eHealth Measures User Guide and Technical Information
Contents
1. What are the New eHealth Measures A number of new eHealth measures will now start to be collected and sent through to qiConnect for Health practices to view These are e Medication List Currency last 12 months e Patients with an uploaded Shared Health Summary e Total Shared Health Summaries uploaded or re uploaded in previous 12 months e Total unique Shared Health Summaries uploaded or re uploaded in the previous 12 months e Average number of Shared Health Summaries uploaded or re uploaded in previous 12 months e Median age in months of all unique Shared Health Records uploaded e Average age in months of all unique Shared Health Records uploaded e Patients with verified Individual Health Identifiers e Event Summary Uploads How do start submitting these measurements If you are operating Pen Clinical Audit Tool version 3 11 or later the new eHealth tab should now be available PCS Clinical Audit Tool Classic CAT JRA File Edit View Tools DataSubmission Prompts Scheduler Help Bete 1 of 1 a Fine eHealth Measures Report Report Date 09 05 2 Practice Name Deidenti Report includes all patients in the practice clinical system who are not archived and not deceased An Active patient has had 3 visits in the last 2 years A Recent patient has had atleast 1 visit in the past 12 months qiConnect is managed and maintained by the Improvement Foundation www improve org2. E A birds Gade acces cities nde anneal 9 Total unique Shared Health Summaries uploaded or re uploaded in the previous 12 months 9 Meas re Title ccc iorri saveretacseeates savesvssvcuisnedestessdarieesteeesnstussthees Aa TORENT TEENE ET KAE ISEE E a ANERER NEES 10 E E E 10 Measure Title Sgene siecaecates secesescadsanescuetesgsteteash a teceuecnateasd avaates leabeasea gacntedeageantsonasaavsbecee 11 Median age in months of all unique Shared Health Records uploaded sccesscessseessteesseeess 11 Meas r Title sinc eatacceics cuca Stag ee a ataa 2c ostcceet a E a a 11 Average age in months of all unique Shared Health Records uploaded ccccccecsseceesesseeeeeeaes 11 Measdre Title sise encerra Aaa weed eee R ia ke A ae ede EEE nant a Ea 12 Patients with verified Individual Health Identifiers cccceecceeeeeeeeeeeeeeeeeeeeeeecaeceaeceaeeeaeeneeees 12 Meas re Titlen 2 25 ce caed chances eae a E E a E E ae Eear ae AE E 12 Event Summary Uploads cde lescscccs cscazdestescches iissa sedaches ccacdessatcdneevcdiea ianari sasian aiiai adi 12 F rth r NTOPMATION soriire dees secede nscbiteessicievsssededalendueedsat cs sducveadseviuscagdeleansaxdessonvoeieasserceyses 13 Neeg Help ereiaro eea Picea deel cease cb acne GesU edad de veacedeee aeedecde EEE E EEE ERES 13 qiConnect is managed and maintained by the Improvement Foundation www improve org au improvement foundation Of Connect Your gateway to the giCommunity
3. au improvement foundation qi Connect Your gateway to the qiCommunity There is a new report tab in Classic CAT showing the eHealth related reports which contains graphs showing the number of patients with an IHI PCEHR and Shared Health Summary r 3 lt T el E Pcs Clinical Audit Tool Classiccar E aa ia File Edit View Tools Data Submission Prompts Scheduler Help Medical Director 3 HCN Sample Data Extract Date 09 05 2014 1 13 PM c0 tvenne Cie reseter Stedani Papert Sena tina Matemal Heath Care PCEHR Status PCEHR and SHS SHS Uploads i E Select Al F Show Percentage Timeline i Shared Health Summary Age Eligible population 16 Eligible population is Patients with an SHS E lt 1 month E 1 lt 2 months 10 gt 6 months E 2 lt 3 months E 3 lt 6 months GB gt 6 months 2 1 lt 2 months 4 3 lt 6 months If the tab is not appearing then you will need to go through the usual steps to update i e open your existing version of the CAT software and choose to update when prompted Alternatively you can check for updates under the Tools menu 0 2 lt 3 months qiConnect is managed and maintained by the Improvement Foundation www improve org au mprovement foundation Of Connect Your gateway to the giCommunity Frequently Asked Questions Question I am using MD or Best Prac
