AOA More Enable - Practice Director
Transcript of AOA More Enable - Practice Director
PracticeDirectorandAOAMORERegistryGuide
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TableofContentsAOAMOREEnrollment………………………………………………………………………………………………………2AOAMOREPracticeDirectorVersion………………………………………………………………………………….2-3PracticeDirectorUpdateInstructions……………………………………………………………………………….3-4AOAManagementSetup……………….…………………………………………………………………………………...5-6AOASubmissionTrialandProductionSubmissionRun………………………………………………………7-12 TrialSubmissionRun…………………………...………………………………………………………………7-9 ProductionSubmissionReport..……………………………………………………………………………9-12MIPSQualityMeasures…………………………………..…………………………………………………………….13-17 GuidelinesforenteringQualityData……………………………………………………………………15-17
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CompleteenrollmentwithAOAMOREifyouhavenotalreadydonesobygoingtotheAOAMOREwebsitewww.aoa.org/moreWhenthewebsitelaunchesselecttheENROLLbuttonlocatedontherightsideofthescreenFollowthepromptstocompleteregistrationIfyouhavequestionsonwhetherornotyouhaveregisteredoronhowtoregisteryoucanclicktheHELPDESKbuttonandamemberoftheAOAMOREteamwillfollowupwithyou
PracticeDirectorVersions5.1.63andaftercontainaccesstoAOAMORE.ToverifyyourversionfromPracticeDirector:SelectHelpSelectAboutPracticeDirectorTheAboutdialogwillopenVerifythatBuild#isequalorgreaterthan5.1.63
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• Ifthebuild#isequalorgreaterthan5.1.63youcancompletetheAOAManagementsetupwithinPracticeDirector
• Ifthebuild#islessthan5.1.63youcanruntheCDUtoupdatePracticeDirectortothemostrecentversion
InstructionsforRunningCDUYouwillinstalltheupdateonyourserverbylaunchingtheCDU.PleasenotewehavemadeimprovementstothereliabilityandstabilityoftheCDUtoreduceerrorswhenrunningintheoffice.Inordertoruntheupdateyoumustbeloggedinasanadministrator.LocatetheCDUicononyourserver.OnceyouhavelocatedtheCDUiconfollowthestepsbelow:Thepasscodeforthisupdateis:MoreUpdateDirectionsforallOperatingSystems:Windows8/Windows7/WindowsVista/WindowsServer2012/WindowsServer2008R2/WindowsServer2008:1. LocatetheClient-DrivenUpdatericononyourdesktop.2. Right-clickontheicon.3. SelectRunAsAdministrator.YouwillneedtoruntheClient-DrivenUpdaterasan
administrator.4. Click'Update'andenterthepasskeysuppliedabove.5. Waitforconfirmationsoftwarewasupdatedsuccessfully
WindowsXP/WindowsServer2003:1. LocatetheClient-DrivenUpdatericononyourdesktop.2. DoubleclickontheicontolaunchtheClient-DrivenUpdater.3. Click'Update'andenterthepasskeysuppliedabove.4. Waitforconfirmationsoftwarewasupdatedsuccessfully
RunningtheClient-DrivenUpdaterwillshutdownthePDserverandinstallthelatestPracticeDirectorsoftware.Oncetheupdateiscompleted,yourPDservicewillberestartedautomatically.Pleaseallowatleast5minutesforittocompleteitsstartupcycle.AfterPracticeDirectorhasstarted,youcanlogintoPDattheworkstationsandusethenewversion.
