Using Elation’s CQM Dashboards to keep up Quality Measure performance

Clinical quality measures (CQMs) play an important role in fulfilling the requirements for both MIPS and CPC+. Even more importantly, however, providers participating in quality programs need a easy and efficient way to track progress on their CQMs to ensure program success. Thankfully, Elation users can leverage CQM Dashboards to simplify quality program participation.

What is Elation’s CQM Dashboard?

A CQM dashboard is a built feature that gives users a real time snapshot into current performance. Both CPC+ and MIPS participants can utilize this dashboard to stay on top of these programs.

How can you leverage the CQM Dashboard for Quality Measures?

First, go to the “Reports” section in Elation. Then click on the respective quality program you want to track. You will then receive access to a dashboard with relevant CQMs and how a practice is performing against 30% and 70% benchmarks for CPC+. For more background on a CQM, click on the CQM name and you will be redirected to a help center article.

Elation’s dashboard also gives users a more detailed overview of patients that either meets criteria or does not meet criteria within the patient list by displaying details such as the patient’s last visit. From here you can click the patient’s name to document completion of a screening,  schedule the patient for a follow up visit, or take any other necessary actions.

Overall, these powerful dashboards allow you to see which measures you want to boost performance for during this final stretch of reporting in 2017. For more guidance on MIPS or CPC+ contact a health policy specialist here at Elation.

Lucy Li
December 6, 2017

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Use Elation’s document tags to better keep track of patient care for quality programs

Earlier this year, we published a post on how to leverage document tags for CPC+. Here is an update on the benefits of Elation’s document tag feature for all users whether or not your practice is participating in CPC+.

What are document tags?

Document tags make logging the completion of eCQMs for programs like Meaningful Use and CPC+ more effortless in Elation’s Clinical First EHR . You can tag reports, visit notes, and non-visit notes to not only categorize these items for better organization but also use them to track completion of screening and measure requirements and to make them easier to find via chart search and Patient List search.

Document tags for quality programs like CPC+ are flagged gold making them easier to distinguish from those used for internal tracking purposes.

How can you use Elation’s document tags for quality programs?

Document tags can be added to a visit note by scrolling to the bottom and clicking on the +Tag link. Once the appropriate flagged tag is identified and added, the patient will then show as meeting the measure or qualifying for a measure exclusion.

You can also add document tags and flag completion of measures through the Health Maintenance section, or by adding document tags to reports.

A list of all of Elation’s document tags can be viewed here.

Manisha Goud
December 1, 2017

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Improving clinical efficiency with Elation’s new Point-of-Care Labs feature

The Elation user community now has access to our Point-of-Care (POC) Labs feature! This new feature will allow Elation practices to significantly cut down the amount of time it takes to record Point-of-Care Labs to just a matter of seconds to put time back into your day and help you focus on your patients.

Why use Elation’s Point-of-Care Labs?

  1. POC Labs is easy-to-use, quick, and enables users to capture POC lab results at the point of care.
  • With just a few clicks, providers and staff can enter lab results performed at the office.
  • Staff have the option to file results on their own, or flag abnormal results for the provider to review and sign off.
  1. The results entered can trend alongside existing interfaces and external documents manually entered.
  2. Results entered on POC Labs can help your practice satisfy clinical quality measures.
  • For example, entering A1c results through the POC lab form will count towards the Diabetes A1c CQM.

How does this feature work?

Elation’s Point-of-Care Labs features works by enabling practices to enter their most frequent Point-of-Care lab tests in a matter of seconds by simply clicking on the “Notes” tab.

This easy-to-use lab form allows users to input structured lab results that can trend against previous results.

The results entered from the POC Lab Form are filed as Lab Reports.

We’re excited to see how much time this new feature can save you and your practice! For more details on how you can leverage the POC Labs feature, please check out this article in our Help Center or RSVP for our POC Labs webinar on December 6th.

