OneView Hospital Quality Release Notes

What's New in OneView Hospital Quality 5.0.3


What's New in OneView Hospital Quality 5.0.3


Pre-Release Date: Monday, October 22, 2018


Version 5.0.3 adds new functionality and support for Submission Wizard, reporting of Stage 3 measures for all MEDITECH platforms and renaming Meaningful Use (EHR Incentive Program) to Promoting Interoperability (PI).


Electronic submission: Acmeware has updated the OneView submission wizard to automate the generation of QRDA reports for electronic submission and audit compliance. Submission Wizard updates include the ability to download QRDA category 1 reports by reporting period.


Below is a link to the Submission Wizard Help Guide with Step-by-step instructions for using the HQ Submission Wizard in OneView for both scheduling and preparing your submission.

https://support.acmeware.com/KB/View/918-oneview-hq-submission-wizard-help-guide


Promoting Interoperability: Please refer to Stage 3 Readiness to review MEDITECH resources to confirm that your system(s) are ready to report Stage 3 measures.

https://support.acmeware.com/KB/View/4035-hq-stage--readiness


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


Program Stage 3 Objectives and Measures for 2018:


Stage 3 Objectives

EP - Electronic Prescribing

PEA - Patient Electronic Access to Health Information

CCTPE - Coordination of Care through Patient Engagement

HIE - Health Information Exchange

CPOE - Computerized Provider Order Entry


Crosswalk between Stage 2 and 3: https://support.acmeware.com/KB/View/4644-oneview-stage--crosswalk


Known Issues:

  • We have a Known Issues resource to the OneView Resource Center.



New Features and Enhancements: (for all platforms unless specified)


Submission Wizard:

  • Redesign Submission wizard to allow for separate locking of CQMs and Objective Measures.
  • Updates to allow for QRDA Category 1 generation.
  • Acmeware has updated the OneView submission scheduling for our customers to sign up for a time slot for hospital quality program submissions for Promoting Interoperability (PI), Inpatient Quality Reporting (IQR) and/or Joint Commission ORYX.  Please utilize the Submission Wizard Help Guide for step-by-step instructions.



Promoting Interoperability Objective Measures:

  • Added Stage 3 - Secure Messaging
  • Added Stage 3 - Clinical Info Reconciliation
  • Added Stage 3 - VDT
  • Added Stage 3 - Request/Accept SOC
  • Added Stage 3 - Send SOC
  • Added Stage 3 - Patient Generated Health Data
  • Added Stage 3 - Patient Education
  • Added Stage 3 - Patient Access
  • Added Stage 3 (Medicaid Only) - CPOE
    • Please utilize the CPOE manage dictionary to report Diagnostic Imaging.


Manage Dictionary:

  • All Measures:
    • Updated Exclude Locations tooltip and header description to include more details regarding using dictionary per CMS IPPS final rule. CMS specified in the final rule that the statutory definition of "hospital" used in the EHR Incentive Program does not apply to hospitals and hospital units excluded from IPPS, such as rehabilitation or psychiatric units. Therefore, patients treated in these units should not be included in the denominators of measures
  • Health Information Exchange:
    • New dictionary called Exclude Failed Delivery Message Status allows users to enter the Message Delivery Status Types that indicate failed messages that should be included in the Denominator but excluded from the Numerator (i.e. 'Locally Failed', 'Failed').  No action required from the site unless communication from the HISP to add new message types that indicate failure or not delivered.  This is just to provide transparency to what records are not being counted as an action in the numerator.
    • (Stage 3 Only) New dictionary called Problem Reconciliation Query allows users to map queries that denote that the current problem list is reconciled for the Clinical Information Reconciliation Measure. For this measure, the numerator includes the number of transitions of care or referrals in the denominator where the following three clinical information reconciliations were performed during the visit: medication list, medication allergy list, and current problem list. All three must be reconciled during the visit to be counted in the numerator.


OneView Update Service:

  • Internal tracking of CQM compile times
  • Internal collection of software statistics
  • Improvements in software delivery process.
  • Add compile times to OneView Notification Service


Fixes: (for all platforms unless specified)


Please Note: Customer Support Tickets referenced below may be Acmeware client specific and are not visible to all clients on the Customer Support Portal.


Reports:

  • Updated reports to let users see when the CQM measures’ compile was last completed successfully. The last compile date/time is located on the header of the CQM report.
  • CQM Patient Summary report: Some attributes for value sets in a measure showed items not in current measure selected. The report was edited to show only items for measure selected.
  • Updated reports to let users see when the PI OM measures’ compile was last completed successfully. The last compile date/time is located on the header of the PI OM Report.
  • Modify Value Set Summary Report to allow users to select multiple categories from the dropdown parameter.
  • QRDA Generation:
  • Corrected issue where multiple visits for 1 patient has same Discharge Date, therefore creating duplicate payer, race and ethnicity data. IMPACT:  The compile crashes on duplicate keys for same patient. Customer Support Ticket: #4232
  • Updated to include support for ORYX QRDA 2018 reporting period submission requirements.
  • QRDA Reporting: Enable Language dictionaries under the Mapping Setup for 2018 reporting, capture via code platforms, output this data on a QRDA.


Promoting Interoperability Objective Measures:

  • HIE:
    • S3, MAT615: HIE 2 Fix for HIE_2 incorrectly counting denominator and numerator
    • S3, MAT615: Corrected issue with HIE 2 to reference the ERArrival or AdmitDate
    • (CS Only) HIE check for summary of care received from HIE/HISP which was missing causing low numerator values. Customer Support Ticket: # 4908
  • Clinical Reconciliation:
    • S3, MAT615 : Fix invalid table references in PGHD causing compile issues
  • E-Prescribing:
    • Not filtering out controlled schedule meds for the electronic prescribing (eRx) objective measure. Customer Support Ticket: #4561


Clinical Quality Measures:

  • (CS only) Corrected issue was with Medication Route mapping name in medications data collection. There is no impact to measures. Customer Support Ticket: #2770
  • (VTE-1 issue) (CS,MAGIC,MAT) Corrected issue with visits having multiple service dates for ICU and showing LOS in ICU < 1 day when it is not.
  • (STK-2) (CS, MAGIC): Corrected issue with Discharge Meds occasionally showing up on a visit that were entered after that visit occurred.  Impact: May decrease numerator for STK-2 in CS and MAGIC platforms.
  • (CS, MAGIC, MAT platforms) Corrected issue excluding non-acute care services from AbsServices. Customer Support Ticket: #2770
  • (CS Only): Replaced deprecated table AdmSpecialCareServices with new table AdmSpecCareServices because of MEDITECH changes.
  • (MAGIC Only): Corrected issue for Surgery and Anesthesia data for CQMs; checking for Scheduled patients (SCH) first before running logic.
  • Corrected the way we collect patient visits prior to calculating the summary numbers to exclude instances where a visit end date/time is less than or equal to the visit start date/time (for example, discharge <= admit). This is usually a result of the patient record containing invalid data entered via MEDITECH. Corrected issues with QRDA files failing during submission to CMS. There is no impact to measures.
  • Corrected issue with internal date function that concatenates dates/times from Meditech data; MT data has invalid dates. Impact: Compile job crashes if there are bad data in MT tables.
  • Issue with nightly compile fixed. Impact: CQM numbers not showing up because compile would crash.