Transition of Care Logs/Reports

Management and Administration
#1

Hello everyone and thanks for the help in advance. Would someone be able to tell me where transition of care logs are stored and reported? This appears to be another meaningful use requirement. Also, how are incoming transfers handled and reported?

Thanks.

#2

hi @hmclaughlin pretty sure that once you hook up with zh’s module the admin->other->logs will be poplulated

probably should contact zh for support

#3

OK. Forgive my ignorance, but I don’t understand what you are saying. I see ZH Healthcare is a third party, but does tha mean I need to start working with them and is this a paid service? Are you also saying the transition of care goes through the same module as the immunization registry/transmittal?

#4

Hi @hmclaughlin ,

Correct that this shouldn’t have to do with ZH. See the checkboxs for transition of care here:

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And this then shows in the AMC report calculation (see Reports->Clinical section)

-brady

#5

Thanks for the response. Starting to make more sense, but I think the illustration you showed occurs at the time of a patient visit. What about reconciliation of inbound consults from specialists? In many real-life cases, these consults arrive in the form of some type of fax or other paper document, or alternatively some type of PDF rather than an HL7document. So meaningful use also requires a reconciliation of medication and problem lists from this document, which may not he handled at the time of a patient encounter in the office. How is this handled within OpenEmr?

#6

this is one of the optional performance measures under the advancing care information category of the qpp

so the clinician would review the document and then check the boxes for the encounter with the person, https://www.aao.org/practice-management/regulatory/mips/advancing-care-information-measure/aci_trans_mr_1-medication-reconcilliation

#7

Thanks again. Let me see if I follow you. The document is reviewed somewhere outside of the EHR, then the reconciliation is performed in one of the previous encounters?

#8

the document is received and then loaded into the emr, maybe even it’s automated through an hie conenction or scanned and uploaded to documents, then reviewed and upon the next encounter the checkboxes would be applicable

#9

And then you either check the box medication reconciled or not, which in turn goes into the AMC calculation table. Correct? Going a step further, what about reconciling problem lists? Lets say the consult adds a chronic diagnosis to the patients problem list? How is that handled?