ChartMaker® 2022.1 Software Release 6.7.4

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 2023 view when initially accessed, and prior to selecting a Configuration. Likewise, the default percentages of the MIPS total score will be displayed for 2023: Quality at 30%, Promoting Interoperability at 25%, Improvement Activities at 15%, and Cost at 30%. Do note, that once the configuration is selected for 2023 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 2023, 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 2023 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 2023 reporting period.

In addition, the MIPS Dashboard Configuration dialog has been updated for the MIPS 2023 reporting period.

The Qualifies for small practice bonus option, in the Quality Reporting section, has been updated to also allow qualifying small practices to receive a 3-point minimum score when reporting quality measures in the Quality Measures area. For the 2023 reporting year, and subsequent years, there is no longer 3-point floor for practices that do not meet case minimum criteria when reporting a quality measure, except for qualifying small practices. When this option is checked, the system will add 6 bonus points to the Total Score in the Quality Measure dialog when at least one quality measure is selected and will now also give a 3-point minimum for each quality measure selected.

In the Promoting Interoperability Measure Selection section, the Query PDMP for at least one Schedule II Opioid electronically prescribed during the measurement period option has been removed, as this measure is no longer an optional bonus for the 2023 reporting period but is a required measure unless a practice is excluded. See the new Query of Prescription Drug Monitoring Program (PDMP) exclusion in the Promoting Interoperability Exclusions section below.

The Promoting Interoperability Exclusions section has been updated with a new Query of Prescription Drug Monitoring Program (PDMP) exclusion, a new Electronic Case Reporting exclusion, and a new Immunization Registry Reporting exclusion. Click the corresponding Do I Qualify? link for detailed information on determining whether you qualify for these exclusions. Do note when selecting exclusions, you can only exclude the Electronic Case Reporting or the Immunization Registry Reporting, but not both. When either of these options is selected the other exclusion will be disabled.

 

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 2023 in the Quality Measure dialog have been updated to the 2022 version for the 2023 reporting period, and for the 2023 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 2023 version, which can be accessed by double-clicking each individual measure in the right pane.

Two CQMs have been removed for the 2023 reporting period: CMS 75 Children Who Have Dental Decay or Cavities has been removed from the Other Measures section; and CMS 134 Diabetes: Medical Attention for Nephropathy has been removed from the Other Measures section. Also note that, for MIPS 2023, 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 2023 reporting period, allowing you to successfully submit files using the 2023 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 2023, and for the 2023 performance period will be 25% of the MIPS Total Score.

Upon entering the Promoting Interoperability dialog for 2023, you will notice the Performance Category Measures section that is like the Promoting Interoperability dialog for 2022. The functionality remains like 2022 except for a new Performed PDMP query for at least one Schedule II Opioid or Schedule III or IV drug electronically prescribed during the measurement period option, that is a self-assessed attestation requirement. When this option is checked, a Yes will appear in the Results column for the Querying the Prescription Drug Monitoring Program (PDMP) measure, in the Promoting Interoperability grid, and 10 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) measure, and 0 bonus points will be given for this measure.

Below the Performance Category Measures grid, a new Public Health and Clinical Data Exchange Objective section allows you to self-attest whether you are actively engaged with Immunization Registry Reporting and/or Electronic Case Reporting. The options are dependent on how the exclusion options are configured in the MIPS Dashboard Configuration screen and allow up 25 points when selected. Likewise, for the Submitted data to one additional public health agency or clinical data registry (5-point max bonus) option, you can select up to a reporting agency for a total of 5 points, if applicable. Once an option is selected for the 5 points, the other options will be grayed out.

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 2023, and for the 2023 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 2023, the following Improvement Activities have been added to the High Weighted tab: Create and Implement a Plan to Improve Care for Lesbian, Gay, Bisexual, Transgender, and Queer Patients, and Create and Implement a Language Access Plan. And, for 2022, the following have been added to the Medium Weighted tab: Adopt Certified Health Information Technology for Security Tags for Electronic Health Record Data, COVID-19 Vaccine Achievement for Practice Staff, and Obtain or Renew an Approved Waiver for Provision of Buprenorphine as Medication – Assisted Treatment for Opioid Use Disorder.

The following Improvement Activities from 2022 have been removed for 2023: Participation in a QCDR, that promotes use of patient engagement tools, Participation in a QCDR, that promotes collaborative learning network opportunities that are interactive, Use of QCDR for feedback reports that incorporate population health, Consultation of the Prescription Drug Monitoring program, Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes, and PCI Bleeding Campaign.

