ChartMaker® 2018.2 Software Release 6.6.0

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 2022 view when initially accessed, and prior to selecting a Configuration. Likewise, the default percentages of the MIPS total score will be displayed for 2022: Quality at 30%, Promoting Interoperability at 25%, Improvement Activities at 15%, and Cost at 30%. Do note, that once the configuration is selected for 2022 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 30% will be reallocated to the Quality category.

Also, for 2022, 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 2022 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.

The MIPS Category Requirements dialog, accessed via the MIPS Requirements link in the MIPS Dashboard, has been updated to reflect the new category requirements for the 2022 reporting period.

In addition, the MIPS Dashboard Configuration dialog has been updated for the MIPS 2022 reporting period. The functionality works like MIPS 2021, with the addition of a new Electronic Case Reporting (for 2022 you must pick the exclusion that best fits) subsection to the Promoting Interoperability Exclusion section that contains four exclusion options. This is a new exclusion for Promoting Interoperability that is required for 2022, and an option must be selected before you are able to save the configuration, as a specific option will not default for this subsection.

Also, in the Promoting Interoperability Measure Selection section, the Query PDMP for at least one prescription option has been updated to Query PDMP for at least one Schedule II Opioid electronically prescribed during the measurement period to better describe this option. As in previous versions, when this option is checked, a Yes will appear in the Results column for the Querying the Prescription Drug Monitoring Program (PDMP) – BONUS measure, in the Promoting Interoperability screen, and 10 bonus points will be given for attesting that you queried the PDMP for at least one prescription. When this option is not checked, a NO will appear in the Results column for the Querying the Prescription Drug Monitoring Program (PDMP) – BONUS measure, and 0 bonus points will be given for this measure.

In addition, the screen layout of the MIPS Dashboard Configuration dialog has been redesigned to better display the new options available. The Cost Case Minimums section has been moved to the lower left of the dialog under the Improvement Activity Adjustments section. the Support Electronic Referral Loops by Sending Health Information and Support Electronic Referral Loops by Receiving and Incorporating Health Information options in the Promoting Interoperability Exemption section of the MIPS Dashboard Configuration dialog will be grayed out and inaccessible.

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 2022 in the Quality Measure dialog have been updated to the 2021 version for the 2022 reporting period, and for the 2022 performance period will be 30% of the MIPS Total Score (unless PI and Cost categories are reallocated to Quality category). Likewise, all the associated benchmarks for each CQM have been updated to the 2022 version, which can be accessed by double-clicking each individual measure in the right pane.

There are 3 new CQMs in the Quality Measures dialog: CMS 2v11 Preventative Care and Screening: Screening for Depression and Follow-Up Plan, under the Other Measures section; CMS 159v10 Depression Remission at Twelve Months, under the Outcome Measures section; and CMS 347v5 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease, under the Other Measures section. Also note that, for MIPS 2022, this year (and every year) CMS has made changes to the requirements for the majority of the CQMs. Please be sure to check the CQMs you are reporting to determine if changes were made that may affect your reporting and adjust accordingly.

In addition, the QRDA III file format that is generated via the Generate File for Submission button, has been updated for the 2022 reporting period, allowing you to successfully submit files using the 2021 version of the eCQMs.

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 > Promoting Interoperability

What do I need to know?

The Promoting Interoperability dialog has been updated with new and revised performance category measures and registry options for MIPS 2022, and for the 2022 performance period will be 25% of the MIPS Total Score.

Upon entering the Promoting Interoperability dialog for 2022, you will notice a single Performance Category Measures section that is like the Promoting Interoperability dialog for 2021. The functionality remains the same as 2021 except for a new Performed an annual assessment of the High Priority Guide (SAFER Guides) option, that is like the Performed a security risk analysis option, in that it is a self-assessed attestation requirement that ensures you are optimizing EHR safety in various areas based on ONC recommended guidelines. For further details and recommendations, click SAFER Guides link.

You will need to check the Performed a security risk analysis and Performed an annual assessment of the High Priority Guide (SAFER Guides) options before the Promoting Interoperability Score will be calculated. Likewise, the Submitted data to one or more public health agency or clinical data registry option will not be activated unless the Performed a security risk analysis and Performed an annual assessment of the High Priority Guide (SAFER Guides) options are selected, and performance measures, except for the PDMP measure, have been calculated and contain numerator and denominator information. Performance measures can be calculated, and reconciliation reports can be run for selected measures via the corresponding buttons.

