Implement quality measure

omo66 wrote on Saturday, March 17, 2012:

I am trying to implement quality measure PQRS epilepsy  on OEMR 4.1.1 dev Ubuntu…
Any idea where to get started, below are some details.
Measure #1: Seizure Type(s) and Current Seizure Frequency(ies)
http://www.aan.com/globals/axon/assets/9079.pdf
Numerator: Patient visits with seizure type(s) specified and current seizure frequency for each seizure type
Denominator: All visits for patients with a diagnosis of epilepsy.
Denominator Exclusions:
 Documentation of medical reason for not documenting seizure type(s) and current seizure frequency for
each seizure type (e.g. patient is unable to communicate and an informant is not available).
 Documentation of patient reason for not documenting seizure type(s) and current seizure frequency for
each seizure type (e.g. patient and/or informant refuses to answer or comply )
Denominator (Eligible Population): All visits for patients with a diagnosis of epilepsy.
 CPT ®Procedure Codes: 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99241,
99242, 99243, 99244, 99245, 99304, 99305. 99306, 99307, 99308, 99309
AND
 ICD-9 diagnosis codes: 345.00, 345.01, 345.10, 345.11, 345.40. 345.41, 345.50, 345.51, 345.60,
345.61, 345.70, 345.71, 345.90, 345.91
Numerator: Patient with documentation of seizure type(s) specified and current frequency of each seizure
type.
 Report the CPT Category II, Seizure Type(s) and Current Seizure Frequency(ies) in development designated
for this numerator 1200F.
Denominator Exclusion: Documentation of medical reason(s) or patient reason(s) for not recording seizure
type(s) and seizure frequency for each seizure type (e.g., patient or caregiver unable or unwilling to
communicate or provide information) or documentation of patient reason(s)
 Append modifier to CPT Category II code: Medical Reason 1200F-1P. Patient Reason 1200F-2P.

THANKS in advance for any suggestions.

bradymiller wrote on Tuesday, March 20, 2012:

Hi,

To get started, look through the frameworks used to build the currently supported CQM measures. Added more measures in this framework is not too difficult:
in directory : http://github.com/openemr/openemr/tree/master/library/classes/rulesets/Cqm
and file : http://github.com/openemr/openemr/blob/master/library/classes/rulesets/ReportTypes.php

-brady
OpenEMR