HIT 226 Course Project: Hospital Data Analysis and Reporting | |||||||||||
The data below is from General Hospital. Perform any calculations necessary and analyze the data to determine compliance with the Release of Information Standards. Areas of noncompliance should be identified as well as the standard. Hint: You may use your own state's Department of Health standards in addition to HIPAA requirements. | |||||||||||
Release of Information Report for January 2014 | |||||||||||
Date Received | Client Name | Requestor Name | Info Disclosed | Purpose of Disclosure | Date Disclosed | Records Offsite | Staff ID # | Completion Time | Standard | Compliance | |
1 | 1/1/14 | Jones, Johnny | PCP | H & P | Continuity of Care | 1/21/14 | N | 14571 | 20 | 30 | 10 |
2 | 1/4/14 | King, Samantha | St. Lawrence | D/C Summary | Continuity of Care | 1/17/14 | N | 14571 | 13 | 30 | 17 |
3 | 1/5/14 | Piazza, Anthony | PCP | D/C Summary | Continuity of Care | 2/8/14 | N | 25148 | 34 | 30 | -4 |
4 | 1/9/14 | Legend, Mary | Attorney | D/C Summary | Litigation | 3/3/14 | Y | 25148 | 53 | 60 | 7 |
5 | 1/10/14 | Stepnowski, Joseph | Robert Wood Johnson | X-rays | Continuity of Care | 1/14/14 | N | 25148 | 4 | 30 | 26 |
6 | 1/11/14 | Largent, Khalif | Mother | D/C Summary | At the request of the individual | 2/28/14 | N | 14571 | 48 | 30 | -18 |
7 | 1/11/14 | Williams, Michael | PCP | H & P | Continuity of Care | 1/17/14 | N | 14571 | 6 | 30 | 24 |
8 | 1/15/14 | Teller, Aiden | PCP | D/C Summary | Continuity of Care | 1/20/14 | N | 25148 | 5 | 30 | 25 |
9 | 1/17/14 | Hower, Layla | Bayonne Medical Center | D/C Summary | Continuity of Care | 2/26/14 | N | 14571 | 40 | 30 | -10 |
10 | 1/18/14 | Cartwright, Renee | Robert Wood Johnson | Lab reports | Continuity of Care | 2/1/14 | Y | 14571 | 14 | 60 | 46 |
11 | 1/20/14 | Perez, Stacey | PCP | X-rays | Continuity of Care | 3/5/14 | Y | 25148 | 44 | 60 | 16 |
12 | 1/21/14 | Santoso, Susan | Attorney | X-rays | Litigation | 3/1/14 | N | 14571 | 39 | 30 | -9 |
13 | 1/21/14 | Williams, William | St. Lawrence | D/C Summary | Continuity of Care | 1/28/14 | N | 14571 | 7 | 30 | 23 |
14 | 1/21/14 | Abrams, Jonah | St. Lawrence | D/C Summary | Continuity of Care | 4/5/14 | N | 25148 | 74 | 30 | -44 |
15 | 1/25/14 | Stern, Kimberly | Robert Wood Johnson | H & P | Continuity of Care | 1/31/14 | N | 25148 | 6 | 30 | 24 |
16 | 1/25/14 | Sran, Timothy | PCP | Lab reports | Continuity of Care | 2/5/14 | N | 25148 | 11 | 30 | 19 |
17 | 1/27/14 | Berger, Mark | PCP | X-rays | Continuity of Care | 2/9/14 | N | 25148 | 13 | 30 | 17 |
18 | 1/28/14 | Romano, Maria | Attorney | D/C Summary | Litigation | 2/1/14 | N | 14571 | 4 | 30 | 26 |
19 | 1/31/14 | Smith, Jennifer | St. Lukes | D/C Summary | Continuity of Care | 3/3/14 | N | 14571 | 31 | 30 | -1 |
20 | 1/31/14 | Martinez, Alonso | PCP | D/C Summary | Continuity of Care | 5/4/14 | Y | 25148 | 93 | 60 | -33 |
