation Intervention  Replace
 +
VERY LONG DESCRIPTION:
 +
Percentage of patients aged 18 years and 
 +
older who have been seen for at least 2 office visits who
 +
were queried about tobacco use one or more times within
 +
24 months  b. Percentage of patients aged 18 years and
 +
older  identified as tobacco users within the past 24
 +
months and have been seen for at least 2 office visits,
 +
who received cessation intervention.
 +
 
 +
  Edit? NO//
 +
DISPLAY NAME: NQF0028A Tobacco Use Assessment  Replace
 +
REPORTING NAME: NQF0028A//
 +
NUMERATOR PATIENT LIST: MU NQF0013 HTN NUMER2 PL 08/12-10/12 
 +
DENOMINATOR PATIENT LIST: ^N,P,L  NUMERATOR PATIENT LIST
 +
NUMERATOR PATIENT LIST: MU NQF0013 HTN NUMER2 PL 08/12-10/12
 +
        // MU NQF0028A TOBACCO SCREEN NUM 8/12-10/12 
 +
DENOMINATOR PATIENT LIST: MU NQF0028B TOBACCO INTERV DENOM 8/12-10/12 
 +
QRDA TEMPLATE ROOT: 2.16.840.1.113883.3.249.11.59
 +
          Replace
 +
QRDA CODE: PQRI-28//
 +
</pre>
 +
<pre>
 +
Select C0Q QUALITY MEASURE NAME: MU,NQF,0028B  MU EP NQF 0028B    NQF0028B Toba
 +
cco Use Assessment and Cessation Intervention
 +
NAME: MU EP NQF 0028B//
 +
MU YEAR KEY:
 +
TITLE: NQF0028B Preventive Care and Screening  Measure Pair: a. Tobacco Use Asse
 +
ssment,b. Tobacco Cessation Intervention  Replace
 +
VERY LONG DESCRIPTION:
 +
Percentage of patients aged 18 years and 
 +
older who have been seen for at least 2 office visits who
 +
were queried about tobacco use one or more times within
 +
24 months  b. Percentage of patients aged 18 years and
 +
older  identified as tobacco users within the past 24
 +
months and have been seen for at least 2 office visits,
 +
who received cessation intervention.
 +
 
 +
  Edit? NO//
 +
DISPLAY NAME: NQF0028B Tobacco Use Assessment and Cessation Intervention
 +
          Replace
 +
REPORTING NAME: NQF0028B//
 +
NUMERATOR PATIENT LIST: MU NQF0028B TOBACCO INTERV NUM2 8/12-10/12 
 +
DENOMINATOR PATIENT LIST: MU NQF0028B TOBACCO INTERV DENOM 8/12-10/12 
 +
QRDA TEMPLATE ROOT:
 +
QRDA CODE:
 +
</pre>
 +
<pre>
 +
Select C0Q QUALITY MEASURE NAME: MU,NQF,0421  MU EP NQF 0421    NQF0421 Adult W
 +
eight Screening and Follow-Up
 +
NAME: MU EP NQF 0421//
 +
MU YEAR KEY:
 +
TITLE: NQF0421 Adult Weight Screening and Follow-Up
 +
          Replace
 +
VERY LONG DESCRIPTION:
 +
Percentage of patients aged 18
 +
years and older with a calculated BMI in the past
 +
six months or during the current visit documented in
 +
the medical record AND if the most recent BMI is
 +
outside parameters, a follow-up plan is
 +
documented.
 +
 
 +
  Edit? NO//
 +
DISPLAY NAME: NQF0421 Adult Weight Screening and Follow-Up
 +
          Replace
 +
REPORTING NAME: NQF0421//
 +
NUMERATOR PATIENT LIST: MU NQF0421 BMI NUM ALL PL 8/12-10/12 
 +
DENOMINATOR PATIENT LIST: MU NQF0421 BMI DENOM ALL PL 8/12-10/12 
 +
QRDA TEMPLATE ROOT: 2.16.840.1.113883.3.249.11.54
 +
          Replace
 +
QRDA CODE: PQRI-128//
 +
</pre>
 +
 
 +
===== Add the Quality Measures to the Measure Sets =====
 +
Edit the Measure Sets using MEASURE SET EDIT.
 +
<pre>
 +
Select C0Q MEASUREMENT SET NAME: dr off,qm  DR OFFICE QM REPORT
 +
NAME: DR OFFICE QM REPORT//
 +
BEGIN DATE: AUG 1,2012//
 +
END DATE: OCT 31,2012//
 +
LOCKED:
 +
MU YEAR KEY:
 +
QRDA TEMPLATE ROOT:
 +
Select MEASURE: MU EP NQF 0013//
 +
  MEASURE: MU EP NQF 0013//
 +
  NUMERATOR FILTER LIST: MU12-EP-DR OFFICE-Patient
 +
        //
 +
  DENOMINATOR FILTER LIST: MU12-EP-DR OFFICE-Patient
 +
        //
 +
Select MEASURE: MU,0028A  MU EP NQF 0028A    NQF0028A Tobacco Use Assessment
 +
  Are you adding 'MU EP NQF 0028A' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST: MU,DR  MU12-EP-DR OFFICE-Patient    MU12-EP-DR OFFICE-
 +
Patient
 +
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient    MU12-EP-DR OFFICE-Pa
 +
tient
 +
Select MEASURE: MU,0028B  MU EP NQF 0028B    NQF0028B Tobacco Use Assessment an
 +
d Cessation Intervention
 +
  Are you adding 'MU EP NQF 0028B' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient    MU12-EP-DR OFFICE-Pati
 +
ent
 +
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient    MU12-EP-DR OFFICE-Pa
 +
tient
 +
Select MEASURE: MU,0421  MU EP NQF 0421    NQF0421 Adult Weight Screening and F
 +
ollow-Up
 +
  Are you adding 'MU EP NQF 0421' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient    MU12-EP-DR OFFICE-Pati
 +
ent
 +
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient    MU12-EP-DR OFFICE-Pa
 +
tient
 +
Select MEASURE:
 +
</pre>
 +
 
 +
<pre>
 +
Select C0Q MEASUREMENT SET NAME: ACME CLINIC #1 QM REPORT
 +
  Are you adding 'ACME CLINIC #1 QM REPORT' as
 +
    a new C0Q MEASUREMENT SET (the 15TH)? No// Y  (Yes)
 +
NAME: ACME CLINIC #1 QM REPORT  Replace
 +
BEGIN DATE: 8/1  (AUG 01, 2012)
 +
END DATE: 10/31  (OCT 31, 2012)
 +
LOCKED:
 +
MU YEAR KEY:
 +
QRDA TEMPLATE ROOT:
 +
Select MEASURE: MU,0013  MU EP NQF 0013    NQF0013 Hypertension: Blood Pressure
 +
Measurement
 +
  Are you adding 'MU EP NQF 0013' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST: MU,AC,1  MU12-EP-ACME CLINIC #1-Patient    MU12-EP-ACM
 +
E CLINIC #1-Patient
 +
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient    MU12-EP-ACME CL
 +
INIC #1-Patient
 +
Select MEASURE: MU,0028A  MU EP NQF 0028A    NQF0028A Tobacco Use Assessment
 +
  Are you adding 'MU EP NQF 0028A' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient    MU12-EP-ACME CLIN
 +
IC #1-Patient
 +
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient    MU12-EP-ACME CL
 +
INIC #1-Patient
 +
Select MEASURE: MU,0028B  MU EP NQF 0028B    NQF0028B Tobacco Use Assessment an
 +
d Cessation Intervention
 +
  Are you adding 'MU EP NQF 0028B' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient    MU12-EP-ACME CLIN
 +
IC #1-Patient
 +
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient    MU12-EP-ACME CL
 +
INIC #1-Patient
 +
Select MEASURE: MU,0421  MU EP NQF 0421    NQF0421 Adult Weight Screening and F
 +
ollow-Up
 +
  Are you adding 'MU EP NQF 0421' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient    MU12-EP-ACME CLIN
 +
IC #1-Patient
 +
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient    MU12-EP-ACME CL
 +
INIC #1-Patient
 +
Select MEASURE:
 +
</pre>
 +
 
 +
<pre>
 +
Select C0Q MEASUREMENT SET NAME: ACME CLINIC #2 QM REPORT
 +
  Are you adding 'ACME CLINIC #2 QM REPORT' as
 +
    a new C0Q MEASUREMENT SET (the 16TH)? No// Y  (Yes)
 +
NAME: ACME CLINIC #2 QM REPORT  Replace
 +
BEGIN DATE: 8/1  (AUG 01, 2012)
 +
END DATE: 10/31  (OCT 31, 2012)
 +
LOCKED:
 +
MU YEAR KEY:
 +
QRDA TEMPLATE ROOT:
 +
Select MEASURE: MU,0013  MU EP NQF 0013    NQF0013 Hypertension: Blood Pressure
 +
Measurement
 +
  Are you adding 'MU EP NQF 0013' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST: MU,AC,2  MU12-EP-ACME CLINIC #2-Patient    MU12-EP-ACM
 +
E CLINIC #2-Patient
 +
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient    MU12-EP-ACME CL
 +
INIC #2-Patient
 +
Select MEASURE: MU,0028A  MU EP NQF 0028A    NQF0028A Tobacco Use Assessment
 +
  Are you adding 'MU EP NQF 0028A' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient    MU12-EP-ACME CLIN
 +
IC #2-Patient
 +
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient    MU12-EP-ACME CL
 +
INIC #2-Patient
 +
Select MEASURE: MU,0028B  MU EP NQF 0028B    NQF0028B Tobacco Use Assessment an
 +
d Cessation Intervention
 +
  Are you adding 'MU EP NQF 0028B' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient    MU12-EP-ACME CLIN
 +
IC #2-Patient
 +
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient    MU12-EP-ACME CL
 +
INIC #2-Patient
 +
Select MEASURE: MU,0421  MU EP NQF 0421    NQF0421 Adult Weight Screening and F
 +
ollow-Up
 +
  Are you adding 'MU EP NQF 0421' as a new MEASURE? No// Y  (Yes)
 +
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient    MU12-EP-ACME CLIN
 +
IC #2-Patient
 +
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient    MU12-EP-ACME CL
 +
INIC #2-Patient
 +
Select MEASURE:
 +
</pre>
 +
===== Update the Outpatient Parameters with the Quality Measures Sets =====
 +
Use the option '''EP EDIT PARMS'''
 +
<pre>
 +
Select C0Q PARAMETER NAME: ACME CLINIC #1 
 +
NAME: ACME CLINIC #1//
 +
MEASUREMENT PERIOD KEY: MU12//
 +
PARAMETER TYPE: OUTPATIENT//
 +
EP MU MEASUREMENT SET: ACME CLINIC #1 REPORT//
 +
EP QUALITY MEASUREMENT SET: ACME,1,QM  ACME CLINIC #1 QM REPORT
 +
Select CLINIC: ACME CLINIC #1//
 +
PATIENT LIST LABEL:
 +
Select SUBSCRIBER:
 +
 
 +
Select C0Q PARAMETER NAME: ACME CLINIC #2 
 +
NAME: ACME CLINIC #2//
 +
MEASUREMENT PERIOD KEY: MU12//
 +
PARAMETER TYPE: OUTPATIENT//
 +
EP MU MEASUREMENT SET: ACME CLINIC #2 REPORT//
 +
EP QUALITY MEASUREMENT SET: ACME,2,QM  ACME CLINIC #2 QM REPORT
 +
Select CLINIC: ACME CLINIC #2//
 +
PATIENT LIST LABEL:
 +
Select SUBSCRIBER:
 +
 
 +
Select C0Q PARAMETER NAME: MU DR OFFICE 
 +
NAME: MU DR OFFICE//     
 +
MEASUREMENT PERIOD KEY: MU12//
 +
PARAMETER TYPE: OUTPATIENT//
 +
EP MU MEASUREMENT SET: DR OFFICE CLINIC REPORT//
 +
EP QUALITY MEASUREMENT SET: DR OFFICE QM REPORT//
 +
Select CLINIC: DR OFFICE//  
 +
PATIENT LIST LABEL:
 +
Select SUBSCRIBER:
 +
</pre>
 +
 
 +
===== Update the Outpatient Measures =====
 +
Run option '''EP UPDATE MU MEASURES'''
 +
<pre>
 +
Select QUALITY MEASUREMENT MENU Option: ep updATE MU MEASURES
 +
Oct 04, 2012@08:30
 +
Oct 04, 2012@17:07
 +
Oct 04, 2012@17:07:29
 +
Oct 09, 2012@10:00
 +
Oct 05, 2012@09:00
 +
Oct 05, 2012@16:00C0QFDA(1130580001.2011,"1,14,",3)=0
 +
C0QFDA(1130580001.2011,"2,14,",3)=0
 +
C0QFDA(1130580001.2011,"3,14,",3)=0
 +
C0QFDA(1130580001.2011,"4,14,",3)=0
 +
C0QFDA(1130580001.2011,"5,14,",3)=0
 +
C0QFDA(1130580001.2011,"6,14,",3)=0
 +
C0QFDA(1130580001.2011,"7,14,",3)=0
 +
C0QFDA(1130580001.2011,"8,14,",3)=0
 +
C0QFDA(1130580001.2011,"1,17,",3)=100
 +
C0QFDA(1130580001.2011,"2,17,",1.1)=0
 +
C0QFDA(1130580001.2011,"2,17,",2.1)=1
 +
C0QFDA(1130580001.20112,"+1,2,17,",.01)=4
 +
C0QFDA(1130580001.2011,"2,17,",3)=0
 +
C0QFDA(1130580001.2011,"3,17,",1.1)=0
 +
C0QFDA(1130580001.2011,"3,17,",2.1)=1
 +
C0QFDA(1130580001.20112,"+1,3,17,",.01)=4
 +
C0QFDA(1130580001.2011,"3,17,",3)=0
 +
C0QFDA(1130580001.2011,"4,17,",1.1)=1
 +
C0QFDA(1130580001.20111,"+1,4,17,",.01)=4
 +
C0QFDA(1130580001.2011,"4,17,",2.1)=1
 +
C0QFDA(1130580001.20112,"+1,4,17,",.01)=4
 +
C0QFDA(1130580001.2011,"4,17,",3)=100
 +
C0QFDA(1130580001.2011,"1,15,",3)=0
 +
C0QFDA(1130580001.2011,"2,15,",3)=0
 +
C0QFDA(1130580001.2011,"3,15,",3)=0
 +
C0QFDA(1130580001.2011,"4,15,",3)=0
 +
C0QFDA(1130580001.2011,"5,15,",3)=0
 +
C0QFDA(1130580001.2011,"6,15,",3)=0
 +
C0QFDA(1130580001.2011,"7,15,",3)=0
 +
C0QFDA(1130580001.2011,"8,15,",3)=0
 +
C0QFDA(1130580001.2011,"1,18,",1.1)=0
 +
C0QFDA(1130580001.2011,"1,18,",2.1)=0
 +
C0QFDA(1130580001.2011,"1,18,",3)=0
 +
C0QFDA(1130580001.2011,"2,18,",1.1)=1
 +
C0QFDA(1130580001.20111,"+1,2,18,",.01)=7
 +
C0QFDA(1130580001.2011,"2,18,",2.1)=1
 +
C0QFDA(1130580001.20112,"+1,2,18,",.01)=7
 +
C0QFDA(1130580001.2011,"2,18,",3)=100
 +
C0QFDA(1130580001.2011,"3,18,",1.1)=1
 +
C0QFDA(1130580001.20111,"+1,3,18,",.01)=7
 +
C0QFDA(1130580001.2011,"3,18,",2.1)=1
 +
C0QFDA(1130580001.20112,"+1,3,18,",.01)=7
 +
C0QFDA(1130580001.2011,"3,18,",3)=100
 +
C0QFDA(1130580001.2011,"4,18,",1.1)=1
 +
C0QFDA(1130580001.20111,"+1,4,18,",.01)=7
 +
C0QFDA(1130580001.2011,"4,18,",2.1)=1
 +
C0QFDA(1130580001.20112,"+1,4,18,",.01)=7
 +
C0QFDA(1130580001.2011,"4,18,",3)=100
 +
C0QFDA(1130580001.2011,"1,16,",3)=0
 +
C0QFDA(1130580001.2011,"2,16,",3)=0
 +
C0QFDA(1130580001.2011,"3,16,",3)=0
 +
C0QFDA(1130580001.2011,"4,16,",3)=0
 +
C0QFDA(1130580001.2011,"5,16,",3)=0
 +
C0QFDA(1130580001.2011,"6,16,",3)=0
 +
C0QFDA(1130580001.2011,"7,16,",3)=0
 +
C0QFDA(1130580001.2011,"8,16,",3)=0
 +
C0QFDA(1130580001.2011,"1,19,",1.1)=1
 +
C0QFDA(1130580001.20111,"+1,1,19,",.01)=4
 +
C0QFDA(1130580001.2011,"1,19,",2.1)=1
 +
C0QFDA(1130580001.20112,"+1,1,19,",.01)=4
 +
C0QFDA(1130580001.2011,"1,19,",3)=100
 +
C0QFDA(1130580001.2011,"2,19,",1.1)=0
 +
C0QFDA(1130580001.2011,"2,19,",2.1)=1
 +
C0QFDA(1130580001.20112,"+1,2,19,",.01)=4
 +
C0QFDA(1130580001.2011,"2,19,",3)=0
 +
C0QFDA(1130580001.2011,"3,19,",1.1)=0
 +
C0QFDA(1130580001.2011,"3,19,",2.1)=1
 +
C0QFDA(1130580001.20112,"+1,3,19,",.01)=4
 +
C0QFDA(1130580001.2011,"3,19,",3)=0
 +
C0QFDA(1130580001.2011,"4,19,",1.1)=1
 +
C0QFDA(1130580001.20111,"+1,4,19,",.01)=4
 +
C0QFDA(1130580001.2011,"4,19,",2.1)=1
 +
C0QFDA(1130580001.20112,"+1,4,19,",.01)=4
 +
C0QFDA(1130580001.2011,"4,19,",3)=100
 +
</pre>
 +
===== Print the Measure Sets =====
 +
<pre>
 +
Select QUALITY MEASUREMENT MENU Option: print C0Q MEASURES
 +
</pre>
 +
<pre>
 +
Select C0Q MEASUREMENT SET NAME: DR,QM  DR OFFICE QM REPORT
 +
 
