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Meaningful Use Manager Stage 2

1. Menu 1 Advance Directive gt 50 E E m E m E E Menu 2 Electronic Progress Notes gt 30 W E C v v E W C Ll tC Menu 3 Imaging Results gt 10 W E E W v E 7 E E Menu 4 Family History gt 20 F W F v F F W a F F Menu 5 Electronic Prescriptions eRx gt 10 E W E F vI W E m E E E F Menu 6 Lab Results to Ambulatory Providers gt 20 W a F W E W wa E T P Core 1 1 CPOE for Medication gt 60 E A A Vv E F E E w Core 1 2 CPOE for Laboratory gt 30 E F E F al W aj m E E E Core 1 3 CPOE for Radiology gt 30 E E v C m O E Core 2 Record Demographics gt 80 E E E E v E m E E Core 3 Record Vital Signs gt 80 E T E v E u E E E pg 22 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 1 4 2 6 Settings Tab Allows the administrator to set some criteria for the dashboard view Each dashboard view can have its own settings Sample Settings Page Dashboard Sources Reporting Attachments Attestations Audits Users Settings EHMUM 2 latric Systems Hospital Kay Jackson EH MU Stage 2 Manager Log Out Database Settings Emergency Password Hom
2. 1 4 2 4 Audits Tab Every action taken in the system is recorded in the audit trail elected Database Dashboard Sources Reporting Attachments Attestations Audits Users Settings EHMUM2 latric Systems Hospital KayJackson EH MU Stage 2 Manager Log Out Action All x Database AIl User AIl Start Date 5 End Date al Filter Results Export Results Results 16167 pg 19 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 Sample Partial View of Audits Feature z ae ae Selected Database mu Dashboard Sources Reporting Attachments Attestations Audits Users Settings EHMUM2 Stage 2 ABC Hospital B Karen Brown EH MU Stage 2 Manager mm Action All x Database EHMUM2 Stage 2 ABC Hospital User All Start Date 02 01 2014 al End Date 03 01 2014 4 Filter Results Export Parameter Parameter Parameter Type Database User Date Time 1 Value 1 2 Value 2 3 Stage 2 2 28 2014 LoginSuccessful EHMUM2 ABC JimBolt 11 29 03 IPAddressPort 98 223 231 89 Hospital AM Stage 2 Ka 2 19 2014 LoginSuccessful EHMUM2 ABC y 10 40 51 IPAddressPort 184 5 97 93 Jackson Hospital PM Stage 2 Ka 2 19 2014 LoginSuccessful EHMUM2 ABC y 10 39 57 IPAddressPort 184 5 97 93 Jackson Hospital PM saez 2 11 2014 ReportViewed EHMUM2 ABC Joy Huss 3 40 53 PM Objective Core 1 1 CPOE for Medication gt 60 Star
3. anti ate far tha coalartanr patlents TOF INE SErecte d reporting period J EL Source Site details pending to be programme W Show Patient Names View the CMS Definition of this objective Data from 11 1 2013 to 1 29 2014 View details for Core 4 Record Smoking Status gt 80 Accounts returned 1363 1163 unique patients The date in aqua is used to determine if data is within the date range Note Some objectives count Numerator and Denominator by unique patients whereas these reports show you every account anc can be many accounts per patient If any accounts for a patient pass then the patient counts into the numerator a e CSSCSC C SC s pg 35 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 2 1 2 Numerator Detailed Report The layout of numerator detailed report is much the same as the denominator report The difference is that the view indicator is set to Passed Accounts Orders which is what the numerator of the measure represents Again you can change which accounts are shown by clicking a different radio button Other report functionality is exactly the same as for the denominator detailed report Sample Numerator Detailed Report View r A eg g Dashboard ources eportin a ents Attes Selected Database i a E Stage 2 Manager Report view indicator for numerator detailed EHMUM
4. Choose File No file chosen Upload Rlename Sire User Date Time b m D E er E TE _ 12 1 2015 coma atric Systems CPOE Plan for Meds doc 12627 8 kay jackson 3 00 53 Ph ab 3 ae sated 4 Gey 11 20 2013 cm CPOE biggest barrier to meaningful use dock 15990 kay Jackson 3 50 05 AM y E 9 25 2013 I MEDITECH 2014 ONC cert dock 166205 kay jackson 12 31 28 Ph Stage2_MeaningfulUseSpecSheet_TableContents_EligibleHospitals_CAHs pdf 141866 kay jackson oe p a 1 CPOE for_Medication_Orders pdf 588620 kay jackson 7 72 2013 9 18 04 AM 5 attachment s found ltintiace 2 1 1 Denominator Detailed Report View In the previous section you learned how to access the Denominator Detailed Report view by clicking on the Denominator link from a measure s drill down screen pg 32 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 elected Database Dashboard Sources Reporting Attachments Attestations Audits Users Settings EHMUM2 latric Systems Hospital l Kay Jackson EH MU Stage 2 Manager ast Log Out i B Numerator The number of medication orders in the denominator recorded using CPOE Core 1 1 CPOE for Medication gt 60 Denominator Number of medication orders created by the EP or authorized providers in the eligible hospital s or CAH s inpatient or emergency department POS Passed Failed All 21 or 23 during the
5. Manager Stage 2 Measure Description Median Passed Te Venous Thromboembolism MAE Prophylaxis a fe Intensive Care Unit Venous Thromboembolism 0 Prophylaxis e Measure The name of the CQM measure The NQF number will show when the drill down view is activated e Description Short description of the text of the measure e Median Not yet used e Passed Based on the patients included in the measure Calculated using the Numerator over the Denominator total On the CQM dashboard the first 1 Y columns display measures that are based indicated by the Jo icon Halfway down the 2 column you ll see the timed CQMs They are denoted by the icon Drill down example view for a Measure stahace EHCQM2 CQM 2014 ABC Hospita A IPP Denominator Numerator Exclusions lt a VTE 1 NOF 0371 Venous Thromboembolism Proph is gt 13 13 2 9 Data from 1 1 2012 to 12 31 2012 Notes All accounts shown are in the IPP Not all accounts shown are in the Denominator Everything in the Denominator falls into exactly 1 of 4 groups passing failing exclusions or exceptions Exclusions now count into the denominator in stage 2 they didn t in stage 1 V Show Patient Names IPP Only V Denominator V Passed V Failed V Exclusions 7 Exceptions Account MRN Name Denominator Passed Exclusion Exception Discharge Time Comment 526ec3518746b9bbaf000021 Isaac Mckenzie 3 5 2012 5 00 PM_ No Prophylaxis
6. Menu 5 Electronic Prescriptions eRx gt 10 Menu 6 Lab Results to Ambulatory Providers gt 20 Numerator Med Rec prescriptions transmitted Denominator Med Rec Prescriptions From RXM tg 1 1 CPOE for Medication gt Site details pending to be programmed AND Order type MED LAB RAD MED Core 1 2 CPOE for Laboratory gt 30 Core 1 3 CPOE for Radiology gt 30 Site details pending to be programmed AND Order type MED LAB RAD LAB Site details pending to be programmed AND Order type MED LAB RAD RAD Core 2 Record Demographics gt Site details pending to be programmed AND From Abstracting AND From Abstracting AND Site details pending to be programmed AND From Abstracting AND Site details 80 pending to be programmed 0 OR Site details pending to be programmed gt 0 AND Site details pending to be programmed gt 0 pg 13 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 1 4 2 Administrator Options The following options on the blue toolbar are limited to dashboard administrators with administrator rights Non administrator users will not view these functions Selected Database Reporting Attachments Attestations Audits Users Settings 1 4 2 1 Reporting Tab Under this selection are two options Dashboard Report and Detailed Reports Sources Reporting Attachments Dashbo
7. PES OURC CES rn EAEE RE 53 pg 3 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 1 MEANINGFUL USE MANAGER MUM AND ITS COMPONENTS 1 1 Meaningful Use Manager MUM Version 3 0 e The purpose of this documentation is to provide the information needed to navigate through and manage the Meaningful Use Manager MUM application and its components This documentation assumes the user is already able to reach the MUM application via Microsoft Internet Explorer IE8 9 and 10 are supported by Healthland It is also assumed that the user knows how to perform basic functions in any Internet browser e After the user logs on the MUM application opens up to the Meaningful Use Dashboard This dashboard is a certified calculator for the numerator denominator objective measures This version of the MUM Version 3 0 calculates Stage 2 Meaningful Use 1 2 Meaningful Use Manager System Requirements To access the Meaningful Use Manager via the Healthland EHR system you must have e Healthland Centriq version 10 4 or later e Healthland Classic version 9 7 or later 1 3 Navigating Through the Meaningful Use Manager 1 3 1 Logging In through Healthland Centrigq To access the Meaningful Use Dashboards while in Centriq Hospital or Clinic on the landing page in the Reports section near the bottom of the screen click the Reports icon pg 4 of
8. measure e Below that will be a text indicating the method for calculation for that measure The applicable data element will be indicated in aqua In the example the column indicated in aqua is Order Date the date of the order which is the method of calculation for this specific measure This functionality is shown throughout all the N D measures e The top right side of the reporting page lists important facts about that measure In the example it defines the contents of the numerator and denominator for the measure e Source This text reflects the location of the measures query or field used by MUM to calculate the required based upon the questionnaire information provided e To export the report findings select the Export Results button at the bottom on the report mori Results ids Exod Resuls Lond On the day the site attests we recommend that you create and export this report to save in the event of any audit See the Attestation section for more details e Again EH MU Stage 2 Useful Links are shown at the bottom of the page Note Some of the Core and Menu Objectives apply to Unique Patient This means that if a patient is admitted to an eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 more than once during the EHR pg 34 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 repo
9. pg 11 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 measure from a red icon which shows the hospital is not participating in that measure for the reporting period to a blue icon which means that measure has been selected to be one of the three to attest to Some clients choose to turn on more than the required three measures and that is ok When attesting and using the Attestation function on the administrator toolbar you can also note the three Menu items that were used in the attestation process for historical recording e Core Objective Set The Core Objective Set items are located in the middle and on the right side of the dashboard All 16 must meet the threshold stated for Stage 2 attestation in the reporting period Note also in Stage 2 there are four Core Measures that require tracking of more than one response within the measure These multiple tracking requirements are each tracked independently on the dashboard e Color Indicators The color indicators are an easy way to determine the status of a specific objective You can even print the dashboard view using screen capture software and present it in meetings The legend is also listed on the bottom o Red stop sign a Site has not satisfied the objective o Green circle with a check Objective satisfied The icons for the Core Objective side are automated
10. 20 2013 Wf CPOE biggest barrier to meaningful use docm 15590 kay jackson 50 05 AM o 9 25 2015 WW MEDITECH 2014 ONC cert doc 166205 kay jackson 12 51 26 i PM m a a Pa aie a seagate ae _ 8 25 2013 a Wf Stage2_MeaningfullseSpecsheet_TableContents_EligibleHospitals CAHs pdf 141866 kay jackson 2 35 30 AM F a a p ie eii 9 25 2013 Wl 1_ CPOE forMedication_Orders pdf 580620 kay jackson 0 15 04 AM 4 attachment s found To add an attachment create the file that you wish to attach Be sure to name the file with a recognizable title to make it easy for staff to view or locate an attachment pg 31 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 Select the measure to which the attachment applies this has already been done in this case Click the Choose File button next to the word Attachment at the top of the Attachments section Browse for the file you wish to attach and click on the file Example of a file in a browser My Documents JIMUMDashbaord objectives MUM CPOE Yew folder Name Date modified Type Size Tatric Systems CPOE Plan for Meds docx 12 1 2013 1 58 PM Microsoft Word D 13 KE When ready to attach the document click the Upload button The file will be added to the Attachment section Sample Attachment View New File Chosen in Browser Above Attached Attachment
11. 3 met Eligible Hospital Core Objectives 13 of 16 met Advance Directive gt 50 172 CPOE for Medication gt 60 Cinical Lab Test Results gt 55 Electronic Progress Notes gt 30 CPOE for Laboratory gt 30 724 Lists of Patients by Specific Conditions 3 Imaging Results gt 10 1 CPOE for Radiology gt 30 o Patient Specific Education Resources gt 10 ff 20 Family History gt 20 u Record Demographics gt 80 Medication Reconciliation gt 50 Electronic Prescriptions eRx gt 10 203 Record Vital Signs gt 80 1 Summary of Care Records gt 50 10 Lab Results to Ambulatory Providers gt 20 90 6 Record Smoking Status gt 80 F 97 5 Summary of Care Records Electronically gt 10 100 5 Clinical Decision Supportintenentons Qo Blectronic Care Record Exchange Tested Drug Drug and Drug Allergy Interaction Checks Immunization Registries Data Submission B1 Patentinfo Available Online Within 36 Hours gt sox QJ o Blectronic Reportable Laboratory Rests Patient Info Viewed Downloaded Transmitted gt 5 A 0 Electronic Syndromic Surveillance Data Protect Electronic Health Information Blectronic Med Admin Record eMAR gt 10 626 o a gd a gd NOT Participating in Objective Participating in Objective Objective Completed di Objective Warning Objective Not Completed Objective Excluded passes 9 Ye
