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=== Installation of the Quality Measures Package ===
 
=== Installation of the Quality Measures Package ===

Revision as of 21:37, 8 October 2012

What is the Quality Measures Package?

The Quality Measures Package is an addition to VistA for reporting Meaningful Use and Quality Measurements. The package supports both inpatient and outpatient reporting, and computes the Meaningful Use measures from patient records.

For Quality Measurements, the reporting package relies on the VistA Reminders Patient Lists as the source for its reporting.

Licensing

The package is licensed under GPL version 2.0 or later.

http://www.gnu.org/licenses/gpl-2.0.html

Installing C0Q Quality Reporting

System Requirements

  • VISTA running on an Mumps 95 compliant implementation
  • CCD/CCR GENERATION UTILTIES 1.2
  • PXRM*2.0*12
  • PXRM*2.0*17
  • TMG*1.0*17

Installation of the CCD/CCR Package

The software and documentation for the package is located here

Here are some brief instructions for installing this. Detailed instructions can be found in the above link.

Pre-requisites

  1. NHIN1_0.KID
  2. NHIN-1_SEQ-1_PAT-1.KID

Main file installation

  1. CCD-CCR_GENERATION_UTILITIES_1P2.KID
  2. C0CRXN_DEF_0002.kids
  3. C0CRXN_DATA_102012_0100.gkids.tgz

Installation of the Quality Measures Package

Pre-requisites

Download and install the following FOIA VISTA patches if you don't already have them installed (they came out in 2009 and 2010).

  1. GMRV-5_SEQ-16_PAT-25.KID
  2. USR-1_SEQ-31_PAT-29.KID
  3. PXRM*2.0*12 Multibuild
  4. PXRM*2.0*17 Multibuild

You also need to install the TMG Growth Charts if you have not already done so.

  1. TMG-1.0-17.KIDS

Main file installation

Download and install the following builds:

IT IS VITAL THAT YOU READ THE README FILES PRIOR TO INSTALLING THE PATCHES. SOME PATCHES WILL WANT LAB TESTS TO BE LINKED. YOU MUST NOT SKIP THIS STEP OTHERWISE YOU WILL BREAK THE REMINDER BEING INSTALLED.

  1. QUALITY_MEASURES_1P0.KID README
  2. C0Q-1_SEQ-001_PAT-002.KID README
  3. C0Q-1_SEQ-002_PAT-003.KID README
  4. C0Q-1_SEQ-003_PAT-004.KID README
  5. C0Q-1_SEQ-004_PAT-001.KID README

Installation transcripts can be found in the respective readme files.

Post-installation Tasks

The package does not export any keys at the current time. The package's main menu is C0Q QUALITY MEASUREMENT MENU. A properly configured VISTA user who accesses this menu from their primary or secondary menus will be assumed henceforth. If you intend to place this menu on XUCORE, remember that it doesn't have a key protecting it currently. You will need to make your own.

Configuration of Package

Outpatient Configuration

Here is a summary of what we have to do to make the package work. Right now there are reciprocal dependencies in set-up that require you to go into different options more than once.

  1. Set-up MU Measure Parameters.
  2. Create Patient Lists
  3. Create new MU Utility Measures
  4. Create a Measure Set containing all your utility measures
  5. Use specified Reminder Rule Sets and Reminder Extracts to create patient lists in the Reminder Package
  6. Fill in the names of your created patient lists in the Quality Measures section
  7. Create a Measure Set containing all your quality measures
  8. Go back to your parameters and populate the Utility Measure Set and Quality Measure Set

Set-up MU Measure Parameters

Prior to building measures and measure sets, we must establish the parameters. If you’re building outpatient MU measures, “EP EDIT PARMS” should be selected (as seen above). YOU NEED TO CREATE A PARAMETER FOR EACH CLINIC.

From the main menu, choose the SETUP QUALITY REPORTING option. 

Select QUALITY MEASUREMENT MENU Option: SETUP QUALITY REPORTING


          DISPLAY QUALITY MEASURES
          EDIT SUPERUSERS
          EP EDIT PARMS
          INP EDIT PARMS
          MEASURE SET EDIT
          MU MEASURE EDIT
          QUALITY MEASURE EDIT

Select SETUP QUALITY REPORTING Option: EP EDIT PARMS
Select C0Q PARAMETER NAME: MU DR OFFICE 	-- Enter Name of Parameter
  Are you adding 'MU DR OFFICE' as 
    a new C0Q PARAMETER (the 1ST)? No// y  (Yes)
NAME: MU DR OFFICE  Replace 
MEASUREMENT PERIOD KEY: MU12	-- MUST PUT MU12 HERE OTHERWISE PACKAGE WON'T WORK!
PARAMETER TYPE:  OUTPATIENT		-- Inpatient or Outpatient
EP MU MEASUREMENT SET: 		-- To be left empty for now.  Will come back to add measure set.
EP QUALITY MEASUREMENT SET: 	-- To be left empty for now.  Will come back to add measure set.
Select CLINIC: DR OFFICE       DOCTOR,FOUR	--defines visit criteria.  To ONLY look for visits in a specific clinic, ward, etc.
  Are you adding 'DR OFFICE' as a new CLINIC (the 1ST for this C0Q PARAMETER)? 
No// y  (Yes)
Select CLINIC: 				-- NOTE: '''Package only support 1 clinic ONLY right now.'''
PATIENT LIST LABEL: 
Select SUBSCRIBER: 

Select C0Q PARAMETER NAME: ACME CLINIC #1
  Are you adding 'ACME CLINIC #1' as a new C0Q PARAMETER (the 2ND)? No// Y
  (Yes)
NAME: ACME CLINIC #1// 
MEASUREMENT PERIOD KEY: MU12
PARAMETER TYPE: OUT  OUTPATIENT
EP MU MEASUREMENT SET: 
EP QUALITY MEASUREMENT SET: 
Select CLINIC: ACME CLINIC #1       DOCTOR,TEN
  Are you adding 'ACME CLINIC #1' as a new CLINIC? No// Y  (Yes)
Select CLINIC: 
PATIENT LIST LABEL: 
Select SUBSCRIBER: 

Select C0Q PARAMETER NAME: ACME CLINIC #2
  Are you adding 'ACME CLINIC #2' as a new C0Q PARAMETER (the 3RD)? No// Y
  (Yes)
NAME: ACME CLINIC #2// 
MEASUREMENT PERIOD KEY: MU12
PARAMETER TYPE: OUT  OUTPATIENT
EP MU MEASUREMENT SET: 
EP QUALITY MEASUREMENT SET: 
Select CLINIC: ACME CLINIC #2       DOCTOR,TEN
  Are you adding 'ACME CLINIC #2' as a new CLINIC? No// Y  (Yes)
Select CLINIC: 
PATIENT LIST LABEL: 
Select SUBSCRIBER:

Create Patient Lists

After you have created the parameters, you need to have the software create the patient lists. Choose option EP UPDATE MU MEASURES from the parent menu. Once you select “EP UPDATE MU MEASURE” you should see several lines of text (a small subset of this text can be seen above). 