 +
DEVICE: HOME// PHOME  HOME PRINTER
 +
C0Q MEASUREMENTS LIST                                OCT 10,2012@12:16  PAGE 1
 +
MEASURE:DISPLAY NAME      DENOMINATOR    NUMERATOR          PERCENTAGE
 +
--------------------------------------------------------------------------------
  
−
:2. Load C0Q Module
 
−
::Load the C0Q KID.  From the gtm prompt, log in as user (user must have security to install KIDS) and perform the following these steps (unless otherwise specified each command should be followed by the Enter key. At times, after the Enter key is entered the system will respond with other messages as well (e.g. detailed description of a chosen menu or list of choices)):
 
−
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
 
−
GTM>D ^XUP    -- enter the programmer environment
 
−
Select OPTION NAME: XPD MAIN    -- enter Kernel Installation & Distribution System
 
−
Select Kernel Installation & Distribution System Option: INSTALLATION
 
−
Select Installation Option: LOAD
 
−
Enter a Host File: /home/xxx/C0Q_x_x_x_TXX.KID  -- enter the location and the name of the file downloaded in step 1
 
  
−
Want to Continue with Load? YES// YES
+
NQF0013 Hypertension:              1            1            100.00
 +
Blood Pressure
 +
Measurement
  
−
If the load was successful the following message should be displayed.  
+
NQF0028A Tobacco Use              1            0              0.00
 +
Assessment
  
−
Loading Distribution...
+
NQF0028B Tobacco Use              1            0              0.00
 +
Assessment and Cessation
 +
Intervention
  
−
  C0Q*1.0*1
+
NQF0421 Adult Weight              1             1            100.00
−
Use INSTALL NAME: C0Q*1.0*1 to install this Distribution.
+
Screening and Follow-Up
 
</pre>
 
</pre>
 +
<pre>
 +
Select C0Q MEASUREMENT SET NAME: ACME,1,QM  ACME CLINIC #1 QM REPORT
  
−
:3. Install C0Q module
+
DEVICE: HOME// PHOME  HOME PRINTER
−
::Now Install the C0Q Distribution. At the completion of the previous step you should see the following menu:
+
C0Q MEASUREMENTS LIST                                OCT 10,2012@12:16  PAGE 1
−
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
+
MEASURE:DISPLAY NAME     DENOMINATOR   NUMERATOR           PERCENTAGE
−
  1      Load a Distribution
+
--------------------------------------------------------------------------------
−
  2      Verify Checksums in Transport Global
 
−
  3     Print Transport Global
 
−
   4      Compare Transport Global to Current System
 
−
  5      Backup a Transport Global
 
−
  6      Install Package(s)
 
−
           Restart Install of Package(s)
 
−
          Unload a Distribution
 
−
          Checksum/2nd Line Lists
 
−
          Directory Listing to MailMan
 
−
          Find/Delete File in Download Directory
 
  
  
−
Select Installation Option: INSTALL
+
NQF0013 Hypertension:             0            0              0.00
−
Select INSTALL NAME: C0Q*1.0*1        -- type in the name of the distribution package received in step 2
+
Blood Pressure
−
Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//  -- Hit Enter to accept the default answer
+
Measurement
−
Want KIDS to INHIBIT LOGONs during the install? NO//      -- Hit Enter to accept the default answer
 
−
Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//  -- Hit Enter to accept the default answer
 
−
DEVICE: HOME//      -- Hit Enter to accept the default answer. The output messages from the install will be displayed to the terminal.
 
  
−
Wait until the progress bar shows complete for all the steps displayed during the install.
+
NQF0028A Tobacco Use              1            1            100.00
 +
Assessment
  
−
C0Q*1.0*1 Installed.  
+
NQF0028B Tobacco Use              1             1           100.00
−
              Mar xx, 20xx@0x:xx:xx
+
Assessment and Cessation
−
+
Intervention
−
No link to PACKAGE file
 
−
 
−
NO Install Message sent  [1;24r [3;1H [1;1H [J [2J [H
 
  
−
Install Completed
+
NQF0421 Adult Weight              1            1            100.00
 +
Screening and Follow-Up
 
</pre>
 
</pre>
−
::Once the install is completed a summary of the distribution components, the install questions and answers and menu updates is displayed. An “Install Completed” text at the end means the install was successful.
+
<pre>
 +
Select C0Q MEASUREMENT SET NAME: ACME,2,QM  ACME CLINIC #2 QM REPORT
 +
 
 +
DEVICE: HOME// PHOME  HOME PRINTER
 +
C0Q MEASUREMENTS LIST                                OCT 10,2012@12:16  PAGE 1
 +
MEASURE:DISPLAY NAME      DENOMINATOR    NUMERATOR          PERCENTAGE
 +
--------------------------------------------------------------------------------
  
  
−
::Exit the GTM prompt and exit to the UNIX shell type H and then Enter at the GTM prompt.
+
NQF0013 Hypertension:             1            1            100.00
 +
Blood Pressure
 +
Measurement
  
 +
NQF0028A Tobacco Use              1            0              0.00
 +
Assessment
  
−
=== C0Q PACKAGE - CONFIGURATION of MEANINGFUL USE (MU) MEASURES ===
+
NQF0028B Tobacco Use              1            0              0.00
 +
Assessment and Cessation
 +
Intervention
  
−
=== ASSUMPTIONS: ===
+
NQF0421 Adult Weight              1            1            100.00
−
::- The install guide applies to VistA systems running on Linux/GT.M
+
Screening and Follow-Up
−
::- The install steps assume the VistA software is already installed and the environment variables/aliases are defined in your system.
+
</pre>
−
::- These instructions assume you are logged into VistA as a user who has access to configure the C0Q package.
 
  
−
=== INSTRUCTIONS: ===
+
== Inpatient Set-up ==
  
−
:1. Set-up MU Measure Parameters
+
'''THIS SECTION IS INCOMPLETE'''
−
:: Log into VistA (user must have access to C0Q package).  From GTM prompt:
+
 
 +
:1. Set-up Parameters
 +
 
 +
::Log into VistA (user must have access to C0Q package).  From GTM prompt:
 
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
 
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
 
GTM>D ^XUP -- enter the programmer environment
 
GTM>D ^XUP -- enter the programmer environment
Line 110: Line 2,080:
 
CHOOSE 1-2: 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
 
Select QUALITY MEASUREMENT MENU Option: SETUP QUALITY REPORTING -- menu for C0Q set-up
−
 
  
 
           DISPLAY QUALITY MEASURES
 
           DISPLAY QUALITY MEASURES
Line 122: Line 2,091:
 
Select SETUP QUALITY REPORTING Option: EP EDIT PARMS
 
Select SETUP QUALITY REPORTING Option: EP EDIT PARMS
 
</pre>
 
</pre>
−
::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.
+
::Prior to building quality measures and quality measure sets, we must establish the parameters.  If you’re building outpatient quality
−
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
+
::measures, “EP EDIT PARMS” should be selected (as seen above).  If you’re building, inpatient quality measures, “INP EDIT PARMS” should be  
−
Select C0Q PARAMETER NAME: MU2012 Clinic Reporting -- Enter Name of Parameter
+
::selected.
−
   Are you adding 'MU2012 Clinic Reporting' as  
+
 
 +
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">  
 +
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)
 
     a new C0Q PARAMETER (the 1ST)? No// y  (Yes)
−
NAME: MU2012 Clinic Reporting Replace  
+
NAME: MU2012 Quality Measures Replace  
 
MEASUREMENT PERIOD KEY: MU12 -- Period Key groups measures and lists so easy to locate and search
 
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
 
PARAMETER TYPE:  OUTPATIENT -- defines criteria for MU Measure data
−
EP MU MEASUREMENT SET: -- To be left empty for now.  Will come back to add measure set.
+
EP MU MEASUREMENT SET: -- To be left empty.  We are building Quality Measures NOT MU measures.
−
EP QUALITY MEASUREMENT SET:
+
EP QUALITY MEASUREMENT SET: -- To be left empty for now.  We will come back to add quality measure set.
−
Select CLINIC: DR OFFICE      DOCTOR,FOUR --defines visit criteria.  To ONLY look for visits in a specific clinic, ward, etc.
+
Select CLINIC: --Clinic NOT required for quality measure build.  The clinic (if applicable) should be built into the reminder/patient list
−
  Are you adding 'DR OFFICE' as a new CLINIC (the 1ST for this C0Q PARAMETER)?
+
build
−
No// y  (Yes)
 
−
Select CLINIC: -- You may add a second clinic/location if you wish
 
 
PATIENT LIST LABEL:  
 
PATIENT LIST LABEL:  
−
Select SUBSCRIBER:  
+
Select SUBSCRIBER: - SUBCRIBER field designates who is allowed to see the specific quality measure set.
 
</pre>
 
</pre>
−
::End of MU Measure Parameter Set-up.  [Enter] out of the menu until you reach the QUALITY MEASUREMENT MENU (C0Q Q menu as seen below):   
+
::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):   
−
 
 
−
 
 
−
:2. Update MU Measures
 
 
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
 
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
−
GTM>D ^XUP -- enter the programmer environment
+
          COPY OVER PATIENT LISTS
−
Select OPTION NAME: COQ Q -- enter C0Q module
 
−
 
 
−
COPY OVER PATIENT LISTS
 
 
           ED-1 COMPUTATION
 
           ED-1 COMPUTATION
 
           ED-2 COMPUTATION
 
           ED-2 COMPUTATION
Line 154: Line 2,118:
 
           PQRI MENU ...
 
           PQRI MENU ...
 
           PQRI PRINT XML
 
           PQRI PRINT XML
−
PRINT C0Q MEASURES
+
          PRINT C0Q MEASURES
 
           SETUP QUALITY REPORTING ...
 
           SETUP QUALITY REPORTING ...
  
−
Select QUALITY MEASUREMENT MENU Option: EP UPDATE MU MEASURES
+
Select SETUP QUALITY REPORTING Option:  
−
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
 
 
</pre>
 
</pre>
−
::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).
 
  
−
 
+
:2. Create Quality Measures  
−
:3. Create MU Measures
 
 
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
 
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
 
GTM>D ^XUP -- enter the programmer environment
 
GTM>D ^XUP -- enter the programmer environment
Line 193: Line 2,143:
  
 
Select QUALITY MEASUREMENT MENU Option: SETUP QUALITY REPORTING
 
Select QUALITY MEASUREMENT MENU Option: SETUP QUALITY REPORTING
−
 
  
 
           DISPLAY QUALITY MEASURES
 
           DISPLAY QUALITY MEASURES
Line 203: Line 2,152:
 
           QUALITY MEASURE EDIT
 
           QUALITY MEASURE EDIT
  
−
Select SETUP QUALITY REPORTING Option: MU 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: :
 +
</pre>
 +
::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 
  
−
Select C0Q QUALITY MEASURE NAME: MU12 Allergy -- MU12 Allergy is name of my measure
+
::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
−
  Are you adding 'MU12 Allergy' as a new C0Q QUALITY MEASURE (the 103RD)? No//
+
::re-use (refresh) and rename a measure instead of building a new measure from scratch.  Also, in this example we only created one quality
−
y  (Yes)
+
::measure to be included in our quality measure set.  If you would like multiple measures to be included, you would create additional measures
−
  C0Q QUALITY MEASURE DISPLAY NAME: Allergy List -- Allergy List is my display name
+
::and name accordingly.  Please note: Consistent naming is crucial for keeping measures organized.
−
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:
 
−
</pre>
 
−
::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.
 
  
−
 
+
:3. Create Quality Measure SET and add Quality Measure(s)
−
:4. Create MU Measure SET and add MU Measure(s)
 
 
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
 
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
 
GTM>D ^XUP -- enter the programmer environment
 
GTM>D ^XUP -- enter the programmer environment
Line 257: Line 2,213:
  
 
Select QUALITY MEASUREMENT MENU Option: 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 SETUP QUALITY REPORTING Option: MEASURE SET EDIT
−
 
+
Select C0Q MEASUREMENTS SET NAME: MU12 Quality Measure Set -- Name of my measure set
−
Select C0Q MEASUREMENTS SET NAME: MU12 Measure Set -- MU12 Measure set is name of my measure set
+
   Are you adding 'MU12 Quality Measure Set' as  
−
   Are you adding 'MU12 EP Measure Set' as  
+
     a new C0Q MEASUREMENTS (the 12TH)? No// y  (Yes)
−
     a new C0Q MEASUREMENTS (the 10TH)? No// y  (Yes)
+
SET NAME: MU12 Quality Measure Set Replace
−
SET NAME: MU12 EP Measure Set// -- Hit Enter to accept the default answer
+
BEGIN DATE: --Begin Date is NOT required for quality measure build. The date (if applicable) should be built into the reminder build.
−
BEGIN DATE: 1-1-2012 (JAN 01, 2012) -- Beginning Date of visits to be included in the measure set
+
END DATE: --End Date is NOT required for quality measure build. The date (if applicable) should be built into the reminder build.
−
END DATE: 12-31-2012 (DEC 31, 2012) -- Ending Date of visits to be included in the measure set
+
LOCKED: -- Measure Set LOCK should be set after reporting period has ended.
−
LOCKED: -- Can Lock the Measure Set once completed
+
MU YEAR KEY: MU12
−
MU YEAR KEY: MU12 -- Key is same as period Key used above
+
Select MEASURE: MU EP NQF 0024 -- Adding our quality measure (created in step 2) to our measure set
−
Select MEASURE: MU12 -- Add the MU measures created in step 3 to create your measure set
+
Select MEASURE: MU EP NQF 0024       NQF0024 Weight Assessment and Counseling for Children and Adolescents
−
    1  MU12 Allergy       Allergy List
+
   Are you adding 'MU EP NQF 0024' as a new MEASURE (the 1ST for this C0Q MEASUREMENTS)? No// y  (Yes)
−
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:  
 
   NUMERATOR FILTER LIST:  
 
   DENOMINATOR FILTER LIST:  
 
   DENOMINATOR FILTER LIST:  
−
Select MEASURE:  
+
Select MEASURE:
  
−
Select C0Q MEASUREMENTS SET NAME:  
+
Select C0Q MEASUREMENTS SET NAME:
 
</pre>
 
</pre>
−
::All applicable MU Measures created in Step 3 should be added to your Measure Set.
+
::All applicable Quality Measures created in Step 2 should be added to your Measure Set.
  