After the Submitted data to one or more public health agency or clinical data registry option becomes active and is checked, the various registry options will become available. You can select up to a total of 10 points, or a single registry (5 points) and an exclusion, or two exclusions, if applicable. Once a total of 10 points is selected, the other options will be grayed out. Likewise, the Exclusions checkboxes will become available for the registries after a single registry is selected, but not for the selected registry.

Only after the Performed a security risk analysis and Performed an annual assessment of the High Priority Guide (SAFER Guides) options have been selected, the performance measures have been calculated, and the registry information has been selected as applicable, will the Promoting Interoperability Score be calculated. This score will then be displayed on the Promoting Interoperability card in the MIPS Dashboard.

How do I use it?

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

Where can I find it?

Clinical: Reports > MIPS Dashboard > Improvement Activities

What do I need to know?

The Improvement Activities dialog has been updated with revised improvement activities for MIPS 2022, and for the 2022 performance period will be 15% of the MIPS Total Score. These are broken up into two sub-categories (High Weighted and Medium Weighted). As in previous versions, for each entry you can click the corresponding More Info? link to view further details regarding the activity.

For 2022, the following Improvement Activities have been added to the High Weighted tab: Create and Implement an Anti-Racism Plan and Promoting Clinician Well-Being. And, for 2022, the following have been added to the Medium Weighted tab: Implement Food Insecurity and Nutrition Risk Identification and Treatment Protocols, Implementation of a Trauma-Informed Care (TIC) Approach to Clinical Practice, Implementation of a Personal Protective Equipment (PPE) Plan, Implementation of a Laboratory Preparedness Plan, and Application of CDC’s Training for Healthcare Providers on Lyme Disease.

The following Improvement Activities from 2021 have been removed for 2022: Regularly Assess the Patient Experience of Care through Surveys, Advisory Councils and/or Other Mechanisms, Participation in CAHPS or Other Supplemental Questionnaire, Use of Tools to Assist Patient Self-Management, Provide Peer-Led Support for Self-Management, Implementation of Condition-Specific Chronic Disease Self-Management Support Programs, and Improved Practices that Disseminate Appropriate Self-Management Materials.

And the following Improvement Activities have been modified for 2022: Enhance Engagement of Medicaid and Other Underserved Populations, MIPS Eligible Clinician Leadership in Clinical Trials or Community-Based Participatory Research (CBPR), Use of Certified EHR to Capture Patient Reported Outcomes, Regularly Assess Patient Experience of Care and Follow Up on Findings, Promote Self-Management in Usual Care, Drug Cost Transparency, Practice Improvements that Engage Community Resources to Support Patient Health Goals, PSH Care Coordination, Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient’s Medical Record, Use of Telehealth Services that Expand Practice Access, Use of Toolsets or Other Resources to Close Health and Health Care Inequities Across Communities, Regular Review Practices in Place on Targeted Patient Population Needs, Consultation of the Prescription Drug Monitoring Program, Measurement and Improvement at the Practice and Panel Level, and COVID-19 Clinical Data Reporting with or without Clinical Trial.

How do I use it?

Upon upgrade, these options will be available as outlined above. Select the applicable activity options, as applicable.

Where can I find it?

Clinical: Reports > MIPS Dashboard > Cost

What do I need to know?

The Cost dialog has been updated for MIPS 2022, and for the 2022 performance period will be 30% of the MIPS Total Score. The functionality remains the same as in 2021.

How do I use it?

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

Where can I find it?

Clinical: Chart Notes

What do I need to know?

The way the note and letter sections are displayed in the chart note have been updated to be dependent on the new Note Section Output (C-CDA and Letter) preferences. When visible, they will appear left, center, or right justified depending upon the preference selected, use a slightly smaller font size, and the number of hyphens delineating a section will be increased to better delineate a section. Likewise, for chart notes containing sections labels, a new Hide / Show button will appear in the Note Header allowing you to toggle between showing section labels or hiding them. Also, the right-click menu has also been updated with a Hide note section labels / Show note section labels option that has the same functionality as the button.

How do I use it?

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

Where can I find it?

Clinical: Edit > Preferences

What do I need to know?

The Note Details tab, of the Preferences dialog, has been updated with a new Note Section Output (C-CDA and Letter) section that allows you to determine how the section markers appear in chart notes (Left Justified, Centered, or Right Justified), as well as whether those section markers should be hidden in the chart note upon opening. The Centered option will default, and the Hide note section labels option will default as unchecked. When the Hide note section labels option is checked, when opening or creating a chart note the section labels will not visible, however, you are able to toggle between hidden and visible at the individual note level.

How do I use it?

Upon upgrade, this option will be available as outlined above. To use these options, simply check the desired Note Section Output options, and then click the Save button.