Release of Information | |||||||||||
Compliance | 65% | ||||||||||
On Time | 13 | ||||||||||
Total | 20 |
HIT 226 Course Project: Hospital Data Analysis and Reporting | ||||||||||||||||||||||||
The data below is from General Hospital. Perform any calculations necessary and analyze the data to determine compliance with clinical documentation completion standards. Areas of noncompliance should be identified as well as the standard. Hint: In addition to the Medicare Conditions of Participation and The Joint Commission requirements for documentation completion, you may also use your own state's Department of Health standards. | ||||||||||||||||||||||||
Physician Order Report for January 2014 | ||||||||||||||||||||||||
Physician : Dr. Jones | Physician: Dr. Johns | Physicians: Dr. Huffman | Physician: Dr. Patrikus | Physician: Dr. Leiberman | ||||||||||||||||||||
Client Medical Record #: 123456 | Client Medical Record #: 987654 | Client Medical Record #: 654789 | Client Medical Record #: 321789 | Client Medical Record #: 741852 | ||||||||||||||||||||
Date of Admission: 1/6/14 | Date of Admission: 1/7/14 | Date of Admission: 1/10/14 | Date of Admission: 1/18/14 | Date of Admission: 1/28/14 | ||||||||||||||||||||
Date of Discharge: 1/9/14 | Date of Discharge: 1/9/14 | Date of Discharge: 1/15/14 | Date of Discharge: 1/18/14 | Date of Discharge: 2/2/14 | ||||||||||||||||||||
Date of Order | Date Signed | # of Days | Standard | Compliance | Date of Order | Date Signed | # of Days | Standard | Compliance | Date of Order | Date Signed | # of Days | Standard | Compliance | Date of Order | Date Signed | # of Days | Standard | Compliance | Date of Order | Date Signed | # of Days | Standard | Compliance |
1/6/14 | 1/6/14 | 0 | 1 | 1 | 1/7/14 | 1/9/14 | 2 | 1 | -1 | 1/10/14 | 1/10/14 | 0 | 1 | 1 | 1/18/14 | 1/21/14 | 3 | 1 | -2 | 1/28/14 | 1/28/14 | 0 | 1 | 1 |
1/6/14 | 1/6/14 | 0 | 1 | 1 | 1/7/14 | 1/9/14 | 2 | 1 | -1 | 1/10/14 | 1/10/14 | 0 | 1 | 1 | 1/18/14 | 1/21/14 | 3 | 1 | -2 | 1/28/14 | 1/28/14 | 0 | 1 | 1 |
1/6/14 | 1/7/14 | 1 | 1 | 0 | 1/7/14 | 1/9/14 | 2 | 1 | -1 | 1/10/14 | 1/10/14 | 0 | 1 | 1 | 1/18/14 | 1/21/14 | 3 | 1 | -2 | 1/28/14 | 1/28/14 | 0 | 1 | 1 |
1/7/14 | 1/7/14 | 0 | 1 | 1 | 1/7/14 | 1/9/14 | 2 | 1 | -1 | 1/10/14 | 1/11/14 | 1 | 1 | 0 | 1/29/14 | 1/29/14 | 0 | 1 | 1 | |||||
1/7/14 | 1/7/14 | 0 | 1 | 1 | 1/8/14 | 1/9/14 | 1 | 1 | 0 | 1/11/14 | 1/11/14 | 0 | 1 | 1 | Compliance | 0% | 1/30/14 | 1/30/14 | 0 | 1 | 1 | |||
1/8/14 | 1/8/14 | 0 | 1 | 1 | 1/8/14 | 1/9/14 | 1 | 1 | 0 | 1/12/14 | 1/13/14 | 1 | 1 | 0 | On Time | 0 | 1/30/14 | 1/30/14 | 0 | 1 | 1 | |||
1/9/14 | 1/10/14 | 1 | 1 | 0 | 1/9/14 | 1/9/14 | 0 | 1 | 1 | 1/12/14 | 1/13/14 | 1 | 1 | 0 | Total | 3 | 1/31/14 | 1/31/14 | 0 | 1 | 1 | |||
1/9/14 | 1/9/14 | 0 | 1 | 1 | 1/12/14 | 1/13/14 | 1 | 1 | 0 | 2/1/14 | 2/1/14 | 0 | 1 | 1 | ||||||||||
Compliance | 100% | 1/12/14 | 1/13/14 | 1 | 1 | 0 | 2/2/14 | 2/2/14 | 0 | 1 | 1 | |||||||||||||