−
 
+
:4. Link Measure Set to Parameter
−
:5. Link Measure Set to Parameter
 
 
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
 
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
 
GTM>D ^XUP -- enter the programmer environment
 
GTM>D ^XUP -- enter the programmer environment
Line 310: Line 2,271:
  
 
Select SETUP QUALITY REPORTING Option: EP EDIT PARMS -- or INP EDIT PARMS depending on INP or OP
 
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
+
Select C0Q PARAMETER NAME: MU2012 Quality Measures -- Parameter created in Step 1
−
NAME: MU2012 Clinic Reporting  Replace -- Hit Enter to accept the default answer
+
NAME: MU2012 Quality Measures Replace -- Hit Enter to accept the default answer
 
MEASUREMENT PERIOD KEY: MU12// -- 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
 
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 MU MEASUREMENT SET:   -- Leave blank, we are not creating a MU measure set
−
EP QUALITY MEASUREMENT SET: -- Hit Enter to accept the default answer
+
EP QUALITY MEASUREMENT SET:  MU12 Quality Measure Set -- Add Quality Measure Set created in Step 3
−
Select CLINIC: DR OFFICE// -- Hit Enter to accept the default answer
+
Select CLINIC: -- Hit Enter to accept the default answer
−
PATIENT LIST LABEL: -- 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 SUBSCRIBER: -- Hit Enter to accept the default answer
  
 
Select C0Q PARAMETER NAME:
 
Select C0Q PARAMETER NAME:
 
</pre>
 
</pre>
−
:: Your MU Measure Set (which includes MU Measures and visit time frame) is now linked to your parameter.  **MU MEASURE BUILD IS COMPLETE**
+
::Your Quality Measure Set is now linked to your parameter.  ** QUALITY MEASURE BUILD IS COMPLETE**
  
  
−
:6. Update MU Measure(s)
+
:5. Copy Over Patient Lists
−
::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.  
+
::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:
 +
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
 +
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 ...
  
−
:7. Print C0Q Measures
+
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………….
 +
</pre>
 +
::This will ensure we are printing or displaying the most up to date data in the system.
 +
 
 +
:6. Print C0Q Measures
 
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
 
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
 
GTM>D ^XUP -- enter the programmer environment
 
GTM>D ^XUP -- enter the programmer environment
Line 348: Line 2,337:
  
 
Select QUALITY MEASUREMENT MENU Option: Print C0Q MEASURES
 
Select QUALITY MEASUREMENT MENU Option: Print C0Q MEASURES
−
Select C0Q MEASUREMENTS SET NAME: MU12 EP Measure Set   
+
 
 +
Select C0Q MEASUREMENTS SET NAME: MU12 Quality Measure Set   
  
 
DEVICE:  TELNET
 
DEVICE:  TELNET
−
C0Q MEASUREMENTS LIST                          MAR 7,2012  08:20   PAGE 1
+
C0Q MEASUREMENTS LIST                          APR 4,2012  07:50   PAGE 1
 
MEASURE:DISPLAY NAME      DENOMINATOR    NUMERATOR          PERCENTAGE
 
MEASURE:DISPLAY NAME      DENOMINATOR    NUMERATOR          PERCENTAGE
 
--------------------------------------------------------------------------------
 
--------------------------------------------------------------------------------
  
−
 
+
NQF0024 Weight                    13            2             15.00
−
Allergy List                      55            23             42.00
+
Assessment and
 +
Counseling for Children
 +
and Adolescents
 
</pre>
 
</pre>
−
::Following Build, the above steps will allow you to view (validate the build) and print the MU Measure build created.
 
  
−
== Verifying the Installation ==
+
== Contributors ==
  
−
== Contributors ==
+
:- George Lilly
 +
:- Oroville Hosptial
 +
:- Ryan Grimm and Luke Dubay (Install and Config documentation)
 +
:: -Twin Cities EMR Consulting, LLC. (Minneapolis, MN)
  
 
== Future Development ==
 
== Future Development ==

Latest revision as of 17:45, 2 January 2013

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 AGPL version 3.0 or later.

http://www.gnu.org/licenses/agpl-3.0.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_102012_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 files 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
  6. C0Q-1_SEQ-005_PAT-005.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.

Performance Measures Set-Up

  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). YOU NEED TO CREATE A PARAMETER FOR EACH CLINIC.

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: MU DR OFFICE 	-- Enter Name of Parameter
  Are you adding 'MU DR OFFICE' as 
    a new C0Q PARAMETER (the 1ST)? No// y  (Yes)
NAME: MU DR OFFICE  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: 

Select C0Q PARAMETER NAME: ACME CLINIC #1
  Are you adding 'ACME CLINIC #1' as a new C0Q PARAMETER (the 2ND)? No// Y
  (Yes)
NAME: ACME CLINIC #1// 
MEASUREMENT PERIOD KEY: MU12
PARAMETER TYPE: OUT  OUTPATIENT
EP MU MEASUREMENT SET: 
EP QUALITY MEASUREMENT SET: 
Select CLINIC: ACME CLINIC #1       DOCTOR,TEN
  Are you adding 'ACME CLINIC #1' as a new CLINIC? No// Y  (Yes)
Select CLINIC: 
PATIENT LIST LABEL: 
Select SUBSCRIBER: 

Select C0Q PARAMETER NAME: ACME CLINIC #2
  Are you adding 'ACME CLINIC #2' as a new C0Q PARAMETER (the 3RD)? No// Y
  (Yes)
NAME: ACME CLINIC #2// 
MEASUREMENT PERIOD KEY: MU12
PARAMETER TYPE: OUT  OUTPATIENT
EP MU MEASUREMENT SET: 
EP QUALITY MEASUREMENT SET: 
Select CLINIC: ACME CLINIC #2       DOCTOR,TEN
  Are you adding 'ACME CLINIC #2' as a new CLINIC? No// Y  (Yes)
Select CLINIC: 
PATIENT LIST LABEL: 
Select SUBSCRIBER:
Create Patient Lists

After you have created the parameters, you need to have the software create the patient lists. Choose option EP UPDATE MU MEASURES from the parent menu. Once you select “EP UPDATE MU MEASURE” you should see several lines of text (a small subset of this text can be seen above). 

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
C0QLIST("MU12-EP-DR OFFICE-Patient",1)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",2)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",3)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",4)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",6)=""

Oct 04, 2012@91:00C0QLIST("MU12-EP-ACME CLINIC #1-Patient",7)=""
C0QLIST("MU12-EP-ALL-PATIENTS",1)=""
C0QLIST("MU12-EP-ALL-PATIENTS",2)=""
C0QLIST("MU12-EP-ALL-PATIENTS",3)=""
C0QLIST("MU12-EP-ALL-PATIENTS",4)=""
C0QLIST("MU12-EP-ALL-PATIENTS",6)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",1)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",2)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",3)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",4)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",6)=""

Oct 04, 2012@84:00C0QLIST("MU12-EP-ACME CLINIC #1-Patient",7)=""
C0QLIST("MU12-EP-ACME CLINIC #2-Patient",4)=""
C0QLIST("MU12-EP-ALL-PATIENTS",1)=""
C0QLIST("MU12-EP-ALL-PATIENTS",2)=""
C0QLIST("MU12-EP-ALL-PATIENTS",3)=""
C0QLIST("MU12-EP-ALL-PATIENTS",4)=""
C0QLIST("MU12-EP-ALL-PATIENTS",6)=""
C0QLIST("MU12-EP-ALL-PATIENTS",7)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",1)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",2)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",3)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",4)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",6)=""

CREATING MU12-EP-ACME CLINIC #1-Patient
CREATING MU12-EP-ACME CLINIC #2-Patient
CREATING MU12-EP-NoAllergyB index passed

MOVE MOVE MOVE MOVE

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).

MOVE MOVE MOVE MOVE

Create new MU Utility Measures

The package distributes the MU Quality Measures; but the Utility measures you have to create on your own. Follow the table below to create the utility measures using option MU MEASURE EDIT. Example of how to enter them are below. If you are doing this for real, make sure to print the table and follow it.

# Measure Quality Measures Utility Logic Quality Measures Package Numerator Quality Measures Package Denominator Passing Rate
1 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%
2 Implement drug-drug and drug-allergy interaction checks N/A N/A N/A Report YES. Core VISTA functionality. Also part of electronic prescribing.
3 Maintain an up-to-date problem list of current and active diagnoses Checks active problems. MU12-EP-HasProblem MU12-EP-ALL-PATIENTS Rate > 80%
4 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%
5 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%
6 Maintain active medication allergy list Check for the presence of allergy documentation for this patient MU12-EP-HasAllergy MU12-EP-ALL-PATIENTS Rate > 80%
7 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%
8 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%
9 Record smoking status for patients aged 13 yrs and up 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. MU12-EP-HasSmokingStatus MU12-EP-Over12 Rate > 50%
10 Report clinical quality measures to CMS N/A N/A N/A Report YES. Reporting specific Quality Measures will be described later.
11 Implement 1 clinical decision support rule N/A N/A N/A Report YES. If you are doing eRx, using any clinical reminders; or using any order checks, you have met this requirement.
12 Provide patients with an electronic copy of their health information NOT COLLECTIBLE IN VISTA. NO RELEASE OF INFORMATION PACKAGE. COLLECT MANUALLY N/A N/A Rate > 50%
13 Provide clinical summaries for patients for each office visit within 3 days NOT COLLECTIBLE IN VISTA. NO RELEASE OF INFORMATION PACKAGE. COLLECT MANUALLY N/A N/A Rate > 50%
14 Perform at least 1 test of exchanging key clinical information with another entity electronically Not checked. Report YES upon test performance. N/A N/A Not checked. Report YES upon test performance.
15 Protect electronic health information Not checked. Report YES upon test performance. N/A N/A Not checked. Report YES upon test performance.

Here are the transcripts to do that: 

Select SETUP QUALITY REPORTING Option: MU MEASURE EDIT

Select C0Q QUALITY MEASURE NAME: MU CORE MEASURE #1       CPOE
NAME: MU CORE MEASURE #1// 
MEASURE TYPE: Performance// 
MU YEAR KEY: 
TITLE: 
VERY LONG DESCRIPTION:
  THERE ARE NO LINES!
  Edit? NO// 
DISPLAY NAME: CPOE// 
REPORTING NAME: 
ALTERNATIVE NUMERATOR LIST: MU12-EP-HasMed
     1   MU12-EP-HasMed       MU12-EP-HasMed
     2   MU12-EP-HasMedOrders       MU12-EP-HasMedOrders
     3   MU12-EP-HasMedRecon       MU12-EP-HasMedRecon
CHOOSE 1-3: 2  MU12-EP-HasMedOrders     MU12-EP-HasMedOrders
ALTERNATIVE DENOMINATOR LIST: MU12-EP-ALL-PATIENTS       MU12-EP-ALL-PATIENTS

Select SETUP QUALITY REPORTING Option:  MU MEASURE EDIT

Select C0Q QUALITY MEASURE NAME:    MU CORE MEASURE #3     Problem List
NAME: MU CORE MEASURE #3// 
MEASURE TYPE: Performance
MU YEAR KEY: 
TITLE: 
VERY LONG DESCRIPTION:
  THERE ARE NO LINES!
  Edit? NO// 
DISPLAY NAME: Problem List// 
REPORTING NAME: 
ALTERNATIVE NUMERATOR LIST: MU12-EP-HasProblem// 
ALTERNATIVE DENOMINATOR LIST: MU12-EP-ALL-PATIENTS
         // 

Select SETUP QUALITY REPORTING Option:  MU MEASURE EDIT

Select C0Q QUALITY MEASURE NAME: MU CORE MEASURE #4
  Are you adding 'MU CORE MEASURE #4' as 
    a new C0Q QUALITY MEASURE (the 91ST)? No// Y  (Yes)
   C0Q QUALITY MEASURE DISPLAY NAME: ERx
NAME: MU CORE MEASURE #4// 
MEASURE TYPE: p  Performance
MU YEAR KEY: ?
     Answer must be 1-30 characters in length.
MU YEAR KEY: 
TITLE: 
VERY LONG DESCRIPTION:
  THERE ARE NO LINES!
  Edit? NO// 
DISPLAY NAME: ERx// 
REPORTING NAME: 
ALTERNATIVE NUMERATOR LIST: MU12-EP-HasERX       MU12-EP-HasERX
ALTERNATIVE DENOMINATOR LIST: MU-EP-ALL??
ALTERNATIVE DENOMINATOR LIST: MU12-EP-ALL-PATIENTS       MU12-EP-ALL-PATIENTS

Select C0Q QUALITY MEASURE NAME: 

Select SETUP QUALITY REPORTING Option:  MU MEASURE EDIT

Select C0Q QUALITY MEASURE NAME: MU CORE MEASURE #5
  Are you adding 'MU CORE MEASURE #5' as 
    a new C0Q QUALITY MEASURE (the 92ND)? No// y  (Yes)
   C0Q QUALITY MEASURE DISPLAY NAME: MU12-EP-HasMed
NAME: MU CORE MEASURE #5// 
MEASURE TYPE: 
MU YEAR KEY: 
TITLE: 
VERY LONG DESCRIPTION:
  THERE ARE NO LINES!
  Edit? NO// 
DISPLAY NAME: MU12-EP-HasMed// Active Medication List
REPORTING NAME: 
ALTERNATIVE NUMERATOR LIST: MU12-EP-HasMed
     1   MU12-EP-HasMed       MU12-EP-HasMed
     2   MU12-EP-HasMedOrders       MU12-EP-HasMedOrders
     3   MU12-EP-HasMedRecon       MU12-EP-HasMedRecon
CHOOSE 1-3: 1  MU12-EP-HasMed     MU12-EP-HasMed
ALTERNATIVE DENOMINATOR LIST: MU12-EP-ALL-PATIENTS       MU12-EP-ALL-PATIENTS

Select C0Q QUALITY MEASURE NAME: 

Select SETUP QUALITY REPORTING Option:  MU MEASURE EDIT

Select C0Q QUALITY MEASURE NAME: MU CORE MEASURE #6
  Are you adding 'MU CORE MEASURE #6' as 
    a new C0Q QUALITY MEASURE (the 93RD)? No// y  (Yes)
   C0Q QUALITY MEASURE DISPLAY NAME: Allergy Documentation
NAME: MU CORE MEASURE #6// 
MEASURE TYPE: 
MU YEAR KEY: ^meas,typ  MEASURE TYPE
MEASURE TYPE: p  Performance
MU YEAR KEY: 
TITLE: 
VERY LONG DESCRIPTION:
  THERE ARE NO LINES!
  Edit? NO// 
DISPLAY NAME: Allergy Documentation  Replace 
REPORTING NAME: 
ALTERNATIVE NUMERATOR LIST: MU12-EP-Has
     1   MU12-EP-HasAllergy       MU12-EP-HasAllergy
     2   MU12-EP-HasDemographics       MU12-EP-HasDemographics
     3   MU12-EP-HasERX       MU12-EP-HasERX
     4   MU12-EP-HasMed       MU12-EP-HasMed
     5   MU12-EP-HasMedOrders       MU12-EP-HasMedOrders
Press <Enter> to see more, '^' to exit this list,  OR
CHOOSE 1-5: 1  MU12-EP-HasAllergy     MU12-EP-HasAllergy
ALTERNATIVE DENOMINATOR LIST: MU12-EP-ALL-PATIENTS       MU12-EP-ALL-PATIENTS

Select C0Q QUALITY MEASURE NAME: 

Select SETUP QUALITY REPORTING Option:  MU MEASURE EDIT

Select C0Q QUALITY MEASURE NAME: MU CORE MEASURE #7
  Are you adding 'MU CORE MEASURE #7' as 
    a new C0Q QUALITY MEASURE (the 94TH)? No// y  (Yes)
   C0Q QUALITY MEASURE DISPLAY NAME: Required Demographics Present?
NAME: MU CORE MEASURE #7// 
MEASURE TYPE: p  Performance
MU YEAR KEY: 
TITLE: 
VERY LONG DESCRIPTION:
  THERE ARE NO LINES!
  Edit? NO// 
DISPLAY NAME: Required Demographics Present?  Replace 
REPORTING NAME: 
ALTERNATIVE NUMERATOR LIST: MU12-EP-HasDemographics       MU12-EP-HasDemographic
s
ALTERNATIVE DENOMINATOR LIST: MU12-EP-ALL-PATIENTS       MU12-EP-ALL-PATIENTS

Select C0Q QUALITY MEASURE NAME: 

Select SETUP QUALITY REPORTING Option:  MU MEASURE EDIT

Select C0Q QUALITY MEASURE NAME: MU CORE MEASURE #8
  Are you adding 'MU CORE MEASURE #8' as 
    a new C0Q QUALITY MEASURE (the 95TH)? No// y  (Yes)
   C0Q QUALITY MEASURE DISPLAY NAME: MU12-EP-HasVitalSigns
NAME: MU CORE MEASURE #8// 
MEASURE TYPE: p  Performance
MU YEAR KEY: 
TITLE: 
VERY LONG DESCRIPTION:
  THERE ARE NO LINES!
  Edit? NO// 
DISPLAY NAME: MU12-EP-HasVitalSigns  Replace ... With Record Vital Signs
  Replace 
   Record Vital Signs
REPORTING NAME: 
ALTERNATIVE NUMERATOR LIST: MU12-EP-HasVitalSigns       MU12-EP-HasVitalSigns
ALTERNATIVE DENOMINATOR LIST: MU12-EP-ALL-PATIENTS       MU12-EP-ALL-PATIENTS

Select C0Q QUALITY MEASURE NAME: MU CORE MEASURE #9 ??

