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January 2010

MCMP-PAT Training PY2 Sherry Grund Mary Schrader Francis Landiza. January 2010. I. Welcome II. Introduce Training A. Overview B. Agenda C. Documents III. Installation of MCMP-PAT IV. Updating MCMP-PAT V. Overview of Measures/Data Entry Process

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January 2010

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  1. MCMP-PAT Training PY2 Sherry Grund Mary Schrader Francis Landiza January 2010

  2. I. Welcome II. Introduce Training A. Overview B. Agenda C. Documents III. Installation of MCMP-PAT IV. Updating MCMP-PAT V. Overview of Measures/Data Entry Process VI. Overview of PY1 Data Audit Mismatches * Questions welcome at the end of each section. Agenda: January 21 • MCMP Performance Year 2 Training Agenda • January 21, 2010 • 1st Session (Attend either a morning or afternoon session) • 7:30 – 10:00 a.m. PT OR 11:30 – 2:00 p.m. PT • 8:30 – 11:00 a.m. MT OR 12:30 – 3:00 p.m. MT • 9:30 – 12:00 noon CT OR 1:30 – 4:00 p.m. CT • 10:30 – 1:00 p.m. ET OR 2:30 – 5:00 p.m. ET 2

  3. Performance Year 2 (PY2) July 1, 2008 – June 30, 2009 3

  4. Specifications and Other Documents • Agenda • PowerPoint Presentation • Glossary of Terms • General Abstraction Guidelines (v3.0) • Demographics (v3.0) • Data Definitions for HF, CAD, DM, & PC (v3.0) • Analytic Flowcharts for HF, CAD, DM, & PC (v3.0)* • Medication Tables for HF, CAD, and DM (v3.0)* • Algorithm for Measures Calculations EHRS for HF, CAD, DM, & PC (v3.0)* • EHRS to MCMP-PAT Mapping for HF, CAD, DM, & PC (v3.0)* • Downloadable Resources for HF, CAD, DM, & PC (v3.0)* • Coding Change Document (v3.0)* • PC Denominator Synonyms (v3.0)* *Not necessary to print for training 4

  5. Changes to Specifications • No changes to the clinical quality measures • Clarifications to Data Definitions • Changes to Coding 5

  6. MCMP-PAT Topics • Resources • Installing the tool • Updating the tool 6

  7. Resources • MCMP Forum (www.internetifmc.com/forums) • Q’s and A’s, MCMP-PAT files, documents • QualityNet (www.qualitynet.org) • Secure Web site to send and receive database • Check if account is active • User’s Guide • Procedures, technical info. data definitions, etc. • Installed with MCMP-PAT (Press F1 in MCMP-PAT) • Online (www.internetifmc.com/forums/mcmpguide/index.htm) • CMS Website • Info. & documents related to the demo. • Go to www.cms.hhs.gov/demoprojectsevalrpts/md • Search for "Care Management Performance” • MCMP-PAT Questions: contact your QIO • General Demo Questions: mcmpdemo@cms.hhs.gov 7

  8. Preparing the Target PC • Target PC must meet minimum requirements • User must have permission to install • Citrix users: ask administrator to install 8

  9. Downloading MCMP-PAT www.internetifmc.com/forums 9

  10. Downloading MCMP-PAT 10

  11. Installation Instructions in User’s Guide Menu: Help  Contents 11

  12. Running the Updater Method #1 – From the Start menu 12

  13. Running the Updater Method #2 – From the update reminder Method #3 – From the main form 13

  14. Retrying the Update

  15. Menu: Help  About… Determining MCMP-PAT Version Number Log On Screen

  16. Update Problems & Solutions • Firewall blocks Updater • contact system administrator • perform manual update • No Internet connection • contact system administrator or Internet service provider • Files not updated • close MCMP-PAT and user’s guide • User role not allowed to install • contact system administrator • Update server is not available • update later • notify forum admin (ifmcforum@ifmc.org) 16

  17. Data Collection Rules • All information you base your option selection on for each element in the MCMP-PAT must be documented in the medical record or other clinical resource you have available at the point of care, i.e., a registry. • When collecting data, follow these steps: • Determine if the patient received the therapy or service, e.g., a drug or laboratory test • If they did not, determine if there are medical, patient or system reasons for not receiving the therapy/service where applicable • If there are no reasons found, select the “no/no reason documented” option 17

  18. Data Collection Rules (cont.) • Example: The documentation in the med. rec. does not have to contain verbiage that states the reason for not prescribing an antiplatelet is because the patient has a bleeding disorder. You can select the “Not prescribed for medical reasons” without this direct linkage spelled out in the documentation. All you need is the bleeding disorder mentioned in an H&P or progress note, etc. • Example: You do need to have the direct linkage spelled out in the documentation if you select the “Not prescribed for medical reasons” because you are using the “other reason documented by the practitioner for not prescribing aspirin or clopidogrel” • Documentation supporting a direct linkage is also required when you select “Not prescribed for patient reasons” or “Not prescribed for system reasons” 18

  19. Data Collection Rules (cont.) • For all measures you cannot collect information more recent than that dated the last day of the measurement period (6/30/09) • When abstracting the confirmation of a diagnosis (HF, DM, CAD, or 1 of the chronic conditions for PC) remember to follow the definitions for each option: • No/No reason documented: Select this option if the patient has no documented history of ? anywhere in the office/clinic record. • Medical record not found: Select this option if you are unable to find the patient’s medical record. 19

