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Topic starter
Hello All,
I was wondering if anyone could shed some light on how they are meeting the meaningful use measure for External Referrals. The providers will need to print a CVS for 50% of the patients if transition of care for MU2. I know a lot of groups are most likely using the Generate CVS button via the patient instructions CCC form. We do not want to use this form because we are still on 9.8 service pack 4 and the CVS is very lengthy (I know this was addressed in SP8 but we are currently testing SP9). Anyway, if you could please let me know your workflow for this I would really appreciate that.
We are looking into a variety of different work-arounds. I've programmed some MEL that will print a custom made CVS handout based upon the External Referral order being placed. We are also looking into a crystal report that will print when the external order is placed.
Thanks,
Mike
Posted : June 11, 2015 9:06 am
I want to jump on this thread as we are struggling with this measure as well. we are getting credit for part 1 of MU 15 by printing the Transition of care summary to a file folder but then how do we ge it to go out electronically without a lot of manual wokflow adjustments?
Posted : June 11, 2015 9:27 am
This is covered in the MU help file from GE. Unfortunately, the workflow doesn't work for us... literally... it just doesn't work. I'm going to have to open a case with GE to see whats going on...
Posted : June 11, 2015 9:58 am
Topic starter
Sending the TOC electronically is not a problem for us. We have the external referral orders that the doctors will place (each attached to the corresponding service provider with direct address added manually to each service provider). 10% of TOC have to be sent electronically.
That being said,
We're struggling with the 50% of TOC patients have to receive the CVS printed out and handed to the patient.If we can automate a process that will print the CVS when the external referral order is placed that would be amazing.
Posted : June 11, 2015 10:09 am
We are meeting part 1 and struggling with part 2. We are not struggling with our workflow it is finding physicians that actually have an electronic address. We had MedAllies (who were recommended from Qvera) create our direct addresses and they are now offering a directory of service providers with electronic addresses which is a huge help.
Our workflow is as follows:
1- the MD places all referral orders and in the comments we request the MD to place the physician's name for who they are referring to if they know that information
2- we have a support staff member run a crystal report we created to pull referral orders, the staff member than updates the referral order and selects the service provider and complete the TOC process
2a- if there is not an electronic address on file for that service provider they are contacting our clinical applications specialists who supports our EMR in IT. They in turn research whether the provider has an electronic address or not, if they do they flag the requester to re-process the TOC so it goes out electronically.
Hope this helps.
Posted : June 11, 2015 10:27 am
My question is if you have an electronic address where are you entering it and what are you doing to send out the referral CCDA that you have generated through the save and create? Then does that compute in CQR? I think I may be missing part of the set up to make it go out. Is sending it out a manual workflow?
Posted : June 11, 2015 10:38 am
mrooney -
I just want to clarify one thing: when you mean 50% of TOCs are printed out you are talking about Core 15A, correct? I am a bit confused as you keep saying CVS but the CVS is a different document/measure. In order to meet Core 15A you have to generate the summary of care document. The easiest way to do this is to enter a referral order just like you are doing an electronic version (although the service provider is less important). Leave this order in Admin hold status and sign the order/visit.
Now navigate to the orders table in the chart - not in an update just the regular tab. Highlight the order you just entered in Admin Hold status and right click -> change. On this screen in the middle-ish area there is a button called "Save and Create". Click this and either print the document or save it to a file - the other option does not work for 15a (save to chart). Once done you'll get credit for this document.
If that is confusing I'd be happy to show you on a quick webex - I've done a ton with the TOC over the last 6 months.
Thanks
Mike
Posted : June 11, 2015 10:58 am
I second the above, we have not had issue with 15a but we have found and submitted issues with 15b. For 15a the order in orders module needs to be marked as TOC. This initiates the process. Once a Referral order is signed it goes to the orders as on hold. Here our referral coordinators admin the referral by scheduling appointments, submitting documentation, authorizations, and notifying patients. All of which are noted in the order form. At this time we choose save/create and print the document. This will save a copy of the TOC to the document with the order. Also will trigger 15a for MU. We have found that ours did not count if we did not print.
Now for 15b in the same order we will choose the referring provider and if this is one with a secure direct address we create a SM-TOC document(we use Kryptiq SM for this) This create the message and attaches the TOC document. Now for you to get credit for 15b you must receive an acknowledgement from the destination of delivered(Not opened/read) this in return will trigger 15b for MU. But there is a bug. We are getting the updates to the MUActivity log but CQR is not picking them up. This is a known issue GE says.
All the above workflows can be tested by looking at your MU Activity log in SQL to see if they are triggering. if the activity log is updating then your workflow is working.
Hope this helps.
Posted : June 11, 2015 11:37 am
I would like to add that Surescripts (formerly Kryptiq) has a great product - Automated Clinical Messaging - to assist with this measure. We are meeting both A & B using the product. If you are interested in more information, please let me know.
Amanda
Posted : June 11, 2015 12:41 pm