6. Maintain an active allergy list on more than 80% of all unique patients. See #5. Maintaining an allergy list is a requirement, just as maintaining the medication list is required. Users will record that the medication list and allergy list has been reviewed by "reconciling" it (i.e. stamping it with a date).
7. Record the following demographics: preferred language, gender, race and ethnicity, and date of birth on more than 50% of unique patients. This one is pretty straightforward as well. These demographics are captured by most offices on patient paperwork. The biggest challenge will be making sure that all the information is entered into the computer at each visit.
8. Record and chart vital signs on more than 50% of unique patients age 2 and over. As with #7, most offices already capture this information; however, CMS requires that BMI be calculated and displayed in the chart, as well as the plotting of growth charts (with BMI) for patients ages 2-20.
9. Record smoking status for more than 50% of unique patients 13 and over. Providers must remember to use CMS-acceptable terminology when documenting the smoking status of their patients. These options include
· Current every day smoker
· Current some day smoker
· Former smoker
· Never smoker
· Smoker, current status unknown
· Unknown if ever smoked
Once Quillen users upgrade to the 11.2 version of Allscripts, these will all be designated with MU for acceptable documentation.
10. Report ambulatory clinical quality measures (CQMs) to CMS (or to the State, if Medicaid). These include such measures as adult weight screening, hypertension, and tobacco use intervention. For providers who see pediatric patients, they can choose from immunization status or weight assessment. Another alternate is flu vaccination in patients 50 or older. The list of 38 additional CQMs is available for download at the CMS website.
In my next post, I'll list the last 5 core objectives, as well as the 10 optional objectives, from which EPs must choose 5.