On Time | 7 | Compliance | 50% | 1/13/14 | 1/15/14 | 2 | 1 | -1 | 2/2/14 | 2/2/14 | 0 | 1 | 1 | |||||||||||
Total | 7 | On Time | 4 | 1/14/14 | 1/15/14 | 1 | 1 | 0 | ||||||||||||||||
Total | 8 | 1/15/14 | 1/15/14 | 0 | 1 | 1 | Compliance | 100% | ||||||||||||||||
On Time | 10 | |||||||||||||||||||||||
Compliance | 92% | Total | 10 | |||||||||||||||||||||
On Time | 11 | |||||||||||||||||||||||
Total | 12 |
HIT 226 Course Project – Data Analysis and Identification of Noncompliance – Due in Week 6, day 7 (Sunday midnight) | ||||||||||||
The data below is from General Hospital. Perform any calculations necessary and analyze the data to determine compliance with clinical documentation completion standards. Areas of noncompliance should be identified as well as the standard. Hint: In addition to the Medicare Conditions of Participation and The Joint Commission requirements for documentation completion, you may also use your own state's Department of Health standards. | ||||||||||||
History and Physical Report for January 2014 | ||||||||||||
MR # | Physician | Date of Admission | Date Dictated | Date Transcribed | Date Signed | # of days | Standard | Compliance | # of days | Standard | Compliance | |
1 | 789321 | Leiberman | 1/4/14 | 1/4/14 | 1/4/14 | 1/5/14 | 0 | 1 | 1 | 1 | 1 | 0 |
2 | 456321 | Huffman | 1/4/14 | 1/5/14 | 1/5/14 | 1/5/14 | 0 | 1 | 1 | 1 | 1 | 0 |
3 | 741852 | Patrikus | 1/6/14 | 1/7/14 | 1/8/14 | 1/8/14 | 1 | 1 | 0 | 2 | 1 | -1 |
4 | 963321 | Johns | 1/7/14 | 1/7/14 | 1/7/14 | 1/10/14 | 0 | 1 | 1 | 3 | 1 | -2 |
5 | 144558 | Huffman | 1/10/14 | 1/10/14 | 1/11/14 | 1/11/14 | 1 | 1 | 0 | 1 | 1 | 0 |
6 | 695852 | Leiberman | 1/10/14 | 1/10/14 | 1/10/14 | 1/10/14 | 0 | 1 | 1 | 0 | 1 | 1 |
7 | 124536 | Huffman | 1/12/14 | 1/12/14 | 1/12/14 | 1/13/14 | 0 | 1 | 1 | 1 | 1 | 0 |
8 | 379152 | Leiberman | 1/15/14 | 1/16/14 | 1/16/14 | 1/16/14 | 0 | 1 | 1 | 1 | 1 | 0 |
9 | 685982 | Jones | 1/16/14 | 1/16/14 | 1/16/14 | 1/17/14 | 0 | 1 | 1 | 1 | 1 | 0 |
10 | 558844 | Jones | 1/17/14 | 1/17/14 | 1/17/14 | 1/18/14 | 0 | 1 | 1 | 1 | 1 | 0 |
11 | 415287 | Johns | 1/20/14 | 1/22/14 | 1/22/14 | 1/24/14 | 0 | 1 | 1 | 4 | 1 | -3 |
12 | 919125 | Patrikus | 1/20/14 | 1/20/14 | 1/20/14 | 1/22/14 | 0 | 1 | 1 | 2 | 1 | -1 |
13 | 744445 | Patrikus | 1/21/14 | 1/21/14 | 1/21/14 | 1/25/14 | 0 | 1 | 1 | 4 | 1 | -3 |
14 | 111111 | Patrikus | 1/21/14 | 1/21/14 | 1/21/14 | 1/22/14 | 0 | 1 | 1 | 1 | 1 | 0 |
15 | 145281 | Huffman | 1/26/14 | 1/26/14 | 1/27/14 | 1/27/14 | 1 | 1 | 0 | 1 | 1 | 0 |
16 | 144417 | Leiberman | 1/26/14 | 1/26/14 | 1/26/14 | 1/27/14 | 0 | 1 | 1 | 1 | 1 | 0 |
17 | 695833 | Patrikus | 1/27/14 | 1/27/14 | 1/27/14 | 1/31/14 | 0 | 1 | 1 | 4 | 1 | -3 |
18 | 335588 | Johns | 1/28/14 | 1/31/14 | 1/31/14 | 2/2/14 | 0 | 1 | 1 | 5 | 1 | -4 |
19 | 457924 | Jones | 1/31/14 | 1/31/14 | 1/31/14 | 2/1/14 | 0 | 1 | 1 | 1 | 1 | 0 |
