Maximizing Midas+ Live for Core Measure Workflow

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1 Maximizing Midas+ Live for Core Measure Workflow Lu Calkins Midas+ Implementation Consultant Tabitha Terry Midas+ Product Education Specialist, Clinical Decision Support Services

2 Session Agenda Core Measure Abstraction Process Midas+ Live to CPMS How Does a Case Qualify in Midas+ Live Midas+ Live Views Managing Core Measures Manual Addition of a Core Measure Case Alerts, Notifications and Harmful Responses Workflow Icons on Patient Cards Qualification Messages 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 2

3 Session Agenda Continued Core Measure Questions Auto-Answered Questions, Auto-Verified Questions and Verifying Questions Helper Questions View Details Managing Core Measures 3 Workflow Options Core Measure Patient Detail Report Core ED and IMM Surveys Discharged Patients 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 3

4 CORE MEASURE ABSTRACTION PROCESS Overview of Process from Midas+ Live to CPMS Transfer 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 4

5 Core Measure Abstraction Between Midas+ Live and CPMS/DataVision 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 5

6 Core Measure Abstraction Between Midas+ Live and CPMS/DataVision (continued) 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 6

7 HOW DOES A CASE QUALIFY IN MIDAS+ LIVE Examples of Qualifications for Acute MI and Heart Failure 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 7

8 How Does a Case Qualify in Midas+ Live Text Strings from the Chief Complaint or Latest Diagnosis Qualifying Diagnosis Code Clinical Information Manually Adding the Case Manage Core Measures from Detail View 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 8

9 How Does a Case Qualify in Midas+ Live Example of Qualification for a Acute MI Case from Chief Complaint/Latest Diagnosis Text String % AMI % AMI % % MI % MI % % NSTEMI % NSTEMI % % Myocardial Infarction % AMI % MI % NSTEMI % STEMI % 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 9

10 How Does a Case Qualify in Midas+ Live Example of Qualification for a Heart Failure Case from Chief Complaint/Latest Diagnosis Text String % CHF % CHF % %, CHF % / CHF % % Heart Failure % CHF % CHF / % 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 10

11 Qualification Based on Clinical Information SMITH, SMITH st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 11

12 MIDAS+ LIVE VIEWS Login, Launch Pad, Active View, and Detail View 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 12

13 Midas+ Live Login 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 13

14 Launch Pad 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 14

Active View Test1, Patient 1 Test2, Patient 2 Test3, Patient 3 SMITH, SMITH 0000000000 111111111 SMITH, SMITH 0000000000 111111111 SMITH,

15 Active View Test1, Patient 1 Test2, Patient 2 Test3, Patient 3 SMITH, SMITH SMITH, SMITH SMITH, SMITH Test4, Patient 4 SMITH, SMITH st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 15

Detail View Test1, Patient 1 Test3, Patient3 Test3, Patient 3 SMITH, SMITH 0000000000 111111111 SMITH, SMITH 0000000000 111111111 Test2, Patient 2 SMITH, SMITH 0000000000

16 Detail View Test1, Patient 1 Test3, Patient3 Test3, Patient 3 SMITH, SMITH SMITH, SMITH Test2, Patient 2 SMITH, SMITH Test3, Patient 3 SMITH, SMITH Test4, Patient 4 SMITH, SMITH st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 16

17 MANAGE CORE MEASURES Manually Adding Core Measure Cases 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 17

18 Manage Core Measures Manual Addition of a Core Measure Case 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 18

19 ALERTS, NOTIFICATIONS, AND HARMFUL RESPONSES Using Available Midas+ Live Tools to Manage Your Core Measure Abstraction Process 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 19

20 Alerts and Notifications Click on Alert Detail to Display the reason for the Alert 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 20

21 Criteria Documents Available Example of AMI-1 Criteria PDF Document Criteria will display the alert/notification criteria in a PDF document. This documentation is available on the Clients Only Website

22 Harmful Responses Category Assignments, Alerts, Notifications, Missing Data, and Harmful Responses Values that are used to determine category assignment, alerts, notifications, missing data, and harmful responses will be processed by using the precise algorithms specification. For Alerts, Notifications, and Harmful Responses - if a question is missing a response, the software treats the case as not excluded and proceeds to the next question. 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 22

23 Harmful Responses Core Measure Set Tab in Survey View

24 Harmful Responses Core Measure Set Tab in Survey View

25 WORKFLOW ICONS ON PATIENT CARDS Using Unanswered Questions and Unverified Answers to Complete Core Measure Abstraction 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 25

26 Patient Cards in Survey View Unverified Answers and Unanswered Questions Hovering will display a listing of unanswered questions and a count of unverified answers. 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 26