4. the age of each SHS should be rounded up or down to the nearest month If a SHS is exactly a month old it should be rounded up E g 7 5 months should be rounded to 8 months Communicare all patients refers to patients with a status of current Average age in months of all unique Shared Health Records uploaded EC 029 Average age of all unique Shared Health Records uploaded for all patients Total number of unique Shared Health Records uploaded or re uploaded by the health service Date of upload for each Shared Health Record This is the average age in months of the total unique SHSs uploaded or re uploaded by the health service E g If a Patient A has several SHSs uploaded these are counted once only in the calculations In calculating this measure the age of each SHS should be rounded up or down to the nearest month If a SHS is exactly a month old it should be rounded up E g 7 5 months should be rounded to 8 months qiConnect is managed and maintained by the Improvement Foundation www improve org au Of Connect Your gateway to the giCommunity Measure Title Measure Code Description Numerator Denominator Business Rules Comments Measure Title Measure Code Description Numerator Denominator Business Rules Comments qiConnect is managed and maintained by the Improvement Foundation improvement foundation Patients with verified Individual Health Identifiers EC 030A Percentage
5. al Director and Best Practice who use Best Practice or Medical Director clinical software systems Practices will also need to be running the latest version of the Pen Clinical Audit Tool 3 11 e Event Summary uploads will not be able to be collected from Best Practice at the current time until that functionality becomes available in Best Practice e E referrals via SMD is a measure that the IF would like to include in the eHealth measures set however there have been issues collecting this measure accurately Therefore it will be included in a future release of CAT once the measure can be collected accurately Need Help For any technical assistance contact the IF Helpdesk on phone 08 8422 7450 or email data improve org au qiConnect is managed and maintained by the Improvement Foundation www improve org au
6. ged and maintained by the Improvement Foundation www improve org au improvement foundation Of Connect Your gateway to the giCommunity Average number of Shared Health Summaries uploaded or re uploaded in M re Titl tase ae previous 12 months Measure Code EC 027A Description Average number of Shared Health Summaries uploaded in previous 12 months for the active AND recent patients with a Shared Health Summary Numerator Total Number of Shared Health Summaries uploaded or re uploaded within the previous 12 months for active patients 3 visits in the previous 2 years and the total number of recent patients Denominator Total number of active patients 3 visits in previous 2 years and the total number of non active recent patients who have had a Shared Health Summary uploaded in the past 12 months Business rules e This is a total count of SHSs uploaded for the relevant patient cohort If a Patient A has several SHSs uploaded in this time period they are all counted e Patients that are deceased or inactivated at the point in time that this measure is calculated should be excluded from any calculations e 6A recent patient is a patient who has had at least one visit to the health service in the last 12 months e Communicare active patients refers to all patients who have attended the health service 3 times in the past 2 years and is irrespective of patient status Comments e The inclusion of the recen
7. had a one off visit to a health service www improve org au improvement foundation Of Connect Your gateway to the giCommunity P Total unique Shared Health Summaries uploaded or re uploaded in the previous Measure Title 12 months Measure Code EC 026A Description Total unique Shared Health Summaries uploaded or re uploaded in the previous 12 months as a percentage of active AND recent patients Numerator Total number of unique Shared Health Records uploaded or re uploaded within the previous 12 months for active patients 3 visits in the previous 2 years PLUS the total number of recent patients Denominator Total number of active patients 3 visits in previous 2 years PLUS the total number of recent patients Business Rules e This is a total count of unique SHSs uploaded for the relevant patient cohort If a Patient A has several SHSs uploaded in this time period i e 12 months these are counted once e Patients that are deceased or inactivated at the point in time that this measure is calculated should be excluded from any calculations e Communicare active patients refers to all patients who have attended the health service 3 times in the past 2 years and is irrespective of patient status Comments The inclusion of the recent patients cohort is to capture new patients at the health service We acknowledge that it will also capture patients who have had a one off visit to a health service qiConnect is mana