Select QUALITY MEASUREMENT MENU Option: EP UPDATE MU MEASURES	
Jul 25, 2011@98:87:94
Jul 25, 2011@87:88:53
Jun 27, 2011@97:94:70
Jun 27, 2011@97:89:96
BAD HEALTH FACTOR: Non-Smoker (PMH)
BAD HEALTH FACTOR: Non-Tobacco User
BAD HEALTH FACTOR: Current Smoker - No
BAD HEALTH FACTOR: Current Smoker - Yes
CREATING MU12-EP-ALL-PATIENTS
CREATING MU12-EP-DR OFFICE-Patient
CREATING MU12-EP-FailedDemographics
CREATING MU12-EP-HasAllergy
C0QLIST("MU12-EP-DR OFFICE-Patient",1)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",2)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",3)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",4)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",6)=""

Oct 04, 2012@91:00C0QLIST("MU12-EP-ACME CLINIC #1-Patient",7)=""
C0QLIST("MU12-EP-ALL-PATIENTS",1)=""
C0QLIST("MU12-EP-ALL-PATIENTS",2)=""
C0QLIST("MU12-EP-ALL-PATIENTS",3)=""
C0QLIST("MU12-EP-ALL-PATIENTS",4)=""
C0QLIST("MU12-EP-ALL-PATIENTS",6)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",1)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",2)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",3)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",4)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",6)=""

Oct 04, 2012@84:00C0QLIST("MU12-EP-ACME CLINIC #1-Patient",7)=""
C0QLIST("MU12-EP-ACME CLINIC #2-Patient",4)=""
C0QLIST("MU12-EP-ALL-PATIENTS",1)=""
C0QLIST("MU12-EP-ALL-PATIENTS",2)=""
C0QLIST("MU12-EP-ALL-PATIENTS",3)=""
C0QLIST("MU12-EP-ALL-PATIENTS",4)=""
C0QLIST("MU12-EP-ALL-PATIENTS",6)=""
C0QLIST("MU12-EP-ALL-PATIENTS",7)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",1)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",2)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",3)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",4)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",6)=""

CREATING MU12-EP-ACME CLINIC #1-Patient
CREATING MU12-EP-ACME CLINIC #2-Patient
CREATING MU12-EP-NoAllergyB index passed

MOVE MOVE MOVE MOVE

The parameters then update the patient lists associated with the MU measures, creating new lists (lists are auto-generated for MU measures) only if none exist. They then look for MU Measurement Sets that are in the parameters, and update them, copying over numerator and denominator patient lists, counting them, and computing the percentage. A final update should be performed to ensure the most up-to date data is reported for your MU measure/measure set (see step 6).

MOVE MOVE MOVE MOVE

Create new MU Utility Measures

The package distributes the MU Quality Measures; but the Utility measures you have to create on your own. Follow the table below to create the utility measures using option MU MEASURE EDIT. Example of how to enter them are below. If you are doing this for real, make sure to print the table and follow it.

IMPORTANT: There is a bug I just discovered. You need to go back to the menu system and go back into the option (space-bar enter).

# Measure Quality Measures Utility Logic Quality Measures Package Numerator Quality Measures Package Denominator Passing Rate
1 CPOE -- Provider directly enters in orders Check for the presence of electronically prescribed medications stored in the Non-VA Multiple in file 55 for this patient MU12-EP-HasMedOrders MU12-EP-ALL-PATIENTS Rate > 30%
2 Implement drug-drug and drug-allergy interaction checks N/A N/A N/A Report YES. Core VISTA functionality. Also part of electronic prescribing.
3 Maintain an up-to-date problem list of current and active diagnoses Checks active problems. MU12-EP-HasProblem MU12-EP-ALL-PATIENTS Rate > 80%
4 Generate and transmit permissible prescriptions electronically (eRx) Check for the presence of electronically prescribed medications stored in the Non-VA Multiple in file 55 for this patient MU12-EP-HasERX MU12-EP-ALL-PATIENTS Rate > 40%
5 Maintain active medication list Check for the presence of electronically prescribed medications stored in the Non-VA Multiple in file 55 for this patient MU12-EP-HasMed MU12-EP-ALL-PATIENTS Rate > 80%
6 Maintain active medication allergy list Check for the presence of allergy documentation for this patient MU12-EP-HasAllergy MU12-EP-ALL-PATIENTS Rate > 80%
7 Record required demographics Check for the presence of Sex, DOB, Primary ID, Preferred Language, Race, Ethnicity for this patient. Lack of any one disqualifes you. MU12-EP-HasDemographics MU12-EP-ALL-PATIENTS Rate > 50%
8 Record required vital signs Check vital signs from July 3rd 2011 to present for this patient MU12-EP-HasVitalSigns MU12-EP-ALL-PATIENTS Rate > 50%
9 Record smoking status for patients aged 13 yrs and up Check health factors in the category Tobacco; see if patient will have these. If none found in the category, each possible health factor in a list is tried by itself. MU12-EP-HasSmokingStatus MU12-EP-Over12 Rate > 50%
10 Report clinical quality measures to CMS N/A N/A N/A Report YES. Reporting specific Quality Measures will be described later.
11 Implement 1 clinical decision support rule N/A N/A N/A Report YES. If you are doing eRx, using any clinical reminders; or using any order checks, you have met this requirement.
12 Provide patients with an electronic copy of their health information NOT COLLECTIBLE IN VISTA. NO RELEASE OF INFORMATION PACKAGE. COLLECT MANUALLY N/A N/A Rate > 50%
13 Provide clinical summaries for patients for each office visit within 3 days NOT COLLECTIBLE IN VISTA. NO RELEASE OF INFORMATION PACKAGE. COLLECT MANUALLY N/A N/A Rate > 50%
14 Perform at least 1 test of exchanging key clinical information with another entity electronically Not checked. Report YES upon test performance. N/A N/A Not checked. Report YES upon test performance.
15 Protect electronic health information Not checked. Report YES upon test performance. N/A N/A Not checked. Report YES upon test performance.

Here are the transcripts to do that: 

Select SETUP QUALITY REPORTING Option: MU MEASURE EDIT

Select C0Q QUALITY MEASURE NAME: MU CORE MEASURE #1       CPOE
NAME: MU CORE MEASURE #1// 
MEASURE TYPE: Performance// 
MU YEAR KEY: 
TITLE: 
VERY LONG DESCRIPTION:
  THERE ARE NO LINES!
  Edit? NO// 
DISPLAY NAME: CPOE// 
REPORTING NAME: 
ALTERNATIVE NUMERATOR LIST: MU12-EP-HasMed
     1   MU12-EP-HasMed       MU12-EP-HasMed
     2   MU12-EP-HasMedOrders       MU12-EP-HasMedOrders
     3   MU12-EP-HasMedRecon       MU12-EP-HasMedRecon
CHOOSE 1-3: 2  MU12-EP-HasMedOrders     MU12-EP-HasMedOrders
ALTERNATIVE DENOMINATOR LIST: MU12-EP-ALL-PATIENTS       MU12-EP-ALL-PATIENTS

Select SETUP QUALITY REPORTING Option:  MU MEASURE EDIT

Select C0Q QUALITY MEASURE NAME:    MU CORE MEASURE #3     Problem List
NAME: MU CORE MEASURE #3// 
MEASURE TYPE: Performance
MU YEAR KEY: 
TITLE: 
VERY LONG DESCRIPTION:
  THERE ARE NO LINES!
  Edit? NO// 
DISPLAY NAME: Problem List// 
REPORTING NAME: 
ALTERNATIVE NUMERATOR LIST: MU12-EP-HasProblem// 
ALTERNATIVE DENOMINATOR LIST: MU12-EP-ALL-PATIENTS
         // 

