Home Forums Discussions General Discussion Amazing Chart support for MACRA/MIP

Hi
Is there any update on this above and beyond what is posted on AC portal today? It seems AC version 8.3 will be able to report for MACRA in 2017. Is there any details on how 8.3 can be used to meet this goal ?


Thanks
aramiz

I assume you are talking about the ACI component of MIPS which is replacing Meaningless Use? I think that would be a yes but I cant say for sure because I am using 9.3 which definitely should do it

the other two parts - quality measurement
and Clinical practice improvement activities (CPIA) - I think you would be hard pressed to meet these with just AC but I don't know

I signed up for the Prime Registry through TCPI so got it for free and turned it on and it extracts quality measurements through software installed on your main computer by reading an SQL read only copy of the data base every night
so far I have to do NOTHING and I am already passing the 6 required PQRS pieces
Yay !

for CPIA I did not investigate this piece as I am already NCQA PCMH qualified ( sigh) which counts

Medicine today - number of requirements sucks
Happy I am getting out soon.

Lynn

Hi Lynn

You seem to be ahead of the curve compared to many others.

As for extracting quality data by the Prime Registry, does it mean they have hooks in the their software for interfacing with the current version Amazing Chart?
The registry, we have been using, will not be able to support 2017 since 2017 will no longer have Group Measure of PQRS, as I understand it.

If so, can you please provide their phone number so that we can start talking. This was one of the areas of my concern. I thought Amazing chart itself was lagging in this capability compared to one from E-Clinical or even Practice Fusion.

Thanks
aramiz

Hi aramiz,

I'm not Lynn but this is the e-mail address of the person I started with. She can point you in the right direction re PRIME: ESkees@theabfm.org

Randy - are you using Prime? I wanted to find other people on the AC board who were using it but no one answered

A ramiz -
the prime registry goes to a read only copy of the Amazing charts database and looks for things in the database every night
for example, if you coded and closed a pt chart today with dx of hypertension I10 on their problem list and the patient had a bp of 118/70 documemted during the visit, tonight ( and every night) the Prime program checks for that bp and then adds that person to the list of people with controlled bp age range 18-65 seen in the past year
this way it pulls out the % of hypertensives with controlled bp in the past year

it can get fairly complex
for example if you cut and paste the PHq2 in the ROS and screen the patient for depression, you can ask the programmers to set the prime registry to search all ROS for the word "anhedonia" so then you can get the percentage of people seen the paste 2 years screened for depression.
but I also use a tool called howsYourHealth for depression screening which I import under "other" in imported items . so I ask prime registry to search for 'HYH" under other in imported items and count that as depression screening too

etc

seemes like it works so far. saves me from clicking a million boxes! Just being able to document so called "quality" with the usual verbiage and tools I use to document in the chart is liberating.

heres the link

http://primenavigator.org/

Lynn

Lynn I am in the process of getting it arranged - working with Compass PTN which is the agency in Iowa that helps small practices prepare for MACRA.

Lynn--
I think the AAFP or ABFM is somehow involved with Prime-- I saw something in one of their mailings.

Do you know if that is a good way to get involved?
Do you think that is a good way to approach MACRA?
With the "final rule" we seem to have a little breathing space, but I am thoroughly confused, nearly to the point of despondency about all this.

It seems so disconnected from what medicine should really be about.

It is hard to know when to "dig deep" to learn about this so that we can make a decision about whether or not to participate. I think the time is fast approaching.
Amazing Charts tells us that they are making a major commitment to both sorting out the requirements and making it easier to leverage the EMR to facilitate reporting.

When you are ready to try to sort this out, I would suggest watching the following YouTube video put out by AC, and also looking at the info on the AC home page:

https://www.youtube.com/watch?v=QJfNOZz3HyI&t=483s

http://amazingcharts.com/macra/overview

Enjoy your Thanksgiving!

Happy holidays to you!

Randy - lets keep in touch, I would like to have a little thread or group about tips and tricks with Prime.

Tom - you are right, this quality BS is totally despondent making. But it appears to be here to stay, Trump or no Trump. So I have totally girded my loins and sucked up a pile of crap. Finding ways to satisfy the bean counters without making myself crazy with box checking and text insertion is one of my side avocations! For example, our practices are in the RI Care Transformation Collaborative. That means after applying and being accepted, for a small PMPM payment ( about $5.00 PMPM for every attributed member in a multipayer colllaborative) we have to report on 6 NQF criteria quarterly, send in quarterly reports on NCM usage and become a level 3 NCQA PCMH. Money wise it's not worth it, but I want to see what the bean counters are up to, and then beat them at their own game, and then expose it. We wrote this article about it: http://www.annfammed.org/content/13/3/269
At the same time, I continue to use a real quality practice tool, HowsYourHealth.com which actually is an amazing quality resource and does really help improve my practice.
But I do think using Prime will decrease the box checking that I have to do and in the first iteration I want to see it pick up all the data that I have to report quarterly (looks like it might do that) so I can stop manually tagging the superbills and then using AC search to pick them up.
And it seems like an easy way to to meet many of the MIPS criteria .
Lynn

We tried to get into CPC+ and failed, so now we are stuck with MACRA/MIPS.

My office manager is pretty gung-ho and interested in it.
My partner is a bean counter himself, so maybe they can make something work.

I asked Jane to look at the websites Jon advised above --

So far, I am failing to see an upside to all this, but I will try to keep an open mind.