2017 - Competency QI-A - Revision history

Tim: /* QI 02 (Core): Monitors at least two measures of resource stewardship (must monitor at least 1 measure of each type): */

2019-03-08T01:23:50Z

QI 02 (Core): Monitors at least two measures of resource stewardship (must monitor at least 1 measure of each type):

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	==B. Measures affecting health care costs.==		==B. Measures affecting health care costs.==

			{\| border = "1"
			! style="background:#8facd9; width:40%;" \|'''Description'''
			! style="background:#8facd9; width:20%;" \|'''Example/Screenshot/Documentation'''
			! style="background:#8facd9; width:20%;" \|'''Source'''
			! style="background:#8facd9; width:20%;" \|'''Date Added'''
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			\|PCC eRx can report on utilization measure affecting health care costs such as:
			* Utilization of generic vs brand name prescriptions
			* Utilization of non-formulary medications
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			\|}

	=QI 03 (Core): Assesses performance on availability of major appointment types to meet patient needs and preferences for access.=		=QI 03 (Core): Assesses performance on availability of major appointment types to meet patient needs and preferences for access.=

Tim: /* QI 02 (Core): Monitors at least two measures of resource stewardship (must monitor at least 1 measure of each type): */

2019-03-08T01:22:26Z

QI 02 (Core): Monitors at least two measures of resource stewardship (must monitor at least 1 measure of each type):

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	Other care coordination measures that can be used are related to referral tracking followup and ER followups.		Other care coordination measures that can be used are related to referral tracking followup and ER followups.

			* NQF also has provided these examples of care coordination measures relevant to pediatrics:
			** Reconciled medication list received by discharged patients (inpatient discharge to home/self-care or any other site of care).
			** Transition record, with specified elements received by discharged patients (inpatient discharge to home/self-care or any other site of care).
			** Timely transmission of transition record (inpatient discharge to home/self-care or any other site of care).
			** Transition record, with specified elements received by discharged patients (emergency department discharges to ambulatory care [home/self-care]).

	==B. Measures affecting health care costs.==		==B. Measures affecting health care costs.==

Tim at 01:21, 8 March 2019

2019-03-08T01:21:24Z

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	==A. Measures related to care coordination.==		==A. Measures related to care coordination.==

			* As it is related to medication reconciliation for care transitions, the measure defined within [http://pcmh.pcc.com/index.php/2017_-_Competency_KM-D#KM_14_.28Core.29:_Reviews_and_reconciles_medications_for_more_than_80_percent_of_patients_received_from_care_transitions PCMH factor KM14] can be used as one care coordination measure:

			'''Reviews and reconciles medications for more than 80 percent of patients received from care transitions.'''

			This can be reported from the "Medication Reconciliation" measure within the "Modified Stage 2" Meaningful Use report in the EHR. You need to meet the 80%
			threshold to get credit for factor KM14, but for QI02 documentation you just need to show a numerator, denominator, and time period used for the measure.
			You don't need to meet the 80% threshold to get credit for QI02

			* Another care coordination measure that could be used for QI02 is based on the '''Portal message response time report in the EHR Report Library'''. This report will show the response time for portal messages being sent to you by patients. If you export that data to a spreadsheet and calculate average response time for portal messages over a reporting period, this would be a good example of a care coordination measure.

			Other care coordination measures that can be used are related to referral tracking followup and ER followups.

	==B. Measures affecting health care costs.==		==B. Measures affecting health care costs.==

Tim at 19:16, 19 November 2018

2018-11-19T19:16:07Z

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	* ADHD Patient Followup		* ADHD Patient Followup
	* Depression Screening Rates - Adolescents		* Depression Screening Rates - Adolescents
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			\|Using PCC EHR Report Library Reports '''Patient List''' or '''Preventive Care Recall''', you can generate measure data for:
			* Patients in need of maternal depression screening
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Tim: /* D. Behavioral health measures. */

2018-11-19T19:14:07Z

D. Behavioral health measures.

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	==D. Behavioral health measures.==		==D. Behavioral health measures.==

			{\| border = "1"
			! style="background:#8facd9; width:40%;" \|'''Description'''
			! style="background:#8facd9; width:20%;" \|'''Example/Screenshot/Documentation'''
			! style="background:#8facd9; width:20%;" \|'''Source'''
			! style="background:#8facd9; width:20%;" \|'''Date Added'''
			\|-
			\|Using Dashboard you can generate measure data for behavioral health measures including:
			* ADHD Patient Followup
			* Depression Screening Rates - Adolescents
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			\|Using Dashboard you can generate measure data for behavioral health measures including:
			* ADHD Patient Followup
			* Depression Screening Rates - Adolescents
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			\|-
			\|}

	=QI 02 (Core): Monitors at least two measures of resource stewardship (must monitor at least 1 measure of each type):=		=QI 02 (Core): Monitors at least two measures of resource stewardship (must monitor at least 1 measure of each type):=