Erin Rieck
November 27, 2017

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How Elation ensures that MIPS providers avoid penalty

As the first year of the Merit-based Incentive Payment System (MIPS) track for MACRA comes to a close, many physicians participating in the program might be wondering what action they need to take to avoid costly penalties. With Elation’s built-in dashboards and health policy support, you can put your stresses at ease and avoid penalties in 2019, as a result of performance in 2017.

How do you report for MIPS in 2017?

The Centers for Medicare & Medicaid Services (CMS) recently loosened some of the requirements of the program. These requirements mean 2017 is a transition year for MIPS and the minimum practices need to do is report some data to test the program and avoid penalties.

MIPS providers can choose to report either:

  1. 1 Quality Measure OR
  2. 4 Advancing Care Information Base Measures OR
  3. 1 Improvement Activity

How can you keep track of your performance through Elation?

Within Elation’s “Reports” section, practices can access the ACl and CQM dashboards.

In the ACI dashboard, you can view progress on the four base measures.

The CQM dashboard shows clinical performance on quality measures and provides access to a patient list where you can address some of these measures.

With these useful features, providers can spend less time worrying about quality programs and spend more time providing quality care to their patients. Elation is here for you and your practice during the transition to value-based care. For a more detailed overview on MIPS, watch this webinar below:

Sam Peirce
November 16, 2017

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How to perform patient recall to close care gaps and achieve CPC+ performance goals

With the first CPC+ performance period now well underway, Elation is excited to bring our users weekly updates to help you save time, get the most out of using Elation for CPC+, provide better care for your patients and ultimately succeed in this program. Learn more about Elation and CPC+ here.

As a program with a plethora of requirements, it can be challenging to stay on top of monitoring the patients that have not met CPC+ performance measures. As a result, performing patient recall was made easy in Elation so that users can both boost their performance and close patient care gaps.

Performing patient recall within Elation

Elation’s CQM dashboard is a great way to easily surface patients and their progress – click on the “View List” function to find a list of patients who your practice may have seen this year, but have not yet satisfied measure requirements.

Patients may not have satisfied measure requirements for a number of reasons:

  • Missing documentation or result of screening within Elation
  • Patient results out of range (this specifically impacts the outcome measures Diabetes hbA1c Poor Control and Controlling High Blood Pressure)
  • Screening was not performed during initial visit

Another helpful reason why your practice should utilize the “view list” functionality is that practices can identify if that patient is due to be seen next by viewing the “upcoming appt” field “does not meet” criteria view. To remind yourself of screenings needed, you can make a post-dated note in the patient’s chart to remind providers or staff to either complete the screening or test. or to follow-up with a member of the patient’s care team for results of screening (i.e. breast cancer or colorectal screenings).

The statements contained on this website are solely those of the authors and do not necessarily reflect the views or policies of CMS. The authors assume responsibility for the accuracy and completeness of the information contained on this website.

Nick Dealtry
November 10, 2017

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How do you track deceased patients in Elation?

With the first CPC+ performance period now well underway, Elation is excited to bring our users weekly updates to help you save time, get the most out of using Elation for CPC+, provide better care for your patients and ultimately succeed in this program. Learn more about Elation and CPC+ here.

One of the most common questions many CPC+ participants often ask our health policy specialists is how do deceased patients who were seen at least once during the measurement period but subsequently pass away count toward CPC+ measures?

In other words –

Do deceased patients count toward CPC+?

Yes. If the patient was seen at least once at a CPC+ practice site, they will still count towards the measurement period.

However, next year, these patients will not count towards your CPC performance. Despite this, it’s still important to track “deceased” patients for the following reasons:

  1. To make patient recall a more streamlined process (i.e. don’t need to call in this patient again if they passed)
  2. To be able to run a list of deceased patients to keep track of active vs inactive patient panels

Within Elation, patient tags are the easiest way to track and find patients within patient lists.

How do you add patient tags for deceased patients?

To Add a Patient Tag for deceased patients:

  1. Click on the “+ Tags” to the right of the patient’s name
  2. Add in as many tags are you like, separated by commas
  3. Tags will appear beneath the patient name

The statements contained on this website are solely those of the authors and do not necessarily reflect the views or policies of CMS. The authors assume responsibility for the accuracy and completeness of the information contained on this website.