20 | 414519 | Huffman | 1/31/14 | 1/31/14 | 1/31/14 | 2/1/14 | 0 | 1 | 1 | 1 | 1 | 0 |
Dictation | Transcription | |||||||||||
Compliance | 100% | Compliance | 65% | |||||||||
On Time | 20 | On Time | 13 | |||||||||
Total | 20 | Total | 20 |
HIT 226 Course Project – Data Analysis and Identification of Noncompliance – Due in Week 6, day 7 (Sunday midnight) | ||||||||||||
The data below is from General Hospital. Perform any calculations necessary and analyze the data to determine compliance with clinical documentation completion standards. Areas of noncompliance should be identified as well as the standard. Hint: In addition to the Medicare Conditions of Participation and The Joint Commission requirements for documentation completion, you may also use your own state's Department of Health standards. | ||||||||||||
Discharge Summary Report for January 2014 | ||||||||||||
MR # | Physician | Date of Discharge | Date Dictated | Date Transcribed | Date Signed | # of Days | Standard | Compliance | # of days | Standard | Compliance | |
1 | 789321 | Leiberman | 1/7/14 | 2/1/14 | 2/1/14 | 2/15/14 | 25 | 30 | 5 | 39 | 30 | -9 |
2 | 456321 | Huffman | 1/8/14 | 1/29/14 | 1/30/14 | 2/10/14 | 21 | 30 | 9 | 33 | 30 | -3 |
3 | 741852 | Patrikus | 1/10/14 | 1/17/14 | 1/18/14 | 1/19/14 | 7 | 30 | 23 | 9 | 30 | 21 |
4 | 963321 | Johns | 1/28/14 | 2/8/14 | 2/8/14 | 2/10/14 | 11 | 30 | 19 | 13 | 30 | 17 |
5 | 144558 | Huffman | 1/12/14 | 1/29/14 | 1/29/14 | 2/28/14 | 17 | 30 | 13 | 47 | 30 | -17 |
6 | 695852 | Leiberman | 1/11/14 | 1/31/14 | 1/31/14 | 2/12/14 | 20 | 30 | 10 | 32 | 30 | -2 |
7 | 124536 | Huffman | 1/18/14 | 2/15/14 | 2/15/14 | 2/21/14 | 28 | 30 | 2 | 34 | 30 | -4 |
8 | 379152 | Leiberman | 1/17/14 | 2/7/14 | 2/8/14 | 3/1/14 | 21 | 30 | 9 | 43 | 30 | -13 |
9 | 685982 | Jones | 1/19/14 | 1/19/14 | 1/20/14 | 1/21/14 | 0 | 30 | 30 | 2 | 30 | 28 |
10 | 558844 | Jones | 1/18/14 | 1/25/14 | 1/25/14 | 1/28/14 | 7 | 30 | 23 | 10 | 30 | 20 |
11 | 415287 | Johns | 1/21/14 | 1/24/14 | 1/25/14 | 1/31/14 | 3 | 30 | 27 | 10 | 30 | 20 |
12 | 919125 | Patrikus | 1/26/14 | 1/31/14 | 2/1/14 | 2/15/14 | 5 | 30 | 25 | 20 | 30 | 10 |
13 | 744445 | Patrikus | 1/24/14 | 2/4/14 | 2/4/14 | 2/6/14 | 11 | 30 | 19 | 13 | 30 | 17 |
14 | 111111 | Patrikus | 1/23/14 | 1/26/14 | 1/26/14 | 1/31/14 | 3 | 30 | 27 | 8 | 30 | 22 |
15 | 145281 | Huffman | 1/28/14 | 1/31/14 | 1/31/14 | 3/8/14 | 3 | 30 | 27 | 39 | 30 | -9 |
16 | 144417 | Leiberman | 1/31/14 | 2/28/14 | 2/28/14 | 3/4/14 | 28 | 30 | 2 | 32 | 30 | -2 |
17 | 695833 | Patrikus | 2/1/14 | 2/15/14 | 2/15/14 | 2/21/14 | 14 | 30 | 16 | 20 | 30 | 10 |
18 | 335588 | Johns | 2/1/14 | 2/15/14 | 2/15/14 | 2/19/14 | 14 | 30 | 16 | 18 | 30 | 12 |
19 | 457924 | Jones | 2/10/14 | 2/10/14 | 2/11/14 | 2/12/14 | 0 | 30 | 30 | 2 | 30 | 28 |
20 | 414519 | Huffman | 2/6/14 | 2/7/14 | 2/7/14 | 4/1/14 | 1 | 30 | 29 | 54 | 30 | -24 |
Dictation | Signature | |||||||||||
Compliance | 100% | Compliance | 55% | |||||||||