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Mac:
1. LocatetheClient-DrivenUpdatericononyourdesktop.2. ClickontheicontolaunchtheClient-DrivenUpdater.3. Provideyouradministratorpasswordtoinstallthesoftware4. Click'Update'andenterthepasskeysuppliedabove.5. Waitforconfirmationsoftwarewasupdatedsuccessfully6. Use'StartPDServer'applocatedin'/Applications/WilliamsGroup'
RunningtheClient-DrivenUpdaterwillshutdownthePDserverandinstallthelatestPracticeDirectorsoftware.Oncetheupdateiscompleted,youwillneedtorestartthePDserver(StartPDServer.app).Pleaseallowatleast5minutesforittocompleteitsstartupcycle.AfterPracticeDirectorhasstarted,youcanlogintoPDattheworkstationsandusethenewversion.IfyouhaveanyissueswithrunningtheClient-DrivenUpdater,pleasecallourSupportLineat402-454-7173pleasegivethesupportrepresentativetheerrorcodeyoureceivedinordertoscheduleamanualupdate.Ifyouhaveanyquestionsregardingtheupdate,pleasecontactthePracticeDirectorSupportTeamat402-454-7173orsupport@practicedirector.com
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AOAManagementSetupOnceyouareonversion5.1.63orgreateryoucansetupPracticeDirectortocommunicatewithAOAMORERegistry.TheinformationbelowisalsocoveredinTrainingVideo28.1AOARegistryMenuItems,locatedattraining.practicedirector.com.YoucancontactPracticeDirectorSupportifyouareunsureofyourUsernameandPassword.LogintoPracticeDirector
SelectEHROptionsSelectAOARegistrySelectAOAManagement
TheAOAManagementdialogwillopen(Allfieldsarerequiredforsubmission)
1. PracticeDirectorwillkeepthefirstfourdatesupdatedforyou.AtthistimeAOAMOREisonlyaccepting2016data.
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2. ClickonthelookuptoselectanyAOAprovidertobetheLegalAuthenticator.TheauthenticatorassumeslegalresponsibilityofthegeneratedQRDACategoryIfilesbeingsubmittedtotheAOARegistry.Selectthedatethattheselectedprovidertookresponsibility.
3. ClickonthelookuptoselectanyAOAprovidertobetheCustodian.ThecustodianrepresentstheorganizationthatisinchargeofmaintainingthegeneratedQRDACategoryIfilesbeingsubmittedtotheAOARegistry
4. SubmissionDate&Time-FortheDayyoucanselectbetweenWednesdayorThursdayforsubmission.AOArequirestheAOARegistryEndDatetobepriortotheweeklysubmissiondeadline.AOAreleasestheweeklyproviderwhitelistonWednesdayatnoonandtheAOAweeklysubmissiondeadlineisFridayat5:00pm.ThedefaultselectionisWednesday.Youmayspecifyanytimeforsubmissionafter6:00pmonWednesdayorThursday.
5. SelectEnable6. SelectSave
OncesavedyourinformationwilltransfertoAOAMORERegistryperyoursetupspecifiedinAOAManagement.
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AOASubmissionTrialandProductionSubmissionRunPracticeDirectorhasgiventheusertwooptionsforverifyinginformationthathasbeenorwillbetransmittedtotheAOA.AOATrialSubmissionRunwillallowyoutoviewandorsavetheresultsofthedatathatwouldbesentintheSubmissionRun.ThiswillallowyoutoverifythatallanticipatedpatientsaregoingtobetransmittedtoAOA.IfanyproblemsaredetectedyoucanresolvethembeforetheProductionrunoccurs.TrialSubmissionRunSelectEHROptionsSelectAOARegistrySelectAOATrialSubmissionRun
1. Provider–selectthedesiredproviderfromthedropdown2. Thedatefieldsarepre-populatedwiththedatessetupinAOAManagement,youcan
overrideanydatebyclickingonthecalendar3. Destination–Leaveempty(thisisforthePracticeDirectorsupportteamto
troubleshootfileproblemsifneeded).4. SelectOKtosave
YouwillseetheAOATrialSubmissionRundialogshowingtheprogress.YoucanwaitorselectRuninBackgroundsothatyoucancontinuetowork
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Oncetheruniscompletetheresultswilldisplayonthescreenorinthetray(ifyouselectedRuninBackground)
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1. TheProvider,eCQMReportingPeriod,andAOARegistryReportingPeriodwilldisplay2. EachNQFwilldisplaywiththenumeratoranddenominatorcountsthatwillbesentto
AOAMOREintheProductionRun ToseethepatientsthatmakeupthecountsyoucangotoEHROptions>AOA Registry>AOAeCQMVerificationReport
3. Ifthereareanypatientsthatwillnotpushuptheirnamesandtheissuewillbelisted,ifnoproblemsyouwillsee“NoproblematicpatientQRDAIdatawasdetected”