12. 4 Family History gt 20 20 a 0 2023 Completion Menu 5 Electronic Prescriptions eRx gt 10 10 0 1 1 1794 Objective Completed e db Objective Warning Menu6 Yo Lab Results to Ambulatory Providers gt 20 20 93 9 1749 1863 objective Not Completed Objective Excluded passes Core 1 1 Yo CPOE for Medication gt 60 S amp S 60 43 9 9316 21211 Core 1 2 CPOE for Laboratory gt 30 30 73 7 8954 12195 Core 1 3 CPOE for Radiology gt 30 30 76 1 1828 2401 Core 2 Record Demographics gt 80 80 99 8 2019 2023 Cores Record Vital Signs gt 80 80 96 1 1945 2023 Core 4 Record Smoking Status gt 80 80 97 1 1728 1780 Core 5 1 gt 5 Clinical Decision Support Interventions Core 5 2 2 Drug Drug and Drug Allergy Interaction Checks eS Core 6 1 Patient Info Online Within 36 Hours gt 50 S amp S 50 o 0 2003 Core 6 2 Patient Info Online Viewed Downloaded gt 5 A 5 o o 2003 Core 7 gt Protect Electronic Health Information Cores Clinical Lab Test Results gt 55 55 100 92393 92428 Ra x g Ta oe Core 9 L Lists of Patients by Specific Conditions Core 10 Patient Specific Education Resources gt 10 a 10 o o 2023 Core11 Medication Reconciliation gt 50 50 84 9 2037 2399 Core 12 1 Summary of Care Records gt 50 stor 50 NaN o o Core 12 2 Summary of Care Records Electronically gt 10 eS 10 NaN o 0 Core 12 3 2 Electronic Care Record Exchange Tested Core 13 2 Immunization Regist
13. COM Resource Table CMS COM Website CDC Race and Ethnicity Code Set Payer Code Set Last Backup 12 10 2013 83 days ago QD Build 20140206 Service Build 20130521 3 2 Dashboard Layout for 2014 CQM The CQM Dashboard features are similar to the MUM Dashboard Please refer to the MUM section for details The Dashboard Reporting Attachments Attestations Audits Users and Settings under the CQM toolbar work in the same way as the MUM features except these options reflect information for the CQM tracking instead of MUM There is a difference in the Reporting section as outlined below a C sSCSCSCSCi s pg 42 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 CQM Toolbar Example Dashboard Reporting Attachments Attestations Audits Users Settings Start Date 01 01 2012 Bei End Date 12 31 2012 am Recalculate Note There is a difference between MUM and CQM on the Reporting tab When the team is ready to attest electronically to the CQMs for 2014 the Reporting tab is selected and the Dashboard report is created based upon the Start and End Date of the reporting period The CQM Dashboard lists the scores for the 16 CQMs that are configured in Centriq and Classic This report can be exported as well Use the Export Results icon on the top left to create the export This report is a recap of the CQM scores for the date range period sel
14. M000351189 4 10 2013 MED 0 C PHA MCH MCKSC TORB 0410 0433 V99169559 M000351189 4 10 2013 MED 0 E PHA MCH MCKSC TORB 0410 0434 V99169559 M000351189 4 10 2013 MED 0 C PHA MCH MCKSC TORB 0410 0435 v99169559 M000351189 4 10 2013 MED 0 C PHA MCH MCKSC TORB 0410 0495 V99169559 M000351189 4 10 2013 MED 0 C PHA MCH MCKSC TORB Export Results xls Export Results csv g IATRIC EH MU Stage 2 Helpful Links Objectives Table of Contents Tip Sheet Toolkit HIMSS AHIMA EHR Incentive Programs Last Backup 10 25 2013 37 days ago QD Build 20131120 Here is a recap of the denominator detailed report view e The measure you are reviewing top left is indicated in the drop down list and can be changed to the detailed review of another N D measure Just select the report to view from the drop down list and click on the green arrow ad Core 1 1 CPOE for Medication gt 60 pa gt Menu 1 Advance Directive gt 50 Menu 2 Electronic Progress Notes gt 30 sala Menu 3 Imaging Results gt 10 Menu 4 Family History gt 20 Menu 5 Electronic Prescriptions eRx gt 10 Menu 6 Lab Results ta Ambulatory Providers gt 20 Core 1 1 CPOE for Medication gt 60 Core 1 2 CPOE for Laboratory gt 30 Core 1 3 CPOE for Radiology gt 30 Core 2 Record Demographics gt 80 Core 3 Record Vital Signs gt 60 Core 4 Record Smoking Status gt 60 Core 6 1 Patient Info Available Online Within 36 Hours gt 50 Core 6 2 Patient In
15. M000351189 4 10 2013 MED 0 E PHA MCH MCKSC TORB 0410 0423 V99169559 M000351189 4 10 2013 MED 0 E PHA MCH MCKSC PRO 0410 0424 v99169559 M000351189 4 10 2013 MED 0 E PHA MCH MCKSC PRO 0410 0432 v99169559 M000351189 4 10 2013 MED 0 E PHA MCH MCKSC TORB 0410 0433 v99169559 M000351189 4 10 2013 MED 0 Cc PHA MCH MCKSC TORB 0410 0434 99169559 M000351189 4 10 2013 MED 0 C PHA MCH MCKSC TORB 0410 0435 v99169559 M000351189 4 10 2013 MED 0 c PHA MCH MCKSC TORB 0410 0495 V99169559 M000351189 4 10 2013 MED 0 E PHA MCH MCKSC TORB ws Export Results xls Export Results csv g IATRIC EH MU Stage 2 Helpful Links Objectives Table of Contents Tip Sheet Toolkit HIMSS AHIMA EHR Incentive Programs Last Backup 10 25 2013 37 days ago QD Build 20131120 e Source This text reflects the location of the measures query or field used by MUM to calculate the required based upon the questionnaire information provided e Exclusion Any exclusion that is listed in the measure is shown here e EH MU Stage 2 Useful Links are shown at the bottom of the page pg 28 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 NOTE Under the CPOE column example above if a 0 appears CPOE was not used for this order based upon the regulation If a 1 appears in the CPOE column CPOE was used for that order based upon the regulation We ll explain the detail of the nu
16. attachmentis found Objective Global Documents Stage2_Dat 182013 pdf Filename Size Uploaded Ey Upload Timestamp iii Global Dashboard Report Stage Year Q2 doce 155779 kay jackson 11 20 2015 9 03 59 AM mi Global Stage2Year1 Q 2 attestation dashboard jpg 251331 kayjackson 11 20 2013 9 00 27 AM The attachment will download and be available for viewing Depending on your browser it will appear something like this jl Dashboard Report docx Show all downloads X Open the document for viewing If you wish to delete an attachment click on the trash can icon A confirmation window appears to confirm the deletion Click OK if you want to delete or cancel to cancel the transaction Sample Delete Document View 2 Meaningful UseM x _ salesforcecom En X Y salesforce com Cu X Y Account Haxtun He X Y EA 2461 unread kay Y Yj gt ff O 192 168 0 46 Meaningful 20Use 20Manager admin attachments aspx s Apps DEVMeaningfulUse Pt Wi Stage 1 Tip Sheet FR Sta iin sere ibaa aes The page at 192 168 0 46 says i Dashboard Sources Reporting Attachments Attestations Audits Are you sure you want to delete Dashboard Report Stage i j attachmentis found Year 1 Q2 docx Objective Global Documents el Le Filename iil Global Dashboard Report Stage Year 1 Q2 docxk 155779 kay jackson 11 20 2013 9 03 59 AM pg 18 of 53 Duplication or distribution of this do
17. by the system when the meets the requirement On the Menu side the site must select a measure in order for the green circle to display o Yellow triangle with exclamation point amp A parameter driven color icon that indicates that the objective is a set percentage over or under a set requirement The threshold percent is set in the Settings tab on the top right hand side of the dashboard and is an administrator function o At the bottom of the dashboard is a legend for all the icons e Name of the facility Listed at the top of the page in the middle and can be updated in the Settings section e Extract Method Listed under the name of the facility Reflects the method chosen by the facility for their numerator denominator extracts that apply In this example the Observation Method was selected This is entered for the facility by the Healthland implementation team a OOOOO CSSCSC C SSC sS pg 12 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 e Date Available From Data range Listed at the top far right Indicates on the first line the data range of information available from the extract from a start date to an end date e Last Updated Under the data range Shows the last date and time the extract to the dashboard was created from your host system s e User ID Displayed on the top right Identifies the user
18. green or red circle icon turns indicates whether the measure has been completed To turn the measure from the Objective Not Complete to Objective Complete click on the red stop sign MUM will update to reflect the green check on this screen and on the Dashboard To return the measure to the red icon indicating Objective Not Complete click on the green icon Only staff responsible for the measure or administrator staff can make this change After making this change the main dashboard view will reflect that the measure has been met Before you turn a Yes No measure on make sure the measure is satisfied Add documentation to the Attachments section of the measure for proof This information can support the completion of this measure in the event of any audit Just as in the example for a N D measure the middle section of the Y N drill down provides the Notes section On the far left is the Notes section A user with responsibility for the measure or an administrator user can enter notes in this section The Notes section allows the team to record notes specific to the measure To add a note in the Note Title field type in the title of the note This title Should reflect the content of the full note such as Clinical Decision Support Interventions Note Tithe a CSSCSC C CCC s pg 38 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaning
19. is prohibited
20. is prohibited USER GUIDE Meaningful Use Manager Stage 2 their MUM history and you can change the selection using the down arrow Here is a view of a sample list EHMUM latric Systems Hospital Core latric Systems Hospital EHCOM1 latric Systems Hospital EMSs pital MDS latric Systems Nursing Home i EPMUM1 Dr Brian J Bolek M D ems kay EFHCOM2atrc Systems Hospital pital EPCQOM1 Dr Brian J Bolek J D i EPMUM2 Dr Brian J Bolek Ph D d User Again this is a function with a drop down arrow so the user can be selected for the audit report e Date Time Indicate a start date and end date for the period in which you would like to view the audit report This function is on the top right below the tool bar f Parameter 1 Indicates the accessed item such as the IP address Port of the user or the function they accessed g Value 1 Shows the detail of the parameter 1 data such as the actual UP address h Parameter 2 Second set of data action recorded such as a start date section selected by the user i Value 2 Shows detail of the parameter data such the actual start date keyed by the user j Parameter 3 Third set of data action recorded such as the end date selected by the user k Value 3 Shows detail of the parameter such as the actual end date selected To create an audit report 1 Select the following items o Action to review o Database to review o User to review o Start date t
21. treatment Found 526ec3518746bSbb2000044 Brenda Mcdaniel 3 3 2012 11 00 AM ICU LOS gt 24 hours 526ec3528746bSbbsf0000Sb Bonnie Gardner 4 30 2012 500 PM _LOS lt 2 Days 526ec3528746b9bbaf000059 Joe Henderson 4 2 2012 12 30 PM Stroke Prin Diagnosis 26ec3528746b9bbaf00009a1 S26ec3528746bSbbsf00009s Mae Stokes 3 2 2012 100 PM Drug Prophy Found 26ec3528746b9bbaf0000a841 S26ec3528746bSbb2f0000s4 Alice Castro 4 30 2012 5 00 PM LOS lt 2 Days 26ec3528746b9bbaf0000ae1 526ec3528746bSbbaf0000se Stephen Waters 3 4 2012 5 00 PM No Prophylaxis treatment Found 26ec3528746b9bbaf0000C381 526ec3528746bSbb2sf0000c8 James Maldonado 4 2 2012 10 55 AM Stroke Prin Diagnosis 26ec3528746b9bbaf0000d61 526ec3528746b9bbsf0000d6 Amber Mcdonald 4 30 2012 4 30 PM LOS lt 2 Days 26ec3528746b9bbaf0000ce1 526ec3528746bSbb2f0000ce Howard Lawrence 4 6 2012 900 AM Stroke Prin Diagnosis IPP 13 Denominator 13 Passed 2 Failed 2 Excluded Version 3 0 Q EH COM Stage 2 Helpful FY 2014 _ 2014COM Resource CMSCOM CDC Race and Ethnicity Payer Code Last Backup 12 10 2013 83 QD Bud 20140206 JATRI Links Measures QualityNet Table Website Code Set Set days ago grema 5 Jste pg 44 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 The items below the toolbar included on this sample view are of IPP Denominator Numerator Exclusions SF vE N F 0
22. 1 11 14 2013 B ST1 76 1 11 14 2013 B ST2 E 1 11 18 2013 B ST1 95 1 11 17 2013 B ST2 93 1 11 16 2013 D ST1 89 1 11 13 2013 E ER 86 1 11 15 2013 B ST2 75 1 11 13 2013 Cc ER 78 1 11 18 2013 B ST1 96 1 11 14 2013 Xx ST1 88 1 11 16 2013 Xx ST2 66 1 11 13 2013 C ER 74 1 11 16 2013 B ST2 72 1 11 15 2013 X ST2 68 1 11 13 2013 C ER 92 1 Tip Sheet Toolkit HIMSS AHIMA Version 3 0 EHR Incentive Programs Last Backup 12 10 2013 83 days ago QD Build 20140206 2 IATRI Duplication or distribution of this document without the expressed or implied consent is prohibited pg 16 of 53 USER GUIDE Meaningful Use Manager Stage 2 1 4 2 2 Attachments Tab This Attachments section functionality is only available to staff with administrator rights This header button provides access to the ability to upload Global Documents These are documents that are not specific to one measure but rather are global for the entire MU process Examples include your letters from certified vendors a screen shot of a dashboard when you attest or anything else you want to house for the attestation process First select the Attachments button on the toolbar The following view shows what will launch when you select the Attachments option Sample Attachments View Selected Database Dashboard Sources Reporting Attachments Attestations Audits Users Settings EHMUM2 latric Systems Hospital I attachment s found Objective Global Documents x Ch
