ChartMaker® 2018.2 Software Release 6.3.8

Where can I find it?

Clinical: Reports > Meaningful Use > Dashboard

What do I need to know?

All the Quality Measures for Meaningful Use Stage 3 2019 in the Meaningful Use Dashboard have been updated to the 2018 version for the 2019 reporting period, allowing you to select and run queries specific to the changes reflected in this stage for 2019, and provide accurate statistics for applicable attestation requirements.

Do note that, for Stage 3 2019, this year (and every year) CMS has made changes to the requirements for the majority of the CQMs. In addition, the NQF TBD – Hypertension: Improvement in Blood Pressure CQM has been removed and are is no longer available for reporting. Please be sure to check the CQMs you are reporting to determine if changes were made that may affect your reporting and adjust accordingly.

 

How do I use it?

Upon upgrade, these options will be available and can be used as outlined above.

Where can I find it?

Clinical: Reports > MIPS Dashboard

What do I need to know?

 The MIPS Dashboard has been updated to default to the 2019 view when initially accessed, and prior to selecting a Configuration. Likewise, the default percentages of the MIPS total score will be displayed for 2019: Quality at 45%, Promoting Interoperability at 25%, Improvement Activities at 15%, and Cost at 15%. Do note, that once the configuration is selected for 2019 reporting period if you are exempt from the Promoting Interoperability category, the 25% will be reallocated to the Quality category; and if the Cost measures are not met, the 15% will be reallocated to the Quality category.

Also, for 2019, the dashboard has been updated to calculate the estimated MIPS total composite score, as well as Print and Generate File for Submission that includes all categories.

In addition, the title bar will display the reporting year, defaulting to 2019 if no configuration is selected. Once a configuration is selected, the reporting year will be dependent on the period configured for the selected configuration. Also, when accessing individual category dialogs (Quality Measures, Promoting Interoperability, Improvement Activities, and Cost) the reporting year will also appear in those title bars following the configuration name.

 

How do I use it?

Upon upgrade, this functionality will be available as outlined above.

Where can I find it?

Clinical: Reports > MIPS Dashboard > Quality

What do I need to know?

All the Quality Measures for MIPS 2019 in the Quality Measure dialog have been updated to the 2018 version for the 2019 reporting period, and for the 2019 performance period will be 45% of the MIPS Total Score (unless PI and Cost categories are reallocated to Quality category). See Figure 8. Do note that, for 2019, this year (and every year) CMS has made changes to the requirements for the majority of the CQMs. In addition, the CMS 65v7 – Hypertension: Improvement in Blood Pressure has been removed and are is no longer available for reporting. Please be sure to check the CQMs you are reporting to determine if changes were made that may affect your reporting and adjust accordingly.

 

How do I use it?

Upon upgrade, these options will be available and can be used as outlined above.

Where can I find it?

Clinical: Chart Notes – Document Import – Reconcile

What do I need to know?

The Clinical Information Reconciliation (CIR) dialog (when accessed via the Reconcile button after importing a CDA file via Direct Messaging, an HIE, or the Import Document dialog), has been updated to visually track your progress when reconciling each area (Medications, Diagnoses, and Allergies) within the dialog, helping to ensure you receive credit for the CIR Performance Measure for MIPS 2019, when applicable.

Whenever you click the Confirm button in a tab, a green arrow will appear next to it in the upper-left of the screen to indicate that you have reconciled information for that area.

Also, to further track your progress, the Cancel button has been replaced with a Done button that tracks the number of tabs, out of the three, that have been reconciled.

Likewise, if you click the Done button, or attempt to close out of the dialog via the X button in the top-right of the dialog, before all three tabs have been confirmed, a Reconciliation Not Complete dialog will appear alerting you that all three areas when not reconciled and confirming you want to close the screen.

How do I use it?

Upon upgrade, these options will be available as outlined above. You can click the Reconcile button to access the Clinical Information Reconciliation (CIR) dialog to reconcile medications, diagnoses, and allergies, as needed.

Where can I find it?

Clinical:  Prescribing Medications as a Proxy Prescriber

What do I need to know?

The proxy prescribing workflow has been improved to reduce the amount of time and clicks that the prescribing provider needs to successfully send prescriptions for a patient. Whenever a proxy prescriber enters and queues one or more electronic prescriptions, then sends them to the prescribing provider, the queued status will remain active for that prescribing provider, allowing them to easily send those queued medications without having to queue each individual medication again.

Do note, that this workflow does not apply to control substances. Due to prescribing restrictions for controlled substances, that allows only one controlled substance medication to be prescribed and sent at a time, whenever a controlled substance is prescribed by a proxy prescriber, it will not be auto-queued for the prescribing provider. If a proxy enters a controlled substance along with other non-controlled substance medications, all the non-controlled substances medications will be auto-queued, but the controlled-substance(s) will not be.

An updated warning message will appear when closing the patient’s chart if a controlled substance is included in the pending e-prescriptions.

Also, the To-Do List message that is sent to the prescribing provider will relate this information whenever a controlled substance is entered by a proxy.

Likewise, the message text has also been updated whenever medications are sent, but do not include a controlled substance.

 

How do I use it?

Upon upgrade, this functionality will be available as outlined above. No additional user intervention is needed.

Where can I find it?

Clinical: Chart Notes

What do I need to know?

The Options dialog for BMI (accessed via the Options button in the Vital Signs Entry dialog) has been updated with a new BMI not done for medical reason option that will appear, along with the BMI refused by patient option, whenever the BMI is not calculated for the patient (when the Height/Length, Weight, or both fields are left blank).

When the BMI not done for medical reason option is selected, the system will link it to the applicable SNOMED and LOINC codes and it will be used to calculate an exception for the Preventative Care and Screening: BMI Screening and Followup quality measure for Meaningful Use Stage 3 2019 and MIPS 2019.

How do I use it?

Upon upgrade, these options will be available as outlined above. In a chart note, click the Vitals widget to open the dialog. Enter applicable information and then click the Options  button to open the Options dialog to configure any applicable information regarding BMI.