Lab Results into EHR Configuring RPMS-EHR for Meaningful Use Resource Patient Management System.

Lab Results into EHR

Configuring RPMS-EHR for Meaningful Use

Resource Patient Management System

Presenters:

Janna Morris, MPS, MTIHS OIT EHR Laboratory Consultant

Clarence Smiley, MPH, MTIHS OIT Laboratory Consultant

Jennette Chase-Wilson, MS, MTIHS OIT HER Laboratory Consultant

Lab Results into EHR

Menu Set MU Objective

“Incorporate clinical lab-test results into certified EHR technology as structured data.”

- 42 CFR Part 495.6,(e)(2)(i)

Lab Results into EHR

Applicability

• Eligible Professionals (EP)• Eligible Hospitals• Critical Access Hospitals (CAH)

Lab Results into EHR

Training Objectives

• Incorporate clinical lab-test results into certified EHR technology as structured data.

• Create a lab test in RPMS.

Lab Results into EHR

MU Measure

Type of Measure: Rate

The number of lab test results whose results are expressed in a positive or negative affirmation or

as a number, which are incorporated as structured data. >40%The number of lab tests ordered by the provider

during the EHR reporting period whose results are expressed in a positive or negative affirmation or

as a number.

Lab Results into EHR

Threshold

More than 40% of all clinical lab test results ordered by the provider during the EHR reporting period, the results of which are either in a positive/negative or numerical format, are incorporated in certified EHR technology as structured data.

Lab Results into EHR

RPMS Reporting Logic

Denominator Inclusions:COUNT: each V LAB entry ordered by an eligible

provider during the EHR reporting periodWHERE: the lab test is NOT a Pap Smear, determined by

using the BGP PAP SMEAR TEST lab taxonomyAND WHERE: the result of the test is not equal to “canc”

(canceled)AND WHERE: (EPs only) the ordering provider on the V

LAB entry is the provider for which the report is being run

Lab Results into EHR

RPMS Reporting Logic

Numerator Inclusions:COUNT: each test in the denominator

WHERE: the status flag is resultedWHERE: Results does not equal “comment”OR WHERE: Results = “comment”

AND WHERE: Comments does not equal null

Lab Results into EHR

RPMS Reporting Logic

Measure Exclusion:• EPs who order no lab tests having results that are

displayed in either a positive/negative or numeric format during the EHR reporting period are excluded from this measure.

Lab Results into EHR

Configure RPMS

During our how-to session we will:1. Create a Lab Test:

a. Create a Data Name.b. Create a Lab Test in the Laboratory Test File.c. Add the test to a Load/Work List File.d. Add the test to an Auto Instrument File.e. Add a Current Procedural Terminology Code.f. Create a Quick Order for the test.g. Make the Quick Order available on the Lab menu.

Lab Results into EHR

Configure RPMS (cont.)

2. Implement the Reference Lab Interface.3. Configure the Point of Care (POC) Lab:

a. Create the POC accession area using VA FileMan.b. Create a POC test.

c. Add the POC test to BLR BEHO POC control file.

Lab Results into EHR

Configure EHR

During our how-to session we will:• Create the Lab POC Button

Lab Results into EHR

Evidence of Functionality

During our how-to session we will:• Invoke the new lab test.

Lab Results into EHR

How-to Session

Questions & Discussion

Lab Results into EHR