23. 1 1 CPOE for Medication gt 60 StartDate 4 10 2013 EndDate 10 6 2013 The administrator can export the audit report using the Export Results tab 1 4 2 5 Users Tab Responsibilities Adding a user was explained earlier but under the Users tab there is a second option called Responsibilities The Administrator can assign rights for each objective That means that a single person or a team may be assigned to the specific objective and will have access to add text in the drill down section for that specific objective as well as the ability to upload documents for that measure The measures are listed on the far left side and the users are listed across the top Determine which measures the user will be responsible for and check the measures that correspond with the user s name When finished click the Save Changes button at the bottom of the page to save all changes Once the user is deleted their responsibilities are also deleted automatically Sample Responsibilities View J 7 n Selected Database P Dashboard Sources Reporting Attachments Attestations Audits Users Settings EHMUM2 latric Systems Hospital ial KayJackson EH MU Stage 2 Manager Currently Assigned Responsibilities Log Out Vicki Hunt brian bolek steve walker jeremy blanchard ChrisAllen Kelly Jones david cruz kay jackson faithfolmsbee greg shunta debbie grimaldi jim bolt
24. 2 Stage 2 ABC Hospital B report defaults to Passed Accounts Orders a ot 60 3840 Numerator The number of medication orders in the denominator recorded using CPOE viedication gt Passed Accounts Orders Failed Accounts Orders All Accounts Orders View the CMS Definition of this objective View details for Core 1 1 CPOE for Medication gt 60 The date in aqua is used to determine if data is within the date range Source Site details pending to be programmed AND Order type MED LAB RAD MED Data from 11 1 2013 to 1 29 2014 Orders returned 3840 8284 Denominator Number of medication orders created by the EP or authorized providers in the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 during the EHR reporting period Number Account Patient Status Provider e Source 1101 0050 v99957433 M000361113 11 1 2013 MED 1 c DRJLW WONJU ZPOM 1101 0064 V99958399 M000825080 11 1 2013 MED 1 c DRJLW WONJU ZPOM 1101 0087 v99958407 M000825754 11 1 2013 MED 1 c DRJLW WONJU ZPOM 1101 0109 V99958506 M000804707 11 1 2013 MED 1 c DRJLW WONJU ZPOM 1101 0113 V99958571 M000810046 11 1 2013 MED 1 c DRJLW WONJU ZPOM 1101 0114 v99957391 M000033993 11 1 2013 MED 1 c DR SRM MCKSC ZPOM 1101 0115 v99957391 M000033993 11 1 2013 MED 1 E DR SRM MCKSC ZPOM 1101 0116 99956567 M000246421 11 1 2013 MED 1 c DR CJC COLCH ZPOM 1101 0117 V99956567 M000246421 11 1 2013 MED 1 c DR CJC COLCH ZPOM 1101 0119 V999
25. 371 13 13 2 3 Data from 1 1 2012 to 12 31 2012 e The sign indicating that this is a measure and the IPP Initial Patient Population Denominator Numerator and Exclusions totals e Blue backward forward arrows to view the next or return to the previous CQM measure without returning to the dashboard view e CQM description of the CQM you re currently viewing e Date range of report data The next section of the view contains these items Notes All accounts shown are in the IPP Not all accounts shown are in the Denominator Everything in the Denominator falls into exactly 1 of 4 groups passing failing exclusions or exceptions Exclusions now count into the denominator in stage 2 they didn t in stage 1 Show Patient Names Clipp Only F Denominator W Passed F Failed F Exclusions F Exceptions Account MRH Name Denominator Passed Exclusion Exception Discharge Time Cec 35 lE745b3bbaft0007 Isaac Mckenzie 3 5 2012 500 PM Mo Prophylaxis treatment Found B2becI51LET4ob9bbst00o4 Brenda Moedaniel 3 3 2012 IL AM ICU LOS gt 24 hours ibecs528746bSbbatORISb Bonnie Gardner 4 30 2017 500 PM LOS lt 2 Days Sher 3526745b3bbaf000053 Joe Henderson 4 2 2012 1230 PM Stroke Prin Diagnosis Sidhe T5287 40b9bbst0es Mae Stokes 32 2012 DOO PM Drug Brophy Found Bibecs528746bSbbat0Maed Alice Castro 4 20 2012 5500 PM LOS lt 2 Days Sibec3528746bobbstMaee Stephen Waters 3 4 2012 500 PM Mo Prophylaxis treatment Found 25er T5287 46b3bbaft0t
26. 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 are Healthland Centria EMERGENCY DEPARTMENT CLINIC MAINTENANCE Patient No patientis selected SELECT CLEAR Work Center Work Center Provider Center Dr Signature Patient Chart Vitals intake and Output Lab Results Orders Tracking Plan of Care Medical Summary yy Sy a Se Clin eguide eMAR Med Reconciliation lV Site ePrescribing OE Rae Allergy Home Medications Surgical Immunizations oa em ani History alaca Quick Registration Reports Report Builder Discharge Docs Then click the Launch Meaningful Use Dashboard button beneath the Reports tabs on the far right side of the screen The Meaningful Use Dashboard set as your default will display a Healthland Reports General Reports oO elp BACKTOMAIN Centria GENERAL REPORTS RUSIaslesesA a E lf FACILITY REPORT AUDIT LOG REPORT Category All Name Category 30 Days Orders Report General Q ABN Report General Q Assign Staff Report Work Center Q Audit Log Report General pg 5 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 1 3 2 Administrator Login from Your Desktop If you are a Meaningful Use Manager administrator you may access the Meaningful Use M
27. 56567 M000246421 11 1 2013 MED 1 e DR CJC COLCH ZPOM 1101 0120 V99956567 M000246421 11 1 2013 MED 1 c DR CJC COLCH ZPOM 1101 0121 V99956567 M000246421 11 1 2013 MED 1 c DR CJC COLCH ZPOM 1101 0122 v99956567 M000246421 11 1 2013 MED 1 c DR CJC COLCH ZPOM 1101 0123 V99956567 M000246421 11 1 2013 MED 1 c DR CJC COLCH ZPOM 1101 0124 V99956567 M000246421 11 1 2013 MED 1 c DR CJC COLCH ZPOM 1101 0125 V99956567 M000246421 11 1 2013 MED 1 c DR CJC COLCH ZPOM 1101 0126 V99956567 M000246421 11 1 2013 MED 1 c DR CJC COLCH ZPOM 1101 0133 V99958571 M000810046 11 1 2013 MED 1 c DR TAH HOWTA ZPOM Version 3 0 o EH MU Stage 2 Helpful Objectives Table of Tie ooit HIMSS AHIMA EHR Incentive Last Backup 12 10 2013 84 days QD Build 20140206 IATRII Links Contents Sa Programs ago Service Build system 201 2NS71 pg 36 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 2 2 Y N Objective Drill downs Example of a Yes No Drill down Selected Database Q Dashboard Sources Reporting Attachments AMttestations Audits Users Settings EHMUM2 Stage 2 ABC Hospital m Karen Brown EH MU Stage 2 Manager i core 5 1 5 Clinical Decision Support Interventions Log Ou View the CMS Definition of this Objective Date Range 11 1 2013 1 29 2014 Responsible for this objective Jason Whiteside JimBolt Kay Jackson Yes or No Measure
28. By _ Upload Timestamp v Menu 2 Electronic Progress Notes gt 30 jackson 11 20 2013 9 03 59 AM PE Menu 3 Imaging Results gt 10 gt Menu 4 Family History gt 20 perap 00 27 AN a Menu 5 Electronic Prescriptions eRx gt 10 Mm Menu 6 Lab Results to Ambulatory Providers gt 20 ae D core 1 1 CPOE for Medication gt 60 gaisa Lopate seen tos q Core 1 2 CPOE for Laboratory gt 30 y gt a Core 1 3 CPOE for Radiology gt 30 jackson 10 4 2013 12 04 15 AM Ss Core 2 Record Demographics gt 80 a W Core 3 Record Vital Signs gt 80 jackson 10 4 2013 12 02 37 AM _ Core 4 Record Smoking Status gt 80 m Core 5 1 5 Clinical Decision Support Interventions jackson 10 4 2013 12 02 24 AM o Core 5 2 Drug Drug and Drug Allergy Interaction Checks Core 6 1 Patient Info Online Within 36 Hours gt 50 Core 6 2 Patient Info Online Viewed Downloaded gt 5 Core 7 Protect Electronic Health Information EH MU Core 8 Clinical Lab Test Results gt 55 b Sheet Toolkit HIMSS AHIMA EHR Incentive Programs Last Backup 10 pg 17 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 kad To view an attachment select the attachment and click the i to the left of the attachment Dashboard Sources Reporting Attachments Attestations Audits Users Settings EHMUM2 latric 6
29. Dy Healthland Centria and Healthland Classic Meaningful Use Manager Stage 2 Version 3 0 User Guide Meaningful Use USER GUIDE Manager Stage 2 Copyright March 10 2014 Healthland All Rights Reserved This manual is based on content provided by and with the permission of Iatric Systems Inc www healthland com 1 888 868 0040 Please note All other company product or brand names mentioned herein indicated or otherwise may be trademarks of their respective owners Author Healthland Learning Solutions USER GUIDE Meaningful Use Manager Stage 2 Table of Contents Meaningful Use Manager Stage 2 cccccccnnnneseeeseessnnneeeeesseeeennneeeeeesoess 1 MSPS S aaia ste ieeeebin kee hia siete 1 1 MEANINGFUL USE MANAGER MUM AND ITS COMPONENTS 4 1 1 Meaningful Use Manager MUM Version 3 0 ccccccccseeccccsecccceeeccseeeueceseeecsseeueeeseeuesesseecseeeueeeess 4 1 2 Meaningful Use Manager System REQuireMentt cccccsscccccsssccccessececeesececeeeceeeeesecesaueceeeuecesseeneeess 4 1 3 Navigating Through the Meaningful Use Manage r ccccccssseccccsssccecssececeeseceeeesecessuecessueceesenseeess 4 1 3 1 Logging In through Healthland Centrid cccccceccccsececcceccccceecscceecscseecsceessceessueessececssseecsneeessneeesenes 4 1 3 2 Administrator LOGIN from Your Desktop cccccsesecccseesececeesececsesscsccuesececsesecessueseseseusecsssusecsssuesesessess 6 tA Da hDOard VIEW Game
30. EHR reporting period Accounts Orders Accounts Orders Accounts Orders Source Site details pending to be programmed AND Order type MED LAB RAD MED View the CMS Definition of this objective a aa aeae 10 6 2013 e ers returned View details for Core 1 1 CPOE for Medication gt 60 a The date in aqua is used to determine if data is within the date range Account Patient aa Entering Ordering Order Source Provider Provider 0410 0292 V99169559 M000351189 4 10 2013 MED 1 E DRJBM MEDJO ZPOM 0410 0297 V99169559 M000351189 4 10 2013 MED 1 C DRJBM MEDJO ZPOM 0410 0346 V99169559 M000351189 4 10 2013 MED 0 C ERJK MEDJO ZPYXIS 0410 0347 V99169559 M000351189 4 10 2013 MED 0 E ERJK MEDJO ZPYXIS 0410 0349 v99169559 M000351189 4 10 2013 MED 0 c ERJK MCKSC WR 0410 0356 V99169559 M000351189 4 10 2013 MED 1 C DR SRM MCKSC ZPOM 0410 0357 v99169559 M000351189 4 10 2013 MED 1 C DR SRM MCKSC ZPOM 0410 0358 V99169559 M000351189 4 10 2013 MED 1 X DR SRM MCKSC ZPOM 0410 0359 v99169559 M000351189 4 10 2013 MED 1 C DR SRM MCKSC ZPOM 0410 0360 v99169559 M000351189 4 10 2013 MED 1 C DR SRM MCKSC ZPOM 0410 0361 v99169559 M000351189 4 10 2013 MED 1 C DR SRM MCKSC ZPOM 0410 0362 V99169559 M000351189 4 10 2013 MED 1 E DR SRM MCKSC ZPOM 0410 0422 v99169559 M000351189 4 10 2013 MED 0 c PHA MCH MCKSC TORB 0410 0423 V99169559 M000351189 4 10 2013 MED 0 c PHA MCH MCKSC PRO 0410 0424 V99169559 M000351189 4 10 2013 MED 0 E PHA MCH MCKSC PRO 0410 0432 V99169559
31. ER GUIDE Meaningful Use Manager Stage 2 A non administrator of the dashboard will only view the first two tabs Dashboard and Sources The user s name will appear on the top right as well as a print icon to print any items the user chooses to print The administrator view offers additional functionally outlined later in this manual The Log Out icon next to the user s name is used to log out of the system The system will automatically log the user out after idle time of 20 minutes and will warn the user that they are about to be logged out Before that action occurs the user will be notified with the following message A ae Your session will expire in 56 seconds due to inactivity Click OK to Continue your session OK For both the Menu Measure measures on the left of the dashboard and the Core measures in the middle and on the right these columns display e The name and number of the measure objective e g Menu 1 Core 1 1 etc e The description and the completion requirement If the measure is N D based there will be a gt sign in front of the percent requirement e A status indicator for each measure green check for complete red stop sign for not complete or yellow triangle indicating a warning for that measure e The last column is the which reflects the score for the selected reporting period for numerator denominator N D measure and also an indicator icon of Jo for N D measures or for Yes No m
32. File No file chosen Image Right Example of image added on the left side EAE e E EEE ee Log Oul Database Settings Emergency Passwor d Homepage Image s Homepage Images Image Left Choose File No file chosen Upload Al R C No Image specified ImageRight pg 25 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 2 N D Numerator Denominator AND Y N Yes No OBJECTIVE DRILL DOWNS 2 1 Numerator Denominator N D Objective Drill Downs The default database assigned to the user under the Users section of the dashboard administrator tools is the first dashboard view to appear The user can then select from the Selected Database drop down to reset to the designated dashboard view To access the drill down for any objective place the mouse on the objective button and click to access the drill down screen Teleded Database Dathbaard Sources Reporting Abachments Atherton Aaii a Se le cte d Poe EHM latric Systems Hospital aoe EXMUMI atic Systems l Database EMS cHuuMzJaticSysiems Hospital Di Dropdown List Start Date GAND i l Click a measure r Dutton to access its em drill down amp Memu2 Elects od Core latric Systems Hospital EHCOM1latric Systems Hospital ay MDS latri e Systems Nursing Home EPMUM1 Or Bran J Bolek
