tag:blogger.com,1999:blog-4384692836709903146.post5317228891315860417..comments2024-03-27T09:55:23.143-07:00Comments on Dispatch from the Digital Health Frontier: A Meaningful Use and Standards Rule FAQ Part IIJohn Halamkahttp://www.blogger.com/profile/04550236129132159307noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-4384692836709903146.post-41211992398595291182012-01-06T14:21:41.030-08:002012-01-06T14:21:41.030-08:00Is there a published list of Snomed Elective Carot...Is there a published list of Snomed Elective Carotid Interventions codes that can be used for hospital clinical quality measure exclusions?Lkatzhttps://www.blogger.com/profile/18320185951893462759noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-47736272927942299132010-09-13T06:05:03.680-07:002010-09-13T06:05:03.680-07:00Regarding #6 - the implementation guide for Syndro...Regarding #6 - the implementation guide for Syndromic Surveillance; has there been any follow up? I listened to the mp3 file of the 8/30/10 HIT Standards Committee meeting but didn't hear any mention of what the plan was to correct this issue.<br /><br />http://tinyurl.com/3xgpsbrAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-70371028881348205692010-09-10T07:09:19.499-07:002010-09-10T07:09:19.499-07:00Sorry I'm just commenting but, on the Quality ...Sorry I'm just commenting but, on the Quality Measures I have had some questions on SNOMED-CT before and specifically asked NQF to help me on this. My basic question was...<br /><br />"There is a conflict between the information given by ONC regarding quality measurements and the information being given regarding NQF measures. PQRI reporting is performed using CPT Cat 2 codes, while NQF reporting is performed using SNOMED. All quality reporting should utilize the current systems until the requirement to utilize ICD-10 and SNOMED becomes effective in October, 2013. The retooling information is great for helping provide tools for design and education but reporting using this methodology in 2011 is almost impossible and creates undue hardship for providers and vendors." <br /><br />NQF responded with<br />"Thank you for your comment. You are correct that the Final Rule indicates that ICD-9 and SNOMED are both acceptable for certification. The challenge faced in the retooling is that some concepts the measure stewards tried to express did not appropriate codes in multiple terminologies (‘crossover codes’) that were acceptable for the meaning intended by the measure. This issue arises in a number of measures originally specified to use CPT II attestation codes. SNOMED was sometimes the only taxonomy that provided an acceptable code. I can defer to CMS about the certification question although I believe it is acceptable for you to map locally used terms to the same concepts in the SNOMED code list provided to successfully report the measure for 2011. The measure suggests that the information (not specifically the SNOMED codes) came from the EHR.<br /><br />Not sure if there is a question here but I have asked CMS and ONC to clear this up and would like to hear your thoughts Dr. Halamka. I would assume that it is ok to map to the ICD-9 but not sure if there is a correct map for Tobacco Assessment. I really appreciated your HIMMS talk. It was by far the most informative talk that I have heard.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-66855723725453814792010-09-08T06:53:56.137-07:002010-09-08T06:53:56.137-07:00You mentioned that CMS might issue a correction to...You mentioned that CMS might issue a correction to clarify the role of the ED in the final rule. Both CCHIT and Drummond Group have provided boilerplate feedback to me and I'm looking for more specific feedback. I've emailed to CMSs email address but no response yet.Alex Ihttps://www.blogger.com/profile/09467990900307567142noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-90926844199069864412010-09-01T18:23:27.905-07:002010-09-01T18:23:27.905-07:00Question on your FAQ 2- where you say: To achieve ...Question on your FAQ 2- where you say: To achieve certification, EHRs must support the 3 Core Measures, the 3 Alternate Quality Measures and at least 3 others from the remaining 38 measures. <br /><br />Isn't it true that the concept of "certification" applies to the testing & certification of "Complete EHR" and "EHR Module" - and not how that Complete EHR (or combination of EHR Modules) is "Meaningfully Used" or not?<br /><br />Here's where I'm going: Suppose I, Dr. Eligible Professional, have 15 EHR Modules - each certified. Either my vendor got this specific assembly of EHR Modules certified by (example) Drummond - or - I had (example) CCHIT come in and do a site test/certification. Whatever. <br /><br />Now - say that only ONE of those EHR Modules satisfies the Quality Reporting measures(the '38') - (being dramatic to illustrate the point). I'm fine, right? As long as the "COMPLETE EHR" made up of my EHR Modules - as long as that combination meets all applicable certification requirements - and I document my Meaningful Use (including quality reporting) - I qualify for incentive- would you agree?<br /><br />In any case - thanks for your presentation last week!Henry Perrettahttps://www.blogger.com/profile/17619000940579002685noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-88359023133605940942010-08-30T10:00:58.011-07:002010-08-30T10:00:58.011-07:00And the Observation Status hospitalizations that H...And the Observation Status hospitalizations that Hospitalists know well will likely mean that Hospitalists will be able to qualify based on these outpatient overnight stays on our hospital floors. Will EHR vendors build hospital work flows that collect the EP required data for this non-office based outpatient work?Unknownhttps://www.blogger.com/profile/11651565824715899483noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-15721309619035237192010-08-30T07:29:50.612-07:002010-08-30T07:29:50.612-07:00Almost all Medicare-participating physicians will ...Almost all Medicare-participating physicians will be "eligible professionals" for the Medicare version of the program for EPs. "Hospital-based" in the CMS rule means that 90%+ of the physician's services must be in a POS Code 21 or 23 (inpatient or ER) setting to be hospital-based and therefore ineligible -- only 14% of all Medicare participating physicians will meet this narrow definition, most of which will be ER doctors. If you are eligible, you are also subject to the payment reductions beginning in 2015 and beyond. <br /><br />Therefore, the fact that there are any meaningful use requirements that do not fall within the scope of practice for all physicians (including radiologists, pathologists, anesthesiologists, chiropractors, opthamologists, dentists, etc), is the ultimate failing of CMS, ONC, and federal advisors on the HIT Policy Committee. Any such MU requirements should, frankly, not exist -- they imply automatic reimbursement cuts for all physicians who fall outside of the relatively small percentage doctors who are PCPs.<br /><br />On behalf of medical specialists everywhere, I implore you to explore meaningful use without your primary care goggles. Tap the expertise of specialty societies, and consider the comments, testimony, and recommendations they provide to you.Anonymousnoreply@blogger.com