8. hoice of the Pen CAT qiConnect is managed and maintained by the Improvement Foundation www improve org au improvement foundation Of Connect Your gateway to the giCommunity Question Do the ranges red yellow and green on the dashboard change Answer At the moment the IF has arbitrarily put ranges in but will review these ranges in several months time once eHealth data starts being sent in qiConnect is managed and maintained by the Improvement Foundation www improve org au improvement foundation qi Connect Your gateway to the qiCommunity New Measurement Details Measure Title Medication List Currency last 12 months Measure Code EC 023 EC 023A Description Percentage of medications in the current medications list that have been printed or otherwise prescribed in the last 12 months Numerator Number of medications in the current medications list that have been printed or otherwise prescribed in the last 12 months Denominator Total number of medications in the current medications list Business Rules e Patients that are deceased or inactivated at the point in time that this measure is calculated should be excluded from any calculations e Otherwise prescribed refers to a new prescription or the re prescription of a current script it may also be an electronic prescription e Communicare all patients refers to patients with a status of current e Communicare active patients refers to a
9. improvement foundation Of Connect _ Your gateway to the qiCommunity eHealth Measures User Guide and Technical Information Prepared by Improvement Foundation Australia Ltd PO Box 3645 Rundle Mall SA 5000 Date Time Last Saved 22 07 2014 11 52 00 AM qiConnect is managed and maintained by the Improvement Foundation www improve org au improvement foundation Of Connect Your gateway to the giCommunity Contents What are the New eHealth Measures eesceesceceseeeenseeeeaeeseeeeecsaeeeeaaeeeeeeecaeeseaaeseeaeeseaeeessaeeeeaaeeeeeeeeeas 3 How do start submitting these measurements ccecssecesssstececseeececseaececeeaaeeeeseaaeceseeaeeeseeaeeseeeaas 3 Frequently Asked QUESTIONS ossosa earann aaa raaa a E EEEa EREE AE EEE easi IKES 5 New Measurement Detalls issc ca ssccctcesescced ssn decessaceede sapestes vu ksceddncnedees aiaa aiea 7 Measure Titleist eA ea a E EAE E EA AE A ERR aS 7 Medication List Currency last 12 months ssssnssssnsnsnssssesenrrssssesernrsnsssssnernnsrssssrnennnsnssssrnennesso 7 Measure TCG sca es sick cect beads vatectes aain a oa a R a E Ea 8 Patients with an uploaded Shared Health SUMMary ssssssssnssssssssrernrnssssserrnsnssssrrernrsnssssnennnsse 8 Measure Title sses spiese aans nae aaee a eE eaa KEREK ERa AEE RKR Aa a 8 Total Shared Health Summaries uploaded or re uploaded in previous 12 months cccceeees 8 IMG ASUPE Title ssc siicecs Ak ecceeGstacies e
10. ll patients who have attended the health service 3 times in the past 2 years and is irrespective of patient status qiConnect is managed and maintained by the Improvement Foundation www improve org au Of Connect Your gateway to the giCommunity Measure Title Measure Code Description Numerator Denominator Business Rules Comments Measure Title Measure Code Description Numerator Denominator Business rules Comments qiConnect is managed and maintained by the Improvement Foundation improvement foundation Patients with an uploaded Shared Health Summary EC 024A Percentage of active and recent patients for whom a Shared Health Summary has been uploaded Number of active patients 3 visits in the previous 2 years PLUS the number of recent patients at least one visit to the health service in the last 12 months with a Shared Health Summary uploaded Total number of active patients 3 visits in previous 2 years PLUS the total number of recent patients e Patients that are deceased or inactivated at the point in time that this measure is calculated should be excluded from any calculations e 6A recent patient is a patient who has had at least one visit to the health service in the last 12 months e Communicare active patients refers to all patients who have attended the health service 3 times in the past 2 years and is irrespective of patient status The inclusion of the recent patien
11. of active and new patients who have a verified Individual Health Identifiers Number of active patients 3 visits in the previous 2 years PLUS the number of new patients who have a verified Individual Health Identifier Total number of active patients 3 visits in previous 2 years PLUS the total number of recent patients e The IHI needs to be marked as verified in the clinical software This is to ensure that the IHI is valid e Patients that are deceased or inactivated at the point in time that this measure is calculated should be excluded from any calculations The inclusion of the recent patients cohort is to capture new patients at the health service We acknowledge that it will also capture patients who have had a one off visit to a health service Event Summary Uploads EC 032A Total number of event summaries uploaded in the past 12 months by the practice Total event summaries uploaded in the past 12 months by the practice Total number of active patients 3 visits in previous 2 years plus the total number of recent patients who have had a Shared Health Summary uploaded This is not collected by Best Practice at the moment so the CAT can only get it from MD www improve org au improvement foundation Of Connect Your gateway to the giCommunity Further Information e Due to the way in which the CAT extracts receives its data from the different clinical programs the above measures are currently only available for Medic