33. MO EXCOM2 latric Systems Hospital CE EPCOM1 Dr Brian J Baler JO EPMUM2 Or Bran J Bolek PhD Here is an example of an N D drill down page layout The layout for each of the N D objectives looks the same The name of the objective is indicated in the middle of the screen The blue arrows on each side of the name of the measure near the top of the screen take you to the next measure or back to the previous measure l l J Selected Database F Dashboard Sources Reporting Attachments Attestations Audits Users Settings EHMUM2 latric Systems Hospital Jl KayJackson EH MU Stage 2 Manager am Log Out View the CMS Definition of this Objective Gi Core 1 1 CPOE for Medication gt 60 gt Date Range 4 10 2013 10 6 2013 Numerator and Denominator Measure Responsible for this objective kay jackson Kelly Jones Percentage 43 9 Objective Not Complete Numerator 9316 The number of medication orders in the denominator recorded using CPOE Denominator 21211 Number of medication orders created by the EP or authorized providers in the eligible hospital s or CAH s inpatient or emergency department POS 21 or 23 during the EHR reporting period Source Site details pending to be programmed AND Order type MED LAB RAD MED Exclusion Any EP who writes fewer than 100 medication orders during the EHR reporting period Note Title Attachment Choose File No file chosen Upload Filename Size User Date Time W CPOE biggest barrier to meani
34. RII Links Measures ae Table Website Set Set ago Service Build 20130521 Another feature of the patient level view is the ability to see if that patient was included in any other CQMs your site is tracking Select the View All Measures for Account icon below the patient demographic information and the view will pg 47 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 expand to show if that patient was included in any other CQMs your site is tracking Demographic Information siio 26ec3518746b9bbaf0000211 MRN 526ec3518746b9bbaf000021 Number Isaac Mckenzie Birthdate 6 6 1547 Age Sex M Race 1002 5 Ethnicity 2186 5 Payer 349 Attending Type Location Room Bed Primary Discharge Diagnosi Date 3 5 2012 View All Measures for Account 26ec3518746b9bbaf0000211 Sample partial view of the patient drill down included in any other CQM E E measures z Selected Database m Q9 Reporting Attachments Attestations Audits Users settings EHCQM2 CQM 2014 ABC Hospital Karen Brown EH COM Stage 2 Manager OFF Start End Elapsed ee Time Time Minutes AMI 2 0142 Aspirin Prescribed at Discharge N A N A N A PN 62 0147 TMe Antibiotic Selection for Community Acquired Pneumonia CAP in Immunocompetent Patients ICU N A N A N A patients En T 2 ae CAD i p 3 PN 6b 0147 Initial Antibiotic Selection for Comm
35. Steve Walker Completed Objective Complete Implement five clinical decision support interventions related to four or more clinical quality measures at a relevant point in patient care for the entire EHR reporting period Absent four clinical quality measures related Measure to an eligible hospital or CAH s patient population the clinical decision support interventions must be related to high priority health conditions It is suggested that one of the five clinical decision support intervention be related to improving healthcare efficiency Note Title Attachment ee oc mmm Filename Size User Date Time 2 mi Clinical decision support 2 docx 24373 Kay Jackson 12 12 2013 12 15 58 PM 1 attachment s found Save Cancel Title User Date Time A iil A CDS 5 Relates to StrokeCQM Kay Jackson 12 12 2013 12 15 28 PM re i 8S CDS 4 Relates to AMI CQM Kay Jackson 12 12 2013 12 15 08 PM A il CDS 3 Relates to CQM OB Kay Jackson 12 12 2013 12 14 42 PM a i 8 CDS 2 Relates to CQM for Safety Kay Jackson 12 12 2013 12 14 12 PM A m S CDS 1 Intervention Kay Jackson 12 12 2013 12 13 45 PM A m S CDS whatis it Kay Jackson 12 12 2013 12 13 02 PM A tii Decision Support MIS DIG 7 31 2013 8 23 17 AM 7 note s found Version 3 0 Z I ATRII EH MU Stage 2 Helpful Links Objectives Table of Contents Tip Sheet Toolkit HIMSS AHIMA EHR Incentive Programs Last Backup 12 10 2013 85 days ago QD Build 20140206 For objective
36. all patients who meets the exclusion requirements e Exceptions checkbox Shows all patients who meet exception requirements varies for each measure e In CQM2 the logic is 1 All patients 2 A subset of those patients goes into the IPP Initial Patient Population for the measure 3 A subset of those patients goes into the denominator for the measure 4 Everyone in the denominator goes into 1 of 4 categories Passed Failed Exclusion or Exception Thus the total of the four categories is equal to the denominator for the measure The drill down CQM data columns on the sample include columns for other CQMs will vary e Account Patient account number e MRN Medical Record Number e Name Name of patient This column appears only if the Show Patient Names checkbox is checked If this box is not checked this column does not appear e Denominator If checked indicates patient was included in the denominator total e Passed If checked indicates this patient meets the criteria for the measure and is included in the numerator e Exclusion As required for each CQM measure and outlined in the regulations e Exception As required for each CQM measure and outlined in the regulations e Discharge Time All CQM s are based upon discharge date and time for calculation e Comment The extract will present comments about why the patient account was included or excluded from the measure e Export Results button Click to export the detai
37. anager using an icon shortcut from your desktop If you access the Dashboards this way your Meaningful Use Manager login screen will open and you will enter your User Name and Password and then hit the log in button User names and passwords are case sensitive This page can also contain up to two logos for your hospital that appear in the left hand and right hand corners of the screen This is the log in procedure anyone not accessing the Dashboard through Healthland Centriq or Classic The designated MUM Administrator will need to log on using the Emergency Access procedure The administrator must add additional users in the system before they will be able to log on The log in screen is shown below g IATRIC systems systems Meaningful Use Manager Version 2 0 User Name Password Domain DOMAIN Log In Once the administrator logs on the default MUM Dashboard screen and toolbar will display as shown below The Dashboard you see may differ depending on the default set for your organization pg 6 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 EHMUM2 Stage 2 ABC Hospital 7 al p Data available from 4 10 2013 to 12 5 2013 Start Date 11 01 2012 E End Date 01 29 2014 E Recalculate recalculate Stage 2 ABC Hospital Last updated at 12 5 201 3 1 29 52 PM Eligible Hospital Menu Objectives 3 of
38. ard Report Detailed Reports 013 84 Dashboard Report This report is useful for sites that are attesting or just need a recap report that is not the main page of the dashboard On the Dashboard main view enter the date range you want to review select the Dashboard Report option and that date range will appear as a one page total recap report The report can also be exported to Excel by clicking on the Export Results button on the top right This report is very handy when attesting and the copy used with attesting should be retained in the event of an audit All measures both Core and Menu are contained on one page a e CSSCSC C SC s pg 14 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 Sample Dashboard Report Selected Database Dashboard Sources Reporting Attachments Attestations Audits Users Settings EHMUM2 latric Systems Hospital A Iatric Systems Hospital Data from 04 10 13 to 10 06 13 Export Results Objective Completion Requirement Threshold Your Numerator Denominator Participation NOT Participating in Objective Menu 1 Yo Advance Directive gt 50 50 95 4 482 505 Participating in Objective Menu 2 Electronic Progress Notes gt 30 30 34 9 707 2023 S Menu3 Imaging Results gt 10 10 95 5 1178 1234 Ep FES e oOo MESSE 96 Numerator and Denominator Measure Menu
39. are in the IPP Not all accounts shown are in the Denominator Everything in the Denominator falls into exactly 1 of 4 groups passing failing exclusions or exceptions Exclusions now count into the denominator in stage 2 they didn t in stage 1 V Show Patient Names lipp Only V Denominator Account ED Arrival ED Departure Elapsed Minutes Denominator Discharge Time 26ec3528746b9bbaf0000691 526ec3528746bSbbsf000089 Joe Henderson 4 2 2012 1100 AM 4 2 2012 12 30 PM 30 4 2 2012 1230 PM 26ec3528746b9bbaf0000c81 526ec3528746b9bbaf0000c8 James Maldonado 3 30 2012 11 00 AM 4 2 2012 10 55 AM 4315 4 2 2012 10 55 AM Export Results IPP 22 Denominator 2 Passed Failed Excluded Version 3 0 fe EH COM Stage 2 Helpful FY 2014 EN rae 2014 COM Resource CMS COM CDC Race and Ethnicity Code Payer Code Last Backup 12 10 2013 83 days QD Build 20140206 LATRIC Links Measures Table Website Set Set ago Service Build 20130521 The display items for this example of a timed report are e Account Patient Account number e MRN Medical Record Number e Name Name of patient if Show Patient Names box is checked e ED Arrival Time patient arrived in the ED e ED Departure Time patient left the ED e Elapsed Minutes Total minutes patient was in the ED prior to being admitted e Denominator Indicates whether patient was included in the count e Discharge Time Final discharge time for the patient from inpatient e Export Res
40. ate the patient detailed report The user clicks on either selection to generate and launch the report o If the Numerator value is selected The view of all the Passed accounts will display The patients included in the report will match the numerator calculated number The report can be exported using the Export Result button at the bottom on the report pg 27 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 o If the Denominator value is selected The view of all accounts both passed and failed will appear The patients will match the denominator calculated number The report can be exported using the Export Result button at the bottom on the report o Once the detailed report appears if you want a report of just the failed accounts that report can be selected and generated by clicking the radio button titled Failed Accounts Orders and clicking on the green arrow More about this in the section explaining the detailed reports View of Denominator detailed report and information contained on this page elected Datab Dashboard Sources Reporting Attachments Attestations Audits Users Settings EHMUM2 latric Systems Hospital KayJackson EH MU Stage 2 Manager Log Out Numerator The number of medication orders in the denominator recorded using CPOE Core 1 1 CPOE for Medication gt 60 z Denominator Number of me
41. b Results to Ambulatory Providers gt 20 Attestations Core 10 Patient Specific Education Resources gt 10 Core 11 Medication Reconciliation gt 50 Core 12 1 Summary of Care Records gt 50 Core 12 2 Summary of Care Records Electronically gt 10 Core 16 Electronic Med Admin Record eMAR gt 10 Audits Meaningful Use Manager Stage 2 This is the administrator view of selecting the detailed report select Users Data from 4 10 2013 to 10 6 2013 unts Orders Jatabase EHMUM2 latric Systems Hospital This is a sample detailed report for the Menu 1 Advanced Directive Measure Dashboard Sources Reporting Menu 1 Advance Directive gt 50 Passed Accounts Orders Failed Accounts Orders All Accounts Orders Attachments View details for Menu 1 Advance Directive gt 50 The date in aque is used to determine if data is within the date range Attestations Audits ed V Show Patient Names View the CMS Definition of this objective Users Settings Selected Database EHMUM2 Stage 2 ABC Hospital Karen Brown EH MU Stage 2 Mar 355 Numerator The number of patients in the denominator who have an indication of an advance directive status entered using structured data 365 Denominator The number of unique patients age 65 or older admitted to an eligible hospital s or CAH s inpatient department POS 21 during the EHR reporting period Source S
42. ctive additional collection fields have been provided under Stage 2 MUM These include Order number Order type Entering Provider Ordering Provider and Order Source These fields appear in the numerator and denominator detailed reports Adding these vital fields provides the site with the ability to review orders by entering and ordering providers Remember the report can be exported to Excel and sorted Also each of the headers such as Order Number or Account can be used to sort by clicking on the header name Sample of Orders fields within Core 1 1 1 3 Accoumt Patient eae 3 Ordering Order Source m Provider 0410 0292 V99169559 MO000351189 4 10 2013 MED 1 C DRJEM MEDJO POM 0410 0297 V99169559 MO000351189 4 10 2013 MED 1 C DRJEM MEDJO ZPOM 0410 0356 V90169559 MO000351189 4 10 2013 MED 1 C DR SRM MCKSC ZPOM 0410 0357 V99169559 M000351189 4 10 2013 MED 1 C DR SRM MCKSC POM aan AI LE ans a t a E al l a LgGAAA Irs ta fen Pn barr 4 ar mar Mme wf Bem 2 Tak d pg 41 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 3 THE CQM DASHBOARD 3 1 CQM View The following is a recap of how to use the CQM dashboard The CQM Dashboard lists the scores for the 16 CQMs that are configured in Centrig and Classic In 2014 many of the CQMs have sub measures Example of the Stage 2 CQM dashboard All hospitals regardless of their Sta
43. ctronic Prescriptions eRx gt 10 0 1 Core 3 Record Vital Signs gt 80 96 1 Core 12 1 Summary of Care Records gt 50 STOP NaN Lab Results to Ambulatory Providers gt gt oy of C lt ically gt Menu 6 552 93 9 Yo Core4 Record Smoking Status gt 80 97 1 Yo Core 12 2 of Care Records Electronically srar NaN Core 5 1 5 Clinical Decision Support Interventions Core 12 3 Electronic Care Record Exchange Tested 2 Drug Drug and Drug Allergy Interaction STOP Mma Core 5 2 Checks Core 13 Immunization Registries Data Submission Core 6 1 Pati ine Withi gt 50 7 P ore 6 Patient Info Online Within 36 Hours gt 50 0 Core 14 Electronic Reportable Laboratory Results Patient Info Online Viewed Downloaded gt a Core 6 2 vou A eee 0 ho Core 15 Electronic Syndromic Surveillance Data J Core 7 Protect Electronic Health Information 2 Core 16 ve Med Admin Record eMAR gt 324 NOT Participating in Participating in Objective Objective Objective Not Objective Excluded ma Yes or No Numerator and Denominator Objective Objective Completed Warning Completed passes Objective Objective g IATRIC EH MU Stage 2 Helpful Links Objectives Table of Contents Tip Sheet Toolkit HIMSS AHIMA EHR Incentive Programs Last Backup 10 25 2013 35 days ago QD Build 20131120 e Date calendar drop downs top left The Meaningful Use Dashboard provides users with a