On Time | 20 | On Time | 11 | |||||||||
Total | 20 | Total | 20 |
HIT 226 Course Project – Data Analysis and Identification of Noncompliance – Due in Week 6, day 7 (Sunday midnight) | |||||||||||||
The data below is from General Hospital. Perform any calculations necessary and analyze the data to determine compliance with clinical documentation completion standards. Areas of noncompliance should be identified as well as the standard. Hint: In addition to the Medicare Conditions of Participation and The Joint Commission requirements for documentation completion, you may also use your own state's Department of Health standards. | |||||||||||||
Operative Report for January 2014 | |||||||||||||
MR # | Physician | Date of Operation | Date of discharge | Date Dictated | Date Transcribed | Date Signed | Dictation Completion | Standard | Compliance | Signature Completion | Standard | Compliance | |
1 | 789321 | Leiberman | 1/4/14 | 1/6/14 | 1/4/14 | 1/4/14 | 1/7/14 | 0 | 1 | 1 | 3 | 30 | 27 |
2 | 456321 | Huffman | 1/5/14 | 1/6/14 | 1/5/14 | 1/5/14 | 1/6/14 | 0 | 1 | 1 | 1 | 30 | 29 |
3 | 741852 | Patrikus | 1/6/14 | 1/10/14 | 1/7/14 | 1/7/14 | 1/7/14 | 1 | 1 | 0 | 1 | 30 | 29 |
4 | 963321 | Johns | 1/8/14 | 1/10/14 | 1/8/14 | 1/8/14 | 1/8/14 | 0 | 1 | 1 | 0 | 30 | 30 |
5 | 144558 | Huffman | 1/10/14 | 1/15/14 | 1/10/14 | 1/10/14 | 1/11/14 | 0 | 1 | 1 | 1 | 30 | 29 |
6 | 695852 | Leiberman | 1/10/14 | 1/11/14 | 1/12/14 | 1/12/14 | 1/13/14 | 2 | 1 | -1 | 3 | 30 | 27 |
7 | 124536 | Huffman | 1/13/14 | 1/16/14 | 1/13/14 | 1/13/14 | 1/14/14 | 0 | 1 | 1 | 1 | 30 | 29 |
8 | 379152 | Leiberman | 1/15/14 | 1/18/14 | 1/17/14 | 1/17/14 | 1/19/14 | 2 | 1 | -1 | 4 | 30 | 26 |
9 | 685982 | Jones | 1/16/14 | 1/20/14 | 1/17/14 | 1/17/14 | 1/20/14 | 1 | 1 | 0 | 4 | 30 | 26 |
10 | 558844 | Jones | 1/18/14 | 1/25/14 | 1/20/14 | 1/20/14 | 1/27/14 | 2 | 1 | -1 | 9 | 30 | 21 |
11 | 415287 | Johns | 1/21/14 | 1/23/14 | 1/22/14 | 1/22/14 | 1/22/14 | 1 | 1 | 0 | 1 | 30 | 29 |
12 | 919125 | Patrikus | 1/20/14 | 1/26/14 | 1/21/14 | 1/21/14 | 1/21/14 | 1 | 1 | 0 | 1 | 30 | 29 |
13 | 744445 | Patrikus | 1/22/14 | 1/23/14 | 1/22/14 | 1/22/14 | 1/23/14 | 0 | 1 | 1 | 1 | 30 | 29 |
14 | 111111 | Patrikus | 1/21/14 | 1/28/14 | 1/21/14 | 1/21/14 | 1/21/14 | 0 | 1 | 1 | 0 | 30 | 30 |
15 | 145281 | Huffman | 1/27/14 | 1/28/14 | 1/27/14 | 1/27/14 | 1/27/14 | 0 | 1 | 1 | 0 | 30 | 30 |
16 | 144417 | Leiberman | 1/26/14 | 1/30/14 | 1/31/14 | 1/31/14 | 2/2/14 | 5 | 1 | -4 | 7 | 30 | 23 |
17 | 695833 | Patrikus | 1/28/14 | 1/30/14 | 1/28/14 | 1/28/14 | 1/29/14 | 0 | 1 | 1 | 1 | 30 | 29 |
18 | 335588 | Johns | 1/28/14 | 1/31/14 | 1/29/14 | 1/29/14 | 1/29/14 | 1 | 1 | 0 | 1 | 30 | 29 |
19 | 457924 | Jones | 1/31/14 | 2/5/14 | 1/31/14 | 1/31/14 | 2/10/14 | 0 | 1 | 1 | 10 | 30 | 20 |
20 | 414519 | Huffman | 2/1/14 | 2/3/14 | 2/1/14 | 2/1/14 | 2/2/14 | 0 | 1 | 1 | 1 | 30 | 29 |
Dictation | Signature | ||||||||||||