Sam Peirce
November 1, 2017

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How to get credit for assessments within Elation

With the first CPC+ performance period now well underway, Elation is excited to bring our users weekly updates to help you save time, get the most out of using Elation for CPC+, provide better care for your patients and ultimately succeed in this program. Learn more about Elation and CPC+ here.

Primary care practices participating in CPC+ are most likely familiar with the clinical quality measures (CQMs) addressing the two assessments the program focuses on to encourage preventative care. Despite this, many might not be aware that these assessments can be most easily documented within Elation’s EHR.

What are the two assessment measures?

The two assessment measures that are tracked for CPC+ are:

  1. Dementia: Cognitive Assessment
  2. Falls Screening for Future Fall Risk

How does documenting assessments help with your CPC+ performance?

Documenting these assessments within an EHR will help you make sure you get credit for these CQMs. At the same time, Elation has tools like Clinical Decision Support that can help you screen patients and provide preventative care. More specifically, these tools helps you keep track, identify and tailor treatment plans compared to paper documentation. Ultimately, all of these benefits will help you provide better quality care for your patients – a core focus of the CPC+ program.

How to document completion of Falls and Cognitive Assessments

  1. First, add a diagnosis to the patient’s problem list:

  1. Patients with dementia or at risk for falls will also receive a Clinical Decision Support alert if an assessment is due. This will appear at the top of the chart, and allow you to address the issue directly.

Alternatively, you can create any document that allows for document tags (Visit Note, Non-Visit Note, or Report) complete the assessment, and click the “+Tag” item at the bottom of the note, after clicking “+Tag,” search for the appropriate assessment and add it to the note.

To document an exclusion, Click +Tag at the bottom of a visit note, or other area where document tags can be added, and select one of the valid tags:

  • For Dementia: Severe Dementia, Palliative Care, or Hospice.
  • For Falls: Unable to Walk

The statements contained on this website are solely those of the authors and do not necessarily reflect the views or policies of CMS. The authors assume responsibility for the accuracy and completeness of the information contained on this website.

Lucy Li
October 25, 2017

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Two ways to effortlessly document exclusions for CPC+

With the first CPC+ performance period now well underway, Elation is excited to bring our users weekly updates to help you save time, get the most out of using Elation for CPC+, provide better care for your patients and ultimately succeed in this program. Learn more about Elation and CPC+ here.

In response to feedback from our users, CPC+ participants can now take advantage of exclusions in Elation’s Clinical Decision Support and Health Maintenance workflows. Now users have the two ways document exclusions for greater efficiency and ease of documentation.

What are some examples of exclusions?

  • Cervical Cancer Screening for Hysterectomy patients
  • Colorectal Cancer Screening for Total Colectomy patients
  • Breast Cancer Screening for Bilateral mastectomy patients
  • Cognitive Assessment for Dementia for patients who have severe dementia, have had palliative care this year, or have had hospice care this year

How do you document exclusions within Elation?

  1. Clinical Decision Support (CDS)

Within a visit note, simply find the CDS portal and when addressing your chosen screening or assessment click “Document Exclusion.”

  1. Health Maintenance

You can also enter these exclusions in the Health Maintenance section by selecting the appropriate exclusion from the drop-down.

How does documenting exclusions help with your CPC+ performance?

Besides simplifying documentation, documenting exclusions are important because these exclusions help your practices report numbers that are more accurate for the CPC+ program.

The statements contained on this website are solely those of the authors and do not necessarily reflect the views or policies of CMS. The authors assume responsibility for the accuracy and completeness of the information contained on this website.

Kimmy Hu
October 18, 2017

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How to get CPC+ credit for hbA1c improvement with Elation

With the first CPC+ performance period now well underway, Elation is excited to bring our users weekly updates to help you save time, get the most out of using Elation for CPC+, provide better care for your patients and ultimately succeed in this program. Learn more about Elation and CPC+ here.