44. cument without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 1 4 2 3 Attestations Tab The Attestations tab provides the ability to track the hospital s attestation reporting periods and includes a Comments section on the far right to add comments To add an entry indicate the start and end date of the reporting period enter the Attestation date and then add comments Click the Add Attestation button to save the entry The entry query is on the far left side and the display view is on the right side To edit any entry on the right side select the first paper with pen icon to the left of the entry you wish to edit make the update and save To delete any entry click on the trash can Listing your attestation periods can be helpful years down the road when reviewing prior reporting periods Sample View of Attestation Feature Selected Database Dashboard Sources Reporting Attachments Attestations Audits Users Settings EHMUM2 latric Systems Hospital I KayJackson EH MU Stage 2 Manager Log Out latric Systems Hospital Start Date E ae EES oe a Date End Date Date Comment Attestation Date fy L 10 1 2013 12 31 2013 1 16 2014 Stage 2 Year 1 reporting got paid 3M i Comment a Add Attestation g IATRIC EH MU Stage 2 Helpful Links Objectives Table of Contents Tip Sheet Toolkit HIMSS AHIMA EHR Incentive Programs Last Backup 10 25 2013 35 days ago QD Build 20131120
45. date calendar option with the Start Date and End Date drop down buttons This option allows users to select a date range The Dashboard then displays the Numerator Denominator N D score for that reporting data and for that particular date range When the desired date range has been selected the user clicks the Recalculate button to the right of the End Date field to update the N D reporting data Because this data is stored on a SQL server this option prevents the user from having to run reports The date range is set as a default in the MUM Settings tab and each time the dashboard is launched the default date range displays The dashboard launches based on the start date set for the default in Settings Once lanched the user can always adjust the start and end dates to recalculate the view of the dashboard e Menu Objective Set The Menu Objectives items are on the left side of the dashboard Even if the objective is not one for which the hospital has chosen to attest for Stage 2 if we have been provided with the N D query information the dashboard will continue to pull the data to display the percent satisfied If the site has provided the query or queries for the measure the score for the measure will display regardless of whether the measure has been selected as one of the three required Three out of the six Menu measures are required for attestation for Stage 2 The user can turn any Menu Objective a OOOO C SCSC C CSC sS
46. dication orders created by the EP or authorized providers in the eligible hospital s or CAH s inpatient or emergency department POS Passed Failed All 21 or 23 during the EHR reporting period Accounts Orders Accounts Orders Accounts Orders Source Site details pending to be programmed AND Order type MED LAB RAD MED Data from 4 10 2013 to 10 6 2015 View the CMS Definition of this objective Orders returned 21211 view details for Core 1 1 CPOE for Medication gt 60 The date in aqua is used to determine if data is within the date range Order Number Account Patient ee Ordering Order Source f Provider w 0410 0292 v99169559 M000351189 4 10 2013 MED 1 C DRJBM MEDJO ZPOM 0410 0297 V99169559 M000351189 4 10 2013 MED 1 C DRJBM MEDJO ZPOM 0410 0346 V99169559 M000351189 4 10 2013 MED 0 E ERJK MEDJO ZPYXIS 0410 0347 V99169559 M000351189 4 10 2013 MED 0 C ERJK MEDJO ZPYXIS 0410 0349 V99169559 M000351189 4 10 2013 MED 0 C ERJK MCKSC WR 0410 0356 V99169559 M000351189 4 10 2013 MED 1 C DR SRM MCKSC ZPOM 0410 0357 v99169559 M000351189 4 10 2013 MED 1 DR SRM MCKSC ZPOM 0410 0358 V99169559 M000351189 4 10 2013 MED 1 X DR SRM MCKSC ZPOM 0410 0359 v99169559 M000351189 4 10 2013 MED 1 E DR SRM MCKSC ZPOM 0410 0360 99169559 M000351189 4 10 2013 MED 1 C DR SRM MCKSC ZPOM 0410 0361 v99169559 M000351189 4 10 2013 MED 1 C DR SRM MCKSC ZPOM 0410 0362 V99169559 M000351189 4 10 2013 MED 1 E DR SRM MCKSC ZPOM 0410 0422 v99169559
47. easures a e CSSCSC CS pg 10 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 Stage 2 Dashboard View z Selected Database m Dashboard Sources Reporting Attachments Attestations Audits Users Settings EHMUM2 latric Systems Hospital lam CA e IEE Pa a Log Out FF pag w m i i i 10 8 Start Date 04 10 2013 24 End Date 10 06 2013 Recalculate latric Systems Hospital dgr pepe T el tee pa Extract Method Observation ast updated at 8 8 Sia Eligible Hospital Menu Objectives 3 of 3 met Eligible Hospital Core Objectives 11 of 16 met Menu 1 Advance Directive gt 50 95 4 Core 1 1 CPOE for Medication gt 60 STOP 43 9 Core 8 Clinical Lab Test Results gt 55 100 o 9 as l n a mha Menu 2 Electronic Progress Notes gt 30 349 f Core 1 2 CPOE for Laboratory gt 30 73 7 Core 9 Lists of Patients by Specific Conditions Menu 3 Imaging Results gt 10 Q 95 5 We iCoret 3 CPOE for Radiology gt 30 761 Ye Coredo oe Education Resources gt o Menu 4 Family History gt 20 0 Core 2 Record Demographics gt 80 99 8 Core 11 Medication Reconciliation gt 50 84 9 Menu 5 Ele
48. ected on the main CQM Dashboard view To submit electronically to Quality Net for 2014 CQMs select the second option entitled Download QRDA Category III Document CQM Partial Reporting toolbar view Selected Database EHCQM2 CQM 2014 ABC Hospital A Data from gias to 12 31 12 Export Results Download QRDA Category ill Document ures with no data are not shown Please contact latric if you believe data is missing VTE 1 0371 Venous Thromboembolism Prophylax VTE 2 0372 Intensive Care Unit Venous Thromboembolism Prophylax 13 2 0 1 50 gt VTE 3 0373 Venous Thromboembolism Patients with Anticoagulation Overlap Therapy 5 3 0 2 66 67 Note As of February 25 2014 Quality Net has not published any direction for vendors regarding the submission of the 2014 certified CQMs for the hospital to actually report As more details are available we will update the user manual To access information about each of the CQMs go to the main CQM dashboard view and select the CQM in question If the extract has been created the name of the CQM will be black and not greyed out Iatric Systems CQM is certified for all 16 CQMs supported by Healthland The layout of the 2014 CQM Dashboard is as follows The CQM Dashboard displays 3 columns of CQMs Each column has the following layout for each measure pg 43 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use
49. elow toolbar The drill down N D measure selected The view will display the measure s selected text and the required for this measure e Date Range top right The date range selected on the main dashboard view will display here It can always be changed to a different date range and recalculated from the main dashboard view e Responsible for this objective top right In the Users Responsibilities section the person s responsible for adding content to the drill down sections can be selected and assigned and that selection will be reflected here Only the person s named and the administrator can add content to that objective drill down e Percentage top far left under CMS definition In this field the current for this drill down measure will display and reflects the same score shown on the dashboard view e Numerator value top far left under CMS definition The numerator value that is the system calculated value for this objective and the text provided is based on the requirement for this drill down measure and for this date range MUM is certified to calculate this number e Denominator value top far left under CMS definition The denominator value that is the system calculated value for this objective for this date range and again the text of the requirement for this measure is shown MUM is certified to calculate this number e NOTE From either the blue Numerator or blue Denominator underlined link the user can gener
50. epage Image s Database Settings Database Name latric Systems Hospital Database Group latric leave blank for none Databases with the same Group will be available to all users with a Default Database in that Group For example if the MUM amp CQM Databases have the same Group then MUM users can access CQM Default Date Range Select Quarter and Year or choose date range manually below of Days of Data to Show 180 Fixed Start Date 04 10 2013 leave blank for none If blank Date Range wi be from today back the of days indicated above If populated Date Range will be from this day forward the of days indicated above Yellow Thresholds Low 10 High 4 Save i g IATRIC EH MU Stage 2 Helpful Links Objectives Table of Contents Tip Sheet Toolkit HIMSS AHIMA EHR Incentive Programs Last Backup 10 25 2013 35 days ago QD Build 20131120 a Database Settings The far left button is for critical dashboard information to be recorded The following detail explains each section of the feature gt Database Name Created by the install team for the facility that the dashboard is for The Settings section is reflected by the dashboard view the user has accessed MUM Main Dashboard or CQM Dashboard Place the name of the facility to be displayed on the main dashboard view in this section Note the Selected Database to the top right indicates which database the information reflects such as MUM Stage 2 Iatric Hospital in thi
51. fo Viewed Downloaded Transmitted gt 5 Core 6 Clinical Lab Test Results gt 55 Core 10 Patient Specific Education Resources gt 10 Core 11 Medication Reconciliation gt 50 Core 12 1 Summary of Care Records gt 50 Core 12 2 Summary of Care Records Electronically gt 10 Core 16 Electronic Med Admin Record eMAR gt 10 pg 33 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 e The indicator of the report view top left Under the measure name the following selection reporting criteria can be viewed and chosen To see a different view simply select a different radio button and click the green arrow Passed Failed All Accounts Orders Accounts Orders Accounts Orders e Passed Accounts The report reflects the Numerator list of patients e Failed Accounts Orders The report provides a list of all accounts or orders that failed the measure e All Accounts Orders This is the default view The report reflects all accounts or orders both passed and failed The number listed equals the Denominator total e Under the report view indicators is a shortcut link to the specifications sheet for that measure titled View the CMS Definition of this objective e Below this option is a button titled View details for in this example Core 1 1 Select this button returned to the drill down page for that
52. ful Use Manager Stage 2 Then move to the content section and enter your note Save Cancel Example of a note for a Yes No Measure Note Title How about our CDS linked to COM s Tatric Systems CDS rules match 4 of the domains Click Save or Cancel to finish The note title the user who entered the note and the date and time the note was saved will appear in the list of notes beneath the note entry section Mote Tithe ae Tithe User Dates Tine Tail E Fd How about our CDS linked to COM s kay Jackson 12 1 2013 3 32 35 PM E iE 7 Number 5 COS Stroke kay Jackson 10 29 2013 12 11 19 PM ail i P Mumber 2 CDS Safety Net Prow kay Jackson 10 29 2013 12 10 34 PMA Fail I 7 Mumber 4 COS ARI kay Jackson 10 29 2013 12 10 15 PM Tai ig Mumber 3 COS re OB kay Jackson 10 29 2013 12 09 21 PMA ke Tai in od Mumber 1 COS Interventio for kay Jackson 10 29 2013 12 08 42 PM 6 noatefs found To view a note select the icon to the far left of the note Any user with access to the dashboard can view any note on the list pg 39 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 Sample note in view mode On 7 31 2013 8 23 17 4 Note title By MIS DIG Decision Support b We display age related Aspirin warning for E rm and CPOE We display certain Lab results when ordering medication via CPOE and RaM From Derr
53. ge in 2014 must report using Stage 2 2014 CQMs MUM CQM Stage 2 is certified for the calculation of the required reporting values for 2014 as well as the QRDA Category III electronic reporting Sites that are in Year 1 Stage 1 reporting in 2014 are excluded from the CQM electronic submission requirement The requirement is to report 16 2014 CQMs The CQM Dashboard lists the scores for the 16 CQMs that are configured in Healthland Centrig and Classic i Data available from 1 2 2012 to 6 2 2012 Start Date 01 01 2012 E End Date 12 31 2012 E _ Recalculate CQM 2014 ABC Hospital 1 2 121 Measures with no data are not shown Please contact latric if you believe data is missing z ED Arrival to Departure for Discharged fi k s 5 bI K f E VTE 1 Venous Thromboembolism Prophylaxis 50 Yo STK 4 Thrombolytic Therapy 50 Yo ED 3a Daks ecco caer 40 i Antithrombotic Therapy By End of ED Arrival to Departure for Discharged WTE 5 al 7 5 D 3b 2 Thromboembolism Prophylaxis a fo SIKS Hospital Day 2 o E Patients RS1 With ED Encounter a Venous Thromboembolism Patients with ED Arrival to Departure for Discharged VTE 3 Anticoagulation Overlap Therapy oie to STK 6 SSBT et ENS O SEEL ET Hes Jo ED 3c Patients RS2 With Mental Disorders Venous Thro
