Lab Results into EHR Configuring RPMS-EHR for Meaningful Use Resource Patient Management System.
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Transcript of Lab Results into EHR Configuring RPMS-EHR for Meaningful Use Resource Patient Management System.
Presenters:
Janna Morris, MPS, MTIHS OIT EHR Laboratory Consultant
Clarence Smiley, MPH, MTIHS OIT Laboratory Consultant
Jennette Chase-Wilson, MS, MTIHS OIT HER Laboratory Consultant
Lab Results into EHR
Menu Set MU Objective
“Incorporate clinical lab-test results into certified EHR technology as structured data.”
- 42 CFR Part 495.6,(e)(2)(i)
Lab Results into EHR
Applicability
• Eligible Professionals (EP)• Eligible Hospitals• Critical Access Hospitals (CAH)
Lab Results into EHR
Training Objectives
• Incorporate clinical lab-test results into certified EHR technology as structured data.
• Create a lab test in RPMS.
Lab Results into EHR
MU Measure
Type of Measure: Rate
The number of lab test results whose results are expressed in a positive or negative affirmation or
as a number, which are incorporated as structured data. >40%The number of lab tests ordered by the provider
during the EHR reporting period whose results are expressed in a positive or negative affirmation or
as a number.
Lab Results into EHR
Threshold
More than 40% of all clinical lab test results ordered by the provider during the EHR reporting period, the results of which are either in a positive/negative or numerical format, are incorporated in certified EHR technology as structured data.
Lab Results into EHR
RPMS Reporting Logic
Denominator Inclusions:COUNT: each V LAB entry ordered by an eligible
provider during the EHR reporting periodWHERE: the lab test is NOT a Pap Smear, determined by
using the BGP PAP SMEAR TEST lab taxonomyAND WHERE: the result of the test is not equal to “canc”
(canceled)AND WHERE: (EPs only) the ordering provider on the V
LAB entry is the provider for which the report is being run
Lab Results into EHR
RPMS Reporting Logic
Numerator Inclusions:COUNT: each test in the denominator
WHERE: the status flag is resultedWHERE: Results does not equal “comment”OR WHERE: Results = “comment”
AND WHERE: Comments does not equal null
Lab Results into EHR
RPMS Reporting Logic
Measure Exclusion:• EPs who order no lab tests having results that are
displayed in either a positive/negative or numeric format during the EHR reporting period are excluded from this measure.
Lab Results into EHR
Configure RPMS
During our how-to session we will:1. Create a Lab Test:
a. Create a Data Name.b. Create a Lab Test in the Laboratory Test File.c. Add the test to a Load/Work List File.d. Add the test to an Auto Instrument File.e. Add a Current Procedural Terminology Code.f. Create a Quick Order for the test.g. Make the Quick Order available on the Lab menu.
Lab Results into EHR
Configure RPMS (cont.)
2. Implement the Reference Lab Interface.3. Configure the Point of Care (POC) Lab:
a. Create the POC accession area using VA FileMan.b. Create a POC test.
c. Add the POC test to BLR BEHO POC control file.
Lab Results into EHR
Evidence of Functionality
During our how-to session we will:• Invoke the new lab test.
Lab Results into EHR