AMC Tracking for Patient Reminders

OpenEMR Development
1

dorap wrote on Monday, January 02, 2012:

I can’t get Patient reminders that were sent to patient to reflect properly in AMC report. I set up one test patient and gave him one of my emails. I received  the reminder. The Patient Reminder list indicates that they were sent and the date they were sent. When I run the AMC report, it shows 0 for the numerator and 0 for the denominator  Any suggestions?

2

bradymiller wrote on Tuesday, January 03, 2012:

Hi,

See this page for AMC details:
http://open-emr.org/wiki/index.php/Description_AMC
(especially number 12 in the AMC Measures; note there is actually an age criteria to be included in the denominator)

-brady

3

dorap wrote on Tuesday, January 03, 2012:

Hi, Brady. I appreciate your prompt response. My test patient is 45 years old, so he falls with in the age criteria. When I ran the AMC test this morning entering “All(Cumulative)” for Provider, results were Denominator 0, Numerator 0. When I ran the same test again and entered “All(Collated Form A)” , results were Denominator 1 , Numerator 0. Any other suggestions?

Tow quick questions, is the functionality necessary for 170.302(a) and 170.302.(b) enabled in Open EMR 4.1? If not, could you direct me to where I can find info. to enable them. Or is this functionality enabled through outside sources, i.e., as part of eRx or something similar?
Thanks,
Dora

4

bradymiller wrote on Wednesday, January 04, 2012:

Hi,

Age criteria is as follows:
Denominator criteria: age <= 5 or age >= 65
(45 will not fulfill the criteria)

Getting different results in Cumulative vs. Collated Form A seems a bit odd (I think); perhaps a bug is lingering there. Let me know what happens with a patient that falls within the age range.

170.302(a) and 170.302.(b) are fulfilled by getting erx working, which is described here:
http://open-emr.org/wiki/index.php/OpenEMR_ePrescribe

-brady

5

dorap wrote on Wednesday, January 04, 2012:

Thank you for your patience. I was misreading the age criteria! When I made my test patient 72 and ran the AMC reporting with “All (Cumulative)”  the Patient Reminders worked, 100%. However, when I then ran it and used “All (Collated Format A)” the Denominator was still 1 and the numerator 0. By the way, where can I find an explanation as to the different forms in which to run this report, Cumulative v. Collated Form A/B.
Dora

6

bradymiller wrote on Thursday, January 05, 2012:

Hi,

Here’s a description found in the code (library/clinical_rules.php:

//   $provider   - id of a selected provider. If blank, then will test entire clinic. If 'collate_outer' or
//                   'collate_inner', then will test each provider in entire clinic; outer will nest plans
//                   inside collated providers, while inner will nest the providers inside the plans (note
//                   inner and outer are only different if organize_mode is set to plans).

Note the Collated Format A is collate_outer and the Collated Format B is collate_inner. They basically allow reporting per provider stats of entire clinic (functionality was added to support the cqm/pqri reporting). If not using plans(which is not even an option in the AMC report), then they will give the same output. Still odd (I think) that the denominator is being counted in both normal and collated, but numerator only in the normal. If possible, would be helpful to paste both complete reports (standard and the collated one) here.

-brady

7

dorap wrote on Friday, January 06, 2012:

Hi Brady. As always thanks for the guidance. I don’t have access to a server, can you give me an email address I can send the screen shots to?
Dora

8

bradymiller wrote on Saturday, January 07, 2012:

Hi,

Send them to brady@sparmy.com . Also feel free to copy/paste them here. They don’t need to be pretty, as long as the text is there, can figure it out.

thanks,
-brady