  20. Data Collection Rules (cont.) • Confirmation element (cont.) • The DM module has an additional option called Not Included for Medical Reasons which is selected if the patient has polycystic ovaries (history of), gestational diabetes (measurement period/year prior) or steroid induced diabetes (measurement period/year prior). • Measurement period = 7/1/08 – 6/30/09 • Year prior = 7/1/07 – 6/30/08 • “History of” means any time in the patient’s history up through the last day of the measurement period (6/30/09). 20

  21. Lessons Learned from PY1 Data Collection & Audit • Continues to be confusion over definitions of options in the confirmation element, i.e., “skip – rec. not found” vs. “no” so “skip – rec. not found” verbiage modified to “medical record not found” • Emphasis on the processes related to claims-based measure collection – now noted in the option as “claim not found” instead of “skip” • Additional clarity needed on purpose and use of denominator exclusions • “Yes” option vs. “Not prescribed for patient reasons” • Between types of exclusions, i.e., patient vs. medical exclusion • Attention to timeframes is important, i.e., pneumonia vaccination given after the end of the measurement period would not be answered “as given” 21

  22. Lessons Learned from PY1 Data Collection & Audit • Measures with a result and a date the laboratory test was drawn need to be paired • “History of” was clarified when used to determine where in the medical record documentation may be retrieved from • Determination of ‘invalid visits’ 22

  23. VII. New Features VIII. Submission Process IX. Import Tool Demo X. What’s Next A. QualityNet Reminder B. Technical Assistance Calls C. Timeframes D. Audit Process * Questions welcome at the end of each section. Agenda: January 22 • MCMP Performance Year 2 Training Agenda • January 22, 2010 • 2nd Session (Attend either a morning or afternoon session) • 7:30 – 10:00 a.m. PT OR 11:30 – 2:00 p.m. PT • 8:30 – 11:00 a.m. MT OR 12:30 – 3:00 p.m. MT • 9:30 – 12:00 noon CT OR 1:30 – 4:00 p.m. CT • 10:30 – 1:00 p.m. ET OR 2:30 – 5:00 p.m. ET 23

  24. New Features • Changes to the forum • Forum demo on registration & changing password • Changes to MCMP-PAT and user’s guide • Downloading & uploading files via QualityNet • Importer utility demo 24

  25. MCMP-PAT: Database Name & Location

  26. MCMP-PAT: Databases for Previous Years

  27. PAT Changes: Confirmation Element Options • “Skip – Rec. Not Found” changed to “Med. Rec. Not Found” 27

  28. PAT Changes: Claims-Based Element Options • “Skip” changed to “Claim Not Found” 28

  29. PAT Changes: Elements in User’s Guide User’s Guide: Features  Highlighted Elements 29

  30. PAT Changes: Update Claims-Based Elements Menu: Tools  Update Claims-Based Elements 30

  31. Sample output viewed in Excel Menu: Tools  Export Data PAT Changes: New Export Fields 31

  32. DM Confirmation HF Confirmation CAD Confirmation PC Confirmation PAT Changes: New Inconsistency Check 32

  33. New column for type of message Updated reference Warning message based on new rule PAT Changes: Inconsistency Warning Message Menu: Patient  Check Entries 33

  34. PAT Changes: Packager Warning Menu: Tools  Create Package 34

  35. Previously titled “Skipped” For Analysis = 218 All Ranked = All Completed Reminder: Totals Report - Summary Menu: Reports  Totals OR 35

  36. Switches back to the summary report Loads the selected patient on the main form Reminder: Totals Report - Details Menu: Reports  Totals 36

  37. PAT Changes: Other • Form is resizable • HF & PC visits sorted by date only • Tooltips added to column headers and measure help 37

  38. User’s Guide Changes • Changed terminologies - “Skip - Rec. Not Found” to “Med. Rec. Not Found” and “Skip” to “Claim Not Found” • Added topic on Update Claims-Based Elements • Added questions and answer topic on MCMP-PAT • Updated topics on forum registration, import, export, user access, highlighted elements, downloading and uploading via QualityNet • Updated all topics on data definition • See “What’s New in User’s Guide” topic for complete list 38

  39. MCMP-PAT Changes: Complete List 39

  40. Data Submission Flowchart Create Package Upload Package Verify Upload Notify QIO 40

  41. QualityNet: Signing In 1. Go to www.qualitynet.org 2. Sign in 41

  42. QualityNet: Terms & Conditions 3. Agree to terms and conditions 42

  43. QualityNet: Send/Receive Link 4. Click Send/Receive 5. Wait until applet is loaded 43

  44. QualityNet: Downloading Files 6. Select a message and click Download Files 2 1 7. Confirm overwrite warning 44

  45. QualityNet: Downloading Files 8. Select a folder to save 45

  46. QualityNet: Downloading Files 9. Wait until file is downloaded 10. Sign out of QualityNet 46

  47. QualityNet: Uploading Files Steps 1-5. Same steps in downloading files 6. Create new message 47

  48. QualityNet: Uploading Files 7. Select recipients 48

  49. QualityNet: Uploading Files 8. Select organization and add recipients 1 2 4 3 5 49

  50. QualityNet: Uploading Files 9. Enter subject and attach file 50

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