Select SETUP QUALITY REPORTING Option:  MU MEASURE EDIT

Select C0Q QUALITY MEASURE NAME: MU CORE MEASURE #4
  Are you adding 'MU CORE MEASURE #4' as 
    a new C0Q QUALITY MEASURE (the 91ST)? No// Y  (Yes)
   C0Q QUALITY MEASURE DISPLAY NAME: ERx
NAME: MU CORE MEASURE #4// 
MEASURE TYPE: p  Performance
MU YEAR KEY: ?
     Answer must be 1-30 characters in length.
MU YEAR KEY: 
TITLE: 
VERY LONG DESCRIPTION:
  THERE ARE NO LINES!
  Edit? NO// 
DISPLAY NAME: ERx// 
REPORTING NAME: 
ALTERNATIVE NUMERATOR LIST: MU12-EP-HasERX       MU12-EP-HasERX
ALTERNATIVE DENOMINATOR LIST: MU-EP-ALL??
ALTERNATIVE DENOMINATOR LIST: MU12-EP-ALL-PATIENTS       MU12-EP-ALL-PATIENTS

Select C0Q QUALITY MEASURE NAME: 

Select SETUP QUALITY REPORTING Option:  MU MEASURE EDIT

Select C0Q QUALITY MEASURE NAME: MU CORE MEASURE #5
  Are you adding 'MU CORE MEASURE #5' as 
    a new C0Q QUALITY MEASURE (the 92ND)? No// y  (Yes)
   C0Q QUALITY MEASURE DISPLAY NAME: MU12-EP-HasMed
NAME: MU CORE MEASURE #5// 
MEASURE TYPE: 
MU YEAR KEY: 
TITLE: 
VERY LONG DESCRIPTION:
  THERE ARE NO LINES!
  Edit? NO// 
DISPLAY NAME: MU12-EP-HasMed// Active Medication List
REPORTING NAME: 
ALTERNATIVE NUMERATOR LIST: MU12-EP-HasMed
     1   MU12-EP-HasMed       MU12-EP-HasMed
     2   MU12-EP-HasMedOrders       MU12-EP-HasMedOrders
     3   MU12-EP-HasMedRecon       MU12-EP-HasMedRecon
CHOOSE 1-3: 1  MU12-EP-HasMed     MU12-EP-HasMed
ALTERNATIVE DENOMINATOR LIST: MU12-EP-ALL-PATIENTS       MU12-EP-ALL-PATIENTS

Select C0Q QUALITY MEASURE NAME: 

Select SETUP QUALITY REPORTING Option:  MU MEASURE EDIT

Select C0Q QUALITY MEASURE NAME: MU CORE MEASURE #6
  Are you adding 'MU CORE MEASURE #6' as 
    a new C0Q QUALITY MEASURE (the 93RD)? No// y  (Yes)
   C0Q QUALITY MEASURE DISPLAY NAME: Allergy Documentation
NAME: MU CORE MEASURE #6// 
MEASURE TYPE: 
MU YEAR KEY: ^meas,typ  MEASURE TYPE
MEASURE TYPE: p  Performance
MU YEAR KEY: 
TITLE: 
VERY LONG DESCRIPTION:
  THERE ARE NO LINES!
  Edit? NO// 
DISPLAY NAME: Allergy Documentation  Replace 
REPORTING NAME: 
ALTERNATIVE NUMERATOR LIST: MU12-EP-Has
     1   MU12-EP-HasAllergy       MU12-EP-HasAllergy
     2   MU12-EP-HasDemographics       MU12-EP-HasDemographics
     3   MU12-EP-HasERX       MU12-EP-HasERX
     4   MU12-EP-HasMed       MU12-EP-HasMed
     5   MU12-EP-HasMedOrders       MU12-EP-HasMedOrders
Press <Enter> to see more, '^' to exit this list,  OR
CHOOSE 1-5: 1  MU12-EP-HasAllergy     MU12-EP-HasAllergy
ALTERNATIVE DENOMINATOR LIST: MU12-EP-ALL-PATIENTS       MU12-EP-ALL-PATIENTS

Select C0Q QUALITY MEASURE NAME: 

Select SETUP QUALITY REPORTING Option:  MU MEASURE EDIT

Select C0Q QUALITY MEASURE NAME: MU CORE MEASURE #7
  Are you adding 'MU CORE MEASURE #7' as 
    a new C0Q QUALITY MEASURE (the 94TH)? No// y  (Yes)
   C0Q QUALITY MEASURE DISPLAY NAME: Required Demographics Present?
NAME: MU CORE MEASURE #7// 
MEASURE TYPE: p  Performance
MU YEAR KEY: 
TITLE: 
VERY LONG DESCRIPTION:
  THERE ARE NO LINES!
  Edit? NO// 
DISPLAY NAME: Required Demographics Present?  Replace 
REPORTING NAME: 
ALTERNATIVE NUMERATOR LIST: MU12-EP-HasDemographics       MU12-EP-HasDemographic
s
ALTERNATIVE DENOMINATOR LIST: MU12-EP-ALL-PATIENTS       MU12-EP-ALL-PATIENTS

Select C0Q QUALITY MEASURE NAME: 

Select SETUP QUALITY REPORTING Option:  MU MEASURE EDIT

Select C0Q QUALITY MEASURE NAME: MU CORE MEASURE #8
  Are you adding 'MU CORE MEASURE #8' as 
    a new C0Q QUALITY MEASURE (the 95TH)? No// y  (Yes)
   C0Q QUALITY MEASURE DISPLAY NAME: MU12-EP-HasVitalSigns
NAME: MU CORE MEASURE #8// 
MEASURE TYPE: p  Performance
MU YEAR KEY: 
TITLE: 
VERY LONG DESCRIPTION:
  THERE ARE NO LINES!
  Edit? NO// 
DISPLAY NAME: MU12-EP-HasVitalSigns  Replace ... With Record Vital Signs
  Replace 
   Record Vital Signs
REPORTING NAME: 
ALTERNATIVE NUMERATOR LIST: MU12-EP-HasVitalSigns       MU12-EP-HasVitalSigns
ALTERNATIVE DENOMINATOR LIST: MU12-EP-ALL-PATIENTS       MU12-EP-ALL-PATIENTS

Select C0Q QUALITY MEASURE NAME: MU CORE MEASURE #9 ??

Select C0Q QUALITY MEASURE NAME: 

Select SETUP QUALITY REPORTING Option:  MU MEASURE EDIT

Select C0Q QUALITY MEASURE NAME: MU CORE MEASURE #9
  Are you adding 'MU CORE MEASURE #9' as 
    a new C0Q QUALITY MEASURE (the 96TH)? No// Y  (Yes)
   C0Q QUALITY MEASURE DISPLAY NAME: Record Smoking Status
NAME: MU CORE MEASURE #9// 
MEASURE TYPE: p  Performance
MU YEAR KEY: 
TITLE: 
VERY LONG DESCRIPTION:
  THERE ARE NO LINES!
  Edit? NO// 
DISPLAY NAME: Record Smoking Status  Replace 
REPORTING NAME: 
ALTERNATIVE NUMERATOR LIST: MU12-EP-HasSmokingStatus       MU12-EP-HasSmokingSta
tus
ALTERNATIVE DENOMINATOR LIST: MU12-Over??
ALTERNATIVE DENOMINATOR LIST: MU12-EP-Over12       MU12-EP-Over12

Create MU Measure SET and add MU Measure(s)

Now for each clinic parameter you set-up, you need to set-up a Measurement Set. Each Measurement Set is what is used to report the clinic's performance. 