Select C0Q QUALITY MEASURE NAME: 

Select SETUP QUALITY REPORTING Option:  MU MEASURE EDIT

Select C0Q QUALITY MEASURE NAME: MU CORE MEASURE #9
  Are you adding 'MU CORE MEASURE #9' as 
    a new C0Q QUALITY MEASURE (the 96TH)? No// Y  (Yes)
   C0Q QUALITY MEASURE DISPLAY NAME: Record Smoking Status
NAME: MU CORE MEASURE #9// 
MEASURE TYPE: p  Performance
MU YEAR KEY: 
TITLE: 
VERY LONG DESCRIPTION:
  THERE ARE NO LINES!
  Edit? NO// 
DISPLAY NAME: Record Smoking Status  Replace 
REPORTING NAME: 
ALTERNATIVE NUMERATOR LIST: MU12-EP-HasSmokingStatus       MU12-EP-HasSmokingSta
tus
ALTERNATIVE DENOMINATOR LIST: MU12-Over??
ALTERNATIVE DENOMINATOR LIST: MU12-EP-Over12       MU12-EP-Over12
Create MU Measure SET and add MU Measure(s)

Now for each clinic parameter you set-up, you need to set-up a Measurement Set. Each Measurement Set is what is used to report the clinic's performance. 

Select SETUP QUALITY REPORTING Option: MEASURE SET EDIT

Select C0Q MEASUREMENT SET NAME: DR OFFICE CLINIC REPORT
  Are you adding 'DR OFFICE CLINIC REPORT' as 
    a new C0Q MEASUREMENT SET (the 11TH)? No// Y  (Yes)
NAME: DR OFFICE CLINIC REPORT// 
BEGIN DATE: 8/1  (AUG 01, 2012)
END DATE: 10/31  (OCT 31, 2012)
LOCKED: 
MU YEAR KEY: 
QRDA TEMPLATE ROOT: 
Select MEASURE: MU,C,1  MU CORE MEASURE #1     CPOE
  Are you adding 'MU CORE MEASURE #1' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST: MU,DR  MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-
Patient
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pa
tient
Select MEASURE: MU,C,2  MU 2011 INP CPOE     CPOE for Medications
  Are you adding 'MU 2011 INP CPOE' as a new MEASURE? No// N  (No) ??
Select MEASURE: MU,C,3  MU CORE MEASURE #3     Problem List
  Are you adding 'MU CORE MEASURE #3' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pati
ent
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pa
tient
Select MEASURE: MU,C,4  MU CORE MEASURE #4     ERx
  Are you adding 'MU CORE MEASURE #4' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pati
ent
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pa
tient
Select MEASURE: MU,C,5  MU CORE MEASURE #5     Active Medication List
  Are you adding 'MU CORE MEASURE #5' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pati
ent
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pa
tient
Select MEASURE: MU,C,6  MU CORE MEASURE #6     Allergy Documentation
  Are you adding 'MU CORE MEASURE #6' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pati
ent
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pa
tient
Select MEASURE: MU,C,7  MU CORE MEASURE #7     Required Demographics Present?
  Are you adding 'MU CORE MEASURE #7' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pati
ent
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pa
tient
Select MEASURE: MU,C,8  MU CORE MEASURE #8     Record Vital Signs
  Are you adding 'MU CORE MEASURE #8' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pati
ent
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pa
tient
Select MEASURE: MU,C,9  MU CORE MEASURE #9     Record Smoking Status
  Are you adding 'MU CORE MEASURE #9' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pati
ent
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pa
tient
Select MEASURE: 

Select C0Q MEASUREMENT SET NAME: ACME CLINIC #1 REPORT
  Are you adding 'ACME CLINIC #1 REPORT' as 
    a new C0Q MEASUREMENT SET (the 12TH)? No// Y  (Yes)
NAME: ACME CLINIC #1 REPORT  Replace 
BEGIN DATE: 8/1  (AUG 01, 2012)
END DATE: 10/31  (OCT 31, 2012)
LOCKED: 
MU YEAR KEY: 
QRDA TEMPLATE ROOT: 
Select MEASURE: MU,C,1  MU CORE MEASURE #1     CPOE
  Are you adding 'MU CORE MEASURE #1' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST: MU,ACME,1  MU12-EP-ACME CLINIC #1-Patient     MU12-EP-A
CME CLINIC #1-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CL
INIC #1-Patient
Select MEASURE: MU,C,3  MU CORE MEASURE #3     Problem List
  Are you adding 'MU CORE MEASURE #3' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CLIN
IC #1-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CL
INIC #1-Patient
Select MEASURE: MU,C,4  MU CORE MEASURE #4     ERx
  Are you adding 'MU CORE MEASURE #4' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CLIN
IC #1-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CL
INIC #1-Patient
Select MEASURE: MU,C,5  MU CORE MEASURE #5     Active Medication List
  Are you adding 'MU CORE MEASURE #5' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CLIN
IC #1-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CL
INIC #1-Patient
Select MEASURE: MU,C,6  MU CORE MEASURE #6     Allergy Documentation
  Are you adding 'MU CORE MEASURE #6' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CLIN
IC #1-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CL
INIC #1-Patient
Select MEASURE: MU,C,7  MU CORE MEASURE #7     Required Demographics Present?
  Are you adding 'MU CORE MEASURE #7' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CLIN
IC #1-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CL
INIC #1-Patient
Select MEASURE: MU,C,8  MU CORE MEASURE #8     Record Vital Signs
  Are you adding 'MU CORE MEASURE #8' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CLIN
IC #1-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CL
INIC #1-Patient
Select MEASURE: MU,C,9  MU CORE MEASURE #9     Record Smoking Status
  Are you adding 'MU CORE MEASURE #9' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CLIN
IC #1-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CL
INIC #1-Patient
Select MEASURE: 

Select C0Q MEASUREMENT SET NAME: ACME CLINIC #2 REPORT
  Are you adding 'ACME CLINIC #2 REPORT' as 
    a new C0Q MEASUREMENT SET (the 13TH)? No// Y  (Yes)
NAME: ACME CLINIC #2 REPORT  Replace 
BEGIN DATE: 8/1  (AUG 01, 2012)
END DATE: 10/31  (OCT 31, 2012)
LOCKED: 
MU YEAR KEY: 
QRDA TEMPLATE ROOT:   
Select MEASURE: MU,C,1  MU CORE MEASURE #1     CPOE
  Are you adding 'MU CORE MEASURE #1' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST: MU,ACME,2  MU12-EP-ACME CLINIC #2-Patient     MU12-EP-A
CME CLINIC #2-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CL
INIC #2-Patient
Select MEASURE: MU,C,3  MU CORE MEASURE #3     Problem List
  Are you adding 'MU CORE MEASURE #3' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CLIN
IC #2-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CL
INIC #2-Patient
Select MEASURE: MU,C,4  MU CORE MEASURE #4     ERx
  Are you adding 'MU CORE MEASURE #4' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CLIN
IC #2-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CL
INIC #2-Patient
Select MEASURE: MU,C,5  MU CORE MEASURE #5     Active Medication List
  Are you adding 'MU CORE MEASURE #5' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CLIN
IC #2-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CL
INIC #2-Patient
Select MEASURE: MU,C,6  MU CORE MEASURE #6     Allergy Documentation
  Are you adding 'MU CORE MEASURE #6' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CLIN
IC #2-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CL
INIC #2-Patient
Select MEASURE: MU,C,7  MU CORE MEASURE #7     Required Demographics Present?
  Are you adding 'MU CORE MEASURE #7' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CLIN
IC #2-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CL
INIC #2-Patient
Select MEASURE: MU,C,8  MU CORE MEASURE #8     Record Vital Signs
  Are you adding 'MU CORE MEASURE #8' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST: Y??
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CLIN
IC #2-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CL
INIC #2-Patient
Select MEASURE: MU,C,9  MU CORE MEASURE #9     Record Smoking Status
  Are you adding 'MU CORE MEASURE #9' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CLIN
IC #2-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CL
INIC #2-Patient
Select MEASURE:
Update Parameters with the Measure Sets

Now attach the Utility Measure Sets into the parameters. 

Select SETUP QUALITY REPORTING Option: EP EDIT PARMS

Select C0Q PARAMETER NAME: ??
    
   Choose from:
   ACME CLINIC #1   
   ACME CLINIC #2   
   MU DR OFFICE   
         
        You may enter a new C0Q PARAMETER, if you wish
   
Select C0Q PARAMETER NAME: MU DR OFFICE  
NAME: MU DR OFFICE// 
MEASUREMENT PERIOD KEY: MU12// 
PARAMETER TYPE: OUTPATIENT// 
EP MU MEASUREMENT SET: DR OFFICE CLINIC REPORT  
EP QUALITY MEASUREMENT SET: 
Select CLINIC: DR OFFICE// 
PATIENT LIST LABEL: 
Select SUBSCRIBER: 

Select C0Q PARAMETER NAME: ACME CLINIC #1  
NAME: ACME CLINIC #1// 
MEASUREMENT PERIOD KEY: MU12// 
PARAMETER TYPE: OUTPATIENT// 
EP MU MEASUREMENT SET: ACME,1  ACME CLINIC #1 REPORT
EP QUALITY MEASUREMENT SET: 
Select CLINIC: ACME CLINIC #1// 
PATIENT LIST LABEL: 
Select SUBSCRIBER: 

Select C0Q PARAMETER NAME: ACME CLINIC #2  
NAME: ACME CLINIC #2// 
MEASUREMENT PERIOD KEY: MU12// 
PARAMETER TYPE: OUTPATIENT// 
EP MU MEASUREMENT SET: ACME,2  ACME CLINIC #2 REPORT
EP QUALITY MEASUREMENT SET: 
Select CLINIC: ACME CLINIC #2// 
PATIENT LIST LABEL: 
Select SUBSCRIBER:
Update MU Measure(s)

To populate the data for the reports, now you need to go back and run EP UPDATE MU MEASURES. Everytime you run this, it will update the data from the system. 

Select QUALITY MEASUREMENT MENU Option: ep update MU MEASURES
Oct 03, 2012@91:70
Oct 03, 2012@82:92:71C0QLIST("MU12-EP-DR OFFICE-Patient",4)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",6)=""

Oct 04, 2012@91:00C0QLIST("MU12-EP-ACME CLINIC #1-Patient",7)=""
C0QLIST("MU12-EP-ALL-PATIENTS",4)=""
C0QLIST("MU12-EP-ALL-PATIENTS",6)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",4)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",6)=""

