Medication Allergy List

Configuring RPMS-EHR for Meaningful Use

Resource Patient Management System

Presenters:

Mary Ann Niesen, PharmDIHS OIT EHR Pharmacy Consultant

Carla Stearle, PharmDIHS OIT EHR Pharmacy Consultant

Medication Allergy List

Core MU Objective

“Maintain an active medication allergy list.” - 42 CFR Part 495.6,(d)(6)(i)

Medication Allergy List

Applicability

• Eligible Professionals (EP)• Eligible Hospitals• Critical Access Hospitals (CAH)

Medication Allergy List

Training Objectives

• Move drug allergies to the RPMS allergies list.• Enter an adverse reaction in EHR.• Remove a drug allergy from the problem list in

EHR.• Enter “no known allergies” in EHR.• Search specific allergies using iCare search

filter.

Medication Allergy List

MU Measure

Type of Measure: Rate

The number of unique patients in the denominator who have at least one entry (or an entry stating

that the patient has no known medication allergies) recorded as structured data in their

medication allergy list. >80%The number of unique patients seen by the provider during the EHR reporting period.

Medication Allergy List

Threshold

More than 80% of all unique patients seen by the provider during the EHR reporting period have at least one entry (or an indication that the patient has no known medication allergies) recorded as structured data.

Medication Allergy List

RPMS Reporting Logic

Denominator Inclusions:COUNT: each patient

HAVING: one or more face-to-face visits with the provider during the EHR reporting period

Medication Allergy List

RPMS Reporting Logic

Numerator Inclusions:COUNT: each patient in the Denominator

HAVING: structured data present during the EHR reporting period

WHERE: an active adverse reaction to a medication is recordedOR WHERE: a statement indicating no known allergies is

recorded

Medication Allergy List

RPMS Reporting Logic

Measure Exclusion: None

Medication Allergy List

Configure RPMSDuring our how-to session we will:1. Discuss need to configure Drug-Drug & Drug Allergy

Checks.2. Move drug allergies to the RPMS Allergies List:

a. Run the PLAL Report.b. Using RPMS or EHR:

i. Add a drug allergy to the patient’s Allergies List.ii. Remove the drug allergy from the Problem List.

c. Run the Patient Allergies Not Signed Off report.d. Check the Verification queue.e. Enter No Known Allergies at EHR’s Adverse Reactions.

Medication Allergy List

Evidence of Functionality

During our how-to session we will:1. Verify that all of a patient’s drug allergies appear on

the EHR Adverse Reactions pane.2. Verify that the EHR Adverse Reactions pane of each

patient having no drug allergies contains the entry “No Known Allergies.”

Medication Allergy List

How-to Session

Questions & Discussion

Medication Allergy List