As we mentioned last week, CPC+ has two reverse clinical quality measures (CQMs) and reporting for these measures can be tricky without the help of a simple and easy to follow workflow. Elation has designed a workflow for the hbA1c measure, in particular, to make meeting program requirements less stressful for your practice.

What is the hbA1c measure?

The Diabetes HbA1c Poor Control CQM is designed to track the percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c less than 9.0% during the measurement period. As we discussed, this is a reverse measure meaning the goal of this measure is to ensure patients keep their A1c below 9% and practices should aim to lower their percentage for this CQM.

How do you satisfy this measure within Elation?

To ensure successful completion of this measure for CPC+ follow the steps for the workflow below:

1. Locate the patient with a Diabetes diagnosis (E11.9, etc):

2. Receive HbA1c Labs from a Lab Vendor electronically through Elation, or manually document a patient’s HbA1c Results:

3. The HbA1c can be recorded in a structured format by clicking “Actions” then selecting “Add Lab Values for Trending.”

You can also refer to this video for a more detailed walkthrough:

As with many more complicated CPC+ measures, information can be incorrectly entered or transferred from lab interfaces not compliant with the program. In order to back enter results for this measure to ensure you receive credit, follow the workflow below:

  1. Go to Reports > Clinical Quality Measures
  2. For the measure “Diabetes HbA1c Poor Control” click on View List
  3. From the pop-up window, click on “Meets Criteria”. This list are the patients who need data entered as structured data (as there is no data entered via structured entry OR hbA1c value is >9.0%”

How does Elation’s workflow help your practice succeed in CPC+?

Satisfying a reverse measure like this one which relies heavily on interfaced lab results can be tricky; however, Elation limits wasted time by making documentation straight-forward so that your practice’s progress in the CPC+ program moves forward without a hitch.

The statements contained on this website are solely those of the authors and do not necessarily reflect the views or policies of CMS. The authors assume responsibility for the accuracy and completeness of the information contained on this website.

Lucy Li
October 12, 2017

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Elation makes it easy for you to meet the Use of High Risk Medication in the Elderly measure for CPC+

With the first CPC+ performance period now well underway, Elation is excited to bring our users weekly updates to help you save time, get the most out of using Elation for CPC+, provide better care for your patients and ultimately succeed in this program. Learn more about Elation and CPC+ here.

Patient safety makes up an important component of fulfilling CPC+ requirements. One of the quality measures that aims to improve patient safety is the Use of High Risk Medication in the Elderly measure.

What do you need to know about the Use of High Risk Medication in the Elderly measure?

CPC+ designed this measure to track the percentage of patients 66 years of age and older who were ordered high-risk medications. Reporting on the measure counts both the percentage of patients who were ordered at least one high-risk medication and the percentage of patients who were ordered at least two different high-risk medications.

To succeed at this measure, providers should try to avoid prescribing high risk medications to elderly patients as often as possible. Since this is a reverse measure, the lower number the number you report, the better your performance.

How does Elation simplify meeting this measure within its EHR?

For CPC+ practices using Elation, we have added a new clinical decision reminder to allow you to inform your decision-making while prescribing a medication. This CDS will be on for all practice starting Friday, October 6th, but CPC+ practices have the ability to turn it on sooner through their Settings section:

With the CDS on, whenever you open a prescription form for patients 66 years and above and enter in a medication, an alert will appear. This clinical decision support reminder includes an overview of the measure and how it’s calculated.

You will also have access to the medication list to see examples of prescriptions for high-risk medications through this alert.

To view your progress on this measure, the CPC+ CQM dashboard will have a full and complete look at how your practice is doing and which patients are affected by this measure.

How can you leverage this Elation CDS reminder for CPC+?

Meeting this measure requires no extra work from CPC+ physicians and staff within Elation. The measure’s information is available at the point of care meaning CPC+ participants can easily address the measure and save time they could be spending with their patients.

The statements contained on this website are solely those of the authors and do not necessarily reflect the views or policies of CMS. The authors assume responsibility for the accuracy and completeness of the information contained on this website.

Manisha Goud
October 4, 2017

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