OneView Hospital Quality Release Notes

What's New in OneView Hospital Quality 4.1.15


Release Date: Monday, June 12, 2017


Acmeware is pleased to announce that our OneView Hospital Quality package version 4.1.15 is available for general release. Version 4.1.15 adds new functionality and support for eReporting for the 2017 reporting period electronic clinical quality measures (eCQM) including the latest 2016 eCQM specifications from CMS.  


OneView 4.1.15 includes 2016 eCQM specifications updates to nomenclature mapping codes, logic corrections, updated value sets from the NLM Value Set Authority Center and updated clinical best practices guidance from MEDITECH.  We have included support for 2017 Modified Stage 2 program requirements for Eligible Hospitals, CAHs and Dual-Eligible Hospitals attesting to CMS. Dual-eligible hospitals (Medicare dual eligibles or "duals") refers to those qualifying for both Medicare and Medicaid benefits.


Here's a summary of what's new in this update:

Quality Programs: OneView Hospital Quality (HQ) supports eCQM eReporting to Medicare and Medicaid EHR Incentive Programs, Inpatient Quality Reporting (IQR), and The Joint Commission (ORYX) quality reporting. New workflow associated with the 2017 reporting period requirements will need to be reviewed and incorporated to ensure that these items are accurately configured for this new release.  In addition, OneView Objective Measure updates were made to conform to the Modified Stage 2 EH Objective specifications published by CMS in the Electronic Health Record Incentive Program-Stage 3 and Modifications to Meaningful Use in 2015 Through 2017 published 10/16/2015, and the CMS OPPS Final Rule published 11/14/2016.


Submission Wizard: The ability to create electronic submission for 2017 has been disabled until the next release. New workflow associated with the 2017 reporting period requirements will need to be reviewed and incorporated to ensure that these items are accurately configured for this new release. As a quality reporting submission vendor, Acmeware has a fiduciary responsibility with clinical quality reporting to CMS and The Joint Commission. Due to Acmeware standard and these significant changes, we have disabled the lock functionality in this release and it will be reinstated in the next release.


Customer Support Portal:  You can create new OneView report requests and other service issues using the Customer Support Portal, as well as see the status and all relevant communication about your support tickets.  While use of the portal is optional, as we remain available via telephone and email, we’ve found that the new system has helped us improve our communication with clients, as well as more easily organize their report requests, issues, and questions.


For more information about the Customer Support Portal system and new user registration use the following link: https://support.acmeware.com/User/Register


New Features/Enhancements:


Changes to the 2017 Stage 2 Objective Measures:

  • All Measures:
    • Alternate measures have topped out.
    • Support for Medicaid, Medicare or Dual reporting.
    • Updates to reports based on new timing requirements released in CMS FAQ # 8231. This impacts numerator reporting during the calendar year for the current reporting period.
    • Implement Patient Portal 2.0 when available.
    • Updated Contra logic with enhancements when looking for queries and removed contra to PCI from collection as this is no longer part of 2017 specifications.
    • Removed collection of medication items that no longer pertain to 2017 specifications.
    • Updated Diagnostic Test logic with enhancements when looking for queries and removed logic for VTE Confirmed as no longer needed for 2017 specifications.
    • Updated Miscellaneous Items logic with enhancements when looking for queries and removed logic for Stroke Risk Assessment as no longer needed for 2017 specifications.
    • Updated Diagnosis logic with enhancements when looking for queries, and removed Resolved and Inactive diagnosis capture as no longer needed for 2017 specifications.
  • Patient Electronic Access:
    • Support for MEDITECH Portal 2.x
  • CPOE:
    • Updated logic so order date must be a valid date.
    • Updated logic to insure CPOE measures are taken during reporting period.
    • For 2017 Stage 2 Objectives, the CPOE objective is ONLY required for eligible hospitals and critical access hospitals who attest Medicaid only. If your facility attests Medicare or both Medicare and Medicaid (DUAL), the CPOE objective is no longer required in 2017.
  • Electronic Prescribing:
    • Updated reports to including all but Pending orders so it matches MEDITECH updates.
    • Updated reports to exclude over the counter medications, durable medical equipment and controlled meds unless schedule is defined by customer
  • Transition of Care:
    • Check for Disposition on Transition of Care in MAT.


Changes in the 2016 Update Specifications:

Review changes noted in the update specifications and in the MEDITECH best practice text to make sure your facility’s set-up requirements.


  • Emergency Department Throughput Measures: For all ED Throughput measures, it is now required that every patient must have an ED arrival and departure date and time. The most recent 2016 specifications, outlining all of the header, logic and value set changes for this measure, are found here.
  • Stroke Measures: The most recent 2016 specifications, outlining all of the header, logic and value set changes for this measure, are found here.
  • Venous Thromboembolism (VTE): The most recent 2016 specifications, outlining all of the header, logic and value set changes for this measure, are found here.
  • AMI Measures: The most recent 2016 specifications, outlining all of the header, logic and value set changes for this measure, are found here.
  • Newborn Measures: The release notes outlining all of the header, logic and value set changes for this measure, are found here.
  • Elective Delivery Measure: The release notes outlining all of the header, logic and value set changes for this measure, are found here.
  • Home Management Plan of Care (HMPC) Measure: The release notes outlining all of the header, logic and value set changes for this measure, are found here.


Reports:

  • Enhancements have been made to the detailed drilldown reports to display QDM Variables at the bottom of the report aligning the report more closely with the CMS specifications. In addition, we removed the ability to click on the variable link to popup a new window with the variable description.




Manage Dictionaries:

  • Added a new dictionary called ‘Manage Hospital Programs/Measures’ to allow users the ability to associate measures to a submission program. The Manage Hospital Programs/Measures now includes Objective Measures in the dictionary setup.



  • Enhancements to the Manage Dictionaries to reduce the amount of code required to support and removal of old dictionary items that have become obsolete.


OneView Platform:

  • Enhancements have been made to make it easier for clients moving to a newer MEDITECH platform.


Fixes:


Clinical Quality Measures:

  • Fixed bug reported with new Meditech column for a DMisNmapCodes (MAGIC only), edited columns lenghts to 255 characters, and added EDM workflow (CS/MAGIC only).