27 Hover View of Unanswered Questions 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 27

28 QUALIFICATION MESSAGES 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 28

Display Pending Qualification Qualified Did Not Qualify

29 Core Measure Set Tab in Survey View Possible Qualification Messages for Display Possible Qualification Messages for Display Pending Qualification Qualified Did Not Qualify 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 29

30 Core Measure Set Tab in Survey View Possible Qualification Messages for Display Discharged Patient Shows final of measures that patient qualified for and did not qualify for 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 30

31 CORE MEASURE QUESTIONS Auto-Answered Questions, Auto-Verified Questions, and Verifying Questions 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 31

32 Auto-Answered Questions 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 32

33 Modifying Auto-Answered Questions Clicking the edit button will allow you to change an auto-answered question. After changes are made then you can save and it will show the user name and date instead of the completed by Midas+ Live. 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 33

34 Verified and Auto-Verified Questions tterry tterry 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 34

35 HELPER QUESTIONS 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 35

36 Helper Questions in Surveys Helper fields are located in the demographic section of the following surveys: Core Measure SCIP Survey Core Measure STK Survey Core Measure IMM Survey

37 VIEW DETAILS 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 37

38 View Details tterry tterry 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 38

39 View Details tterry tterry 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 39

40 MANAGING CORE MEASURES 3 Different Workflow Options to Consider 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 40

41 Managing Core Measures Workflow Option #1 Work at Measure Level 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 41

42 Managing Core Measures Workflow Option #1 Work at Measure Level 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 42

43 Managing Core Measures Workflow Option #2 - Show Answered Questions Separately 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 43

44 View of Show Distinct Questions Workflow Option #2 - Show Answered Questions Separately 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 44

45 Save Button 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 45

46 Managing Core Measures Workflow Option #3 - Show Distinct Questions 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 46

47 View of Show Distinct Questions Workflow Option #3 - Show Distinct Questions 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 47

48 CORE MEASURE PATIENT DETAIL REPORT 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 48

49 Core Measure Patient Detail Report Access by Clicking View Report Button 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 49

50 Core Measure Patient Detail Report MMC Midas Medical Center 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 50

51 Core Measure Patient Detail Report 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 51

52 CORE ED AND IMM SURVEYS Managing the Patient Population in Midas+ Live 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 52

53 Core ED and Core IMM Surveys Core Measure IMM and Core Measure ED is required for NHQM version 4.0b effective with January 2012 discharges All Inpatients with a length of stay less than or equal to 120 days will qualify for these surveys There is no diagnosis, procedure or age conditions

54 Core ED and Core IMM Surveys (continued) Midas+ Live does not support sampling, therefore we recommend that hospitals capture the data elements within these topics (ED and IMM) for all inpatients. These data elements can be auto-verified When cases are pulled in Midas+ CPMS via the XML file, abstractors will then be able to review the verified information for just the cases selected in the Global Sample before the Harvest and Submission of the data

55 DISCHARGED PATIENTS Managing Discharged Patients and the XML Transfer to CPMS 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 55

Core Measure Discharged View Test1, Patient 1 Test2, Patient 2 Test3, Patient 3 SMITH, SMITH 0000000000 111111111 SMITH, SMITH 0000000000 111111111 SMITH, SMITH 0000000000 111111111 Test4, Patient 4

56 Core Measure Discharged View Test1, Patient 1 Test2, Patient 2 Test3, Patient 3 SMITH, SMITH SMITH, SMITH SMITH, SMITH Test4, Patient 4 Test5, Patient 5 MMH Midas+ Medical Center SMITH, SMITH SMITH, SMITH Test7, Patient 7 Test8, Patient 8 SMITH, SMITH SMITH, SMITH Test10, Patient 10 Test11, Patient 11 SMITH, SMITH SMITH, SMITH 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 56

57 Detail View of Discharged Case SMITH, SMITH st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 57

58 Midas+ Live to CPMS XML is produced nightly. Only verified answers are transferred from Midas+ Live to CPMS. Core Measure abstraction should be completed: In Midas+ Live prior to XML file transfer In Midas+ Core Focus Studies after file transfer The number of days from post-discharge to XML file transfer is site dependent. After a case is transferred to CPMS it is removed from the Midas+ Live CM Discharged View 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 58

Examine Message Queue for XML Transfer 0 0 0 0 21st

59 Examine Message Queue for XML Transfer st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 59

60 View of Daily XML File Storage Location 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 60

61 CPMS View of Transferred Case 21st Annual Midas+ User Symposium May 20 23, 2012 Tucson, Arizona 61

62 Thank you for attending. Questions, anyone? Lu Calkins Midas+ Implementation Consultant Tabitha Terry Midas+ Product Education Specialist, Clinical Decision Support Services

Care Management v2012 Enhancements. Lois Gillette Vice President, Care Management

Care Management v2012 Enhancements Lois Gillette Vice President, Care Management Comprehensive Overview Care Management v2012 Please note that this presentation includes slides from the General Session