Compliance | 80% | Compliance | 100% | ||||||||||
On Time | 16 | On Time | 20 | ||||||||||
Total | 20 | Total | 20 |
HIT226 Course Project: Hospital Data Analysis and Reporting | |||
The data below is from General Hospital. Analyze the data in terms of the 2014 Hospital National Patient Safety Goals, by The Joint Commission. Identify three areas for improvement that the hospital should focus on during February and discuss in Part 2 of the Course Project. | |||
Incident Report for January 2014 | |||
Type of incident | Number of incidents | Standard | Compliance |
Falls from bed | 15 | NPSG.06.01.01 | |
Falls from toilet | 8 | ||
Medication error | 9 | ||
Allergic reaction | 19 | *** | |
Blood transfusion reaction | 2 | ||
Hospital acquired infections | 12 | NPSG.07.01.01 | |
Surgical errors | 1 |
HIT226 Course Project: Hospital Data Analysis and Reporting | ||||||||||||||||
The data below is from General Hospital. Analyze the data to determine compliance with Core Measure requirements. Problem areas should be identified in relation to the national average and minimum expected and discussed in Part 2 of the Course Project. N/A – means that the data is not available due to not being collected. Minimum expected means that the hospital definitely needs to meet this requirement. | ||||||||||||||||
Core Measure Report for January 2014 – MI & CHF (Myocardial Infarction & Congestive Heart Failure) | ||||||||||||||||
Heart Attach Care | General Hospital | National average | Minimum expected | Heart Failure Care | General Hospital | National average | Minimum expected | |||||||||
Average number of minutes before outpatients with chest pain or possible heart attack who needed specialized care were transferred to another hospital | 57 | 59 | Heart Failure patients given discharge instructions | 94% | 94% | 80% | ||||||||||
Average number of minutes before outpatients with chest pain or possible heart attack got an ECG | 9 | 7 | Heart Failure patients given an evaluation of left ventricular systolic (LVS) function | 100% | 99% | 80% | ||||||||||
Outpatients with chest pain or possible heart attack who got drugs to break up blood clots within 30 minutes of arrival | N/A | 57% | Heart Failure patients given an ACE inhibitor or ARB for left ventricular systolic dysfunction (LVSD) | 95% | 97% | 80% | ||||||||||
Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival | 95% | 96% | 80% | |||||||||||||
Heart attack patients given fibrinolytic medication within 30 minutes of arrival | N/A | 58% | ||||||||||||||
Heart attack patients given PCI within 90 minutes of arrival | 94% | 96% | 80% | |||||||||||||
HIT 226 Course Project; Hospital Data Analysis and Reporting | |||||||||
The data below is from General Hospital. Analyze the data to determine compliance with Meaningful Use Requirements Stage 1 for Eligible Hospitals and discuss in Part 2 of the Course Project. Hint: Use Eligible Hospital and Critical Access Hospital (CAH) Attestation Worksheet for Stage 1 of the Medicare Electronic Health Record (EHR) Incentive Program, provided as a separate document in doc sharing. | |||||||||