Oct 04, 2012@84:00C0QLIST("MU12-EP-ACME CLINIC #1-Patient",7)=""
C0QLIST("MU12-EP-ACME CLINIC #2-Patient",4)=""
C0QLIST("MU12-EP-ALL-PATIENTS",4)=""
C0QLIST("MU12-EP-ALL-PATIENTS",6)=""
C0QLIST("MU12-EP-ALL-PATIENTS",7)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",4)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",6)=""
B index passed
6 
Calling GETMEDS6 SOAP Web Service Call for 6
Patient 6 Rx 1
DeaClassCode: 0
PharmacyType: 0
Patient 6 Rx 2
DeaClassCode: 0
PharmacyType: 0
Patient 6 Rx 3
DeaClassCode: 0
PharmacyType: 0
Patient 6 Rx 4
DeaClassCode: 0
PharmacyType: 0
IENs ?+16,1,11, ready to file
Saving ERXDEN of 0 for Patient RUNNER,ROAD (6)
Fileman Data Array
C0QFDA(1130580001.3111,"?+16,1,11,",.01): ERXDEN
C0QFDA(1130580001.3111,"?+16,1,11,",.02): 0
Patient 6 Rx 1
DeaClassCode: 0
PharmacyType: 0
Patient 6 Rx 2
DeaClassCode: 0
PharmacyType: 0
Patient 6 Rx 3
DeaClassCode: 0
PharmacyType: 0
Patient 6 Rx 4
DeaClassCode: 0
PharmacyType: 0
IENs ?+16,1,11, ready to file
Saving ERXNUM of 0 for Patient RUNNER,ROAD (6)
Fileman Data Array
C0QFDA(1130580001.3111,"?+16,1,11,",.01): ERXNUM
C0QFDA(1130580001.3111,"?+16,1,11,",.02): 0
C0QFDA(1130580001.2011,"1,14,",1.1)=1
C0QFDA(1130580001.20111,"+1,1,14,",.01)=6
C0QFDA(1130580001.2011,"1,14,",2.1)=2
C0QFDA(1130580001.20112,"+1,1,14,",.01)=4
C0QFDA(1130580001.20112,"+2,1,14,",.01)=6
C0QFDA(1130580001.2011,"1,14,",3)=50
C0QFDA(1130580001.2011,"2,14,",1.1)=1
C0QFDA(1130580001.20111,"+1,2,14,",.01)=4
C0QFDA(1130580001.2011,"2,14,",2.1)=2
C0QFDA(1130580001.20112,"+1,2,14,",.01)=4
C0QFDA(1130580001.20112,"+2,2,14,",.01)=6
C0QFDA(1130580001.2011,"2,14,",3)=50
C0QFDA(1130580001.2011,"3,14,",1.1)=1
C0QFDA(1130580001.20111,"+1,3,14,",.01)=6
C0QFDA(1130580001.2011,"3,14,",2.1)=2
C0QFDA(1130580001.20112,"+1,3,14,",.01)=4
C0QFDA(1130580001.20112,"+2,3,14,",.01)=6
C0QFDA(1130580001.2011,"3,14,",3)=50
C0QFDA(1130580001.2011,"4,14,",1.1)=1
C0QFDA(1130580001.20111,"+1,4,14,",.01)=6
C0QFDA(1130580001.2011,"4,14,",2.1)=2
C0QFDA(1130580001.20112,"+1,4,14,",.01)=4
C0QFDA(1130580001.20112,"+2,4,14,",.01)=6
C0QFDA(1130580001.2011,"4,14,",3)=50
C0QFDA(1130580001.2011,"5,14,",1.1)=2
C0QFDA(1130580001.20111,"+1,5,14,",.01)=4
C0QFDA(1130580001.20111,"+2,5,14,",.01)=6
C0QFDA(1130580001.2011,"5,14,",2.1)=2
C0QFDA(1130580001.20112,"+1,5,14,",.01)=4
C0QFDA(1130580001.20112,"+2,5,14,",.01)=6
C0QFDA(1130580001.2011,"5,14,",3)=100
C0QFDA(1130580001.2011,"6,14,",1.1)=2
C0QFDA(1130580001.20111,"+1,6,14,",.01)=4
C0QFDA(1130580001.20111,"+2,6,14,",.01)=6
C0QFDA(1130580001.2011,"6,14,",2.1)=2
C0QFDA(1130580001.20112,"+1,6,14,",.01)=4
C0QFDA(1130580001.20112,"+2,6,14,",.01)=6
C0QFDA(1130580001.2011,"6,14,",3)=100
C0QFDA(1130580001.2011,"7,14,",1.1)=2
C0QFDA(1130580001.20111,"+1,7,14,",.01)=4
C0QFDA(1130580001.20111,"+2,7,14,",.01)=6
C0QFDA(1130580001.2011,"7,14,",2.1)=2
C0QFDA(1130580001.20112,"+1,7,14,",.01)=4
C0QFDA(1130580001.20112,"+2,7,14,",.01)=6
C0QFDA(1130580001.2011,"7,14,",3)=100
C0QFDA(1130580001.2011,"8,14,",1.1)=1
C0QFDA(1130580001.20111,"+1,8,14,",.01)=4
C0QFDA(1130580001.2011,"8,14,",2.1)=1
C0QFDA(1130580001.20112,"+1,8,14,",.01)=4
C0QFDA(1130580001.2011,"8,14,",3)=100
C0QFDA(1130580001.2011,"1,15,",1.1)=0
C0QFDA(1130580001.2011,"1,15,",2.1)=1
C0QFDA(1130580001.20112,"+1,1,15,",.01)=7
C0QFDA(1130580001.2011,"1,15,",3)=0
C0QFDA(1130580001.2011,"2,15,",1.1)=0
C0QFDA(1130580001.2011,"2,15,",2.1)=1
C0QFDA(1130580001.20112,"+1,2,15,",.01)=7
C0QFDA(1130580001.2011,"2,15,",3)=0
C0QFDA(1130580001.2011,"3,15,",1.1)=0
C0QFDA(1130580001.2011,"3,15,",2.1)=1
C0QFDA(1130580001.20112,"+1,3,15,",.01)=7
C0QFDA(1130580001.2011,"3,15,",3)=0
C0QFDA(1130580001.2011,"4,15,",1.1)=0
C0QFDA(1130580001.2011,"4,15,",2.1)=1
C0QFDA(1130580001.20112,"+1,4,15,",.01)=7
C0QFDA(1130580001.2011,"4,15,",3)=0
C0QFDA(1130580001.2011,"5,15,",1.1)=0
C0QFDA(1130580001.2011,"5,15,",2.1)=1
C0QFDA(1130580001.20112,"+1,5,15,",.01)=7
C0QFDA(1130580001.2011,"5,15,",3)=0
C0QFDA(1130580001.2011,"6,15,",1.1)=1
C0QFDA(1130580001.20111,"+1,6,15,",.01)=7
C0QFDA(1130580001.2011,"6,15,",2.1)=1
C0QFDA(1130580001.20112,"+1,6,15,",.01)=7
C0QFDA(1130580001.2011,"6,15,",3)=100
C0QFDA(1130580001.2011,"7,15,",1.1)=0
C0QFDA(1130580001.2011,"7,15,",2.1)=1
C0QFDA(1130580001.20112,"+1,7,15,",.01)=7
C0QFDA(1130580001.2011,"7,15,",3)=0
C0QFDA(1130580001.2011,"8,15,",1.1)=1
C0QFDA(1130580001.20111,"+1,8,15,",.01)=7
C0QFDA(1130580001.2011,"8,15,",2.1)=1
C0QFDA(1130580001.20112,"+1,8,15,",.01)=7
C0QFDA(1130580001.2011,"8,15,",3)=100
C0QFDA(1130580001.2011,"1,16,",1.1)=0
C0QFDA(1130580001.2011,"1,16,",2.1)=1
C0QFDA(1130580001.20112,"+1,1,16,",.01)=4
C0QFDA(1130580001.2011,"1,16,",3)=0
C0QFDA(1130580001.2011,"2,16,",1.1)=1
C0QFDA(1130580001.20111,"+1,2,16,",.01)=4
C0QFDA(1130580001.2011,"2,16,",2.1)=1
C0QFDA(1130580001.20112,"+1,2,16,",.01)=4
C0QFDA(1130580001.2011,"2,16,",3)=100
C0QFDA(1130580001.2011,"3,16,",1.1)=0
C0QFDA(1130580001.2011,"3,16,",2.1)=1
C0QFDA(1130580001.20112,"+1,3,16,",.01)=4
C0QFDA(1130580001.2011,"3,16,",3)=0
C0QFDA(1130580001.2011,"4,16,",1.1)=0
C0QFDA(1130580001.2011,"4,16,",2.1)=1
C0QFDA(1130580001.20112,"+1,4,16,",.01)=4
C0QFDA(1130580001.2011,"4,16,",3)=0
C0QFDA(1130580001.2011,"5,16,",1.1)=1
C0QFDA(1130580001.20111,"+1,5,16,",.01)=4
C0QFDA(1130580001.2011,"5,16,",2.1)=1
C0QFDA(1130580001.20112,"+1,5,16,",.01)=4
C0QFDA(1130580001.2011,"5,16,",3)=100
C0QFDA(1130580001.2011,"6,16,",1.1)=1
C0QFDA(1130580001.20111,"+1,6,16,",.01)=4
C0QFDA(1130580001.2011,"6,16,",2.1)=1
C0QFDA(1130580001.20112,"+1,6,16,",.01)=4
C0QFDA(1130580001.2011,"6,16,",3)=100
C0QFDA(1130580001.2011,"7,16,",1.1)=1
C0QFDA(1130580001.20111,"+1,7,16,",.01)=4
C0QFDA(1130580001.2011,"7,16,",2.1)=1
C0QFDA(1130580001.20112,"+1,7,16,",.01)=4
C0QFDA(1130580001.2011,"7,16,",3)=100
C0QFDA(1130580001.2011,"8,16,",1.1)=1
C0QFDA(1130580001.20111,"+1,8,16,",.01)=4
C0QFDA(1130580001.2011,"8,16,",2.1)=1
C0QFDA(1130580001.20112,"+1,8,16,",.01)=4
C0QFDA(1130580001.2011,"8,16,",3)=100


Select QUALITY MEASUREMENT MENU Option:
Print C0Q Measures

Print the measures now. You are now done for the Utility Measures. 

Select QUALITY MEASUREMENT MENU Option: PRINT C0Q MEASURES

   
Select C0Q MEASUREMENT SET NAME: DR OFFICE CLINIC REPORT  

DEVICE: PHOME  HOME PRINTER
C0Q MEASUREMENTS LIST                                  OCT 5,2012@14:22   PAGE 1
MEASURE:DISPLAY NAME      DENOMINATOR    NUMERATOR           PERCENTAGE
--------------------------------------------------------------------------------


CPOE                               2             1             50.00

Problem List                       2             1             50.00

ERx                                2             1             50.00

Active Medication List             2             1             50.00

Allergy Documentation              2             2            100.00

Required Demographics              2             2            100.00
Present? 

Record Vital Signs                 2             2            100.00

Record Smoking Status              1             1            100.00


Select C0Q MEASUREMENT SET NAME: ACME CLINIC #1 REPORT  

DEVICE: PHOME  HOME PRINTER
C0Q MEASUREMENTS LIST                                  OCT 5,2012@14:22   PAGE 1
MEASURE:DISPLAY NAME      DENOMINATOR    NUMERATOR           PERCENTAGE
--------------------------------------------------------------------------------


CPOE                               1             0              0.00

Problem List                       1             0              0.00

ERx                                1             0              0.00

Active Medication List             1             0              0.00

Allergy Documentation              1             0              0.00

Required Demographics              1             1            100.00
Present? 

Record Vital Signs                 1             0              0.00

Record Smoking Status              1             1            100.00


Select C0Q MEASUREMENT SET NAME: ACME CLINIC #2 REPORT  

DEVICE: PHOME  HOME PRINTER
C0Q MEASUREMENTS LIST                                  OCT 5,2012@14:23   PAGE 1
MEASURE:DISPLAY NAME      DENOMINATOR    NUMERATOR           PERCENTAGE
--------------------------------------------------------------------------------


CPOE                               1             0              0.00

Problem List                       1             1            100.00

ERx                                1             0              0.00

Active Medication List             1             0              0.00

Allergy Documentation              1             1            100.00

Required Demographics              1             1            100.00
Present? 

Record Vital Signs                 1             1            100.00

Record Smoking Status              1             1            100.00

Quality Measures Set-Up

The following two tables are the Rosetta Stone. I would recommend that you print these prior to setting up the package.

Quality Measures supported by the package:

Measure Human Name Type Name in VISTA How to Generate Counts in VISTA
NQF0013 Hypertenstion Core MU EP NQF 0013 Reminder Rule Sets
NQF0028A Tobacco Screen Core MU EP NQF 0028A Reminder Rule Sets
NQF0028B Tobacco Intervention Core MU EP NQF 0028B Reminder Rule Sets
NQF0421 Adult BMI Core MU EP NQF 0421 Reminder Extract
NQF0024A Children BMI 11-17 Alternate Core MU EP NQF 0024 11-17Y Reminder Rule Sets
NQF0024B Children BMI 2-10 Alternate Core MU EP NQF 0024 2-10Y Reminder Rule Sets
NQF0041 Flu Vaccination Alternate Core MU EP NQF 0041 Reminder Rule Sets
NQF0038 Infants' Immunizations Alternate Core various Reminder Extract
NQF0059 DM: A1C Control Additional MU EP NQF 0059 Reminder Rule Sets
NQF0061 DM: LDL Control Additional MU EP NQF 0061 Reminder Rule Sets
NQF0064 DM: BP Control Additional MU EP NQF 0064 Reminder Rule Sets 
C0Q QUALITY MEASURE List                                                                                                    
NAME                            NUMERATOR RULE SET                   DENOMINATOR RULE SET                 EXTRACT DEFINITION
----------------------------------------------------------------------------------------------------------------------------------------------

MU EP NQF 0013                  MU NQF0013 HTN NUMER2 RS             MU NQF0013 HTN DENOM2 RS             
MU EP NQF 0024                  MU NQF0024 BMI 2-17YR NUM RS         MU NQF0024 BMI 2-17YRS DEM RS        
MU EP NQF 0024 11-17Y           MU NQF0024 BMI PERCENTILE 11-17Y RS  MU NQF0024 BMI 11-17Y DENOM RS       
MU EP NQF 0024 2-10Y            MU NQF0024 BMI PERCENTILE 2-10Y RS   MU NQF0024 BMI 2-10Y DENOM RS        
MU EP NQF 0028A                 MU NQF0028A TOBACCO SCREEN NUM RS    MU NQF0028B TOBACCO INTERV DENOM RS  
MU EP NQF 0028B                 MU NQF0028B TOBACCO INTERV NUM2 RS   MU NQF0028B TOBACCO INTERV DENOM RS  
MU EP NQF 0038 NUM1 DPT         MU NQF0038 NUM1 DPT RS               MU NQF0038 DENOM RS                  MU NQF0038 CHILDREN'S IMMUNIZATIONS
MU EP NQF 0038 NUM10 FLU        MU NQF0038 NUM10 INFLUENZA RS        MU NQF0038 DENOM RS                  MU NQF0038 CHILDREN'S IMMUNIZATIONS
MU EP NQF 0038 NUM11 COMBO5     MU NQF0038 NUM11 COMBO5 RS           MU NQF0038 DENOM RS                  MU NQF0038 CHILDREN'S IMMUNIZATIONS
MU EP NQF 0038 NUM12 COMBO6     MU NQF0038 NUM12 COMBO6 RS           MU NQF0038 DENOM RS                  MU NQF0038 CHILDREN'S IMMUNIZATIONS
MU EP NQF 0038 NUM2 IPV         MU NQF0038 NUM2 IPV RS               MU NQF0038 DENOM RS                  MU NQF0038 CHILDREN'S IMMUNIZATIONS
MU EP NQF 0038 NUM3 MMR         MU NQF0038 NUM3-ALL RS               MU NQF0038 DENOM RS                  MU NQF0038 CHILDREN'S IMMUNIZATIONS
MU EP NQF 0038 NUM4 HiB         MU NQF0038 NUM4 HIB RS               MU NQF0038 DENOM RS                  MU NQF0038 CHILDREN'S IMMUNIZATIONS
MU EP NQF 0038 NUM5 HEP B       MU NQF0038 NUM5 RS                   MU NQF0038 DENOM RS                  MU NQF0038 CHILDREN'S IMMUNIZATIONS
MU EP NQF 0038 NUM6 VZV         MU NQF0038 NUM6 VZV RS               MU NQF0038 DENOM RS                  MU NQF0038 CHILDREN'S IMMUNIZATIONS
MU EP NQF 0038 NUM7 PCV         MU NQF0038 NUM7 PCV RS               MU NQF0038 DENOM RS                  MU NQF0038 CHILDREN'S IMMUNIZATIONS
MU EP NQF 0038 NUM8 HEP A       MU NQF0038 NUM8 HEP A RS             MU NQF0038 DENOM RS                  MU NQF0038 CHILDREN'S IMMUNIZATIONS
MU EP NQF 0038 NUM9 RV          MU NQF0038 NUM9 RV RS                MU NQF0038 DENOM RS                  MU NQF0038 CHILDREN'S IMMUNIZATIONS
MU EP NQF 0041                  MU NQF0041 FLU RS                    MU NQF0041 FLU DENOM RS              
MU EP NQF 0059                  MU NQF0059 HBA1C NUM RS              MU NQF0059 DM DENOM-ALL RS           
MU EP NQF 0061                  MU NQF0061 NUM DM BP<140/90 RS       MU NQF0059 DM DENOM-ALL RS           
MU EP NQF 0064                  MU NQF0064 NUM LDL RS                MU NQF0059 DM DENOM-ALL RS           
MU EP NQF 0421                  MU NQF0421 BMI NUM ALL RS            MU NQF0421 BMI DENOM ALL RS          MU NQF0421 ADULT BMI

A brief mention regarding on what you need to report: You need to report the 3 core measures and the 3 additional measures. Only if the denominator of any of the core measures is zero, you need to report any alternate core in addition. If all your 3 cores have denominators of zero, you need to report all 3 alternate cores in addition.

Here is a brief description of the steps we have to do in order to calculate the quality measurements.

  1. Create the Patient Lists using the Reminders Package
    1. If there are only rule sets in the above table for a given measure, use these rule sets.
    2. If there is an extract, you must use the extract.
  2. Add the patient lists to each of the Quality Measures
  3. Add the Quality Measures to the Measure Sets
  4. Update the Outpatient Quality Measures
  5. Print the Measure Sets

I will illustrate the process with the Core Measures

Create the Patient Lists using the Reminders Package
Getting the Patient Lists

Navigate to the Patient Lists Management Menu from the reminders package: 

Select Reminder Managers Menu Option: ?

   CF     Reminder Computed Finding Management ...
   RM     Reminder Definition Management ...
   SM     Reminder Sponsor Management ...
   TXM    Reminder Taxonomy Management ...
   TRM    Reminder Term Management ...
   LM     Reminder Location List Management ...
   RX     Reminder Exchange
   RT     Reminder Test
   OS     Other Supporting Menus ...
   INFO   Reminder Information Only Menu ...
   DM     Reminder Dialog Management ...
   CP     CPRS Reminder [[Configuration~|Configuration]] ...
   RP     Reminder Reports ...
   MST    Reminders MST Synchronization Management ...
   PL     Reminder Patient List Menu ...
   PAR    Reminder Parameters ...
   XM     Reminder Extract Menu ...
   GEC    GEC Referral Report

Enter ?? for more options, ??? for brief descriptions, ?OPTION for help text.

Select Reminder Managers Menu Option: PL  Reminder Patient List Menu

Select Reminder Patient List Menu Option: ?  

   LRM    List Rule Management
   PLM    Patient List Management

Enter ?? for more options, ??? for brief descriptions, ?OPTION for help text.