4. Youwillseealistofpatientsthathavebeenseenbytheprovidersincethelastsubmission.
5. YoucanselectSavetoSavethereportlocallyandthenyoucanprintfromthesavedlocationifdesired
ProductionSubmissionRunReport TheProductionSubmissionRunReportisusedtoviewwhatwassenttotheAOAduringtheweeklyrun.TheReportwillshowyouifthereareanypatientsthatwerenottransmittedandwilllistthereasonwhy.Youcanusethisreporttofixthedatabeforethenextscheduledupload.ToruntheProductionSubmissionRunReportSelectEHROptionsSelectAOARegistrySelectAOAProductionSubmissionRunReports
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TheAOAProductionSubmissionRunReportdialogwillopen
IntheupperlefthandsideofthescreenyouwillseealistofProviderNamesandtheSubmittedDate.TheuserisabletosortbytheProviderandortheSubmittedDatebyclickingontheheader.*NoteRunInformationisonlyretainedfor90daysToviewdetailsaboutaspecificProviderandSubmittedDate,selectthedesiredinformation.Onceselecteddataabouttherunwilldisplayontherightsideofthescreen
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1. TheProvider,eCQMReportingPeriod,andAOARegistryReportingPeriodwilldisplay2. AlistofeachNQFwilldisplayalongwiththesubmittedNumeratorandDenominator
counts ToseethepatientsthatmakeupthecountsyoucangotoEHROptions>AOA Registry>AOAeCQMVerificationReport
3. Thisarealistsanypatientsthathaderrorsandcouldnotbesubmitted.BeforethenextAOAsubmissionyouwillwanttoresolvetheerrors
4. SelectSavetosavethereportlocally.Oncesavedlocally,theinformationcanbeprinted
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MIPSQualityMeasure(NQF/CQM/eCQM/PQRS)In2017DoctorsofOptometrymustreporton6QualityMeasures.WithPracticeDirectorandAOAMOREyoucansubmityourQualitymeasuresthroughtheAOAMORERegistry.Youmustincludeoneoutcomesmeasure(ifyoucannotreportanoutcomesmeasure,youmustreportonehighprioritymeasure).Youmustreporton50%ofyourpatientsacrossallpayers.PracticeDirectorandAOAMOREarestructuredtoreportonthefollowingmeasures:
MeasureName MeasureDescription eMeasureID NQF PQRS Additional
Info
Diabetes:EyeExam
Percentageofpatients18-75yearsofagewithdiabeteswhohadaretinalordilatedeyeexambyaneyecareprofessionalduringthemeasurementperiodoranegativeretinalexam(noevidenceofretinopathy)inthe12monthspriortothemeasurementperiod
CMS131v5
55
2022For2024For2026For3072F
DiabeticRetinopathy:
CommunicationwiththePhysician
ManagingOngoingDiabetes
Care
Percentageofpatientsaged18yearsandolderwithadiagnosisofdiabeticretinopathywhohadadilatedmacularorfundusexamperformedwithdocumentedcommunicationtothephysicianwhomanagestheongoingcareofthepatientwithdiabetesmellitusregardingthefindingsofthemacularorfundusexamatleastoncewithin12months
CMS142v5
89
5010F+G8397orG8398
BonusPointsHighPriority
PrimaryOpen-AngleGlaucoma(POAG):Optic
NerveEvaluation
Percentageofpatientsaged18yearsandolderwithadiagnosisofprimaryopen-angleglaucoma(POAG)whohaveanopticnerveheadevaluationduringoneormoreofficevisitsw/in12months
CMS143v5
86
2027F
DiabeticRetinopathy:
DocumentationofPresenceorAbsenceof
MacularEdemaandLevelofSeverityofRetinopathy
Percentageofpatientsaged18yearsandolderwithadiagnosisofdiabeticretinopathywhohadadilatedmacularorfundusexamperformedwhichincludeddocumentationofthelevelofseverityofretinopathyandthepresenceorabsenceofmacularedemaduringoneormoreofficevisitswithin12months
