Home Forums Discussions Meaningful Use Meaniful Use/Core 1 (CPOE) and Core 4

Yesterday I asked about data in my report, why core 1 and core 4 are so much in difference and how to improve the code 1 data to meet 30% goal. Besides cqm SOFEWARE problem this is our # 1 problem.

I'm surprised there is no response and my post was totally deleted. I appreciate your reply privately by email IF NOT HERE.

Core 1 requires that patients seen have at least one or if no meds then the button marked takes no meds and the scrips must be codified - they can not show up in italics.

Core 1 should be easy - I got 99 % and am not sure where the 1% came from.

Core 4 is more difficult if your pharmacies do not e prescribe.

If your numbers are low - forward all your charts to your e-mail wihout signing for one day - at the end of the day go in and check your scrips and make sure all are codified (not italics), if no meds check takes no meds, check to make sure allergies are codified, sign off on all and run report for one day only - see if that solves the problem. If it does then you just need to be diligent.


What version of AC are you using ?

tks. will it help to inactivate non-codified med or it needs to be removed?

Inactivate -

One issue I had was that I use to send orders for diabetic strips, incontinence supplies, etc as scrip - I now use order for that - I have template under other orders and diagnosis, etc is on it that way.

Just make it a habit to codify all meds - it can be a pain, but in the long run will work much better for you.

This also helps when you want to search for meds, etc - for instance I ran a search with all my SIMVASTATIN 80 MG and generated a form letter which went to each about coming in for evaluation. Took 2 minutes and printed letter and saved to each chart of 53 pt. Great time saver.

We are testing beta v6.0.10.

Great tip. It's working fine except cqm portion now.

Some CQM rely on your lab being codified and as an aside mine comes in as graphical data, but they had not put in something called LOINC codes which the government requires for MU. They (PAML) and AC are coordinating how to rectify this.

I think this is the reason that ones that require a certain LDL for instance with a certain diagnosis do not recognize that the pt. has that LDL.

I think you also have to do the Pt. Risk factors page to make notation of disease states such as diabetes, dyslipidemia, etc.

Steven,
Since you have completed the MU, maybe you know the answer.
Are the CQM's working in the MU report in Version 6.0.10?

For instance, I have recorded height and weight for every patient so the BMI is calculated. For those with BMI>30, I have added the dietary counseling code that you noted (V65.3), but the MU report continues to show zero for both numerator and denominator. Did this work for you?

As I recall the CQMs worked.

For Core 4, electronic prescriptions, I am running into the problem of patients demanding hard copy prescriptions even though they are eligible to be sent electronically. Any advice on how to handle this. The guidelines states that these requests may not be excluded from the denominator.

And in response to the recent study citing that as many as 40% of eRx will not be picked up by the patient, I print the hard copy for almost every one, as well as e-Rx it.

If you erx it and then print it out you will not qualify for ERX as your numbers will not reach the number.

I inform patients in my letter (which I print out in instructions) that the federal government requires physicians to send prescriptions by electronic guidelines or are penalized. When I have informed them of this and print that for them I have pretty good luck getting them to understand. The actual scrip information I have written is on the instructions showing what the scrip is and that I sent it. I have been doing e scrips for 2-3 years and patients do well with it.

Have the nurse handwrite them and sign.