Select Reminder Patient List Menu Option: PLM

You will see a screen like this: 

Reminder User Patient List    Oct 08, 2012@16:31:18          Page:    1 of    2 
Available Patient Lists.
 Item  Reminder Patient List Name                     Created          Patients 
    1  CAD                                            7/29/05@13:15:55        0 
    2  DOQIT CAD M1 2006                              7/30/05@09:42:55        0 
    3  DOQIT CAD M7 2005                              7/30/05@10:23:48        2 
    4  DOQIT CAD M8 2005                              7/30/05@09:45:37        0 
    5  DOQIT CAD M9 2005                              7/30/05@09:45:46        0 
    6  DOQIT CAD registerd yyyy nn                    7/29/05@17:24:15        2 
    7  DOQIT DM M7 2005                               7/30/05@12:37:41        3 
    8  DOQIT DM M8 2005                               7/30/05@11:51:19        0 
    9  DOQIT DM PATIENT LIST 10 2005                  7/29/05@13:15:57        0 
   10  DOQIT DM PATIENT LIST 8 2005                   7/28/05@11:33:41        0 
   11  DOQIT DM PATIENT LIST 9 2005                   7/28/05@17:26:05        0 
   12  DOQIT HF M7 2005                               7/30/05@11:22:59        3 
   13  DOQIT HF Mnn yyyy                              7/30/05@09:21:48        0 
   14  DOQIT HF mm2005 PATIENT LIST                   7/29/05@13:16           0 
   15  DOQIT HTN M7 2005                              7/30/05@11:32:15        3 
   16  DOQIT HTN PATIENT LIST 7 2005                  7/30/05@09:47:42        0 
+         + Next Screen   - Prev Screen   ?? More Actions                    >>>
CO   Copy Patient List    DE   Delete Patient List  CV   Change View
COE  Copy to OE/RR Team   DCD  Display Creation Doc LRM  List Rule Management
CR   Create Patient List  DSP  Display Patient List QU   Quit
Select Item: Next Screen// CR

Type CR to Create a Patient List then follow the prompts. Create these 5 lists: The Hypertension Numerator and Denomiator, and the Tobacco Denominator and two Numerators. 

Select PATIENT LIST name: MU NQF0013 HTN DENOM2 PL 08/12-10/12
  Are you adding 'MU NQF0013 HTN DENOM2 PL 08/12-10/12' as 
    a new REMINDER PATIENT LIST? No// Y  (Yes)

Secure list?: N// O

Purge Patient List after 5 years?: N// O

Select LIST RULE SET:    MU NQF0013 HTN DENOM2 RS     RULE SET

Enter Patient List BEGINNING DATE: 8/1/12  (AUG 01, 2012)
Enter Patient List ENDING DATE: 10/31/12  (OCT 31, 2012)

Include deceased patients on the list? N// O

Include test patients on the list? N// O
Queue the CREATE PATIENT LIST for MU NQF0013 HTN DENOM2 PL 08/12-10/12: 
Enter the date and time you want the job to start.
It must be after 10/08/2012@16:29:43
Start the task at: N

Select PATIENT LIST name: MU NQF0013 HTN NUMER2 PL 08/12-10/12
  Are you adding 'MU NQF0013 HTN NUMER2 PL 08/12-10/12' as 
    a new REMINDER PATIENT LIST? No// Y  (Yes)

Secure list?: N// O

Purge Patient List after 5 years?: N// O

Select LIST RULE SET:    MU NQF0013 HTN NUMER2 RS     RULE SET

Enter Patient List BEGINNING DATE: 8/1/12  (AUG 01, 2012)
Enter Patient List ENDING DATE: 10/31/12  (OCT 31, 2012)

Include deceased patients on the list? N// O

Include test patients on the list? N// O
Queue the CREATE PATIENT LIST for MU NQF0013 HTN NUMER2 PL 08/12-10/12: 
Enter the date and time you want the job to start.
It must be after 10/08/2012@16:29:43
Start the task at: N

Select PATIENT LIST name: MU NQF0028B TOBACCO INTERV DENOM 8/12-10/12
  Are you adding 'MU NQF0028B TOBACCO INTERV DENOM 8/12-10/12' as 
    a new REMINDER PATIENT LIST? No// y  (Yes)

Secure list?: N// O

Purge Patient List after 5 years?: N// O

Select LIST RULE SET: MU NQF0028B TOBACCO INTERV DENOM RS       RULE SET

Enter Patient List BEGINNING DATE: 8/1  (AUG 01, 2012)
Enter Patient List ENDING DATE: 10/31  (OCT 31, 2012)

Include deceased patients on the list? N// O

Include test patients on the list? N// O
Queue the CREATE PATIENT LIST for MU NQF0028B TOBACCO INTERV DENOM 8/12-10/12: 
Enter the date and time you want the job to start.
It must be after 10/09/2012@10:10:58
Start the task at: 

Select PATIENT LIST name: MU NQF0028A TOBACCO SCREEN NUM 8/12-10/12
  Are you adding 'MU NQF0028A TOBACCO SCREEN NUM 8/12-10/12' as 
    a new REMINDER PATIENT LIST? No// Y  (Yes)

Secure list?: N// O

Purge Patient List after 5 years?: N// O

Select LIST RULE SET: MU NQF0028A TOBACCO SCREEN NUM RS       RULE SET

Enter Patient List BEGINNING DATE: 8/1  (AUG 01, 2012)
Enter Patient List ENDING DATE: 10/31  (OCT 31, 2012)

Include deceased patients on the list? N// O

Include test patients on the list? N// O
Queue the CREATE PATIENT LIST for MU NQF0028A TOBACCO SCREEN NUM 8/12-10/12: 
Enter the date and time you want the job to start.
It must be after 10/09/2012@10:12:16
Start the task at: N

Select PATIENT LIST name: MU NQF0028B TOBACCO INTERV NUM2 8/12-10/12
  Are you adding 'MU NQF0028B TOBACCO INTERV NUM2 8/12-10/12' as 
    a new REMINDER PATIENT LIST? No// Y  (Yes)

Secure list?: N// O

Purge Patient List after 5 years?: N// O

Select LIST RULE SET: MU NQF0028B TOBACCO INTERV NUM2 RS       RULE SET

Enter Patient List BEGINNING DATE: 8/1  (AUG 01, 2012)
Enter Patient List ENDING DATE: 10/31  (OCT 31, 2012)

Include deceased patients on the list? N// O

Include test patients on the list? N// O
Queue the CREATE PATIENT LIST for MU NQF0028B TOBACCO INTERV NUM2 8/12-10/12: 
Enter the date and time you want the job to start.
It must be after 10/09/2012@10:14:14
Start the task at: N

The result will look like this. You patient counts will be different. You need to be worried if the denominators are zero; it most probably means that you are not filling out the encounter forms. 

   19  MU NQF0013 HTN DENOM2 PL 08/12-10/12           10/8/12@16:29:58        1 
   20  MU NQF0013 HTN NUMER2 PL 08/12-10/12           10/8/12@16:39:14        1 
   21  MU NQF0028A TOBACCO SCREEN NUM 8/12-10/12      10/9/12@10:12:30        1 
   22  MU NQF0028B TOBACCO INTERV DENOM 8/12-10/12    10/9/12@10:11:15        2 
   23  MU NQF0028B TOBACCO INTERV NUM2 8/12-10/12     10/9/12@10:14:28        1
Getting the Extracts

A word to the wise: a lot or all of the measures could have been done as extracts. However, the package was designed around patient lists. The reason extracts were used for two measures is that this was the only way to transport the rule sets.

There are steps here combining extracts from separate months. You can configure the extract to be quarterly or yearly and skip these rather mundane steps; however, you will be only be able to do a specific Quarter or Year.

To get to extracts, type XM from the main Reminders Manager menu. We will use the menu MA for our work; but you can edit the extracts using ED if you wish. 

Select Reminder Managers Menu Option: XM  Reminder Extract Menu

Select Reminder Extract Menu Option: ?

   MA     Reminder Extract Management
   ED     Extract Definition Management
   EC     Extract Counting Rule Management
   EG     Extract Counting Group Management
   LR     List Rule Management

Enter ?? for more options, ??? for brief descriptions, ?OPTION for help text.

Type MA 

Select Reminder Extract Menu Option: MA

Reminder Extract Management   Oct 09, 2012@10:16:01          Page:    1 of    1 
Available Extract Definitions:

 Item  Extract Type                                                  Class      
    1  MRM-CAD                                                       LOCAL      
    2  MU NQF0038 CHILDREN'S IMMUNIZATIONS                           LOCAL      
    3  MU NQF0421 ADULT BMI                                          LOCAL      
    4  VA-IHD QUERI                                                  NATIONAL   
    5  VA-MH QUERI                                                   NATIONAL   
    6  VA-OEF/OIF MONITOR                                            NATIONAL   
    7  VOE DOQ-IT CAD EXTRACTION                                     LOCAL      
    8  VOE DOQ-IT DM EXTRACTION                                      LOCAL      
    9  VOE DOQ-IT HF EXTRACTION                                      LOCAL      
   10  VOE DOQ-IT HTN EXTRACTION                                     LOCAL      
   11  VOE DOQ-IT PC EXTRACTION                                      LOCAL      




          + Next Screen   - Prev Screen   ?? More Actions                       
EDM  Extract Definition Management      QU   Quit
VSE  View/Schedule Extract
Select Item: Quit// 3     
Select Action:  (EDM/VSE): VSE//

Type 3 to choose the Extract MU NQF0421 ADULT BMI and enter. Your entry number may be different. 

Examine/Schedule Extract      Oct 09, 2012@10:16:46          Page:    0 of    0 

          Extract Name: MU NQF0421 ADULT BMI
   Next Extract Period: 
      Scheduled to Run:                          View: Creation Date Order

 Item  Extract Summary             Date Created         Transmission Date   Auto











          + Next Screen   - Prev Screen   ?? More Actions                       
CV   Change View          ME   Manual Extract       QU   Quit
ES   Extract Summary      MT   Manual Transmission
DE   Delete Extract       TH   Transmission History
Select Item: Quit// ME

Type ME. Run an extract for the specific months you are interested in. If you are reporting 3 months for MU Stage 1, you need to do this 3 times. 

Select EXTRACT PERIOD (Mnn/yyyy): // M10/2012


WARNING -This period is not complete until 10/31/2012

Are you sure you want to run a MU NQF0421 ADULT BMI extract for M10 2012? N// YES

Purge Patient List after 5 years?: N// O

Purge Extract Summary after 5 years?: N// O
Queue a Reminder Extract MU NQF0421 ADULT BMI for M10/2012
Enter the date and time you want the job to start.
It must be after 10/09/2012@10:17:47
Start the task at: N

Select EXTRACT PERIOD (Mnn/yyyy): // M09/2012


Are you sure you want to run a MU NQF0421 ADULT BMI extract for M09 2012? N// YES

Purge Patient List after 5 years?: N// O

Purge Extract Summary after 5 years?: N// O
Queue a Reminder Extract MU NQF0421 ADULT BMI for M09/2012
Enter the date and time you want the job to start.
It must be after 10/09/2012@10:22:20
Start the task at: N

Select EXTRACT PERIOD (Mnn/yyyy): // M08/2012


Are you sure you want to run a MU NQF0421 ADULT BMI extract for M08 2012? N// YES

Purge Patient List after 5 years?: N// O

Purge Extract Summary after 5 years?: N// O
Queue a Reminder Extract MU NQF0421 ADULT BMI for M08/2012
Enter the date and time you want the job to start.
It must be after 10/09/2012@10:23:13
Start the task at: N

Now go back to the Patient List menu. You will find a large number of lists created by the Extracts. 

+Item--Reminder Patient List Name---------------------Created----------Patients-
    1  DOQIT CAD registerd yyyy nn                    7/29/05@17:24:15        2  PUB   F   
    2  MU NQF0013 HTN DENOM2 PL 08/12-10/12           10/8/12@16:29:58        1  PUB   F   
    3  MU NQF0013 HTN NUMER2 PL 08/12-10/12           10/8/12@16:39:14        1  PUB   F   
    4  MU NQF0028A TOBACCO SCREEN NUM 8/12-10/12      10/9/12@10:12:30        1  PUB   F   
    5  MU NQF0028B TOBACCO INTERV DENOM 8/12-10/12    10/9/12@10:11:15        2  PUB   F   
    6  MU NQF0028B TOBACCO INTERV NUM2 8/12-10/12     10/9/12@10:14:28        1  PUB   F   
    7  MU NQF0421 65Y BMI HIGH NUM1 PL M08/2012       10/9/12@10:23:25        0  PVT   F   
    8  MU NQF0421 65Y BMI HIGH NUM1 PL M09/2012       10/9/12@10:22:38        0  PVT   F   
    9  MU NQF0421 65Y BMI HIGH NUM1 PL M10/2012       10/9/12@10:17:59        0  PVT   F   
   10  MU NQF0421 65Y BMI LOW NUM1 PL M08/2012        10/9/12@10:23:25        0  PVT   F   
   11  MU NQF0421 65Y BMI LOW NUM1 PL M09/2012        10/9/12@10:22:38        0  PVT   F   
   12  MU NQF0421 65Y BMI LOW NUM1 PL M10/2012        10/9/12@10:17:59        0  PVT   F   
   13  MU NQF0421 65Y BMI NL NUM1 PL M08/2012         10/9/12@10:23:25        0  PVT   F   
   14  MU NQF0421 65Y BMI NL NUM1 PL M09/2012         10/9/12@10:22:38        0  PVT   F   
   15  MU NQF0421 65Y BMI NL NUM1 PL M10/2012         10/9/12@10:17:59        0  PVT   F   
   16  MU NQF0421 65Y BMI NUM1-ALL PL M08/2012        10/9/12@10:23:25        0  PVT   F   
   17  MU NQF0421 65Y BMI NUM1-ALL PL M09/2012        10/9/12@10:22:38        0  PVT   F   
   18  MU NQF0421 65Y BMI NUM1-ALL PL M10/2012        10/9/12@10:17:59        0  PVT   F   
   19  MU NQF0421 <65Y BMI HIGH NUM2 PL M08/2012      10/9/12@10:23:25        0  PVT   F   
   20  MU NQF0421 <65Y BMI HIGH NUM2 PL M09/2012      10/9/12@10:22:38        0  PVT   F   
   21  MU NQF0421 <65Y BMI HIGH NUM2 PL M10/2012      10/9/12@10:18           1  PVT   F   
   22  MU NQF0421 <65Y BMI LOW NUM2 PL M08/2012       10/9/12@10:23:25        0  PVT   F   
   23  MU NQF0421 <65Y BMI LOW NUM2 PL M09/2012       10/9/12@10:22:38        0  PVT   F   
   24  MU NQF0421 <65Y BMI LOW NUM2 PL M10/2012       10/9/12@10:18           0  PVT   F   
   25  MU NQF0421 <65Y BMI NL NUM2 PL M08/2012        10/9/12@10:23:26        0  PVT   F   
   26  MU NQF0421 <65Y BMI NL NUM2 PL M09/2012        10/9/12@10:22:38        0  PVT   F   
   27  MU NQF0421 <65Y BMI NL NUM2 PL M10/2012        10/9/12@10:18           1  PVT   F   
   28  MU NQF0421 <65Y BMI NUM2-ALL PL M08/2012       10/9/12@10:23:26        0  PVT   F   
   29  MU NQF0421 <65Y BMI NUM2-ALL PL M09/2012       10/9/12@10:22:38        0  PVT   F   
   30  MU NQF0421 <65Y BMI NUM2-ALL PL M10/2012       10/9/12@10:18           2  PVT   F   
   31  MU NQF0421 BMI DENOM ALL PL M08/2012           10/9/12@10:23:26        0  PVT   F   
   32  MU NQF0421 BMI DENOM ALL PL M09/2012           10/9/12@10:22:38        0  PVT   F   
   33  MU NQF0421 BMI DENOM ALL PL M10/2012           10/9/12@10:18           2  PVT   F   
   34  MU NQF0421 BMI DENOM1 PL M08/2012              10/9/12@10:23:26        0  PVT   F   
   35  MU NQF0421 BMI DENOM1 PL M09/2012              10/9/12@10:22:38        0  PVT   F   
   36  MU NQF0421 BMI DENOM1 PL M10/2012              10/9/12@10:18           0  PVT   F   
   37  MU NQF0421 BMI DENOM2 PL M08/2012              10/9/12@10:23:26        0  PVT   F   
   38  MU NQF0421 BMI DENOM2 PL M09/2012              10/9/12@10:22:38        0  PVT   F   
   39  MU NQF0421 BMI DENOM2 PL M10/2012              10/9/12@10:18           2  PVT   F   
   40  MU NQF0421 BMI NUM ALL PL M08/2012             10/9/12@10:23:26        0  PVT   F   
   41  MU NQF0421 BMI NUM ALL PL M09/2012             10/9/12@10:22:38        0  PVT   F   
   42  MU NQF0421 BMI NUM ALL PL M10/2012             10/9/12@10:18           2  PVT   F

Now, combine the Numerators and Denominators for the Reporting Period:

Combine these: 

   31  MU NQF0421 BMI DENOM ALL PL M08/2012           10/9/12@10:23:26        0  PVT   F   
   32  MU NQF0421 BMI DENOM ALL PL M09/2012           10/9/12@10:22:38        0  PVT   F   
   33  MU NQF0421 BMI DENOM ALL PL M10/2012           10/9/12@10:18           2  PVT   F

and these 

   40  MU NQF0421 BMI NUM ALL PL M08/2012             10/9/12@10:23:26        0  PVT   F   
   41  MU NQF0421 BMI NUM ALL PL M09/2012             10/9/12@10:22:38        0  PVT   F   
   42  MU NQF0421 BMI NUM ALL PL M10/2012             10/9/12@10:18           2  PVT   F

You combine them by going into the Rules Menu, choosing CV to change view, then going into the Patient List Rule view. In there, you will create 6 patient list rules, one for each of the months. Then you CV back to Rule Set view, and add two rule sets, one combining the 3 denominator Patient List Rules, and one combining the 3 numerator Patient List Rules. Last, in the Patient Lists menu create the Patient Lists from these two rules sets for the final numerator and denominator. Following is the transcipt of this operation:

>> Go into the Rules menu first (PL > LRM from the main Reminders Manager menu), then type "CV". 