54. icE James Maldonado 4 2 2012 1055 AM Stroke Prin Diagrosis Sibecs528746bSbbat0 ce Howard Lawrence 4 6 2012 S00 AM Stroke Prin Diagnosi S2becIS287T46bobbahO0ds Amber Mcdonald 4 30 2012 430 PM LOS lt 2 Days IPP 13 Denominator 13 Passed 2 Failed 2 Excluded 3 EH COM Stage 2 FY 2014 QualityNet 2014 COM Resource CMS COM CDC Race and Ethnici Payer Code Last Backup 12 10 2013 83 90 Bul puid g IATRIC Helpful Links Measures Table Website Code Set Set days ago eae Build 2010521 e Show Patients Names checkbox Show Patient Names Provides the ability to turn names off for the report To remove the patients name from viewing uncheck the Show patient names check box In the sample the box is checked so the patient names are shown e IPP Only check box Checking the IPP Only Initial Patient Population Size box causes the system to display only your patients that fall into the IPP as opposed to the all patients who meet the criteria for the Denominator e Denominator checkbox Shows all patients included in the denominator pg 45 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 e Passed checkbox Shows all patients included in the numerator who met the criteria for the measure e Failed checkbox Shows all patients not included in the numerator who did not meet the criteria for the measure e Exclusions checkbox Shows
55. ick I Goode Thur Apr 4 2013 11 51 am Date Time fil CDS 5 Relatesto Stroke CQM Kay Jackson 12 12 2013 12 15 28 PM G tl CDS 44 Relates to AMI COM Kay Jackson 12 12 2013 12 15 08 PM A fil s CDS 3 RelatestoCQMOB Kay Jackson 12 12 2013 12 14 42 PM at CDS 2 Relates to COM for Safety Kay Jackson 12 12 2013 12 14 12 PM Kay Jackson 12 12 2015 12 13 45 PM Kay Jackson 12 12 2013 12 13 02 PM upport MIS DIG 7 31 2013 8 23 17 AM a tl P Decision 5 When finished reading the note click OK to return to the list of notes To delete a note click on the trash can icon i Only owners of the measure or administrator users can delete a note All actions are recorded in the Audits section of the tool The user receives a warning before the note is deleted a x il The page at 192 168 0 46 says Are you sure you want to delete note titled Number 5 CDS F al Stroke gt pg 40 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 To edit a note click on the pen icon P This function opens the note for editing When finished click Save or Cancel Mote Tithe umber 5 COS Stroke Our Team has created a Stoke plan that monitors all admits that zas be Stroke related and starts that paetient on our Stroke path until the is ruled out Save Cancel 2 3 Core 1 1 1 3 CPOE added feature For the CPOE obje
56. irthdate 6 6 1347 Found Name i O i Brenda 3 3 2012 ICU LOS gt Age Sex M 526ec3518746b9 Ape ste 26ec3518746b9bbaf0000441 526ec3518745b3bbaf0004 niet 11 00 AM 24 hours Race 1002 5 Ethnicity 2186 5 Payer 349 Attending Bonnie 4 30 2012 LOS lt 2 T ESAS x 26ec3528746b9bbaf00005b1 526ec3528746b9bbaf00005b lt iner 5 00PM Days Type ae 4 2 2012 Stroke P Te Joe 4 2 2012 troke Prin 5256ec35287 dp s Pri ischarge _ 26e c 3528746b9bbaf0000691 6ec3528746b9bbaf000069 econ 1230 PM Diagnosis rimary _ s 3 5 2012 2 26ec3528746b9bbaf00009a1 526ec3528746bSbbsf000093 Mae Stokes fleas maga id i View All Measures for Account 26ec3518746b9bbaf0000211 26ec3528746b9bbaf0000a41 526ec3528746b9bbsf0000s4 Alice Castro prs k a vV ays No Stephen 3 4 2012 Prophylaxis 2 26ec3528746b9bbaf0000ae1 526ec3528746bSbbsaf0000se minis co Gace Found James 4 2 2012 Stroke Prin 526ec35287 fe 26ec3528746b9bbaf0000c81 526ec3528746bSbbsf0000cE Maldonado 10 55 AM Diagnosis Howard 4 6 2012 Stroke Prin 6 26ec3528746b9bbaf0000ce1 526ec3528746b9bbaf0000ce iinet 00 AM Diagnosis Amber 4 30 2012 LOS lt 2 C 5787 _26ec3528746b9bbaf0000d61 526ec3528746b9bbaf0000d6 Medonald 4 30PM Days Export Results IPP 13 Denominator 13 Passed 2 Failed 2 Excluded 9 Version 3 0 Q EH COM Stage 2 Helpful FY 2014 es 2014 COM Resource CMS COM CDC Race and Ethnicity Code Payer Code Last Backup 12 10 2013 83 days QD Build 20140206 IAT
57. it may apply Remember with Meaningful Use Manager you are building a story of how your facility captures and reports on the objectives so the more data you retain the better e Screen shot where the field is being captured Example if advanced directive is captured in ADMINISTRATOR and NUR upload a screen shot of both locations Remember that what your screen shot looks like on the day you attest may look very different 5 years down the road if a CMS auditor comes to audit e Policy and procedures about the specific objective e Proof of certification for the EHR system where the specific objective data is captured reported from the CHPL e Any documents you provide to patients about that objective e Training plan and or tools used to educate your staff about that specific objective e The contract with Healthland provided in your Meaningful Use package from Healthland e The Healthland invoice and or cancelled check to prove you are using a certified version of the Healthland software e Any articles from any source that your team used to educate or to consider how to track that explain your understanding of the intent of the objective e Best practice documents to show the fields included in the recommendation e Screen shot on the day attesting 4 2 Conducting Audits 4 2 1 Audit Notification In 2012 and 2013 CMS hired Figliozzi and company to conduct the MU audits The first indication that your site is being audited comes f
58. ite details pending to be programmed AND age gt 64 Data from 11 1 2013 to 1 29 2014 Accounts returned 434 355 unique patients Note Some objectives count Numerator and Denominator by unique patients whereas these reports show you every account and there can be many accounts per patient If any accounts for a patient pass then the patient counts into the numerator MAYER ELEANOR C FOX NORA A COOL RICHARD M WILDFIRE DIANNE J PICHLER MARGARET M PFAFF DOLORES M BELSOLE MICHAEL R MOSCATO PAULINE M SAMPLE HARRY J STREICH LINDA E LECKER MARY DAVID DUNWORTH FREDA JUDICE EVELYN F WATKINS DONALD L WICKETT MARY ANN MAJOR AUDREY P LEWIS LORETTA H GEERJOHN R Account V20000188 V20000808 20000931 20001400 V20001632 V20001814 V20001848 V20001855 V20002721 20003190 V20003497 V20003604 20003752 V20004347 V 20004933 V 20004958 V20005260 V20005484 Patient M000378265 Mo00105924 M000330589 Mo00016832 M000376988 M000804268 M000132977 Mo00621508 Mo000033951 M000566687 M000173393 M000348938 M000153692 Mo00508010 Mo00111799 M000826442 M000360172 M000396887 EH MU Stage 2 Helpful Links Objectives Table of Contents 11 26 2013 11 12 2013 11 12 2013 11 12 2013 11 12 2013 11 12 2013 11 12 2013 11 13 2013 11 13 2013 11 13 2013 11 13 2013 11 13 2013 11 13 2013 11 13 2013 11 13 2013 11 13 2013 11 13 2013 11 13 2013 11 28 2013 A ST1 82 1 11 14 2013 xX ST2 96 1 11 12 2013 E ER 80
59. led report for each CQM based on the start and stop date selected pg 46 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 e Recap This function shows a recap of the CQM for the selected date range It matches the recap at the top of the screen IPP 13 Passed 2 Failed 2 Excluded 9 Drill down to the patient level view To view details for a specific patient on the drill down CQM view click on the account number for the patient for whom you would like to view details The Demographic Information view will expand and show patient specific information as seen below Se Database IPP Denominator Numerator Exclusions VTE 1 NQF 0371 Venous Thromboembolism Prophylaxis Ge B B 2 9 Data from 1 1 2012 to 12 31 2012 Patient a Demographic Notes All accounts shown are in t TAP m t 1 t i tt Nannminator Everything in the Denominator falls into exactly 1 of 4 groups passing fa Information ions now count into Marao instage Click the patient s account ee button to see demographic a z Demographic Information information iinator Passed Exclusion Exception e Comment No Account 26ec3518746b9bbaf0000211 MRN 526ec3518746b9bbaf00002 Isaac 3 5 2012 Prophylaxis Number a 26ec3518746b9bbaf0000211 5252c3518745b9bbaf000021 rE spa testmant z Patient icaac Mckenzie B
60. mboembolism Patients ee ED Arrival to Departure for Discharged VIE 4 Receiving Unfractionated Heparin with 66 67 STK 8 amka Edurcainin E ED 3d Patients RS3 With Acute care hospital 0 Dosages Platelet Count Monitoring by transfer Protocol or Nomogram STK 10 Assessed for Rehabilitation 33 ED Arrival to Departure for Discharged Venous Thromboembolism Discharge 66 67 ED 3e Patients RS4 Without Mental Disorders 240 Instructions i ED 1a ED Arrival to Departure for Admitted 22025 and Acute care hospital transfer Patients Unstratifi s Admi fi VES Incidence of Potentially Preventable atients Unstratiied ED 2a ED or a J A ts K Venous Thromboembolism ED 1b ED Arrival to Departure for Admitted ae dmitted Patients Unstratified Patients RSL ED and inpatient ED 2b ED Admit Decision to Departure for S STK 2 Discharged on Antithrombotic Therapy 33 33 Yo ED Arrival to Departure for Admitted Admitted Patients RSL ED and inpatient i i m mer o ED 1c Patients RS2 ED and inpatient w out 22025 ED Admit Decision to Departure for STK 3 ga A or Atria 50 Yo psych ED 2c Admitted Patients RS2 ED and inpatient 20 ation 3 ED 1d ED Arrival to Departure for Admitted 0 w out psych Patients RS3 ED and inpatient w psych ED Admit Decision to Departure for ED 2d Admitted Patients RS3 ED and inpatient 0 w psych i 2 IATRIC EH COM Stage 2 Helpful Links FY 2014 Measures QualityNet 2014
61. merator and denominator detailed reports in the next sections of this manual The middle section of the drill down provides two added features On the far left is the Notes section A user with responsibility for the measure Or an administrator user can create or edit notes in this section The Notes section allows the team to record notes specific to the measure indicated in the drill down To add a note e In the free space type the title of the note This title should reflect the content of the full note such as CPOE Plan Note Title e Then move to the content section and enter your notes Once complete click Save or Cancel 5 Save Cancel Note Example Note Title CPOE Flan for Medications Our goal is to achieve a 75 for this measure pg 29 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 The full list of all entered notes appears at the bottom of the content section Save Title User Date Time fai it F Computerized Physician Order Entry CPOE for Medi kay jackson 10 1 2013 1 45 42 PM A i cPoe Plan kay jackson 9 25 2013 11 33 40 AM fi CPOE Quarterly EP review kay jackson 9 25 2013 9 18 27 AM 0 if MU Stage 2 CMS website kay jackson 9 25 2013 9 17 11 AM ee ee ee a e To view a note select the icon to the far left of the note Any user with access to the dashboard can view the note but only owne
62. minator 2 Passed Failed Excluded Version 3 0 e EH COM Stage 2 Helpful FY 2014 2014 COM Resource CMS COM CDC Race and Ethnicity Code Payer Code Last Backup 12 10 2013 83 days QD Build 20140206 LATRIC Links Measures QualityNet Table Website Set Set ago goa Again as with CQMs another feature of the patient level view for timed CQMs is the ability to see if that patient was included in any other CQMs your site is tracking Select the View All Measures for Account icon below the patient demographic information and the view will expand to show if that patient was included in any other CQM s your site is tracking If your site is participating in the CQM the Denominator Passed and Comment columns will display If there is no value for a CQM the text N A will display Additional data capture fields for 2014 CQMs In 2014 additional data elements must be reported on the patient level for all CQMs This detail includes e CDC Race code e Ethnicity code e Sex e Payer Code Set At the bottom on the CQM Dashboard view are short cuts to CDS Race and Ethnicity Code and Payer code set information pg 50 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 4 RECOMMENDATIONS AND AUDITING 4 1 MUM Dashboard Recommendations for Attachments Here are some items that your team might want to upload to each specific objective where
63. n Medicare and dually eligible Medicare and Medicaid providers c States and their contractors will perform audits on Medicaid providers d CMS and states will also manage appeals processes 4 2 3 Preparing for an Audit a To ensure you are prepared for a potential audit save the supporting electronic or paper documentation that supports your attestation Also save the documentation to support your Clinical Quality Measures CQMs Hospitals should also maintain documentation to support their payment calculations b Upon audit the documentation will be used to validate that the provider accurately attested and submitted CQMs as well as to verify that the incentive payment was accurate pg 52 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 RESOURCES The following resources are available from Healthland to assist you with your Meaningful Use program Learning Depot Meaningful Use Quick Link This page contains Meaningful Use resources for Healthland Centrig clients and includes 2011 and 2014 Eligible Hospital and Eligible Professional information including e Guides links and other MU resources for Eligible Professionals and Eligible Hospitals e Meaningful Use News e MU User Forum Meaningful Use eLearning courses pg 53 of 53 Duplication or distribution of this document without the expressed or implied consent
