Reports->AMC

system · March 23, 2014, 5:37pm

cmswest wrote on Sunday, March 23, 2014:

in the Automated Measures(AMC) report

if you choose encounter for the provider relationship, the date range is not used at all instead it’s grabbing all encounters, resulting in larger denominators than actual

you can see the result on the main demo, the report results show date ranges from 10/03/2013 thru present but the last report has increased the denominator by 1 when i created an encounter for billy smith back in 03/2013

system · March 23, 2014, 5:51pm

cmswest wrote on Sunday, March 23, 2014:

github.com

openemr/openemr/blob/master/library/clinical_rules.php#L731-L747


$target_dates = array();
if ($mode != "report") {
    // Calculate the dates to check for
    if ($type == "patient_reminder") {
        $reminder_interval_type = "patient_reminder";
    } else { // $type == "passive_alert" or $type == "active_alert"
        $reminder_interval_type = "clinical_reminder";
    }


    $target_dates = calculate_reminder_dates($rowRule['id'], $dateTarget, $reminder_interval_type);
} else { // $mode == "report"
    // Only use the target date in the report
    $target_dates[0] = $dateTarget;
}


//Reset the counters
$total_patients = 0;

looks like the sql statement needs to be modified

system · March 24, 2014, 11:07am

fsgl wrote on Monday, March 24, 2014:

Hospitals are permitted to report using a fiscal year while we must report using a calendar year. See this tipsheet.

Because none of us will be using a reporting period which straddles 2013 and 2014, the bug becomes moot.

Can’t do it anyway because of the differences between the Stage 1 and Stage 2 requirements.

system · March 24, 2014, 12:37pm

cmswest wrote on Monday, March 24, 2014:

thanks fsgl, trying to do 90 days in one year for ep based

i just ran the amc report on the main demo for billy smith, encounter based, for 01/01/14 thru present

on the Provide clinical summaries for patients for each office visit it’s showing a denominator of 4 but there are only 3 encounters

system · March 24, 2014, 12:44pm

cmswest wrote on Monday, March 24, 2014:

actually there is another encounter that was auto created with arrived but it hasn’t taken place yet

anyways it seems it’s the encounter report that isn’t showing it for just billy

system · March 24, 2014, 5:22pm

cmswest wrote on Monday, March 24, 2014:

the boy who cried wolf… amc report is working fine

it looks like my form_encounter data had provider_id values of zero, this threw off the reports

the zero value comes when an admin who works the front desk creates encounters for the providers

system · March 24, 2014, 6:41pm

fsgl wrote on Monday, March 24, 2014:

Thanks for the followup. For a split second, because I had already attested, I was imagining what I would look like in an orange jumpsuit. Another reason to dislike that color.

system · March 24, 2014, 8:30pm

cmswest wrote on Monday, March 24, 2014:

isn’t it a crime to yell fire in a crowded theater?

anyways, they also made custom calendar event categories and it seems the amc report is looking only for the built in ones, like office visit, established pt

anybody happen to know where that code is that addresses the encounter categories?

system · March 25, 2014, 8:57pm

cmswest wrote on Tuesday, March 25, 2014:

have to add entries from postcalendar_event_categories to enc_category_map labeled as enc_off_vis

system · March 27, 2014, 2:28am

cmswest wrote on Thursday, March 27, 2014:

sorry but this amc encounter based reporting is flawed

first the number(displayed while circle spins) and then column total patients ignores the date range and grabs all patients from the beginning of the year

i’ve got a provider who only had 44 encounters in the last 90 days of 2013 yet 194 total patients is displayed

second the denominator is also increasing from previous visits that year thus making it appear that the provider hasn’t met the target %s

does anyone have any advice for a multiple provider office that has used encounter based reporting instead of primary relationship option?

thanks

system · March 27, 2014, 2:47am

cmswest wrote on Thursday, March 27, 2014:

i don’t see where FetchEncounterDates is getting called by the amc engine

github.com

openemr/openemr/blob/master/library/classes/ClinicalTypes/Helper.php#L65


        }


        if ($endDate == null) {
            $endDate = date("Y-m-d");
        }


        return $typeObj->doPatientCheck($patient, $beginDate, $endDate, $options);
    } else {
        throw new Exception("Type must be a subclass of AbstractClinicalType");
    }
}


public static function fetchEncounterDates($encounterType, RsPatient $patient, $beginDate = null, $endDate = null)
{
    $encounter = new Encounter($encounterType);
    return $encounter->fetchDates($patient, $beginDate, $endDate);
}


public static function checkAnyEncounter(RsPatient $patient, $beginDate = null, $endDate = null, $options = null)
{
    $encounters = Encounter::getEncounterTypes();

system · March 27, 2014, 11:14am

fsgl wrote on Thursday, March 27, 2014:

Try using Primary for Provider Relationship.

I did not use Encounter because it gave inaccurate results.

Because the 31st is next Monday, I’ll provide more direct means of contact, should that become necessary.

Hopefully the practice has its other ducks all in a row.

system · March 27, 2014, 12:35pm

cmswest wrote on Thursday, March 27, 2014:

thanks fsgl, i guess i can have them go in and select a primary provider on each patient although it doesn’t apply in several cases where other nps and mds cover in their absence

system · March 27, 2014, 2:29pm

fsgl wrote on Thursday, March 27, 2014:

Because there is not a lot of time left, you may want to run those reports youself after Primary Physician assignment. Can you take over their server with Remote Access, LogMeIn or something similar? I get the sense that quite a bit of work needs to be done.

The practice can pay for your extra service from their EHR bonus, but they will get $0 if the attestation is not done by the 31st 11:59 pm EDST.

Nurse practitioners are not eligible professionals, so they should not be in the mix. Covering physicans should not be in the calculations either because the report should be run only for the individual physician, i.e., the fellow with the 44 encounters.

system · March 27, 2014, 3:19pm

fsgl wrote on Thursday, March 27, 2014:

Had another thought.

You can deliver all the reports plus the hard copies to the practice on a silver platter, but you cannot attest for them.

If the fellows in the group behave true to form, they will probably delegate this task to staff or the office manager.

Have the designated person read this guide. With the exception of the sections on Additional Clinical Quality Measures, everything else is applicable to non-Ophthalmologists.

If the practice is unwilling/unable to do the stuff in the guide, there is really no point in you breaking your chops.

system · March 28, 2014, 2:47pm

cmswest wrote on Friday, March 28, 2014:

good tip, thanks fsgl

np is interested in mediCAID program

system · March 28, 2014, 2:48pm

cmswest wrote on Friday, March 28, 2014:

fsgl, your guide is exceptional, thanks

the practice got a good chuckle from your post above, thanks for your honesty and integrity

system · March 28, 2014, 3:55pm

fsgl wrote on Friday, March 28, 2014:

Glad the fellows are good sports.

Are they attesting for 2013? Will you be burning the midnight oil whipping the reports into shape?

If you folks can pull it off, kudos to the lot of you. For my part, I cannot work under pressure.

system · March 28, 2014, 4:39pm

cmswest wrote on Friday, March 28, 2014:

the pressure is palpable but the numbers don’t look promising for attesting for 2013, too bad they don’t see more medicaid as AIU is a dream