MU Reporting

paanii13 wrote on Wednesday, September 28, 2011:

1. What is the correct procedure when performing the following tasks. Currently the AMC report yields only zeros.

a. Providing an electronic copy of a patient’s medical record. currently I am using the offsite patient portal?

b. Use certified EHR technology to identify patient-specific education resources and provide those resources to the patient if appropriate. ( AMC:170.302(m) ).  I have used the Patient Education tab numerous times and checked the Patient Education check-box  within an encounter. Reporting figures are still zeros.

bradymiller wrote on Thursday, September 29, 2011:

Hi,

To see the AMC report in action, check out the OpenEMR 4.1 demo:
http://open-emr.org/wiki/index.php/OpenEMR_Version_4.1.0_Demo

How many patients do you have in the database and is this a new install or an upgrade?

I think the only thing required to get patients included in the denominator is generally an encounter within the report dates. What are you setting for Begin Date, End Date, and Provider?

The Patient Education check-box should increment your numerator for the patient-specific resources, however the problem is that you are not getting counted in the denominator for some reason, so need to troubleshoot that issue (see above).

Also, for a detailed account of how to use the AMC mechanisms in OpenEMR check out the end of this page:
http://open-emr.org/wiki/index.php/CDR_User_Manual

Providing the electronic copy can be done (note you need to use mechanism above to record it was done) utilizing the CCR reports in PAtient Summary->Reports->Continuity of Care Record (CCR)
(to see this feature, ensure the following Adminstration->Globals->Features->Activate CCR/CCD Reporting is checked)

-brady

paanii13 wrote on Saturday, October 01, 2011:

Thanks Brady. The CDR Manual and the new demo was a great help.

There is definitely a problem with the patient education tracking. The demo version stopped counting after the first encounter (however all entries were recorded in the database). My openemr (v4.1) does not record any patient-education entries (Again, the entries are in the database).

Nii.

bradymiller wrote on Saturday, October 01, 2011:

Hi,

Note the patient educations tracking is a per patient calculation. See page 6, 2nd row of table on this page:
http://healthcare.nist.gov/docs/170.302.n_AutomateMeasureCalc_v1.1.pdf

So, the denominator is people (not encounters). To get a better idea of this rule, here are the vital class files for it:
http://github.com/openemr/openemr/blob/master/library/classes/rulesets/Amc/reports/AMC_302m.php
http://github.com/openemr/openemr/blob/master/library/classes/rulesets/Amc/reports/AMC_302m/Denominator.php
http://github.com/openemr/openemr/blob/master/library/classes/rulesets/Amc/reports/AMC_302m/Numerator.php

What are you setting for Begin Date, End Date, and Provider in the report?

-brady

paanii13 wrote on Monday, October 03, 2011:

I have tried same day (Begin Date: 2011-10-03, End Date: 2011-10-03), next day, and a week interval.

The report counts the all the denominators, it’s the numerator that remains zero no matter what.
I made sure that patients were in a subset that required “intervention” (i.e. Smokers, Obese, etc).