EHRp13 Allergies/ADR MU Perspective. Related MU Requirements Clinical Decision Support –...
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Transcript of EHRp13 Allergies/ADR MU Perspective. Related MU Requirements Clinical Decision Support –...
EHRp13Allergies/ADR
MU Perspective
Related MU Requirements
• Clinical Decision Support – drug-allergy order checks
• PHR, Clinical Summary, Transition of Care – Allergy lists
• Clinical Quality Measures – often needed for exclusions or exceptions
MU2 Data captured by Allergies/ADRFeature User input required for
performance measure?Meets MU requirement
Causative agent: RxNorm/UNII for ingredients
No MU2 Rule, CCDA
Signs/symptoms: SNOMED CT® for signs/symptoms
No CCDA
Causative agent/Signs/symptoms:SNOMED CT® for drug/reaction combinations
No CQM data capture
ADVERSE REACTION TRACKING
Adverse Reaction Component
• Captures information relating to adverse reactions, or documents that the patient has no known reactions
• Feeds into “Order Checks”, a type of Clinical Decision Support
• May be documented by several different user roles
Adverse Reaction FieldsSection Notes
Reaction Reactant, event code will be encoded on the back end. All fields in this section required.
Observed Implies direct observation as it happened by local staff members. Not required.
Signs/Symptoms Will be encoded on the back end. Searchable by synonyms. At least one required. NOTE: source in this section is NOT required.
Comments Not required. Used to clarify or add information.
No Known Reactions
Document Adverse Reaction
Choose Reactant
Choose Reactant
Reactant not found
Complete Reaction Documentation
Completed Reaction
Other Actions
• Users may also perform other actions such as:– Editing a reaction– Inactivating a reaction– Marking a reaction as “entered in error”– Documenting the inability to confirm the patient’s
reactions– Review details of a reaction– Toggle view between active reactions and all
reactions
Other Preparation for MU• Review Policies & Procedures• Review Package settings– Divisions– Auto-verify settings– “top 10” sign/symptom list
• Review reactions on problem lists– Reports available for this– Ensure these are also in the Adverse Reaction
package• Review Adverse Reaction “clean up” lists
RESOURCES/QUESTIONS
Resources
• In depth training materials for the Adverse Reaction Tracking package are available here:– ftp://ftp.ihs.gov/pubs/EHR/Training/Manuals/EHR
%20Adverse%20Reaction%20Tracking/• Package manuals are available here:– http://
www.ihs.gov/RPMS/index.cfm?module=Applications&option=View&AC_ID=0
Feedback
• Feedback may be offered here:– http://
www.ihs.gov/RPMS/index.cfm?module=Feedback– For general package feedback, choose the
Application “Adverse Reaction Tracking (GMRA)” from the drop down.
– For additions or changes to reactants or signs/symptoms, choose “Pharmacy – New Reactant/Symptom Request (PRSR)”
Questions?