And the following Improvement Activities have been modified for 2022: Practice Improvements to Align with OpenNotes, Practice Improvements that Engage Community Resources to Address Drivers of Health, Use of QCDR data for ongoing practice assessment and improvements, and Implementation of formal quality improvement methods, practice changes, or other practice improvement processes.

 

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 2023, and for the 2023 performance period will be 30% of the MIPS Total Score. The functionality remains the same as in 2022.

 

How do I use it?

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

Where can I find it?

Clinical: Edit > Preferences > Fax

What do I need to know?

The Fax tab has been updated with a new Updox Cover Sheet section that has a new Include facilities in cover sheet header selection option allowing you to determine whether the facilities in the system will appear in the Header field of Updox Faxing dialog.

When this option is selected, all active facilities in the system will appear, along with their configured address, in the Header drop-down list, allowing you to select a specific facility to appear in the header for the Updox Faxing cover sheet.

 

How do I use it?

Upon upgrade, this option will be available as outlined above. Simply, select the applicable option, and then click the Save button.

Where can I find it?

Clinical: System Tables > User Management

What do I need to know?

The System Tables menu (Edit > System Tables) has been updated with a new User Management option, that contains two options: Users and Co-signature Requirements. The Users option accesses the Users dialog where you can add and modify user information and configure privileges for users. In previous versions this was accessed via Edit > System Tables > Users. This functionality remains the same as before.

 The Co-signature Requirements option allows access to the new Co-signature Requirements dialog where you can determine what type of documents and notes need to be cosigned for users that have a Charts privilege of Sign w/ Co-Sign. You can configure these requirements for either a global Default for all users or for an individual User. Once the applicable option is selected in the Profile section, you can check or uncheck the types of documents that a co-signature is not required for from the list below. When the User option is selected, you can select applicable users in the drop-down list and then determine whether they should user the default setting, Use default profile, or uncheck this option and configure the Co-signature not required for: options for that individual user. Any changes made in this dialog is tracked in the Audit Trail.

How do I use it?

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

Where can I find it?

Clinical: Template Editor

What do I need to know?

The Template Editor has been updated with a Co-Signature required option that allows you to determine whether notes generated from that template need to be cosigned for users that have a Charts privilege of Sign w/ Co-Sign. All templates will default to having this option checked, and when active the signing process will work the same as it has in previous versions where the co-signatory signs the note and then it must be signed by a user with full signing privileges before that note can be finalized (fully signed). When this option is unchecked, and inactive, the chart note just needs the initial user, with the Charts privilege of Sign w/ Co-Sign, to sign the note for it to be finalized. The system will track all modifications of this option in the Audit Trail.

Additionally, the Template List has been updated with a Co-sig column that will display whether the template is not configured with the Co-signature required option checked. See Figure 13. Whenever the Co-signature required option is inactive and unchecked for a template, a No will appear in the Co-sig column. Whenever the Co-signature required option is active and checked for a template, the Co-sig column will be empty, and nothing will display in the column. Likewise, the Search Column drop-down list now contains a Co-sig option, allowing you to search for templates that have the Co-signature required option as inactive (No in search field).

 

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: The ID tab > Additional Info
Practice Manager: Patient > Other > More Patient

What do I need to know?

In Clinical, the Additional Patient Information dialog, accessed via the Additional Info button in the ID tab, has been updated with a Pronouns field, allowing you to configure the patient’s pronouns. The Pronouns drop-down list will contain the standard pronouns based on LOINC code set (he/him/his/his/himself, she/her/her/hers/herself, they/them/their/theirs/themselves, ze/zir/zir/zirs/zirself, xie/hir (“here”)/hir/hirs/hirself, co/co/cos/cos/coself, en/en/ens/ens/enself, ey/em/eir/eirs/emself, yo/yo/yos/yos/yoself, and ve/vis/ver/ver/verself). When configured the pronouns will appear in the Title bar, next to Gender Identity, and in any configured lookup fields in chart notes and letters.

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In Practice Manager, the More Patient Information dialog, accessed via the More Patient button in the Patient screen, has been updated with a Pronouns field, allowing you to configure the patient’s pronouns. The Pronouns drop-down list will contain the standard pronouns based on LOINC code set (he/him/his/his/himself, she/her/her/hers/herself, they/them/their/theirs/themselves, ze/zir/zir/zirs/zirself, xie/hir (“here”)/hir/hirs/hirself, co/co/cos/cos/coself, en/en/ens/ens/enself, ey/em/eir/eirs/emself, yo/yo/yos/yos/yoself, and ve/vis/ver/ver/verself).

 

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: To-Do List

What do I need to know?

The title bar in Clinical has been updated so that when a patient’s chart is open, their Pronouns will appear next to their Gender Identity.

How do I use it?

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