12. t patients cohort is to capture new patients at the health service We acknowledge that it will also capture patients who have had a one off visit to a health service e Itis very important that only those active and recent patients who have had a Shared Health Record uploaded in the past 12 months are counted in the denominator qiConnect is managed and maintained by the Improvement Foundation www improve org au Of Connect Your gateway to the giCommunity Measure Title Measure Code Description Data required Business Rules Measure Title Measure Code Description Data required Business Rules improvement foundation Median age in months of all unique Shared Health Records uploaded EC 028 Median age of all unique Shared Health Records uploaded for all patients Total number of unique Shared Health Records uploaded or re uploaded by the health service Date of upload for each Shared Health Record Patients that are deceased or inactivated at the point in time that this measure is calculated should be excluded from any calculations This is the median age of the total unique SHSs uploaded or re uploaded by the health service E g If a Patient A has several SHSs uploaded these are counted once only in the calculations The age of the most recent SHS per patient should be counted Information on the median and how it is calculated can be found here http en wikipedia org wiki Median In calculating this measure
13. tice but my dashboard doesn t have any data in it for the current or the past month there is a filter that lets you choose this Answer Please make sure that you have updated to Pen CAT version 3 11 or better You can do this by going into the CAT program Under the Tools menu please choose Check for Updates Question Why can only see some of my dashboard graphs gauges like current medications and coded diagnoses when look at my dashboard results from a year ago Answer This is because at that point in time last year the CAT could only collect and send a smaller set of eHealth measures to qiConnect It couldn t collect any information around shared health summaries for example Question can see the gauges on the dashboard but underneath it says My Health Service Name has not submitted data for the selected submission period Answer The dashboard gauges will show up all of the time along with the black triangle national average regardless of whether your health services has submitted the required data for that month or not If you have submitted data for that month you will have a black line on your graph see below 0 20 40 60 80 100 If your health service hasn t uploaded data for that month you can do so by opening the CAT selecting a data collection from the relevant month and uploading it to the Improvement Foundation this is under the Data Submission menu c
14. ts cohort is to capture new patients at the health service We acknowledge that it will also capture patients who have had a one off visit to a health service Total Shared Health Summaries uploaded or re uploaded in previous 12 months EC 025A Total Shared Health Summaries uploaded or re uploaded in the previous 12 months as a percentage of active AND recent patients Total Number of Shared Health Records uploaded or re uploaded within the previous 12 months for active patients 3 visits in the previous 2 years PLUS the number of recent patients at least one visit to the health service in the last 12 months Total number of active patients 3 visits in previous 2 years PLUS the total number of recent patients e This is a total count of SHSs uploaded for the relevant patient cohort If a Patient A has several SHSs uploaded in this time period they are all counted e Patients that are deceased or inactivated at the point in time that this measure is calculated should be excluded from any calculations e 6A recent patient is a patient who has had at least one visit to the health service in the last 12 months e Communicare active patients refers to all patients who have attended the health service 3 times in the past 2 years and is irrespective of patient status The inclusion of the recent patients cohort is to capture new patients at the health service We acknowledge that it will also capture patients who have
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