Select SETUP QUALITY REPORTING Option: MEASURE SET EDIT

Select C0Q MEASUREMENT SET NAME: DR OFFICE CLINIC REPORT
  Are you adding 'DR OFFICE CLINIC REPORT' as 
    a new C0Q MEASUREMENT SET (the 11TH)? No// Y  (Yes)
NAME: DR OFFICE CLINIC REPORT// 
BEGIN DATE: 8/1  (AUG 01, 2012)
END DATE: 10/31  (OCT 31, 2012)
LOCKED: 
MU YEAR KEY: 
QRDA TEMPLATE ROOT: 
Select MEASURE: MU,C,1  MU CORE MEASURE #1     CPOE
  Are you adding 'MU CORE MEASURE #1' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST: MU,DR  MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-
Patient
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pa
tient
Select MEASURE: MU,C,2  MU 2011 INP CPOE     CPOE for Medications
  Are you adding 'MU 2011 INP CPOE' as a new MEASURE? No// N  (No) ??
Select MEASURE: MU,C,3  MU CORE MEASURE #3     Problem List
  Are you adding 'MU CORE MEASURE #3' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pati
ent
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pa
tient
Select MEASURE: MU,C,4  MU CORE MEASURE #4     ERx
  Are you adding 'MU CORE MEASURE #4' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pati
ent
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pa
tient
Select MEASURE: MU,C,5  MU CORE MEASURE #5     Active Medication List
  Are you adding 'MU CORE MEASURE #5' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pati
ent
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pa
tient
Select MEASURE: MU,C,6  MU CORE MEASURE #6     Allergy Documentation
  Are you adding 'MU CORE MEASURE #6' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pati
ent
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pa
tient
Select MEASURE: MU,C,7  MU CORE MEASURE #7     Required Demographics Present?
  Are you adding 'MU CORE MEASURE #7' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pati
ent
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pa
tient
Select MEASURE: MU,C,8  MU CORE MEASURE #8     Record Vital Signs
  Are you adding 'MU CORE MEASURE #8' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pati
ent
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pa
tient
Select MEASURE: MU,C,9  MU CORE MEASURE #9     Record Smoking Status
  Are you adding 'MU CORE MEASURE #9' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pati
ent
  DENOMINATOR FILTER LIST:    MU12-EP-DR OFFICE-Patient     MU12-EP-DR OFFICE-Pa
tient
Select MEASURE: 

Select C0Q MEASUREMENT SET NAME: ACME CLINIC #1 REPORT
  Are you adding 'ACME CLINIC #1 REPORT' as 
    a new C0Q MEASUREMENT SET (the 12TH)? No// Y  (Yes)
NAME: ACME CLINIC #1 REPORT  Replace 
BEGIN DATE: 8/1  (AUG 01, 2012)
END DATE: 10/31  (OCT 31, 2012)
LOCKED: 
MU YEAR KEY: 
QRDA TEMPLATE ROOT: 
Select MEASURE: MU,C,1  MU CORE MEASURE #1     CPOE
  Are you adding 'MU CORE MEASURE #1' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST: MU,ACME,1  MU12-EP-ACME CLINIC #1-Patient     MU12-EP-A
CME CLINIC #1-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CL
INIC #1-Patient
Select MEASURE: MU,C,3  MU CORE MEASURE #3     Problem List
  Are you adding 'MU CORE MEASURE #3' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CLIN
IC #1-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CL
INIC #1-Patient
Select MEASURE: MU,C,4  MU CORE MEASURE #4     ERx
  Are you adding 'MU CORE MEASURE #4' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CLIN
IC #1-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CL
INIC #1-Patient
Select MEASURE: MU,C,5  MU CORE MEASURE #5     Active Medication List
  Are you adding 'MU CORE MEASURE #5' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CLIN
IC #1-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CL
INIC #1-Patient
Select MEASURE: MU,C,6  MU CORE MEASURE #6     Allergy Documentation
  Are you adding 'MU CORE MEASURE #6' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CLIN
IC #1-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CL
INIC #1-Patient
Select MEASURE: MU,C,7  MU CORE MEASURE #7     Required Demographics Present?
  Are you adding 'MU CORE MEASURE #7' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CLIN
IC #1-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CL
INIC #1-Patient
Select MEASURE: MU,C,8  MU CORE MEASURE #8     Record Vital Signs
  Are you adding 'MU CORE MEASURE #8' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CLIN
IC #1-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CL
INIC #1-Patient
Select MEASURE: MU,C,9  MU CORE MEASURE #9     Record Smoking Status
  Are you adding 'MU CORE MEASURE #9' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CLIN
IC #1-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #1-Patient     MU12-EP-ACME CL
INIC #1-Patient
Select MEASURE: 

Select C0Q MEASUREMENT SET NAME: ACME CLINIC #2 REPORT
  Are you adding 'ACME CLINIC #2 REPORT' as 
    a new C0Q MEASUREMENT SET (the 13TH)? No// Y  (Yes)
NAME: ACME CLINIC #2 REPORT  Replace 
BEGIN DATE: 8/1  (AUG 01, 2012)
END DATE: 10/31  (OCT 31, 2012)
LOCKED: 
MU YEAR KEY: 
QRDA TEMPLATE ROOT:   
Select MEASURE: MU,C,1  MU CORE MEASURE #1     CPOE
  Are you adding 'MU CORE MEASURE #1' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST: MU,ACME,2  MU12-EP-ACME CLINIC #2-Patient     MU12-EP-A
CME CLINIC #2-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CL
INIC #2-Patient
Select MEASURE: MU,C,3  MU CORE MEASURE #3     Problem List
  Are you adding 'MU CORE MEASURE #3' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CLIN
IC #2-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CL
INIC #2-Patient
Select MEASURE: MU,C,4  MU CORE MEASURE #4     ERx
  Are you adding 'MU CORE MEASURE #4' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CLIN
IC #2-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CL
INIC #2-Patient
Select MEASURE: MU,C,5  MU CORE MEASURE #5     Active Medication List
  Are you adding 'MU CORE MEASURE #5' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CLIN
IC #2-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CL
INIC #2-Patient
Select MEASURE: MU,C,6  MU CORE MEASURE #6     Allergy Documentation
  Are you adding 'MU CORE MEASURE #6' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CLIN
IC #2-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CL
INIC #2-Patient
Select MEASURE: MU,C,7  MU CORE MEASURE #7     Required Demographics Present?
  Are you adding 'MU CORE MEASURE #7' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CLIN
IC #2-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CL
INIC #2-Patient
Select MEASURE: MU,C,8  MU CORE MEASURE #8     Record Vital Signs
  Are you adding 'MU CORE MEASURE #8' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST: Y??
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CLIN
IC #2-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CL
INIC #2-Patient
Select MEASURE: MU,C,9  MU CORE MEASURE #9     Record Smoking Status
  Are you adding 'MU CORE MEASURE #9' as a new MEASURE? No// Y  (Yes)
  NUMERATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CLIN
IC #2-Patient
  DENOMINATOR FILTER LIST:    MU12-EP-ACME CLINIC #2-Patient     MU12-EP-ACME CL
INIC #2-Patient
Select MEASURE:

Update Parameters with the Measure Sets

Now attach the Utility Measure Sets into the parameters. 

Select SETUP QUALITY REPORTING Option: EP EDIT PARMS

Select C0Q PARAMETER NAME: ??
    