64. ne Systems User Name ef O datapase inistrator EHMUM1 atric Systems Par brian bolek EHMUM 24atric Systems Hospital D i ae Gore datnic Systems Hospital be Steve walker EHCQM1 latric Systems Hospital A g MDS latnc Systems Nursing Home e pii jeremy bl hal aes iti hata EPMUM1 Dr Brian J Bolek M D lu fi Chris Allen EHCOM24atric Systems Hospital EPCQM1 Dr Brian J Bolek J D lop Wi Kelly Jones EPMUM2 Dr Brian J Bolek Ph D 1 4 Dashboard View 1 4 1 Dashboard Options for All Users The Dashboard tab on the tool bar always navigates the user back to the dashboard view After the user logs in the Meaningful Use Dashboard set as the default for the user appears EHMUM2 Stage 2 ABC Hospital x 7B m m Data available from 4 10 2013 to 12 5 2013 Start Date 11 01 2013 E End Dawe 01 20 2014 E iRacaiaulata Stage 2 ABC Hospital Last updated at 12 5 2013 1 29 52 PM Eligible Hospital Menu Objectives 3 of 3 met Eligible Hospital Core Objectives 13 of 16 met Measure Description Measure Description Measure Description Advance Directive gt 50 O 32 Koreas CPOE for Medication gt 60 4 Cinical Lab Test Results gt 55 Electronic Progress Notes gt 30 CPOE for Laboratory gt 30 F 724 Lists of Patients by Specific Conditions Q 3 Imaging Results gt 10 Q 1 CPOE for Radiology gt 30 o Patient Specific Education Resources gt 10 4 20 YW Family Hi
65. nea ee nn ee ae ee eee eee 9 14 1 Dashboard Options Jor All IS CVS sors ecreivesacveseesanncdeuenncesuptncnsaesansesautensevesseedsaauntnsteadeaaciianteatacinesemecenss 9 142 POMS EACON OPON S va roceachetcctarasecatenciatadesaansecescsassnneuuncegencsouaciace eiiiai iaiaaeaia 14 2 N D Numerator Denominator AND Y N Yes No OBJECTIVE ORILE DOIN S ari E E EE eEKEURaN EE 26 2 1 Numerator Denominator N D Objective Drill DOWNS cccccccccccccecseeeeeeeeeeeeeeeeeeeeceeeceeeeeseeeeeeeeaas 26 2 1 1 Denominator Detailed Report VieW c cscccccseeccceeeccccececeeseceeesecuecsceuessnecessuucessuecesssecesseecsseeesesees 32 2 1 2 Numerator Detailed Report a catvctisredssccsascirabestnswensa istne nakoira EENE EE EEEE E EENET 36 22 Y N Objective DiMA OWNS serres r E E R EEEN 37 23 Corel l i CPOE added Teat re actress rn OE A AEE 41 3 THE COM DASHBOARD riririererrirnikesoie ninen 42 Sl GO 9 V EW e ce ee cere 42 3 2 Dashboard Layout for 2014 COM errain ssndsccnventancdceedseuwvareseasvenissesvandessivtecosaenies 42 4 RECOMMENDATIONS AND AUDITING nsssnssnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn 51 4 1 MUM Dashboard Recommendations for AttachMent cccccseecccceececcsececsececeseecauccecsueeecsuecensess 51 4L COn Ad ee E ore earn erro 51 42 PUOIE NOT ICGUON cccicrireriiririss oerni n EEE E A E N E EE 51 422 SUDJCCE lo AUGIE rO CMS aisseuiireii oirir E REE E A E E N E 52 423 Preparing Tor an AUU oeiercirserior erien a nE E E E E E EAE EEE NA 52
66. ngful use dom 15990 kay jackson ere 9 25 2013 a HWS MEDITECH 2014 ONC cert dom 166205 kay jackson 12 31 28 PM t E Stage2_MeaningfulUseSpecSheet_TableContents_EligibleHospitals_CAHs pdf 141866 kay jackson a a 1_CPOE for Medication_Orders pdf 588620 kay jackson nl i A 4 attachment s found Title User Date Time a i 8 Computerized Physician Order Entry CPOE for Medi kay jackson 10 1 2013 1 45 42 PM J CPOE Plan kay jackson 9 25 2013 11 33 40 AM a i 8 CPOE Quarterly EP review kay jackson 9 25 2013 9 18 27 AM a 8 MU Stage 2 CMS website kay jackson 9 25 2013 9 17 11 AM 4 note s found g IATRIC EH MU Stage 2 Helpful Links Objectives Table of Contents Tip Sheet Toolkit HIMSS AHIMA EHR Incentive Programs Last Backup 10 25 2013 37 days ago QD Build 20131120 pg 26 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 The N D drill down view includes the following starting at the top left e Return to the dashboard view top left Click on the Dashboard tab on the blue header e View the CMS Definition of this Objective top left This URL will launch the CMS specification sheet for that specific objective This sheet provides more detail regarding the objective and any exclusion If CMS changes the URL link this occurred in Stage 1 the link will be updated in MUM e Measure name and required middle top b
67. nt is prohibited USER GUIDE Meaningful Use Manager Stage 2 hospital wants any N D measure that is just over the requirement by 2 to display Yellow place 2 in this field The benefit of both the Low Yellow and High Yellow is that it serves as a caution to pay attention to the score for that measure gt Save When changes are made on the Applications Settings function click the Save button to save the changes b Emergency Password Where the default Emergency password can be changed Remember only a few select team members should know this password We recommend that you leave the password as the default password and that password can be obtained during training Dashboard Sources Attachments Attestations Reporting Audits Use Database Settings Emergency Password Homepage Image s Emergency Password c Homepage Images Where the hospital can add images for the landing page of MUM The options are to add an image to the left or right side Decide which image you want to display choose the file where the image resides and then click Upload The Iatric Systems image will always display in the middle Again the CMS MU auditors like to see logos on the reports as well as the logo on the landing page where the Version number of MUM is located On the day you attest it is also recommended to take a screen shot of the MUM Version number used to attest Homepage Images Image Left Choose
68. o review o End date to review 2 Click the Filter Results button Here is an example of audit report specifications r 7 Selected Database m Dashboard Sources Reporting Attachments Attestations Audits Users Settings EHMUM2 latric Systems Hospital lani CA a Se TANE ae ae Log Out Action AIl Database EHMUM2 Iatric Systems Hospital User kay jackson Start Date 11 01 2013 isl End Date 14 29 2013 3 Filter Results Export Results Results 16167 pg 21 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 Then click Filter Results The results of the audit review display as shown below latric 11 29 2013 SettingChanged EHMUM2 Systems kay jackson 10 05 25 SettingName Database Name OldValue Freeman Health Center NewValue Iatric Systems Hospital Hospital AM latric 11 29 2013 LoginSuccessful EHMUM2 Systems KayJackson 10 02 50 IPAddressPort 192 168 252 211 Hospital AM 11 25 2013 LoginSuccessful EHMUM2 Systems KayJackson 5 4 IPAddressPort 192 168 252 11 3 15 33 PM Hospital aes mene l 11 25 2013 n ParticipatingToggle EHMUM2 Systems kay jackson 344 Objective Menu CheckValue True i 1 44 23 PM Hospital l 11 25 2013 CompleteToggle EHMUM2 Systems kay jackson 1 44 11 PM Objective Core 5 1 CheckValue True Hospital nk 11 25 2013 ReportViewed EHMUM2 Systems kay jackson 1 42 46 PM Objective Core
69. ool You ll receive a warning before the note is deleted x ir The page at 192 168 0 46 says i iF Are you sure you want to delete note titled Computerized E Physician Order Entry CPOE for Medi iil i Ere o tn n MeFn pg 30 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 e To edit a note click the pen icon P This function opens the note for editing When finished click Save or Cancel Sample Notes View for Editing Note Title Computerized Physician Order Entry CPOE for Medi Computerized Physician Order Entry CPOE for Medication Orders jall Objective Use computerized physician order entry CPOE for medication orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state local and professional guidelines Measure More than 30 percent of all unique patients with at least one medication in their medication list geen by the eligible professional have at least one medication order entered using CPOE D Jahjg 5 Attachments section This section allows the user to attach documents that are specific to the measure Some examples might be e Screen shots of measure entry point e Policy about CPOE e Workflow of CPOE Attachments view Attachment Choose File Mo file chosen Upload Ailename Size User Date Time F ie m 11
70. oose File No file chosen Upload Timestamp na T Global Dashboard Report Stage2 Year 1 Q2 docx 155779 kay jackson 11 20 2013 9 03 59 AM iii Global Stage2Year 1 Q 2 attestation dashboard jpg 251331 kay jackson 11 20 2013 9 00 27 AM T Global MUDocument Request Letter EH 2 pdf 13540 kay jackson 11 20 2013 8 59 26 AM iii Global Vendor Certification letters docx 12633 kay jackson 10 4 2013 12 04 15 AM a T Global EHR_SupportingDocumentation_Audits pdf 323804 kay jackson 10 4 2013 12 02 37 AM iii Global EHR_Audit_Overview_FactSheet pdf 146410 kay jackson 10 4 2013 12 02 24 AM EH MU Stage 2 Helpful Links Objectives Table of Contents Tip Sheet Toolkit HIMSS AHIMA EHR Incentive Programs Last Backup 10 25 2013 35 days ago To upload a document click the Choose File button and browse for the file content you want to add to the Global Document section Select the file and click the Upload button to attach the file to the Global attachments area Note there is a drop down arrow that allows the administrator to also view all attached files in any of the Core or Menu Measures categories Selected Database Dashboard Sources Reporting Attachments Attestations Audits Users Settings EHMUM 2 latric Systems Hospital 6 attachment s found Objective Global Documents No file chosen m Global Documents aj Wenu 1 Advance Directive gt 50 aded
71. ric Systems m l Y p Edit User mi Delete User Legend Default Database Administrator EHMUM2 Iatric Systems Hospital You can also set a default database for each user This means when they log on they will launch first to the default database In the example above for Vicki Hunt the default database is EHMUM2 Iatric Systems Hospital This represents Eligible Hospital MUM Stage 2 for Iatric Systems Hospital To change the default database after a user has been added click the Edit User icon p Edit User to the left of the user s name The update fields will appear as shown below m W Dashboard Sources Reporting Attachments Attestations Audits Users Settings PEEL LEU LaLa EHMUM1 atric Systems User Mame Default Database Administrator Amy McKee EHMUMMatric Systems E Default Database Administrator p Edit User Vicki Hunt f EHMUM24atric Systems Hospital mi Delete User To change the default database select the new default database choice from the drop down list and click the Update button pg 8 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 Sources Reporting Attachments Attestations Audits Users Settings User Name Default Database Administrator EFRMUM 1 lat
72. ries Data Submission Core 14 gt Electronic Reportable Laboratory Results Core 15 2 Electronic Syndromic Surveillance Data Care 16 fa Flectronic Med Admin Record f MAR gt 10 E 10 37 4 AATF 21711 The Detailed Reporting feature of MUM has two access points e From the Reporting tab on the blue tool bar Select Reporting Detailed Reports Select the report you wish to view and click on the green arrow to run the report The detailed report shows all patients included or excluded for the time range selected on the main dashboard screen From within each numerator denominator drill down all users can access the Reporting feature pg 15 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Dashboard Menu 1 Sources Reporting Advance Directive gt 50 Advance Directive gt 50 Menu 2 Menu 3 Menu 4 Menu 5 Menu 6 Core 1 1 CPOE for Medication gt 60 Core 1 2 CPOE for Laboratory gt 30 Core 1 3 CPOE for Radiology gt 30 Core 2 Record Demographics gt 30 Core 3 Record Vital Signs gt 60 Core 4 Record Smoking Status gt 50 Core 6 1 Patient Info Online Within 36 Hours gt 50 Core 6 2 Patient Info Online Viewed Downloaded gt 5 Core 6 Clinical Lab Test Results gt 55 Attachments Electronic Progress Notes gt 30 Imaging Results gt 10 Family History gt 20 Electronic Prescriptions eRx gt 10 La
73. rom an email from Peter J Figliozzi CPA CFF FCPA The email contact information used when you attest is who the email notice will be sent to and it may end pg 51 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 up in that person s Spam folder so be sure your email system will accept the notice In 2013 sites had 3 weeks to respond with the requested information The bottom line for audits is to be sure you can defend your reported number 4 2 2 Subject to Audit from CMS Any provider attesting to receive an EHR incentive payment for either the Medicare EHR Incentive Program or the Medicaid EHR Incentive Program potentially may be subject to an audit Following is information on what you need to know to make sure you re prepared Overview of the CMS EHR Incentive Programs Audits a All providers attesting to receive an EHR incentive payment for either Medicare or Medicaid EHR Incentive Programs should retain ALL relevant supporting documentation in either paper or electronic format used in the completion of the Attestation Module responses Documentation to support the attestation should be retained for six years post attestation Documentation to support payment calculations such as cost report data should continue to follow the current documentation retention processes b CMS and its contractors will perform audits o
74. rs of the measure or administator users can edit or add a note Note Viewing One10 1 2015 1 45 42 PM By kay jackson Computerized Physician Order Entry CPOE for Medi Computerized Physician Order Entry CPOE for Medication Orders Objective Use computerized physician rs order entry CPOE for medication orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state local and professional guidelines Measure More than 30 percent of all unique patients with at least one medication in their medication list seen by the eligible professional have at least one medication order entered using CPOE jghjg Changes as of August 2012 Beginning in 2013 CMS added an optional alternate measure to the objective for computerized provider order entry CPOE The original measure for CPOE was based on the number of unique patients with a medication OK Title User Date Time fail ile F Computerized Physician Order Entry CPOE for Medi kay jackson 10 1 2013 1 45 42 PM 0 M CPOE Plan kay jackson 9 25 2013 11 33 40 AM A i CPOE Quarterly EP review kay jackson 9 25 2013 9 18 27 AM D ft MU Stage 2 CMS website kay jackson 9 25 2013 9 17 11 AM When finished reading the note click OK to return to the list of notes e To delete a note click the trash can icon Only owners of the measure or administrator users can delete a note All actions are recorded in the Audits section of the t
