UDS Reporting at AllianceChicago

Cori Stewart

Ryan Jaeger

Carlos Salgado

Agenda

• Introduction – Andrew Hamilton

• Data Warehouse Overview

• UDS Documentation and Workflows

• Clinical: Child Weight Mgmt., Cervical Cancer Screening

• Demographic: Responsible Provider, Race/Ethnicity, SOGI

Data Warehouse Overview

AllianceChicago Data Warehouse

UDS ManualClinical

GuidanceTechnical

Documentation

Types of Documentation

Section E: Weight Assessment and Counseling for Nutrition for Children and Adolescents

UDS 2017 Manual Description:

Percentage of patients 3 -17 years of age who had a medical visit and who had evidence of height, weight, and body mass index (BMI) percentile documentation and who had documentation of counseling for nutrition and who had documentation of counseling for physical activity during the measurement year. Exclude patients who have a diagnosis of pregnancy during the measurement period

Section E: Clinical Content View – Vital Signs Form• In the Vital Signs Form enter

the Height and Weight.• BMI is automatically calculated

• Includes Underweight, Healthy Weight, Overweight, Obese, and Morbidly Obese

• These BMI interpretations can also be added onto the problem list with a single click.

• Weight Management Education can be marked off once education is provided to the patient.

• To exclude a patient for the measurement year, they must have a diagnosis of Pregnancy. See list of ICD-10s

Other ways to document – Counseling for Nutrition and Physical Activity

Nutrition:

WT COUNS NUT (pictured above), BCDD, CA DIET EDUC, CNMLSKED, DIET COUNSEL, DIETCOMPLIANT, DIET PLAN , HDSEATNSWLIQ, HDSPSREATCRC, HDSEATREGMLS, HDSEATCASRCE, HLTHWTED, NUTRITNL GL, NUTRITN GUID, NUTRITIONIVN, WTGGSPED, NUTRITION, BFHANDOUT, CARDDIETEXER

Physical Activity:

WT COUNS PHY (pictured above), 60MEXCED, DAIPLYED, EXERPRG REF, FAMACTED, HDSACT1HPAPD, HDSPSRACTCRC, TVALTED, WMEXRGOAL, BFHANDOUT, CARDDIETEXER, REGULAREXERC, EXERPRG REF

Section D: Cervical Cancer Screening

UDS 2017 Manual Description:

Percentage of women 23–64 years of age who were screened for cervical cancer using either of the following criteria: Women age 23-64 who had cervical cytology performed every 3 years; Women age 30-64 who had cervical cytology/human papillomavirus (HPV) co-testing performed every 5 years. Exclude women who had a hysterectomy with no residual cervix.

Section D: Clinical Content View – Cancer Screening Form

• The Cancer Screening Form allows manual entry of the Papsmear and HPV results.

• *Note* Lab results for Papsmear and HPV normally come in through the lab interface (EMR-Link) and, therefore, automatically populate the observation terms being tracked. • Ensure the lab results you are

receiving are useful. What does that mean? No “See Report”

• The Exclusion button is available on the Papsmear section.

• Additionally, adding in a diagnosis of Hysterectomy also excludes the patient.

Other ways to document – Pap/HPV

Pap Smear:

PAP SMEAR (pictured above), PAP DONE, PAP STATUS, PAP INTERPR, PAP SOURCE, PAP THIN SMEAR, LAST PAP DATE

HPV:

HPV RESULT (pictured above), HPV (HR) DNA, HPV (LR) DNA, HPV 16, HPV 16/18, HPV 18, HPV 18/45, HPV GEN CULT, HPV GENO OTR, HPV SOURCE, HPV TYPEDETE, HPVDEID, HPV-DNA, HPVGENO16, HPVGENO18, HPVTEST, HPV HIGHRISK, HPVTESTDATE

Significance of Responsible Provider in UDS Reports

• Responsible Provider links to Provider in UDS report

• Home location links to the Home Location parameter

• Patients with an “Inactive” responsible provider will still show up in the UDS reports

• Patient roster can be used to find patients assigned to inactive providers

New Centricity Patient Race/Ethnicity Fields

• Race/Ethnicity has new subcategory

• UDS will count only primary race/ethnicity values

New Centricity SOGI Fields

• New write-in option for SOGI values

• UDS will use primary values only

• Existing CHC values will be pushed in new Centricity fields

UDS Table 3B - SOGI

• Report captures SOGI values documented from both patient registration and Obs terms

• Preferred workflow would be to document from Registration or in the clinical documents

Thank you!

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