Home Forums Discussions Meaningful Use CQM and injections

Do injections need to be placed in the HM immunizations and shots area with all the info?

Once I pick patients to report on, need to report all info...(smoking, weight, shots). May data will look bad without this....


My problem as a specialist is how to find alternative cqms and report them.

I looked at the list. Only appropriate ones are pneumovac, Flu, lower back pain (don't manage Diabetes Mellitus, Hypertension, do cancer screeings or Coronary artery disease).

However, alot of times I don't give the shots....nothing to fill in. I track my patients appropriately with a preset on decision support (yearly influenza, 5 year pneumo, PPD etc).

Really could use Osteoporosis, Rheumatoid Arthritis or something else here....

I could only do a few CPT codes and get some good numbers just to report...how bad will this look and will I get paid if I submit tons of info on my core menu, but have only ~10 on the cqms....

Why would it look bad? If you don't manage a lot of hypertension and diabetes, then your numbers will be very low and the CQM numerators and denominators will reflect that.
This is said somewhat tongue in cheek. I know what you are saying, but as specialists, all we can do is play with the hand we are dealt with regard to MU, and report honestly. Most (all?) of the CQM's were not really set up for us. When they start asking about our management of RA, CRF, or UC, then we will have bigger numbers. Meanwhile, being honest should not stop you from getting the incentive.

Neil, Jon is right. There is no rule that says "you must treat HTN in order to report HTN."

why not report on it? If your nurse checks patient's blood pressure (which she has to on 50% of patients to qualify for vital signs), then you have legitimate BP data to report.

We were trained as baby medical students that only high scores are good scores. You don't need good scores in the CQM's or alternate CQM's. You just need scores--period. At least in the Stage 1 of MU, you need scores and won't be responsible for minimum values.

I would report on the easiest data to find, not necessarily the data you wish you could collect.

As far as our battle of wits with the Medicare minions, it never seems a fair fight...they always come unarmed.

Thanks guys. I am convinced, but as a typical overachiever as I am sure you are, I will still try to score high on my few patients I submit!