     Select one of the following:

          F         Finding Rule
          P         Patient List Rule
          R         Reminder Rule
          S         Rule Set

TYPE OF VIEW: F// P

You will see this: 

List Rule Management          Oct 09, 2012@10:31:17          Page:    1 of    3 



 Item  Patient List Rule Name                                        Class      
    1  MU NQF0038 NUM1 DPT PR                                        LOCAL      
    2  MU NQF0038 NUM2 IPV PR                                        LOCAL      
    3  MU NQF0038 NUM3-1 PR                                          LOCAL      
    4  MU NQF0038 NUM3-2 PR                                          LOCAL      
    5  MU NQF0038 NUM3-3 PR                                          LOCAL      
    6  MU NQF0038 NUM3-4 PR                                          LOCAL      
    7  MU NQF0038 NUM3-ALL PR                                        LOCAL      
    8  MU NQF0038 NUM5 HEP B PR                                      LOCAL      
    9  MU NQF0038 NUM6 VZV PR                                        LOCAL      
   10  MU NQF0038 NUM7 PCV PR                                        LOCAL      
   11  MU NQF0421 65Y BMI HIGH NUM1 PLL                              LOCAL      
   12  MU NQF0421 65Y BMI LOW NUM1 PLL                               LOCAL      
   13  MU NQF0421 65Y BMI NL NUM1 PLL                                LOCAL      
+         + Next Screen   - Prev Screen   ?? More Actions                       
CV   Change View                        TEST (Test Rule Set)
CR   Create Rule                        QU   Quit
DR   Display/Edit Rule
Select Item: Next Screen// CR

Type CR to create patient list rules. You will do this 6 times. 

NAME: MU NQF0421 BMI DENOM ALL PL M08/2012 PR  Replace 
SHORT DESCRIPTION: 
CLASS: L  LOCAL
USE EXISTING PT LIST: MU NQF0421 BMI DENOM ALL PL M08/2012  
Input your edit comments.
Edit? NO// 

NAME: MU NQF0421 BMI DENOM ALL PL M09/2012 PR  Replace 
SHORT DESCRIPTION: 
CLASS: L  LOCAL
USE EXISTING PT LIST: MU NQF0421 BMI DENOM ALL PL M09/2012  
Input your edit comments.
Edit? NO// 

NAME: MU NQF0421 BMI DENOM ALL PL M10/2012 PR  Replace 
SHORT DESCRIPTION: 
CLASS: L  LOCAL
USE EXISTING PT LIST: MU NQF0421 BMI DENOM ALL PL M10/2012  
Input your edit comments.
Edit? NO// 

NAME: MU NQF0421 BMI NUM ALL PL M08/2012 PR  Replace 
SHORT DESCRIPTION: 
CLASS: L  LOCAL
USE EXISTING PT LIST: MU NQF0421 BMI NUM ALL PL M08/2012  
Input your edit comments.
Edit? NO// 

NAME: MU NQF0421 BMI NUM ALL PL M09/2012 PR  Replace 
SHORT DESCRIPTION: 
CLASS: L  LOCAL
USE EXISTING PT LIST: MU NQF0421 BMI NUM ALL PL M09/2012  
Input your edit comments.
Edit? NO// 

NAME: MU NQF0421 BMI NUM ALL PL M10/2012 PR  Replace 
SHORT DESCRIPTION: 
CLASS: L  LOCAL
USE EXISTING PT LIST: MU NQF0421 BMI NUM ALL PL M10/2012  
Input your edit comments.
Edit? NO//

Now you will change back to the Rule Set view. 

     Select one of the following:

          F         Finding Rule
          P         Patient List Rule
          R         Reminder Rule
          S         Rule Set

TYPE OF VIEW: F// S

Now, combine the Patient List Rules in a rule set.

Numerators: 

NAME: MU NQF0421 BMI NUM ALL 8/12-10/12 RS  Replace 
SHORT DESCRIPTION: 
CLASS: L  LOCAL
Select SEQUENCE: 10
  Are you adding '10' as a new SEQUENCE (the 1ST for this REMINDER LIST RULE)? No// Y
  (Yes)
   SEQUENCE LIST RULE: MU NQF0421 BMI NUM ALL PL M08/2012 PR       PATIENT LIST
  LIST RULE: MU NQF0421 BMI NUM ALL PL M08/2012 PR
         // 
  OPERATION: A  ADD PATIENT
  SEQUENCE BEGINNING DATE/TIME: 
  SEQUENCE ENDING DATE/TIME: 
Select SEQUENCE: 20
  Are you adding '20' as a new SEQUENCE (the 2ND for this REMINDER LIST RULE)? No// Y
  (Yes)
   SEQUENCE LIST RULE: MU NQF0421 BMI NUM ALL PL M09/2012 PR       PATIENT LIST
  LIST RULE: MU NQF0421 BMI NUM ALL PL M09/2012 PR
         // 
  OPERATION: A  ADD PATIENT
  SEQUENCE BEGINNING DATE/TIME: 
  SEQUENCE ENDING DATE/TIME: 
Select SEQUENCE: 30
  Are you adding '30' as a new SEQUENCE (the 3RD for this REMINDER LIST RULE)? No// Y
  (Yes)
   SEQUENCE LIST RULE: MU NQF0421 BMI NUM ALL PL M10/2012 PR       PATIENT LIST
  LIST RULE: MU NQF0421 BMI NUM ALL PL M10/2012 PR
         // 
  OPERATION: A  ADD PATIENT
  SEQUENCE BEGINNING DATE/TIME: 
  SEQUENCE ENDING DATE/TIME: 
Select SEQUENCE:   
Input your edit comments.
Edit? NO//

Denominators: 

NAME: MU NQF0421 BMI DEN ALL 8/12-10/12 RS  Replace 
SHORT DESCRIPTION: 
CLASS: L  LOCAL
Select SEQUENCE: 10
  Are you adding '10' as a new SEQUENCE (the 1ST for this REMINDER LIST RULE)? No// Y
  (Yes)
   SEQUENCE LIST RULE: MU NQF0421 BMI DENOM ALL PL M08/2012 PR       PATIENT LIST
  LIST RULE: MU NQF0421 BMI DENOM ALL PL M08/2012 PR
         // 
  OPERATION: A  ADD PATIENT
  SEQUENCE BEGINNING DATE/TIME: 
  SEQUENCE ENDING DATE/TIME: 
Select SEQUENCE: 20
  Are you adding '20' as a new SEQUENCE (the 2ND for this REMINDER LIST RULE)? No// Y
  (Yes)
   SEQUENCE LIST RULE: MU NQF0421 BMI DENOM ALL PL M09/2012 PR       PATIENT LIST
  LIST RULE: MU NQF0421 BMI DENOM ALL PL M09/2012 PR
         // 
  OPERATION: A  ADD PATIENT
  SEQUENCE BEGINNING DATE/TIME: 
  SEQUENCE ENDING DATE/TIME: 
Select SEQUENCE: 30
  Are you adding '30' as a new SEQUENCE (the 3RD for this REMINDER LIST RULE)? No// Y
  (Yes)
   SEQUENCE LIST RULE: MU NQF0421 BMI DENOM ALL PL M10/2012 PR       PATIENT LIST
  LIST RULE: MU NQF0421 BMI DENOM ALL PL M10/2012 PR
         // 
  OPERATION: A  ADD PATIENT
  SEQUENCE BEGINNING DATE/TIME: 
  SEQUENCE ENDING DATE/TIME: 
Select SEQUENCE: 
Input your edit comments.
Edit? NO//

Now go to Patient List Management option, and then create the combined lists (PL > PLM on the menu system; then type CR)

Numerator: 

Select PATIENT LIST name: MU NQF0421 BMI NUM ALL PL 8/12-10/12
  Are you adding 'MU NQF0421 BMI NUM ALL PL 8/12-10/12' as 
    a new REMINDER PATIENT LIST? No// Y  (Yes)

Secure list?: N// O

Purge Patient List after 5 years?: N// O

Select LIST RULE SET: MU,NQF0421,RS
     1   MU NQF0421 65Y BMI HIGH NUM1 RS       RULE SET
     2   MU NQF0421 65Y BMI LOW NUM1 RS       RULE SET
     3   MU NQF0421 65Y BMI NL NUM1 RS       RULE SET
     4   MU NQF0421 65Y BMI NUM1-ALL RS       RULE SET
     5   MU NQF0421 <65Y BMI HIGH NUM2 RS       RULE SET
Press <Enter> to see more, '^' to exit this list,  OR
CHOOSE 1-5: 
     6   MU NQF0421 <65Y BMI LOW NUM2 RS       RULE SET
     7   MU NQF0421 <65Y BMI NL NUM2 RS       RULE SET
     8   MU NQF0421 <65Y BMI NUM2-ALL RS       RULE SET
     9   MU NQF0421 BMI DEN ALL 8/12-10/12 RS       RULE SET
     10  MU NQF0421 BMI DENOM ALL RS       RULE SET
Press <Enter> to see more, '^' to exit this list,  OR
CHOOSE 1-10: 9  MU NQF0421 BMI DEN ALL 8/12-10/12 RS     RULE SET

Enter Patient List BEGINNING DATE:  
This is a required response. Enter '^' to exit
Enter Patient List BEGINNING DATE: 8/1/12  (AUG 01, 2012)
Enter Patient List ENDING DATE: 10/31/12  (OCT 31, 2012)

Include deceased patients on the list? N// O

Include test patients on the list? N// O
Queue the CREATE PATIENT LIST for MU NQF0421 BMI NUM ALL PL 8/12-10/12: 
Enter the date and time you want the job to start.
It must be after 10/09/2012@10:47:23
Start the task at: N

Denominator 

Select PATIENT LIST name: MU NQF0421 BMI DENOM ALL PL 8/12-10/12
  Are you adding 'MU NQF0421 BMI DENOM ALL PL 8/12-10/12' as 
    a new REMINDER PATIENT LIST? No// Y  (Yes)

Secure list?: N// O

Purge Patient List after 5 years?: N// O

Select LIST RULE SET: MU,NQF0421,DEN,RS
     1   MU NQF0421 BMI DEN ALL 8/12-10/12 RS       RULE SET
     2   MU NQF0421 BMI DENOM ALL RS       RULE SET
     3   MU NQF0421 BMI DENOM1 RS       RULE SET
     4   MU NQF0421 BMI DENOM2 RS       RULE SET
CHOOSE 1-4: 1  MU NQF0421 BMI DEN ALL 8/12-10/12 RS     RULE SET

Enter Patient List BEGINNING DATE: 8/1  (AUG 01, 2012)
Enter Patient List ENDING DATE: 10/31  (OCT 31, 2012)

Include deceased patients on the list? N// O

Include test patients on the list? N// O
Queue the CREATE PATIENT LIST for MU NQF0421 BMI DENOM ALL PL 8/12-10/12: 
Enter the date and time you want the job to start.
It must be after 10/09/2012@10:49:28
Start the task at: N

After this, you should then see two lines like these somewhere in the Patient lists (NB: these lines are not adjacent) 

   31  MU NQF0421 BMI DENOM ALL PL 8/12-10/12         10/9/12@10:49:42        2 
   41  MU NQF0421 BMI NUM ALL PL 8/12-10/12           10/9/12@10:47:43        2

In the end, you may want to copy the list names into a document to copy and paste them into Quality Measures package. 

      MU NQF0013 HTN DENOM2 PL 08/12-10/12           10/8/12@16:29:58        1  PUB   F   
      MU NQF0013 HTN NUMER2 PL 08/12-10/12           10/8/12@16:39:14        1  PUB   F   
      MU NQF0028A TOBACCO SCREEN NUM 8/12-10/12      10/9/12@10:12:30        1  PUB   F   
      MU NQF0028B TOBACCO INTERV DENOM 8/12-10/12    10/9/12@10:11:15        2  PUB   F   
      MU NQF0028B TOBACCO INTERV NUM2 8/12-10/12     10/9/12@10:14:28        1  PUB   F
      MU NQF0421 BMI DENOM ALL PL 8/12-10/12         10/9/12@10:49:42        2 
      MU NQF0421 BMI NUM ALL PL 8/12-10/12           10/9/12@10:47:43        2
Add the patient lists to each of the Quality Measures

Now add these to the Quality Measures package for each entry, making sure the numerators and denominators are correctly matched.

Use the QUALITY MEASURE EDIT option in the Quality Measures Set-Up menu. 

Select C0Q QUALITY MEASURE NAME: MU,NQF,0013  MU EP NQF 0013     NQF0013 Hyperte
nsion: Blood Pressure Measurement
NAME: MU EP NQF 0013// 
MU YEAR KEY: 
TITLE: NQF0013 Hypertension: Blood Pressure Measurement
           Replace 
VERY LONG DESCRIPTION:
Percentage of patient visits for patients  
aged 18 years and older with a diagnosis of hypertension 
who have been seen for at least 2 office visits, with blood 
pressure (BP) recorded

  Edit? NO// 
DISPLAY NAME: NQF0013 Hypertension: Blood Pressure Measurement
           Replace 
REPORTING NAME: NQF0013// 
NUMERATOR PATIENT LIST: MU NQF0013 HTN NUMER2 PL 08/12-10/12
         // 
DENOMINATOR PATIENT LIST: MU NQF0013 HTN DENOM2 PL 08/12-10/12
         // 
QRDA TEMPLATE ROOT: 2.16.840.1.113883.3.249.11.56
           Replace 
QRDA CODE: PQRI-13// 

Select C0Q QUALITY MEASURE NAME: MU,NQF,0028
     1   MU EP NQF 0028A       NQF0028A Tobacco Use Assessment
     2   MU EP NQF 0028B       NQF0028B Tobacco Use Assessment and Cessation Int
ervention
CHOOSE 1-2: 1  MU EP NQF 0028A     NQF0028A Tobacco Use Assessment
NAME: MU EP NQF 0028A// 
MU YEAR KEY: 
TITLE: NQF0028A Preventive Care and Screening  Measure Pair: a. Tobacco Use Asse
ssment,b. Tobacco Cessation Intervention   Replace 
VERY LONG DESCRIPTION:
 Percentage of patients aged 18 years and  
older who have been seen for at least 2 office visits who 
were queried about tobacco use one or more times within 
24 months  b. Percentage of patients aged 18 years and 
older  identified as tobacco users within the past 24 
months and have been seen for at least 2 office visits, 
who received cessation intervention.

