Medent User Group

Kendra Hennessey| 3/22/2017

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Agenda

• Clinical Dashboard Q & A – Practice Feedback– Anita Braun, RN, BSN, CHWC

• Documenting Fall Risk Management

• Sending Mass Portal Messages from DM/HM

• MU 2017 – MIPS setup in Medent

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Clinical Dashboard Review Anita Braun,

RN, BSN, CHWC

©2011 Proprietary and Confidential

Clinical Dashboards

1. What is your general feedback on the clinical dashboards-good or bad?

2. How easy was the setup? Was anything confusing or hard to figure out? Can anyone in the practice do this setup?

3. How often do you check the dashboards and how do you use them to improve quality?

4. Is there anything that you would change about the dashboards?

©2011 Proprietary and Confidential

Documenting Fall Risk Management

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Documenting Fall Risk Management

NQF Measure Definition:Falls Risk Management:Percentage of patients aged 65 years and older with a history of falls who had a plan of care for falls documented within 12 months

N1: Patients who were screened for future fall risk at least once in the past 12 monthsD1: Patients 65 years and older (no exclusions)

N2: Patients with a documented follow-up plan on the date of the screening.D2: Patients 65 years and older who were identified as at risk for future fall when screened (i.e., 1 fall with injury in the past year, or 2 or more falls in the past year.)

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Why are we gathering baseline data?

1. First and foremost: For the good of the patient and the right thing to do--Family physicians/practices have a pivotal role in screening older patients for risk of falls, and applying preventive strategies for patients at risk. (GPRO version 6.0, al-Aama2011)

2. It is an ACO quality metric.

3. It is part of the CMP Clinical Integration Program.

Send Messages Using the Patient Portal and DM/HM

Reports

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Portal Messages

• This is a quick, easy and efficient way to reach a large amount of patients.

• Easy setup and tracking.

• Can be used for PCMH patient population reminders.

• Encourages portal usage which will help increase MU thresholds past the 5% for 2017.

MU 2017 – MIPS SETUP

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MIPS

Fulfill the required measures for a minimum of 90 days:• Security Risk Analysis• e-Prescribing• Provide Patient Access• Send Summary of Care• Request/Accept Summary of Care• Choose to submit up to 9 measures for a minimum of 90 days for additional

credit.

For bonus credit, you can:• Report Public Health and Clinical Data Registry Reporting measures• Use certified EHR technology to complete certain improvement activities in the

improvement activities performance category

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Important Dates:

• MU Medicaid Attestation – MEIPASS is now open for attestations

• ACO Lunch and Learn- “Lean Six Sigma – Measuring Your Practice Performance" Wednesday, April 19 at Noon

• Upcoming CMP Meetings:• 3/22/17 – TONIGHT Best Practice Meeting• 4/12/17 – Monthly QI Workshop

QUESTIONS?THANK YOU FOR ATTENDING!

Clinical Dashboard Follow-Up Discussion

1. What is your general feedback on the clinical dashboards- good or bad?

2. How easy was the setup? Was anything confusing or hard to figure out? Can anyone in the practice do this setup?

3. How often do you check the dashboards and how do you use them to improve quality?

4. Is there anything that you would change about the dashboards?

Documenting Fall Risk Management in Medent

Create a new progress note. This can also be done from the patient’s visit in Chart Central.

Select the appropriate template for the patient’s visit.

Select Create from Master. This gives you a brand new note.

When the note is opened, there will be a button for Fall Risk or it may say “Falls PT 65+”.

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When you click the button the following information will pull into the note.

The first part are the three screening questions. By answering one of these “yes”, that will make the patient positive for falls.

If the patient answers “yes” to any of the screening questions the next step is to complete the fall assessment. By clicking the diamond further questions can be answered. This is the first part of the “management and follow-up”.

Screening options are yes/no.

When you click the fall assessment diamond, you will get the following options.

The next item to complete is the Plan of Care. By clicking the button the questions below will pull into the note.

Anything in the Plan of Care section that is applicable should be filled in with a y/n and comments.

All three of the sections much be completed to “count” for Fall Risk Management. When you are reviewing your reports the columns appear like this:

These three columns look to see that you completed the first section- or the screening and whether it was positive or negative.

This column is looking to see if the second part or the Falls Assessment was completed.

This column is looking to see if the Plan of Care was completed.

When the DM/HM Report is done running, all patient’s that have received a message on their portal will have a little icon next to their name that looks like a piece of paper.

When you click on the “letter” icon with open up the triage with the message that you just sent.

The message is also documented in the patient’s chart under closed triages and indicates that it was a portal message with the folder and the world.

MIPS Setup

First you have to select if you are participating or not participating.

ACI Setup Options

From the DM/HM/Medical Reports on the main screen select MIPS.

Select the level of reporting you would like before running the report for each measure.