Demonstrating Meaningful Use – Clinical Quality Measures

Objective: Report ambulatory clinical quality measures to CMS.
Measure: Successfully report to CMS ambulatory clinical quality measures selected by CMS in the manner specified by CMS.
Exclusion: No exclusion.
Full DetailsPDF

To report ambulatory clinical quality measures to CMS. You need to go to the reports section of BackChart® COS and click on ‘Measure Calculation.’   See the slide below for the location of this report:

See slides below on how to record that you have completed the CQMs.

1 – Go to ‘system’ in the top right and select ‘Admin.’

2 – Go to bottom left and select ‘Users.’                                                                                                                                            3 – Select a doctor.

 4 – Select the third tab titled ‘Doctor.’

5 – Select ‘Activity Log.’

 6 – Select Date, ‘CQM’, and write any additional notes pretaining to this measure.

You are finished recording the CQM quality measure when it appears under your activity log. 

Note: You still need to submit your CQMs when you are attesting with CMS.  After they are submitted to CMS you have completed this measure.

Demonstrating Meaningful Use – ePrescribe

Objective: Generate and transmit permissible prescriptions electronically (eRx).
Measure: More than 40 percent of all permissible prescriptions written by the EP are transmitted electronically using certified EHR technology.
Exclusion: Any EP who writes fewer than 100 prescriptions during the EHR reporting period.
Full Details: PDF

Please Note: Chiropractors are excluded from this Meaningful Use item.

Demonstrating Meaningful Use – Computerized Order Entry

Objective: Use computerized provider 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 EP have at least one medication order entered using CPOE.
Exclusion: Any EP who writes fewer than 100 prescriptions during the EHR reporting period.
Full Details: PDF

 
Please Note: Chiropractors are excluded from this Meaningful Use item.

Electronic Copy of Health Information

Objective: Provide patients with an electronic copy of their health information (including diagnostic test results, problem list, medication lists, medication allergies) upon request.
Measure:  More than 50 percent of all patients who request an electronic copy of their health information are provided it within 3 business days.
Exclusion: Any EP that has no requests from patients or their agents for an electronic copy of patient health information during the EHR reporting period.
Full Details: PDF

See training video below on Electronic Copy of Health Information:

Vital Signs

Objective: Record and chart changes in the following vital signs:

  • (A) Height
  • (B) Weight
  • (C) Blood pressure
  • (D) Calculate and display body mass index (BMI)
  • (E) Plot and display growth charts for children 2-20 years, including BMI

Measure: For more than 50 percent of all unique patients age 2 and over seen by the EP, height, weight, and blood pressure are recorded as structured data.
Exclusion: Any EP who either see no patients 2 years or older, or who believes that all three vital signs of height, weight, and blood pressure of their patients have no relevance to their scope of practice.
Full Details: PDF

See video below on Vital Signs:

 

See the slides below for the locations of vital signs in BackChart® COS:

Clinical Decision Support

Objective: Implement one clinical decision support rule relevant to specialty or high clinical priority along with the ability to track compliance with that rule.
Measure: Implement on clinical decision support rule.
Exclusion: No exclusion.
Full Details: PDF

BackChart® COS has clinical decision support incorporated into the Clinical Work Flow™.   The support tool begins when you select the chief complaint.  See slide below:

After the chief complaint has been selected, the Diagnostic Imaging tab will appear. See below:
After you have entered in the correct information and click ‘view recommendations’ the clinical decision window will appear.  See below:

Demonstrating Meaningful Use – Smoking Status

Objective: Record smoking status for patients 13 years old or older.
Measure: More than 50 percent of all unique patients 13 years old or older seen by the EP have smoking status recorded as structured data.
Exclusion: Any EP who sees no patients 13 years or older.
Full Details: PDF

See video below on Smoking Status:

 

See the slides below for the locations of the smoking status in BackChart® COS:

Demonstrating Meaningful Use – Record Demographics

Objective: Record all of the following demographics:

  • (A) Preferred language
  • (B) Gender
  • (C) Race
  • (D) Ethnicity
  • (E) Date of birth

Measure: More than 50 percent of all unique patients seen by the EP have demographics recorded as structured data.
Exclusion: No exclusion.
Full Details: PDF

See video below on demographics:

Below is a screen shot that shows you the locations of the demographics in the patient info section of BackChart® COS.

Demonstrating Meaningful Use – Problem List

Objective: Maintain an up-to-date problem list of current and active diagnoses.
Measure: More than 80 percent of all unique patients seen by the EP have at least one entry or an indication that no problems are known for the patient recorded as structured data.
Exclusion: No exclusion.
Full Details: PDF

See video below on the problem list:

 

The problem list contains a list of past and present patient diagnoses. It can include both problems that you diagnose, as well as, diagnoses from another provider.

When you enter a diagnosis for the patient’s incident, you are given the opportunity to include that diagnosis in the patient’s problem list.

If you are treating a patient that has no problems or has no active problems, you can record this by checking the box “No Problems”.

If you need to add a problem, for instance if the patient was referred to you and had been previously diagnosed with Hypertension, click the “Add Problem” button.

The first step is to search for the applicable diagnosis code.  Click “Search Dx Code” to bring up the search window.

Once you have found the diagnosis you are looking for click on it and click the add button.You can also add additional information about the problem, such as: the date the problem was diagnosed, whether it is an active diagnosis or not, and you can include a note about the problem (If this problem was not diagnosed by your facility, you could include a note regarding who the diagnosing physician was).