75. rting period then for purposes of measurement that patient is only counted once in the denominator for the measure All the measures relying on the term Unique Patient relate to what is contained in the patient s medical record Not all of this information will need to be updated or even be needed by the provider at every patient encounter This is especially true for patients whose encounter frequency is such that they would see the same provider multiple times in the Same EHR reporting period Within the drill down for the patient detail in MUM if the measure is a Unique Patient Measure that information will be noted for you If the unique patient requirements apply to a measure when the drill down is activated to the detailed report of patients included or excluded the content will advise the total number of unique patients for that selected reporting period y z ae Selected Database m Q Dashboard Sources Reporting Attachments Attestations Audits Users Settings EHMUM2 Stage 2 ABC Hospital Karen Brown EH MU Stage 2 Manager mm gt gt 1134 Numerator The number of patients in the denominator with smoking status recorded as structured data Core 4 Recond Smoking Status gt 80 x 1163 Denominator Number of unique patier umber of unique patient to an eligible hospital s or CAH s inpa D Passed Accounts Orders O Failed Accounts Orders All Accounts Orders or emergency departments POS 21 or 23 duri
76. s example listed as EHMUM Iatric Systems Hospital gt Database Group Databases with the same group will be available to all users with a default database in that group For example if the MUM and CQM Databases have the same group then MUM users can access CQM gt Default Date Range Allows the administrator to set the desired default view of quarters or days to default when any user launches the dashboard After launching the dashboard the user can adjust the date range and recalculate Only select one method o Select Quarter and Year If the hospital wants the default view when a user launches the dashboard to reflect the quarter a OOOe CSSCSC CCC s pg 23 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 they plan to attest select the quarter from the drop down We recommend you only use this setting if the reporting period is currently active Default Date Range Select Quarter and Year Law or choose date range manually below of Days of Data to Sho Fixed Start Date i PRE leave blank for none If blank Date Range wil Q2 2014 if populated Date Rang Q3 2014 Yellow Thresholds r back the of days indicated above us doy forward the of days indicated above Low High o of Days of Data to Show For this setting the administrator can set a system wide default date for the number of da
77. s or No Objective Ne Numerator and Denominator Objective Version 3 0 a EH MU Stage 2 Helpful Links Objectives Table of Contents Tip Sheet Toolkit HIMSS AHIMA EHR Incentive Programs Last Backup 12 10 2013 80 days ago QD Build 20140206 IATRIC Service Build 20130521 1 4 Adding Users e To access the Users functions click Users on the top left toolbar on the dashboard Only Meaningful Use Manager administrators can add users Dashboard Sources Reporting Attachments Atttestations Audits e Select Management from the drop down Users Eu Management Responsibilities e Enter the user s Active Directory name and click Save In this example Amy McKee is being added as a new user If the user will also be a MUM administrator click on the Administrator check box at the end of the row Once the new user is saved you will receive the message User Successfully Added pg 7 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 Dashboard Sourdgs Reporting Attachments Attestations Audits Us Settings User Name Default Database Administrator Cancel EHMUM1 atric Systems ss H E To edit or delete a user use the icons to the left of the user s name Dashboard Sources Reporting Attachments Attestations Audits ser Name Default Database Administrator EHMUM at
78. s that are not N D numerator denominator based and require just a Yes attestation that is ready and in place this is how the drill down will appear For the Yes No objectives no query fields are needed to extract data to the dashboard When you have the Yes No Core objective completed click on the drill down for the measure and indicate completion by changing the icon from red to green as shown below Only authorized users can make this change In this example the user is indicating that Core 5 1 the 5 Clinical Decision Support Interventions are in place and has changed the icon from red to green 5 Clinical Decision Support Interventions F y In the Yes No drill down the N D calculation items are not applicable but the other items such as Notes and Attachments remain The items available in the drill down for the Yes No Measures are pg 37 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 e View the CMS Definition of this objective top left Short cut to the CMS Specification Sheet for the measure e Name of measure center top e Yes No measure indicator below name of measure e Date range far left Does not apply to a Yes No measure e Responsible for this objective upper right below the date range Lists the team responsible for the measure e Completed top left under View the CMS Definition The
79. story gt 20 u Record Demographics gt 80 Medication Reconciliation gt 50 Q x Electronic Prescriptions eRx gt 10 203 Yo Record Vital Signs gt 80 21 SummaryofCareRecords gt 50 10 Menu 6 lab Results to Ambulatory Providers gt 20 90 6 Record Smoking Status gt 80 975 2 Summary of Care Records Electronically gt 10 100 oO s 10 5 Clinical Decision Support Interventions J Electronic Care Record Exchange Tested Core 5 1 gt Cenza 3 Drug Drug and Drug Allergy Interaction Checks Immunization Registries Data Submission 3 3 Patient nfo Available Online Within 36Hours gt 50 G o WG Bectror c Reportable Laboratory Resis GQ J Patient Info Viewed Downloaded Transmitted gt 5 A 0 Electronic Syndromic Surveillance Data Q 3 Core 7 Protect Electronic Health Information Core 16 Electronic Med Admin Record eMAR gt 10 62 6 Core 7 DS Gores NOT Participating in Objective Participating in Objective Odjective Completed dk Objective Warning Objective Not Completed Objective Excluded passes D Yes or No Objective Yo Numerator and Denominator Objective beep TATRIC EH MU Stage 2 Helpful Links Objectives Table of Contents Tip Sheet Toolkit HIMSS AHIMA EHR Incentive Programs Last Backup 12 10 2013 80 days ago QD Build 20140206 i Service Build 20130521 pg 9 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited US
80. tDate 11 1 2013 EndDate 1 29 2014 Hospital m Stage 2 LoginSuccessful EHMUM2 ABC JimBolt AASR IPAddressPort 98 223 231 89 8 22 26 AM Hospital Stage 2 Marilyn 2 10 2014 ParticipatingToggle EHMUM2 ABC L y 10 03 16 Objective Menu 6 CheckValue True oder Hospital AM Stage 2 Marilyn 2 10 2014 ParticipatinglToggle EHMUM2 ABC 10 03 10 Objective Menu 3 CheckValue True Loder Hospital AM The review sections included on the Audits listing are a Action Lists the action the user took At the top left is a drop down entitled Action and after clicking on the down arrow you can select any Legacy z LoginSuccessful LoginFailed ParticipatingToggle LoginSy CompleteToggle NoteChanged Core9Toggle Report ExportResults AttachmentUpload AttachmentDownload AttachmentDelete AttestationAdd AttestationDelete Report ResponsibilityAdd Report ResponsibilityDelete UsersAdd UsersChangeName Report UsersEdit UsersDelete b Type Shows which dashboard view the user was accessing that you wish to audit and is sortable by clicking on the heading Type c Database Each dashboard view has its own database Depending on your organization s participation you may see a Stage 2 MUM and a Stage 2 CQM This section shows which database was accessed by the user Each EH or CAH will have a different drop down list based upon pg 20 of 53 Duplication or distribution of this document without the expressed or implied consent
81. ults Click this button to export the results Just as with CQMs to view details for a specific patient on the drill down CQM view click on the account number for the patient for whom you would like to view details and the Demographic Information view will expand and show patient specific information as seen below pg 49 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager stage 2 Selected Database tt t IPP Denominator Numerator Exclusions lt a ED la NOF 0495 ED Arrival to Departure for Admitted Patients Unstratified 22 2 Data from 1 1 2012 to 12 31 2012 Notes All accounts shown are in the IPP Not all accounts shown are in the Denominator Everything in the Denominator falls into exactly 1 of 4 groups passing failing exclusions or exceptions Exclusions now count into the denominator in stage 2 they didn t in stage 1 F Show Patient Names E IPP Only F Denominator Demographic Information 26ec3528746b3bbaf0000591 MRN 526ec3528746b9bb2f000068 Account mame ED Arrival Joe Henderson Birthdate 3 6 1937 26e03528746b9bbaf0000691 526ec3522746bSbb21000069 rie oo tiple bcp 30 bona al ee en se 26ec3528746b9bbaf0000C81 526c3528746bSbb2f0000c8 area a ae baila 4315 lope iea ae Export Results oe Discharge H Date 4 2 2012 View All Measures for Account 26ec3528746b9bbaf0000691 IPP 22 Deno
82. unity Acquired Pneumonia CAP in Immunocompetent Patients non ICU N A N A N A patients AMI 8a 0163 Primary PCI Received Within 90 Minutes of Hospital Arrival N A N A N A mE TE ee Ae AMI 7a 0164 Fibrinolytic Therapy Received Within 30 Minutes of Hospital Arrival N A N A N A CAC 3 0338 Home Management Plan of Care HMPC Document Given to Patient Caregiver N A N A N A VTE l 0371 Venous Thromboembolism Prophylaxis Ean y gt 77 gt a 7 z VTE 2 0372 Intensive Care Unit Venous Thromboembolism Prophylaxis No ICU Transfer In this example if your site is participating in the CQM the Denominator Passed and Comment columns will display as shown in the above example for VTE 1 and VTE 2 If there is no value for a CQM the text N A will display Drill down view for a CQM timed measure In 2014 some CQMs on the display are based on time not The following provides details about that view a CSSCSC C s pg 48 of 53 Duplication or distribution of this document without the expressed or implied consent is prohibited USER GUIDE Meaningful Use Manager Stage 2 Sample view of the drill down for a timed CQM measure Selected Database Dashboard Reporting Attachments Attestations Audits sers Settings Caren Br O IPP Denominator Numerator Exclusions K ED 1a NQF 0495 ED Arrival to Departure for Admitted Patients Unstratified gt 22 2 Data from 1 1 2012 to 12 31 2012 Notes All accounts shown
83. who is logged in e Print Icon Also on the top right Allows users to print the dashboard screen Browser settings may vary for the printing function e Last Backup date and time Bottom right This reminds your team to make sure MUM is being backed up e QD Build Bottom right Shows the current update that your team has loaded The version number remains the same e Logo Far right bottom The Iatric Systems logo This logo is present because the CMS MU auditors want to see the logo on all reports used to attest See the Attestation and Audits sections for more details e EH MU Stage 2 Helpful Links On the bottom of the page Short cuts to helpful resource sites Sources Tab far left next to Dashboard tab e The Sources tab provides a view of all the sources of query information for the N D measures based upon the EHR system Healthland Centriq or Classic included in the extract Sample of Source view 3 A 3 Selected Database m Dashboard Sources Reporting Attachments Attestations Audits Users Settings EHMUM2 latric Systems Hospital ini KayJackson EH MU Stage 2 Manager Log Out Objective Source Menu 1 Advance Directive gt 50 Site details pending to be programmed AND age gt 64 a i ss aun cae Poges Site details pending to be programmed Notes gt 30 Menu 3 Imaging Results gt 10 Numerator From OE Denominator From RAD Menu 4 Family History gt 20 Site details pending to be programmed
84. ys for the dashboard to display o Fixed Start Date If the site wants to view their full reporting year the of days of data to show will be 365 Right below that the administrator will select the first day of the reporting period such as 10 1 14 That way when the dashboard is launched all users will see data reflective of the full current reporting period The user can change the date range when they want to view a different date range simply by changing the date range on the main view on the top left of the dashboard Default Date Range Select Quarter and Year or choose date range manually below of Days of Data to Show 365 Fixed Start Date i 0 01 2014 jin leave blank for none if blank Date Range will be from today back the of days indicated above If populated Date Range will be from this day forward the of days indicated above gt Yellow Threshold Low Parameter setting to change the display color for the measure to Yellow when the score is below the required percent by a number placed in the field Example If the hospital wants any N D measure that is under the requirement by 2 to display Yellow place 2 in this field gt Yellow Threshold High Parameter setting to change the display color for the measure to Yellow when the score is above the required percent by a number placed in the field Example If the pg 24 of 53 Duplication or distribution of this document without the expressed or implied conse

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