(Last Updated On: July 18, 2018)

Here are some of the main highlights in ChartMaker® Medical Suite 2018 (file version 6.3.1). To read a full list of enhancements, view the Release Notes.

Where can I find it?

Clinical: Reports >MIPS Dashboard

What do I need to know?

The MIPS Dashboard Configuration dialog has been updated with two changes when the Performance period year is 2018 or greater.

The first change is that the Advancing Care Information Exemption and Advancing Care Information Measures sections have been relabeled Promoting Interoperability Exemption and Promoting Interoperability Measures.

The second change is  that a new Cost Case Minimums section has been created for MIPS 2018. The options are for whether cost case minimums were not met, or met. If The case minimums were not met option is selected, the Cost category weight will be redistributed to the Quality category weight (where the Quality will be worth 60% of the total, instead of 50%).

 

You can click the corresponding Do I qualify? link for more information regarding the Cost Case Minimums options.

How do I use it?

Upon upgrade, these options will be available as outlined above. No user intervention is needed.

Where can I find it?

Clinical: Reports > MIPS Dashboard

What do I need to know?

The Quality Measures dialog has been updated to include the 2018 benchmarks and scoring based on those new benchmarks for MIPS 2018. Benchmarks for individual CQMs can be accessed by double-clicking the CQM in the calculation (right) pane. Likewise, the overall percentage breakdown for the Quality category for MIPS 2018 has changed to 50%. Do note that the percentage for Quality will increase by 10% if case minimums were not met for the Cost category, and will increase by 25% if exempt from the Promoting Interoperability category, and are configured as such in the MIPS Dashboard Configuration dialog.

The Quality category is based on a full performance year for MIPS 2018, therefore the Quality Measures will run for the entire year based on the Performance period configured in the MIPS Dashboard Configuration dialog.

The Quality Measures dialog has also been updated to include denominator exclusion and exceptions in the CQM calculation which will be displayed in the new Den Exclusions and Exceptions columns, when applicable. These columns and applicable results will also be included when printing the Quality Measures.

Also, when a CQM contains multiple population factors, each individual population factor will be stacked in the grid, with the applicable numerator, denominator, denominator exclusion, and exceptions for each population factor, and then calculated into a total result and score for the CQM. For example, see CMS156v6 in the figure below.

In addition, the configuration name selected in the MIPS Dashboard will now appear in the title bar next to the dialog name.

How do I use it?

Upon upgrade, these options will be available as outlined above. No user intervention is needed.

Where can I find it?

Clinical: Reports > MIPS Dashboard

What do I need to know?

A number of changes have been made to the Promoting Interoperability category for MIPS 2018. First, the Advancing Care Information category has been renamed Promoting Interoperability for MIPS 2018. Whenever the performance period year is 2018 or greater, the MIPS Dashboard and associated dialog, Promoting Interoperability, will be labeled as such. Also, the configuration name selected in the MIPS Dashboard will now appear in the title bar next to the dialog name.

When using the 2018 Transition Objective and Measures, the Performance Score section of the Promoting Interoperability dialog has been updated so the (0 -10) has been removed from the Score column to more accurately display the scoring range, as some measures can earn up to 20 points. The Score column, sans (0 -10), will be displayed only when the 2018 Transition Objectives and Measures option is selected in the Promoting Interoperability section of the MIPS Dashboard Configuration dialog.

The Promoting Interoperability dialog has been updated with changes for MIPS 2018 when the 2018 Objectives and Measures option is selected in the Promoting Interoperability section of the MIPS Dashboard Configuration

In the Performance Score section, the Submitted data to any single public health agency or clinical data registry including immunization registry (10 points) option has replaced the Submitted data for immunization registry reporting (10 points) option in previous versions. Likewise, a Specified Reporting Registry field has been added, allowing you to select the type of registry data (Immunization Registry Reporting, Syndromic Surveillance Reporting, Public Health Registry Reporting, or Clinical Data Registry Reporting) that is being submitted.

In the Bonus Score section, a new You will receive 10 additional points by using the 2018 Objective and Measures sentence has been added to indicate that by using these objective and measures, 10 bonus points will be added to your total score. Also, the Submitted data to an additional health agency or clinical data registry not reported under the Performance Score section (5 points) option has replaced the Submitted data to one or more public health or clinical data registries (5 points) option in previous versions. A Specified Reporting Registry field has been added as well, allowing you to select the type of additional registry data (Immunization Registry Reporting, Syndromic Surveillance Reporting, Public Health Registry Reporting, or Clinical Data Registry Reporting) that is being submitted.

How do I use it?

Upon upgrade, these options will be available as outlined above. No user intervention is needed.

Where can I find it?

Clinical: Reports > MIPS Dashboard

What do I need to know?

The Improvement Activities dialog has been updated with new and revised improvement activities for MIPS 2018. These are broken up into the sub-categories (PI Bonus, High Weighted, and Medium Weighted) in a similar manner as the previous year. For each entry you can click the corresponding More Info? link to view further details regarding the activity. In addition, the configuration name selected in the MIPS Dashboard will now appear in the title bar next to the dialog name.

How do I use it?

Upon upgrade, these options will be available as outlined above. No user intervention is needed.

Where can I find it?

Clinical: Reports > MIPS Dashboard

What do I need to know?

The Cost category is now accessible in the MIPS Dashboard Configuration dialog for MIPS 2018, allowing you to manually configure your Cost Score. Do note that the Cost category will be disabled when the The case minimums were not met option is selected in the Cost Case Minimums section of the MIPS Dashboard Configuration dialog.

After the Cost option has been clicked in the MIPS Dashboard, a Cost dialog will appear with the configuration name, selected in the MIPS Dashboard, in the title bar. You can then manually enter the applicable Cost Score in the corresponding field, and then click the OK button. The Category score and Weighted score for the Cost category will then be displayed in the MIPS Dashboard.

How do I use it?

Upon upgrade, these options will be available as outlined above. No user intervention is needed.

Where can I find it?

Clinical: Chart Notes

What do I need to know?

The Screening widget has been updated to allow you to view and select any changes in the various screenings in the widget without having to update your chart template with the a new (e.g., the latest) Screening widget. When changes are made to the various screenings in the Screening widget, they will automatically be viewable and configurable in all new chart notes. Previous chart notes that were entered prior to the system update will contain the original options and selections for the various screenings at the time of note entry.

The initial section of the Falls Risk Assessment Form screening (accessed via the Screening button in the chart note), has been updated so that the Screening not done for medical reason option has been removed for all new chart notes. Previous chart notes that were entered prior to the system update will contain this option and the original selections made for this screening at the time of note entry.

The initial section of the Blessed Orientation Memory Concentration Test (Cognitive Assessment) screening (accessed via the Screening button in the chart note), has been updated so that the Screening not done for medical reason option has been removed for all new chart notes. Previous chart notes that were entered prior to the system update will contain this option and the original selections made for this screening at the time of note entry.

 

How do I use it?

Upon upgrade, these options will be available as outlined above. No user intervention is needed.

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