CMS167v5
88
None
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MeasureName MeasureDescriptioneMeasure
ID NQF PQRSAdditional
Info
Diabetes:HemoglobinA1c(HbA1c)PoorControl(>9%)
Percentageofpatients18-75yearsofagewithdiabeteswhohadhemoglobinA1c>9.0%duringthemeasurementperiod
CMS122v5
59
3064For3046F8Por3044For3045F
BonusPoints,
Outcome&High
Priority
PreventiveCareandScreening:TobaccoUse:ScreeningandCessation
Intervention
Percentageofpatientsaged18yearsandolderwhowerescreenedfortobaccouseoneormoretimeswithin24monthsANDwhoreceivedcessationcounselinginterventionifidentifiedasatobaccouser
CMS138v5
28
4004For1036F
ControllingHighBloodPressure
Percentageofpatients18-85yearsofagewhohadadiagnosisofhypertensionandwhosebloodpressurewasadequatelycontrolled(<140/90mmHg)duringthemeasurementperiod
CMS165v5
18
G8752orG8753
BonusPoints
Outcome&High
Priority
ClosingtheReferralLoop:Receiptof
SpecialistReport
Percentageofpatientswithreferrals,regardlessofage,forwhichthereferringproviderreceivesareportfromtheprovidertowhomthepatientwasreferred
CMS50v5
N/A
None
BonusPointsHighPriority
DocumentationofCurrent
MedicationsintheMedicalRecord
Percentageofvisitsforpatientsaged18yearsandolderforwhichtheeligibleprofessionalatteststodocumentingalistofcurrentmedicationsusingallimmediateresourcesavailableonthedateoftheencounter.ThislistmustincludeALLknownprescriptions,over-the-counters,herbals,andvitamin/mineral/dietary(nutritional)supplementsANDmustcontainthemedications'name,dosage,frequencyandrouteofadministration.
CMS68v6
419
G8427orG8430orG8428
BonusPointsHighPriority
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GuidelinesforenteringQualitydatawithinPracticeDirectorforComplianceUserswillcontinuetodocumentthesemeasuresastheyalwayshaveinthePracticeDirectorEHR.InsuranceBillerswillNOTselectthePQRScodesforclaimssubmissionontheInvoiceScreen(thisisdifferent).Werecommendcompletingasmanymeasuresasyoucan,CMSwilltakeyourtop6scoringmeasures.Theguidelinesbelowwillnotshowallcodingpossibilities.Toseethefulllistingofcodesets,pleaseseetheMeasuresHelptabwithinEHROptions>AOARegistry>AOAeCQMHelpEachofthesemeasuresarealsoreviewedinourtrainingvideoslocatedat:training.practicedirector.comNQF0018Hypertension:BPMeasurement(onlyifBPcontrolledthenumeratorwillbepopulated)Video28.6
• Patientage19–85duringmeasureperiod• Hasancompletedofficevisitsrecorded(Medical99xxx)duringmeasurementperiodin
Coding/Final• HypertensiondiagnosisrecordedinCoding/Final<=6monthsstartafterstartof
measurementperiodinCoding/Final• OrDiagnosisofEssentialHypertensionendsbeforethestartofthemeasurementperiod• RecordcontrolledrangeofSystolic<140andDiastolic<90BPinVitalssectionofthe
EHR
NQF0028PreventiveCareandScreening:TobaccoUse:ScreeningandCessationInterventionVideo28.7
• Patientage18yearsandolder• Atleast2officevisitsrecorded(Medical99xxxor92xxx)inCoding/Final• SmokingstatusselectedinRespiratorysectionofROS
o Ifanon-smoker,thisisallthatisneededo Ifacurrentsmoker,willneedaCessationCounselingcoderecorded(99406or
99407)
NQF0050ClosingofReferralLoop:receiptofspecialistreportVideo28.5
• Anypatientwhohasbeenreferredout,regardlessofage• Medicalor92002,92004,92012,and92014coding• Referralsavedtoexam• CompletethereferralloopbyimportingthereferralreportbackintotheEHR.