   Choose from:
   ACME CLINIC #1   
   ACME CLINIC #2   
   MU DR OFFICE   
         
        You may enter a new C0Q PARAMETER, if you wish
   
Select C0Q PARAMETER NAME: MU DR OFFICE  
NAME: MU DR OFFICE// 
MEASUREMENT PERIOD KEY: MU12// 
PARAMETER TYPE: OUTPATIENT// 
EP MU MEASUREMENT SET: DR OFFICE CLINIC REPORT  
EP QUALITY MEASUREMENT SET: 
Select CLINIC: DR OFFICE// 
PATIENT LIST LABEL: 
Select SUBSCRIBER: 

Select C0Q PARAMETER NAME: ACME CLINIC #1  
NAME: ACME CLINIC #1// 
MEASUREMENT PERIOD KEY: MU12// 
PARAMETER TYPE: OUTPATIENT// 
EP MU MEASUREMENT SET: ACME,1  ACME CLINIC #1 REPORT
EP QUALITY MEASUREMENT SET: 
Select CLINIC: ACME CLINIC #1// 
PATIENT LIST LABEL: 
Select SUBSCRIBER: 

Select C0Q PARAMETER NAME: ACME CLINIC #2  
NAME: ACME CLINIC #2// 
MEASUREMENT PERIOD KEY: MU12// 
PARAMETER TYPE: OUTPATIENT// 
EP MU MEASUREMENT SET: ACME,2  ACME CLINIC #2 REPORT
EP QUALITY MEASUREMENT SET: 
Select CLINIC: ACME CLINIC #2// 
PATIENT LIST LABEL: 
Select SUBSCRIBER:

Update MU Measure(s)

To populate the data for the reports, now you need to go back and run EP UPDATE MU MEASURES. Everytime you run this, it will update the data from the system. 

Select QUALITY MEASUREMENT MENU Option: ep update MU MEASURES
Oct 03, 2012@91:70
Oct 03, 2012@82:92:71C0QLIST("MU12-EP-DR OFFICE-Patient",4)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",6)=""

Oct 04, 2012@91:00C0QLIST("MU12-EP-ACME CLINIC #1-Patient",7)=""
C0QLIST("MU12-EP-ALL-PATIENTS",4)=""
C0QLIST("MU12-EP-ALL-PATIENTS",6)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",4)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",6)=""

