Present on Admission (POA) - Medication Reconciliation - Core Measures Compliance

In addition to the Meaningful Use criteria listed below, Oracle Transcriptions can positively identify Present on Admission (POA) patients and can integrate Medication Reconciliation data into transcribed reports to ensure balanced reporting for Core Measures compliance. All this can be achieved without changing the documentation methods the physicians prefer – dictation. Physicians can document patient encounters quickly and easily via dictation without foregoing the data collection required to achieve Meaningful Use.

Oracle Transcriptions can provide data needed for your facility to reach the following Meaningful Use criterion.

Core Set of Objectives:

The following are the core set of objectives and measures to be achieved by all eligible professionals, hospitals, and critical access hospitals to qualify for incentive payments

• Record patient demographics (sex, race, ethnicity, date of birth, preferred language, and in the case of hospitals, date and preliminary cause in the event of death).
  
  • Over 50% of patients’ demographic data recorded as structured data
• Record vital signs and chart changes (height, weight, blood pressure, body-mass index, growth charts for children)
  • Over 50% of patients 2 years of age or older have height, weight, and blood pressure recorded asstructured data
• Maintain up-to-date problem list of current and active diagnoses
  • Over 80% of patients have at least one entry recorded as structured data
• Maintain active medication list
  • Over 80% of patients have at least one entry recorded as structured data
• Maintain active medication allergy list
  • Over 80% of patients have at least one entry recorded as structured data
• Record smoking status for patients 13 years of age or older
  • Over 50% of patients 13 years of age or older have smoking status recorded as structured data
• For individual professionals, provide patients with clinical summaries for each office visit; for hospitals, provide an electronic copy of hospital discharge instructions on request
  • Clinical summaries provided to patients for over 50% of all office Visits within 3 business days;
  • Over 50% of all patients who are discharged from the inpatient department or emergency department of an eligible hospital or critical access hospital and who request an electronic copy of their discharge instructions are provided with it
• On request, provide patients with an electronic copy of their health information (including diagnostic-test results, problem list, medication lists, medication allergies, and for hospitals, discharge summary and procedures)
  • Over 50% of requesting patients receive electronic copy within 3 business days
• Implement capability to electronically exchange key clinical information among providers and patient-authorized entities
  • Perform at least one test of EHR’s capacity to electronically exchange information
• Implement one clinical decision support rule and ability to track compliance with the rule
  • One clinical decision support rule implemented
• Report clinical quality measures to CMS or states
  
  • For 2011, provide aggregate numerator and denominator through attestation; for 2012, electronically submit measures

Eligible professionals, hospitals, and critical access hospitals may select any five choices from the menu set

•  Incorporate clinical laboratory test results into EHRs as structured data
  •  Over 40% of clinical laboratory test results whose results are in positive/negative or numerical format are incorporated into EHRs as structured data
•  Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, or outreach
  •  Generate at least one listing of patients with a specific condition
•  Use EHR technology to identify patient-specific education resources and provide those to the patient as appropriat
  •  Over 10% of patients are provided patient-specific education resources
•  Perform medication reconciliation between care settings
  •  Medication reconciliation is performed for over 50% of transitions of care
•  Provide summary of care record for patients referred or transitioned to another provider or setting
  •  Summary of care record is provided for over 50% of patient transitions or referrals
•  Submit electronic immunization data to immunization registries or immunization information systems
  •  Perform at least one test of data submission and follow-up submission (where registries can accept electronic submissions)
• Submit electronic syndromic surveillance data to public health agencies
  • Perform at least one test of data submission and follow-up submission (where public health agencies can accept electronic data)

Additional choices for hospitals and critical access hospitals

• Record advance directives for patients 65 years of age or older
  
  • Over 50% of patients 65 years of age or older have an indication of an advance-directive status recorded
• Submit electronic data on reportable laboratory results to public health agencies
  • Perform at least one test of data submission and follow-up submission (where public health agencies can accept electronic data)

Key Business Benefits:

•  Conversion of unstructured reports into Structured Data
•  Accelerated ARRA/HITECH reimbursement
•  Enhanced Core Measures reporting information
•  Simplified identification of POA and Cancer patients
•  Complex semantic search and ad hoc query of clinical data
•  Greater Physician satisfaction
•  Higher quality Patient Care
•  Adverse event identification

Contact us today toll free at (800) 983-3581 or by using the button below for pricing quotes, personalized demos, free trials, transcription consultations and additional information about our 100% HIPAA compliant medical transcription and digital dictation services.