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NQF0419DocumentationofCurrentMedicationintheMedicalRecordVideo28.11
• Patients18yearsandolder• Atleast1officevisitrecorded(92xxx)inCoding/Final• AddallcurrentmedicationstotheERxportal• ChecktheDocumentedallcurrentmedicationsboxinCurrentMedicationsectionof
EHR
NQF0086POAG:OpticNerveEvaluationVideo28.8
• Patients18andolder• Atleast2officevisitsrecorded(99xxxor92xxx)inreportingperiodinCoding/Final• POAGdxcoderecordedinCoding/Final• OpticNerveHeadEvaluationrecorded(2027F)inCoding/Final• CuptoDiscRatioresultsrecordedinDiscAssessmentsection• AppearancerecordedinDiscAssessmentsection
NQF0088DiabeticRetinopathyExaminationVideo28.9
• Patient18yearsandolder• Atleast2officevisitsrecorded(99xxxor92xxx)withinreportingperiodinCoding/Final• DiabeticRetinopathydxrecordedinCoding/Final• MacularorFundusExamrecorded(2021F)inCoding/Final• PDEHRMacularEdemaandRetinopathySeverity(Severitycannotbenormal)fields
populatedinthePosteriorSegmentsection.
NQF0089DiabeticRetinopathyCommunicationVideo28.10
• Patients18yearsandolder• NQF0088ismet• CreateReferralletterandsavetoEHR,includingPosteriorSegmentsectioninreport• Findingcommunicatedtophysicianrecorded(5010F)inCoding/Final
NQF0055DiabetesEyeExam
Video28.2
• Patients18-75• PatienthasadiabetesdiagnosisinCoding/Final• Hashadaretinalordilatedeyeexamduringthereportingperiod,oranegativeretinal
examwithnoevidenceofretinopathy12monthsprior• 92xxxcodesdonotcount
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• PDFundoscopysectionofexamcompleted(dilatedmethod,etc)• 2022F,2024F,2026For3072FenteredinCoding/Final
NQF0059Diabetes:HemoglobinA1CPoorControl
Video28.3
• Patients18-75yearsold• PatienthasdiabetesdiagnosisinCoding/Final• HashadhemoglobinA1C>9%duringthereportingperiod• ResultsfromhemoglobintestenteredasLabResultinPracticeDirector.Usingthe
followingLOINCcodes4549-2,17856-6,4548-4,17855-8• LabResultsshowthatA1Cisstillnotcontrolledandisstill>9%• Youwantthismeasuretohavesmallpercentage
ImportantInformationaboutCQMNumeratorCountsAsofOctober1,2016,theICD10listwasupdatedfordiagnosingpatients.However,thevaluesetsusedtodetermine/calculatetheClinicalDecisionSupportinterventionsandtheClinicalQualityMeasureshaveNOTbeenupdatedtoincludethenewlyreleasedICD10codes.Becauseofthis,bothyoursysteminterventionsmaytriggerandyourCQMcountsmayhavelowernumerators.Wehavecontactedthegoverningbodiesaskingforthenewvaluesets.Wehavenotyetreceivedresponses.Oncethenewvaluesetsarereleasedandimplemented,thesystemwillaccuratelyincludeallentereddata/patientsinthesecounts/interventions.Pleasecontinuetoenteryourexamdataasneeded.UnderstandingthatifyouenteredanewPOAGorDiabetesICD10,thosewillgetcountedcorrectlyassoonaswereceivetheupdatedvaluesets.