Oct 04, 2012@84:00C0QLIST("MU12-EP-ACME CLINIC #1-Patient",7)=""
C0QLIST("MU12-EP-ACME CLINIC #2-Patient",4)=""
C0QLIST("MU12-EP-ALL-PATIENTS",4)=""
C0QLIST("MU12-EP-ALL-PATIENTS",6)=""
C0QLIST("MU12-EP-ALL-PATIENTS",7)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",4)=""
C0QLIST("MU12-EP-DR OFFICE-Patient",6)=""
B index passed
6 
Calling GETMEDS6 SOAP Web Service Call for 6
Patient 6 Rx 1
DeaClassCode: 0
PharmacyType: 0
Patient 6 Rx 2
DeaClassCode: 0
PharmacyType: 0
Patient 6 Rx 3
DeaClassCode: 0
PharmacyType: 0
Patient 6 Rx 4
DeaClassCode: 0
PharmacyType: 0
IENs ?+16,1,11, ready to file
Saving ERXDEN of 0 for Patient RUNNER,ROAD (6)
Fileman Data Array
C0QFDA(1130580001.3111,"?+16,1,11,",.01): ERXDEN
C0QFDA(1130580001.3111,"?+16,1,11,",.02): 0
Patient 6 Rx 1
DeaClassCode: 0
PharmacyType: 0
Patient 6 Rx 2
DeaClassCode: 0
PharmacyType: 0
Patient 6 Rx 3
DeaClassCode: 0
PharmacyType: 0
Patient 6 Rx 4
DeaClassCode: 0
PharmacyType: 0
IENs ?+16,1,11, ready to file
Saving ERXNUM of 0 for Patient RUNNER,ROAD (6)
Fileman Data Array
C0QFDA(1130580001.3111,"?+16,1,11,",.01): ERXNUM
C0QFDA(1130580001.3111,"?+16,1,11,",.02): 0
C0QFDA(1130580001.2011,"1,14,",1.1)=1
C0QFDA(1130580001.20111,"+1,1,14,",.01)=6
C0QFDA(1130580001.2011,"1,14,",2.1)=2
C0QFDA(1130580001.20112,"+1,1,14,",.01)=4
C0QFDA(1130580001.20112,"+2,1,14,",.01)=6
C0QFDA(1130580001.2011,"1,14,",3)=50
C0QFDA(1130580001.2011,"2,14,",1.1)=1
C0QFDA(1130580001.20111,"+1,2,14,",.01)=4
C0QFDA(1130580001.2011,"2,14,",2.1)=2
C0QFDA(1130580001.20112,"+1,2,14,",.01)=4
C0QFDA(1130580001.20112,"+2,2,14,",.01)=6
C0QFDA(1130580001.2011,"2,14,",3)=50
C0QFDA(1130580001.2011,"3,14,",1.1)=1
C0QFDA(1130580001.20111,"+1,3,14,",.01)=6
C0QFDA(1130580001.2011,"3,14,",2.1)=2
C0QFDA(1130580001.20112,"+1,3,14,",.01)=4
C0QFDA(1130580001.20112,"+2,3,14,",.01)=6
C0QFDA(1130580001.2011,"3,14,",3)=50
C0QFDA(1130580001.2011,"4,14,",1.1)=1
C0QFDA(1130580001.20111,"+1,4,14,",.01)=6
C0QFDA(1130580001.2011,"4,14,",2.1)=2
C0QFDA(1130580001.20112,"+1,4,14,",.01)=4
C0QFDA(1130580001.20112,"+2,4,14,",.01)=6
C0QFDA(1130580001.2011,"4,14,",3)=50
C0QFDA(1130580001.2011,"5,14,",1.1)=2
C0QFDA(1130580001.20111,"+1,5,14,",.01)=4
C0QFDA(1130580001.20111,"+2,5,14,",.01)=6
C0QFDA(1130580001.2011,"5,14,",2.1)=2
C0QFDA(1130580001.20112,"+1,5,14,",.01)=4
C0QFDA(1130580001.20112,"+2,5,14,",.01)=6
C0QFDA(1130580001.2011,"5,14,",3)=100
C0QFDA(1130580001.2011,"6,14,",1.1)=2
C0QFDA(1130580001.20111,"+1,6,14,",.01)=4
C0QFDA(1130580001.20111,"+2,6,14,",.01)=6
C0QFDA(1130580001.2011,"6,14,",2.1)=2
C0QFDA(1130580001.20112,"+1,6,14,",.01)=4
C0QFDA(1130580001.20112,"+2,6,14,",.01)=6
C0QFDA(1130580001.2011,"6,14,",3)=100
C0QFDA(1130580001.2011,"7,14,",1.1)=2
C0QFDA(1130580001.20111,"+1,7,14,",.01)=4
C0QFDA(1130580001.20111,"+2,7,14,",.01)=6
C0QFDA(1130580001.2011,"7,14,",2.1)=2
C0QFDA(1130580001.20112,"+1,7,14,",.01)=4
C0QFDA(1130580001.20112,"+2,7,14,",.01)=6
C0QFDA(1130580001.2011,"7,14,",3)=100
C0QFDA(1130580001.2011,"8,14,",1.1)=1
C0QFDA(1130580001.20111,"+1,8,14,",.01)=4
C0QFDA(1130580001.2011,"8,14,",2.1)=1
C0QFDA(1130580001.20112,"+1,8,14,",.01)=4
C0QFDA(1130580001.2011,"8,14,",3)=100
C0QFDA(1130580001.2011,"1,15,",1.1)=0
C0QFDA(1130580001.2011,"1,15,",2.1)=1
C0QFDA(1130580001.20112,"+1,1,15,",.01)=7
C0QFDA(1130580001.2011,"1,15,",3)=0
C0QFDA(1130580001.2011,"2,15,",1.1)=0
C0QFDA(1130580001.2011,"2,15,",2.1)=1
C0QFDA(1130580001.20112,"+1,2,15,",.01)=7
C0QFDA(1130580001.2011,"2,15,",3)=0
C0QFDA(1130580001.2011,"3,15,",1.1)=0
C0QFDA(1130580001.2011,"3,15,",2.1)=1
C0QFDA(1130580001.20112,"+1,3,15,",.01)=7
C0QFDA(1130580001.2011,"3,15,",3)=0
C0QFDA(1130580001.2011,"4,15,",1.1)=0
C0QFDA(1130580001.2011,"4,15,",2.1)=1
C0QFDA(1130580001.20112,"+1,4,15,",.01)=7
C0QFDA(1130580001.2011,"4,15,",3)=0
C0QFDA(1130580001.2011,"5,15,",1.1)=0
C0QFDA(1130580001.2011,"5,15,",2.1)=1
C0QFDA(1130580001.20112,"+1,5,15,",.01)=7
C0QFDA(1130580001.2011,"5,15,",3)=0
C0QFDA(1130580001.2011,"6,15,",1.1)=1
C0QFDA(1130580001.20111,"+1,6,15,",.01)=7
C0QFDA(1130580001.2011,"6,15,",2.1)=1
C0QFDA(1130580001.20112,"+1,6,15,",.01)=7
C0QFDA(1130580001.2011,"6,15,",3)=100
C0QFDA(1130580001.2011,"7,15,",1.1)=0
C0QFDA(1130580001.2011,"7,15,",2.1)=1
C0QFDA(1130580001.20112,"+1,7,15,",.01)=7
C0QFDA(1130580001.2011,"7,15,",3)=0
C0QFDA(1130580001.2011,"8,15,",1.1)=1
C0QFDA(1130580001.20111,"+1,8,15,",.01)=7
C0QFDA(1130580001.2011,"8,15,",2.1)=1
C0QFDA(1130580001.20112,"+1,8,15,",.01)=7
C0QFDA(1130580001.2011,"8,15,",3)=100
C0QFDA(1130580001.2011,"1,16,",1.1)=0
C0QFDA(1130580001.2011,"1,16,",2.1)=1
C0QFDA(1130580001.20112,"+1,1,16,",.01)=4
C0QFDA(1130580001.2011,"1,16,",3)=0
C0QFDA(1130580001.2011,"2,16,",1.1)=1
C0QFDA(1130580001.20111,"+1,2,16,",.01)=4
C0QFDA(1130580001.2011,"2,16,",2.1)=1
C0QFDA(1130580001.20112,"+1,2,16,",.01)=4
C0QFDA(1130580001.2011,"2,16,",3)=100
C0QFDA(1130580001.2011,"3,16,",1.1)=0
C0QFDA(1130580001.2011,"3,16,",2.1)=1
C0QFDA(1130580001.20112,"+1,3,16,",.01)=4
C0QFDA(1130580001.2011,"3,16,",3)=0
C0QFDA(1130580001.2011,"4,16,",1.1)=0
C0QFDA(1130580001.2011,"4,16,",2.1)=1
C0QFDA(1130580001.20112,"+1,4,16,",.01)=4
C0QFDA(1130580001.2011,"4,16,",3)=0
C0QFDA(1130580001.2011,"5,16,",1.1)=1
C0QFDA(1130580001.20111,"+1,5,16,",.01)=4
C0QFDA(1130580001.2011,"5,16,",2.1)=1
C0QFDA(1130580001.20112,"+1,5,16,",.01)=4
C0QFDA(1130580001.2011,"5,16,",3)=100
C0QFDA(1130580001.2011,"6,16,",1.1)=1
C0QFDA(1130580001.20111,"+1,6,16,",.01)=4
C0QFDA(1130580001.2011,"6,16,",2.1)=1
C0QFDA(1130580001.20112,"+1,6,16,",.01)=4
C0QFDA(1130580001.2011,"6,16,",3)=100
C0QFDA(1130580001.2011,"7,16,",1.1)=1
C0QFDA(1130580001.20111,"+1,7,16,",.01)=4
C0QFDA(1130580001.2011,"7,16,",2.1)=1
C0QFDA(1130580001.20112,"+1,7,16,",.01)=4
C0QFDA(1130580001.2011,"7,16,",3)=100
C0QFDA(1130580001.2011,"8,16,",1.1)=1
C0QFDA(1130580001.20111,"+1,8,16,",.01)=4
C0QFDA(1130580001.2011,"8,16,",2.1)=1
C0QFDA(1130580001.20112,"+1,8,16,",.01)=4
C0QFDA(1130580001.2011,"8,16,",3)=100


Select QUALITY MEASUREMENT MENU Option:

Print C0Q Measures

Print the measures now. You are now done for the Utility Measures. 

Select QUALITY MEASUREMENT MENU Option: PRINT C0Q MEASURES
   
Select C0Q MEASUREMENT SET NAME: DR OFFICE CLINIC REPORT  

DEVICE: PHOME  HOME PRINTER
C0Q MEASUREMENTS LIST                                  OCT 5,2012@14:22   PAGE 1
MEASURE:DISPLAY NAME      DENOMINATOR    NUMERATOR           PERCENTAGE
--------------------------------------------------------------------------------


CPOE                               2             1             50.00

Problem List                       2             1             50.00

ERx                                2             1             50.00

Active Medication List             2             1             50.00

Allergy Documentation              2             2            100.00

Required Demographics              2             2            100.00
Present? 

Record Vital Signs                 2             2            100.00

Record Smoking Status              1             1            100.00


Select C0Q MEASUREMENT SET NAME: ACME CLINIC #1 REPORT  

DEVICE: PHOME  HOME PRINTER
C0Q MEASUREMENTS LIST                                  OCT 5,2012@14:22   PAGE 1
MEASURE:DISPLAY NAME      DENOMINATOR    NUMERATOR           PERCENTAGE
--------------------------------------------------------------------------------


CPOE                               1             0              0.00

Problem List                       1             0              0.00

ERx                                1             0              0.00

Active Medication List             1             0              0.00

Allergy Documentation              1             0              0.00

Required Demographics              1             1            100.00
Present? 

Record Vital Signs                 1             0              0.00

Record Smoking Status              1             1            100.00


Select C0Q MEASUREMENT SET NAME: ACME CLINIC #2 REPORT  

DEVICE: PHOME  HOME PRINTER
C0Q MEASUREMENTS LIST                                  OCT 5,2012@14:23   PAGE 1
MEASURE:DISPLAY NAME      DENOMINATOR    NUMERATOR           PERCENTAGE
--------------------------------------------------------------------------------


CPOE                               1             0              0.00

Problem List                       1             1            100.00

ERx                                1             0              0.00

Active Medication List             1             0              0.00

Allergy Documentation              1             1            100.00

Required Demographics              1             1            100.00
Present? 