  Edit? NO// 
DISPLAY NAME: NQF0028A Tobacco Use Assessment  Replace 
REPORTING NAME: NQF0028A// 
NUMERATOR PATIENT LIST: MU NQF0013 HTN NUMER2 PL 08/12-10/12  
DENOMINATOR PATIENT LIST: ^N,P,L  NUMERATOR PATIENT LIST
NUMERATOR PATIENT LIST: MU NQF0013 HTN NUMER2 PL 08/12-10/12
         // MU NQF0028A TOBACCO SCREEN NUM 8/12-10/12  
DENOMINATOR PATIENT LIST: MU NQF0028B TOBACCO INTERV DENOM 8/12-10/12  
QRDA TEMPLATE ROOT: 2.16.840.1.113883.3.249.11.59
           Replace 
QRDA CODE: PQRI-28// 

Select C0Q QUALITY MEASURE NAME: MU,NQF,0028B  MU EP NQF 0028B     NQF0028B Toba
cco Use Assessment and Cessation Intervention
NAME: MU EP NQF 0028B// 
MU YEAR KEY: 
TITLE: NQF0028B Preventive Care and Screening  Measure Pair: a. Tobacco Use Asse
ssment,b. Tobacco Cessation Intervention   Replace 
VERY LONG DESCRIPTION:
 Percentage of patients aged 18 years and  
older who have been seen for at least 2 office visits who 
were queried about tobacco use one or more times within 
24 months  b. Percentage of patients aged 18 years and 
older  identified as tobacco users within the past 24 
months and have been seen for at least 2 office visits, 
who received cessation intervention.

  Edit? NO// 
DISPLAY NAME: NQF0028B Tobacco Use Assessment and Cessation Intervention
           Replace 
REPORTING NAME: NQF0028B// 
NUMERATOR PATIENT LIST: MU NQF0028B TOBACCO INTERV NUM2 8/12-10/12  
DENOMINATOR PATIENT LIST: MU NQF0028B TOBACCO INTERV DENOM 8/12-10/12  
QRDA TEMPLATE ROOT: 
QRDA CODE: 

Select C0Q QUALITY MEASURE NAME: MU,NQF,0421  MU EP NQF 0421     NQF0421 Adult W
eight Screening and Follow-Up
NAME: MU EP NQF 0421// 
MU YEAR KEY: 
TITLE: NQF0421 Adult Weight Screening and Follow-Up
           Replace 
VERY LONG DESCRIPTION:
Percentage of patients aged 18 
years and older with a calculated BMI in the past 
six months or during the current visit documented in 
the medical record AND if the most recent BMI is 
outside parameters, a follow-up plan is 
documented.

  Edit? NO// 
DISPLAY NAME: NQF0421 Adult Weight Screening and Follow-Up
           Replace 
REPORTING NAME: NQF0421// 
NUMERATOR PATIENT LIST: MU NQF0421 BMI NUM ALL PL 8/12-10/12  
DENOMINATOR PATIENT LIST: MU NQF0421 BMI DENOM ALL PL 8/12-10/12  
QRDA TEMPLATE ROOT: 2.16.840.1.113883.3.249.11.54
           Replace 
QRDA CODE: PQRI-128//
Add the Quality Measures to the Measure Sets

Edit the Measure Sets using MEASURE SET EDIT. 

Select C0Q MEASUREMENT SET NAME: dr off,qm  DR OFFICE QM REPORT
NAME: DR OFFICE QM REPORT// 
BEGIN DATE: AUG 1,2012// 
END DATE: OCT 31,2012// 
LOCKED: 
MU YEAR KEY: 
QRDA TEMPLATE ROOT: 
Select MEASURE: MU EP NQF 0013// 
  MEASURE: MU EP NQF 0013// 
  NUMERATOR FILTER LIST: MU12-EP-DR OFFICE-Patient
         // 
  DENOMINATOR FILTER LIST: MU12-EP-DR OFFICE-Patient
         // 
Select MEASURE: MU,0028A  MU EP NQF 0028A     NQF0028A Tobacco Use Assessment
  Are you adding 'MU EP NQF 0028A' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST: MU,DR  MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-
Patient
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pa
tient
Select MEASURE: MU,0028B  MU EP NQF 0028B     NQF0028B Tobacco Use Assessment an
d Cessation Intervention
  Are you adding 'MU EP NQF 0028B' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pati
ent
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pa
tient
Select MEASURE: MU,0421  MU EP NQF 0421     NQF0421 Adult Weight Screening and F
ollow-Up
  Are you adding 'MU EP NQF 0421' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pati
ent
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pa
tient
Select MEASURE: 

Select C0Q MEASUREMENT SET NAME: ACME CLINIC #1 QM REPORT
  Are you adding 'ACME CLINIC #1 QM REPORT' as 
    a new C0Q MEASUREMENT SET (the 15TH)? No// Y  (Yes)
NAME: ACME CLINIC #1 QM REPORT  Replace 
BEGIN DATE: 8/1  (AUG 01, 2012)
END DATE: 10/31  (OCT 31, 2012)
LOCKED: 
MU YEAR KEY: 
QRDA TEMPLATE ROOT: 
Select MEASURE: MU,0013  MU EP NQF 0013     NQF0013 Hypertension: Blood Pressure
 Measurement
  Are you adding 'MU EP NQF 0013' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST: MU,AC,1  MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACM
E CLINIC #1-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CL
INIC #1-Patient
Select MEASURE: MU,0028A  MU EP NQF 0028A     NQF0028A Tobacco Use Assessment
  Are you adding 'MU EP NQF 0028A' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CLIN
IC #1-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CL
INIC #1-Patient
Select MEASURE: MU,0028B  MU EP NQF 0028B     NQF0028B Tobacco Use Assessment an
d Cessation Intervention
  Are you adding 'MU EP NQF 0028B' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CLIN
IC #1-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CL
INIC #1-Patient
Select MEASURE: MU,0421  MU EP NQF 0421     NQF0421 Adult Weight Screening and F
ollow-Up
  Are you adding 'MU EP NQF 0421' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CLIN
IC #1-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CL
INIC #1-Patient
Select MEASURE: 

Select C0Q MEASUREMENT SET NAME: ACME CLINIC #2 QM REPORT
  Are you adding 'ACME CLINIC #2 QM REPORT' as 
    a new C0Q MEASUREMENT SET (the 16TH)? No// Y  (Yes)
NAME: ACME CLINIC #2 QM REPORT  Replace 
BEGIN DATE: 8/1  (AUG 01, 2012)
END DATE: 10/31  (OCT 31, 2012)
LOCKED: 
MU YEAR KEY: 
QRDA TEMPLATE ROOT: 
Select MEASURE: MU,0013  MU EP NQF 0013     NQF0013 Hypertension: Blood Pressure
 Measurement
  Are you adding 'MU EP NQF 0013' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST: MU,AC,2  MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACM
E CLINIC #2-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CL
INIC #2-Patient
Select MEASURE: MU,0028A  MU EP NQF 0028A     NQF0028A Tobacco Use Assessment
  Are you adding 'MU EP NQF 0028A' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CLIN
IC #2-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CL
INIC #2-Patient
Select MEASURE: MU,0028B  MU EP NQF 0028B     NQF0028B Tobacco Use Assessment an
d Cessation Intervention
  Are you adding 'MU EP NQF 0028B' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CLIN
IC #2-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CL
INIC #2-Patient
Select MEASURE: MU,0421  MU EP NQF 0421     NQF0421 Adult Weight Screening and F
ollow-Up
  Are you adding 'MU EP NQF 0421' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CLIN
IC #2-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CL
INIC #2-Patient
Select MEASURE:
Update the Outpatient Parameters with the Quality Measures Sets

Use the option EP EDIT PARMS 

Select C0Q PARAMETER NAME: ACME CLINIC #1  
NAME: ACME CLINIC #1// 
MEASUREMENT PERIOD KEY: MU12// 
PARAMETER TYPE: OUTPATIENT// 
EP MU MEASUREMENT SET: ACME CLINIC #1 REPORT// 
EP QUALITY MEASUREMENT SET: ACME,1,QM  ACME CLINIC #1 QM REPORT
Select CLINIC: ACME CLINIC #1// 
PATIENT LIST LABEL: 
Select SUBSCRIBER: 

Select C0Q PARAMETER NAME: ACME CLINIC #2  
NAME: ACME CLINIC #2// 
MEASUREMENT PERIOD KEY: MU12// 
PARAMETER TYPE: OUTPATIENT// 
EP MU MEASUREMENT SET: ACME CLINIC #2 REPORT// 
EP QUALITY MEASUREMENT SET: ACME,2,QM  ACME CLINIC #2 QM REPORT
Select CLINIC: ACME CLINIC #2// 
PATIENT LIST LABEL: 
Select SUBSCRIBER: 

Select C0Q PARAMETER NAME: MU DR OFFICE  
NAME: MU DR OFFICE//       
MEASUREMENT PERIOD KEY: MU12// 
PARAMETER TYPE: OUTPATIENT// 
EP MU MEASUREMENT SET: DR OFFICE CLINIC REPORT// 
EP QUALITY MEASUREMENT SET: DR OFFICE QM REPORT// 
Select CLINIC: DR OFFICE// 
PATIENT LIST LABEL: 
Select SUBSCRIBER:
Update the Outpatient Measures

Run option EP UPDATE MU MEASURES 

Select QUALITY MEASUREMENT MENU Option: ep updATE MU MEASURES
Oct 04, 2012@08:30
Oct 04, 2012@17:07
Oct 04, 2012@17:07:29
Oct 09, 2012@10:00
Oct 05, 2012@09:00
Oct 05, 2012@16:00C0QFDA(1130580001.2011,"1,14,",3)=0
C0QFDA(1130580001.2011,"2,14,",3)=0
C0QFDA(1130580001.2011,"3,14,",3)=0
C0QFDA(1130580001.2011,"4,14,",3)=0
C0QFDA(1130580001.2011,"5,14,",3)=0
C0QFDA(1130580001.2011,"6,14,",3)=0
C0QFDA(1130580001.2011,"7,14,",3)=0
C0QFDA(1130580001.2011,"8,14,",3)=0
C0QFDA(1130580001.2011,"1,17,",3)=100
C0QFDA(1130580001.2011,"2,17,",1.1)=0
C0QFDA(1130580001.2011,"2,17,",2.1)=1
C0QFDA(1130580001.20112,"+1,2,17,",.01)=4
C0QFDA(1130580001.2011,"2,17,",3)=0
C0QFDA(1130580001.2011,"3,17,",1.1)=0
C0QFDA(1130580001.2011,"3,17,",2.1)=1
C0QFDA(1130580001.20112,"+1,3,17,",.01)=4
C0QFDA(1130580001.2011,"3,17,",3)=0
C0QFDA(1130580001.2011,"4,17,",1.1)=1
C0QFDA(1130580001.20111,"+1,4,17,",.01)=4
C0QFDA(1130580001.2011,"4,17,",2.1)=1
C0QFDA(1130580001.20112,"+1,4,17,",.01)=4
C0QFDA(1130580001.2011,"4,17,",3)=100
C0QFDA(1130580001.2011,"1,15,",3)=0
C0QFDA(1130580001.2011,"2,15,",3)=0
C0QFDA(1130580001.2011,"3,15,",3)=0
C0QFDA(1130580001.2011,"4,15,",3)=0
C0QFDA(1130580001.2011,"5,15,",3)=0
C0QFDA(1130580001.2011,"6,15,",3)=0
C0QFDA(1130580001.2011,"7,15,",3)=0
C0QFDA(1130580001.2011,"8,15,",3)=0
C0QFDA(1130580001.2011,"1,18,",1.1)=0
C0QFDA(1130580001.2011,"1,18,",2.1)=0
C0QFDA(1130580001.2011,"1,18,",3)=0
C0QFDA(1130580001.2011,"2,18,",1.1)=1
C0QFDA(1130580001.20111,"+1,2,18,",.01)=7
C0QFDA(1130580001.2011,"2,18,",2.1)=1
C0QFDA(1130580001.20112,"+1,2,18,",.01)=7
C0QFDA(1130580001.2011,"2,18,",3)=100
C0QFDA(1130580001.2011,"3,18,",1.1)=1
C0QFDA(1130580001.20111,"+1,3,18,",.01)=7
C0QFDA(1130580001.2011,"3,18,",2.1)=1
C0QFDA(1130580001.20112,"+1,3,18,",.01)=7
C0QFDA(1130580001.2011,"3,18,",3)=100
C0QFDA(1130580001.2011,"4,18,",1.1)=1
C0QFDA(1130580001.20111,"+1,4,18,",.01)=7
C0QFDA(1130580001.2011,"4,18,",2.1)=1
C0QFDA(1130580001.20112,"+1,4,18,",.01)=7
C0QFDA(1130580001.2011,"4,18,",3)=100
C0QFDA(1130580001.2011,"1,16,",3)=0
C0QFDA(1130580001.2011,"2,16,",3)=0
C0QFDA(1130580001.2011,"3,16,",3)=0
C0QFDA(1130580001.2011,"4,16,",3)=0
C0QFDA(1130580001.2011,"5,16,",3)=0
C0QFDA(1130580001.2011,"6,16,",3)=0
C0QFDA(1130580001.2011,"7,16,",3)=0
C0QFDA(1130580001.2011,"8,16,",3)=0
C0QFDA(1130580001.2011,"1,19,",1.1)=1
C0QFDA(1130580001.20111,"+1,1,19,",.01)=4
C0QFDA(1130580001.2011,"1,19,",2.1)=1
C0QFDA(1130580001.20112,"+1,1,19,",.01)=4
C0QFDA(1130580001.2011,"1,19,",3)=100
C0QFDA(1130580001.2011,"2,19,",1.1)=0
C0QFDA(1130580001.2011,"2,19,",2.1)=1
C0QFDA(1130580001.20112,"+1,2,19,",.01)=4
C0QFDA(1130580001.2011,"2,19,",3)=0
C0QFDA(1130580001.2011,"3,19,",1.1)=0
C0QFDA(1130580001.2011,"3,19,",2.1)=1
C0QFDA(1130580001.20112,"+1,3,19,",.01)=4
C0QFDA(1130580001.2011,"3,19,",3)=0
C0QFDA(1130580001.2011,"4,19,",1.1)=1
C0QFDA(1130580001.20111,"+1,4,19,",.01)=4
C0QFDA(1130580001.2011,"4,19,",2.1)=1
C0QFDA(1130580001.20112,"+1,4,19,",.01)=4
C0QFDA(1130580001.2011,"4,19,",3)=100
Print the Measure Sets
Select QUALITY MEASUREMENT MENU Option: print C0Q MEASURES

Select C0Q MEASUREMENT SET NAME: DR,QM  DR OFFICE QM REPORT

DEVICE: HOME// PHOME  HOME PRINTER
C0Q MEASUREMENTS LIST                                 OCT 10,2012@12:16   PAGE 1
MEASURE:DISPLAY NAME      DENOMINATOR    NUMERATOR           PERCENTAGE
--------------------------------------------------------------------------------


NQF0013 Hypertension:              1             1            100.00
Blood Pressure
Measurement 

NQF0028A Tobacco Use               1             0              0.00
Assessment 

NQF0028B Tobacco Use               1             0              0.00
Assessment and Cessation
Intervention 

NQF0421 Adult Weight               1             1            100.00
Screening and Follow-Up 

Select C0Q MEASUREMENT SET NAME: ACME,1,QM  ACME CLINIC #1 QM REPORT

DEVICE: HOME// PHOME  HOME PRINTER
C0Q MEASUREMENTS LIST                                 OCT 10,2012@12:16   PAGE 1
MEASURE:DISPLAY NAME      DENOMINATOR    NUMERATOR           PERCENTAGE
--------------------------------------------------------------------------------


NQF0013 Hypertension:              0             0              0.00
Blood Pressure
Measurement 

NQF0028A Tobacco Use               1             1            100.00
Assessment 

NQF0028B Tobacco Use               1             1            100.00
Assessment and Cessation
Intervention 

NQF0421 Adult Weight               1             1            100.00
Screening and Follow-Up 

Select C0Q MEASUREMENT SET NAME: ACME,2,QM  ACME CLINIC #2 QM REPORT

DEVICE: HOME// PHOME  HOME PRINTER
C0Q MEASUREMENTS LIST                                 OCT 10,2012@12:16   PAGE 1
MEASURE:DISPLAY NAME      DENOMINATOR    NUMERATOR           PERCENTAGE
--------------------------------------------------------------------------------


NQF0013 Hypertension:              1             1            100.00
Blood Pressure
Measurement 

NQF0028A Tobacco Use               1             0              0.00
Assessment 

NQF0028B Tobacco Use               1             0              0.00
Assessment and Cessation
Intervention 

NQF0421 Adult Weight               1             1            100.00
Screening and Follow-Up

Inpatient Set-up

THIS SECTION IS INCOMPLETE

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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