Tim: /* C. Chronic or acute care clinical measures. */

2018-11-19T19:12:03Z

C. Chronic or acute care clinical measures.

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	* Appropriate Treatment for Children With Upper Respiratory Infection (URI)		* Appropriate Treatment for Children With Upper Respiratory Infection (URI)
	* Followup Care for Children Prescribed ADHD Medication		* Followup Care for Children Prescribed ADHD Medication
	\|\|[http://learn.pcc.com/help/meet-clinical-quality-measures-with-pcc-ehr/\|How to Chart for each CQM in PCC EHR]		\|\|[http://learn.pcc.com/help/meet-clinical-quality-measures-with-pcc-ehr/ How to Chart for each CQM in PCC EHR]
	\|\|PCC		\|\|PCC
	\|\|11/19/18		\|\|11/19/18

Tim: /* C. Chronic or acute care clinical measures. */

2018-11-19T19:11:40Z

C. Chronic or acute care clinical measures.

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	==C. Chronic or acute care clinical measures.==		==C. Chronic or acute care clinical measures.==

			{\| border = "1"
			! style="background:#8facd9; width:40%;" \|'''Description'''
			! style="background:#8facd9; width:20%;" \|'''Example/Screenshot/Documentation'''
			! style="background:#8facd9; width:20%;" \|'''Source'''
			! style="background:#8facd9; width:20%;" \|'''Date Added'''
			\|-
			\|Using CQM reports in PCC EHR, you can generate measure data for chronic or acute care clinical measures including:
			* Use of Appropriate Medications for Asthma
			* Appropriate Testing for Children With Pharyngitis
			* Appropriate Treatment for Children With Upper Respiratory Infection (URI)
			* Followup Care for Children Prescribed ADHD Medication
			\|\|[http://learn.pcc.com/help/meet-clinical-quality-measures-with-pcc-ehr/\|How to Chart for each CQM in PCC EHR]
			\|\|PCC
			\|\|11/19/18
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			\|Using PCC EHR Report Library Reports '''Chronic Condition Recall''' and '''Patients Overdue for Weight Management''', you can generate measure data for:
			* Obesity patient followup
			* Patients seen at the office within a week of ER or hospital discharge
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			\|}

	==D. Behavioral health measures.==		==D. Behavioral health measures.==

Tim: /* B. Other preventive care measures. */

2018-11-19T19:00:55Z

B. Other preventive care measures.

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	! style="background:#8facd9; width:20%;" \|'''Date Added'''		! style="background:#8facd9; width:20%;" \|'''Date Added'''
	\|-		\|-
	\|Using Dashboard~~, recaller, and other reporting tools~~ you can generate measure data for preventive measures including:		\|Using Dashboard you can generate measure data for preventive measures including:
	* Well Visit Rates (for various age ranges)		* Well Visit Rates (for various age ranges)
	* Developmental Screening Rates for Infants		* Developmental Screening Rates for Infants
	* Fluoride Varnish Rate		* Fluoride Varnish Rate
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			\|Using "Patient List" and "Preventive Care Recall" tools within the EHR Report Library, you can now generate measure data for other preventive measures such as:
	* Preschool vision screening		* Preschool vision screening
	* Preschool hearing screening		* Preschool hearing screening
	* Tobacco or alcohol abuse counseling for adolescents		* Tobacco or alcohol abuse counseling for adolescents
	\|\|~~[[media:6A.1.pdf\|Using PCC reporting tools to track preventive care measures ]]~~		\|\|
	~~\|\|PCC~~		\|\|
	\|\|~~07/07/14~~		\|\|
	\|-
	~~\|Various Reports and Samples. These reports are generated from Partner, the PCC Dashboard, or the PCC EHR \|\|[[media:PCMH_6_A_1-4.pdf\|Examples ]]\|\|TPC~~\|\| ~~03/25/13~~
	\|-		\|-
	\|}		\|}

Tim: /* B. Other preventive care measures. */

2018-11-19T18:50:51Z

B. Other preventive care measures.

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	\|Using Dashboard, recaller, and other reporting tools you can generate measure data for preventive measures including:		\|Using Dashboard, recaller, and other reporting tools you can generate measure data for preventive measures including:
	* Well Visit Rates (for various age ranges)		* Well Visit Rates (for various age ranges)
	* Developmental Screening Rates for Infants ~~and Adolescents~~		* Developmental Screening Rates for Infants
	* Fluoride Varnish Rate		* Fluoride Varnish Rate
	* Preschool vision screening		* Preschool vision screening

Tim at 18:49, 19 November 2018

2018-11-19T18:49:14Z

@@ Line 10: / Line 10: @@
 ==A. Immunization measures.==
 ==B. Other preventive care measures.==
 ==C. Chronic or acute care clinical measures.==
 ==D. Behavioral health measures.==