Record Vital Signs                 1             1            100.00

Record Smoking Status              1             1            100.00

Inpatient Set-up

1. Set-up Parameters
Log into VistA (user must have access to C0Q package). From GTM prompt:
GTM>D ^XUP	-- enter the programmer environment
Select OPTION NAME: COQ Q	-- enter C0Q module
     1   C0Q QUALITY MEASURE DEFINITION       QUALITY MEASURE DEFINITION
     2   C0Q QUALITY MEASUREMENT MENU       QUALITY MEASUREMENT MENU
CHOOSE 1-2: 2  C0Q QUALITY MEASUREMENT MENU     QUALITY MEASUREMENT MENU	
Select QUALITY MEASUREMENT MENU Option: SETUP QUALITY REPORTING	-- menu for C0Q set-up

          DISPLAY QUALITY MEASURES
          EDIT SUPERUSERS
          EP EDIT PARMS
          INP EDIT PARMS
          MEASURE SET EDIT
          MU MEASURE EDIT
          QUALITY MEASURE EDIT

Select SETUP QUALITY REPORTING Option: EP EDIT PARMS
Prior to building quality measures and quality measure sets, we must establish the parameters. If you’re building outpatient quality
measures, “EP EDIT PARMS” should be selected (as seen above). If you’re building, inpatient quality measures, “INP EDIT PARMS” should be
selected.
   
Select C0Q PARAMETER NAME: MU2012 Quality Measures	-- Enter Name of Parameter
  Are you adding 'MU2012 Quality Measures' as 
    a new C0Q PARAMETER (the 1ST)? No// y  (Yes)
NAME: MU2012 Quality Measures  Replace 
MEASUREMENT PERIOD KEY: MU12	-- Period Key groups measures and lists so easy to locate and search
PARAMETER TYPE:  OUTPATIENT		-- defines criteria for MU Measure data
EP MU MEASUREMENT SET: 		-- To be left empty.  We are building Quality Measures NOT MU measures.
EP QUALITY MEASUREMENT SET: 		-- To be left empty for now.  We will come back to add quality measure set.
Select CLINIC:	--Clinic NOT required for quality measure build.  The clinic (if applicable) should be built into the reminder/patient list 
build 
PATIENT LIST LABEL: 
Select SUBSCRIBER: 	- SUBCRIBER field designates who is allowed to see the specific quality measure set.
End of Quality Measure Parameter Set-up. [Enter] out of the menu until you reach the QUALITY MEASUREMENT MENU (C0Q Q menu as seen below): 
          COPY OVER PATIENT LISTS
          ED-1 COMPUTATION
          ED-2 COMPUTATION
          EP UPDATE MU MEASURES
          INP UPDATE MU MEASURES
          PQRI MENU ...
          PQRI PRINT XML
          PRINT C0Q MEASURES
          SETUP QUALITY REPORTING ...

Select SETUP QUALITY REPORTING Option:
2. Create Quality Measures 
GTM>D ^XUP	-- enter the programmer environment
Select OPTION NAME: COQ Q	-- enter C0Q module
     1   C0Q QUALITY MEASURE DEFINITION       QUALITY MEASURE DEFINITION
     2   C0Q QUALITY MEASUREMENT MENU       QUALITY MEASUREMENT MENU
CHOOSE 1-2: 2  C0Q QUALITY MEASUREMENT MENU     QUALITY MEASUREMENT MENU

          COPY OVER PATIENT LISTS
          ED-1 COMPUTATION
          ED-2 COMPUTATION
          EP UPDATE MU MEASURES
          INP UPDATE MU MEASURES
          PQRI MENU ...
          PQRI PRINT XML
          PRINT C0Q MEASURES
          SETUP QUALITY REPORTING ...

Select QUALITY MEASUREMENT MENU Option: SETUP QUALITY REPORTING

          DISPLAY QUALITY MEASURES
          EDIT SUPERUSERS
          EP EDIT PARMS
          INP EDIT PARMS
          MEASURE SET EDIT
          MU MEASURE EDIT
          QUALITY MEASURE EDIT

Select SETUP QUALITY REPORTING Option: QUALITY MEASURE EDIT
  
Select C0Q QUALITY MEASURE NAME: MU EP NQF 0024      		-- Name of my quality measure.  
NAME: MU EP NQF 0024// 		
MU YEAR KEY: 
TITLE: NQF0024 Weight Assessment and Counseling for Children and Adolescents
           Replace 					-- Title of my quality measure
VERY LONG DESCRIPTION:			-- Description of my quality measure
  1>Percentage of patients 2 -17 years of age 
  2>who had an outpatient visit with a Primary Care Physician 
  3>(PCP) or OB/GYN and who had evidence of BMI 
  4>percentile documentation, counseling for nutrition and 
  5>counseling for physical activity during the measurement 
  6>year.
EDIT Option: 
DISPLAY NAME: NQF0024 Weight Assessment and Counseling for Children and Adolescents   Replace							
	
REPORTING NAME: NQF0027// 					 
NUMERATOR PATIENT LIST: MU NQF0024   -- Reminder Patient List (numerator) for this quality measures should be added.  
     1   MU NQF0024 OBESITY KIDS DENOM PL  
     2   MU NQF0024 OBESITY KIDS NUM PL  
CHOOSE 1-2: 2  MU NQF0024 OBESITY KIDS NUM PL	-- Reminder Patient List (denominator) for this quality measure should be added.
DENOMINATOR PATIENT LIST: MU NQF0024
     1   MU NQF0024 OBESITY KIDS DENOM PL  
     2   MU NQF0024 OBESITY KIDS NUM PL  
CHOOSE 1-2: 1  MU NQF0024 OBESITY KIDS DENOM PL
QRDA TEMPLATE ROOT: 
QRDA CODE: :
In this step we are creating a Quality Measure and linking the proper numerator and denominator patient lists (from the reminders package)
to the quality measure. These patient lists identify our population and our percentages are calculated based on list data. When installed,
the C0Q package will likely have several Meaningful Use Quality Measures and patient lists available. If you are unable to find an applicable
patient list, we recommend you look for an existing list, shared on the WV trac server. From the WV trac server you can download and import
the .prd files (import into the reminders package), saving you hours of work. Please reference the reminders package for import instructions.
https://trac.opensourcevista.net/browser/quality/tags/mu/PRD
In addition, from year to year some quality measures may use the same numerator and dominator lists. If this applies to you, you can simply
re-use (refresh) and rename a measure instead of building a new measure from scratch. Also, in this example we only created one quality
measure to be included in our quality measure set. If you would like multiple measures to be included, you would create additional measures
and name accordingly. Please note: Consistent naming is crucial for keeping measures organized.


3. Create Quality Measure SET and add Quality Measure(s)
GTM>D ^XUP	-- enter the programmer environment
Select OPTION NAME: COQ Q	-- enter C0Q module
     1   C0Q QUALITY MEASURE DEFINITION       QUALITY MEASURE DEFINITION
     2   C0Q QUALITY MEASUREMENT MENU       QUALITY MEASUREMENT MENU
CHOOSE 1-2: 2  C0Q QUALITY MEASUREMENT MENU     QUALITY MEASUREMENT MENU

          COPY OVER PATIENT LISTS
          ED-1 COMPUTATION
          ED-2 COMPUTATION
          EP UPDATE MU MEASURES
          INP UPDATE MU MEASURES
          PQRI MENU ...
          PQRI PRINT XML
          PRINT C0Q MEASURES
          SETUP QUALITY REPORTING ...

Select QUALITY MEASUREMENT MENU Option: SETUP QUALITY REPORTING

          DISPLAY QUALITY MEASURES
          EDIT SUPERUSERS
          EP EDIT PARMS
          INP EDIT PARMS
          MEASURE SET EDIT
          MU MEASURE EDIT
          QUALITY MEASURE EDIT

Select SETUP QUALITY REPORTING Option: MEASURE SET EDIT
Select C0Q MEASUREMENTS SET NAME: MU12 Quality Measure Set  	-- Name of my measure set
  Are you adding 'MU12 Quality Measure Set' as 
    a new C0Q MEASUREMENTS (the 12TH)? No// y  (Yes)
SET NAME: MU12 Quality Measure Set  Replace 
BEGIN DATE: 	--Begin Date is NOT required for quality measure build.  The date (if applicable) should be built into the reminder build.
END DATE: 	--End Date is NOT required for quality measure build.  The date (if applicable) should be built into the reminder build.
LOCKED: 	-- Measure Set LOCK should be set after reporting period has ended.
MU YEAR KEY:  MU12
Select MEASURE: MU EP NQF 0024	-- Adding our quality measure (created in step 2) to our measure set
Select MEASURE: MU EP NQF 0024       NQF0024 Weight Assessment and Counseling for Children and Adolescents 
  Are you adding 'MU EP NQF 0024' as a new MEASURE (the 1ST for this C0Q MEASUREMENTS)? No// y  (Yes)
  NUMERATOR FILTER LIST: 
  DENOMINATOR FILTER LIST: 
Select MEASURE:

Select C0Q MEASUREMENTS SET NAME:
All applicable Quality Measures created in Step 2 should be added to your Measure Set.
4. Link Measure Set to Parameter
GTM>D ^XUP	-- enter the programmer environment
Select OPTION NAME: COQ Q	-- enter C0Q module
     1   C0Q QUALITY MEASURE DEFINITION       QUALITY MEASURE DEFINITION
     2   C0Q QUALITY MEASUREMENT MENU       QUALITY MEASUREMENT MENU
CHOOSE 1-2: 2  C0Q QUALITY MEASUREMENT MENU     QUALITY MEASUREMENT MENU

         COPY OVER PATIENT LISTS
          ED-1 COMPUTATION
          ED-2 COMPUTATION
          EP UPDATE MU MEASURES
          INP UPDATE MU MEASURES
          PQRI MENU ...
          PQRI PRINT XML
          PRINT C0Q MEASURES
          SETUP QUALITY REPORTING ...

Select QUALITY MEASUREMENT MENU Option: SET-UP QUALITY REPORTING

          DISPLAY QUALITY MEASURES
          EDIT SUPERUSERS
          EP EDIT PARMS
          INP EDIT PARMS
          MEASURE SET EDIT
          MU MEASURE EDIT
          QUALITY MEASURE EDIT

Select SETUP QUALITY REPORTING Option: EP EDIT PARMS		-- or INP EDIT PARMS depending on INP or OP
Select C0Q PARAMETER NAME: MU2012 Quality Measures	-- Parameter created in Step 1
NAME: MU2012 Quality Measures Replace 				-- Hit Enter to accept the default answer
MEASUREMENT PERIOD KEY: MU12// 				-- Hit Enter to accept the default answer
PARAMETER TYPE: OUTPATIENT// 				-- Hit Enter to accept the default answer
EP MU MEASUREMENT SET:   				-- Leave blank, we are not creating a MU measure set
EP QUALITY MEASUREMENT SET:   MU12 Quality Measure Set  	-- Add Quality Measure Set created in Step 3
Select CLINIC: 					-- Hit Enter to accept the default answer
PATIENT LIST LABEL: 				-- Hit Enter to accept the default answer
Select SUBSCRIBER: 				-- Hit Enter to accept the default answer

Select C0Q PARAMETER NAME:
Your Quality Measure Set is now linked to your parameter. ** QUALITY MEASURE BUILD IS COMPLETE**


5. Copy Over Patient Lists
Prior to printing or displaying Quality Measure data, a copy of the patient list (that are being used in your quality measure set) data is

needed. To update: 

GTM>D ^XUP	-- enter the programmer environment
Select OPTION NAME: COQ Q	-- enter C0Q module
     1   C0Q QUALITY MEASURE DEFINITION       QUALITY MEASURE DEFINITION
     2   C0Q QUALITY MEASUREMENT MENU       QUALITY MEASUREMENT MENU
CHOOSE 1-2: 2  C0Q QUALITY MEASUREMENT MENU     QUALITY MEASUREMENT MENU

         COPY OVER PATIENT LISTS
          ED-1 COMPUTATION
          ED-2 COMPUTATION
          EP UPDATE MU MEASURES
          INP UPDATE MU MEASURES
          PQRI MENU ...
          PQRI PRINT XML
          PRINT C0Q MEASURES
          SETUP QUALITY REPORTING ...

Select QUALITY MEASUREMENT MENU Option: COPY OVER PATIENT LISTS
Select C0Q MEASUREMENTS SET NAME: MU12 Quality Measure Set  
C0QFDA(1130580001.2011,"1,12,",1.1)=2
C0QFDA(1130580001.20111,"+1,1,12,",.01)=13
C0QFDA(1130580001.20111,"+2,1,12,",.01)=14
C0QFDA(1130580001.2011,"1,12,",2.1)=13
C0QFDA(1130580001.20112,"+1,1,12,",.01)=12
C0QFDA(1130580001.20112,"+10,1,12,",.01)=90
C0QFDA(1130580001.20112,"+11,1,12,",.01)=91………….
This will ensure we are printing or displaying the most up to date data in the system.
6. Print C0Q Measures
GTM>D ^XUP	-- enter the programmer environment
Select OPTION NAME: COQ Q	-- enter C0Q module
     1   C0Q QUALITY MEASURE DEFINITION       QUALITY MEASURE DEFINITION
     2   C0Q QUALITY MEASUREMENT MENU       QUALITY MEASUREMENT MENU
CHOOSE 1-2: 2  C0Q QUALITY MEASUREMENT MENU     QUALITY MEASUREMENT MENU

COPY OVER PATIENT LISTS
          ED-1 COMPUTATION
          ED-2 COMPUTATION
          EP UPDATE MU MEASURES
          INP UPDATE MU MEASURES
          PQRI MENU ...
          PQRI PRINT XML
          PRINT C0Q MEASURES
          SETUP QUALITY REPORTING ...

Select QUALITY MEASUREMENT MENU Option: Print C0Q MEASURES

Select C0Q MEASUREMENTS SET NAME: MU12 Quality Measure Set  

DEVICE:   TELNET
C0Q MEASUREMENTS LIST                          APR  4,2012  07:50    PAGE 1
MEASURE:DISPLAY NAME      DENOMINATOR    NUMERATOR           PERCENTAGE
--------------------------------------------------------------------------------

NQF0024 Weight                    13             2             15.00
Assessment and
Counseling for Children
and Adolescents

Contributors

- George Lilly
- Oroville Hosptial
- Ryan Grimm and Luke Dubay (Install and Config documentation)
-Twin Cities EMR Consulting, LLC. (Minneapolis, MN)

Future Development

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