Selected Meaningful Use Measures for January 2014 | |||||||||
Selected Meaningful Use Measures | General Hospital | Standard | Compliance | ||||||
Percentage of patients that had at least one medication order entered through the CPOE | 50% | 30% | Met | ||||||
The eligible hospital or CAH has enabled the functionality for drug-drug and drug-allergy interaction checks for the entire EHR reporting period | No | Yes | Not Met | ||||||
Percentage of patients who had at least one entry (or an indication that the patient has no known medical allergies) recorded as structured data | 50% | 80% | Not Met |
Standard list based on CMS & The Joint Commission Guidelines and requirements | |||
Activity | Standard | Notes | |
Release of information for records stored onsite | 30 days | Needed for Part I of the project | |
Release of information for records stored offsite | 60 days | Needed for Part I of the project | |
Signing physician orders | 24 hours | Needed for Part I of the project | |
Dictating History and Physical | 24 hours from admission (1 day) | Needed for Part I of the project | |
Transcribing History and Physical * | 24 hours from dictation date (1 day) | Needed for Part I of the project | * This is a hospital policy, not a CMS or TJC standard |
Dictating Discharge Summary | 30 days from D/C date | Needed for Part I of the project | |
Signing Discharge Summary | 30 days from D/C date | Needed for Part I of the project | |
Dictating Operative Report | 24 hours from surgery (1 day) | Needed for Part I of the project | |
Signing Operative Report | 30 days from D/C date | Needed for Part I of the project | |
Incident report | Identify standard in the NPSG – separate document | These are needed for Part II of the project | |
Core Measures | Minimum expected and national average are provided in the spreadsheet | These are needed for Part II of the project | |
Meaningful Use | Standards provided in the Hospital Attestation Stage 1 Worksheet – separate document | Needed for Part I of the project |
Grading Rubric for Part I | |
Calculations | 5 points for each type of calculation (40 pts total) |
ROI – days to release | |
PO – signature | |
H & P – dictation | |
H & P – transcription | |
D/C – dictation | |
D/C – signature | |
OP – dication | |
OP – signature | |
Subtotal | 0 |
Standards | 5 points each for matching and identifying the following standards (15 points total): |
ROI, H&P, OP, & D/C | |
Meaningful Use (MU Stage 1) – Percentage of patients that had at least one medication order entered through the CPOE | |
Meaningful Use (MU Stage 1) – Percentage of patients who had at least one entry recorded as structured data | |
Subtotal | 0 |
Compliance Rates | 5 points each (30 pts total) |
ROI | |
PO | |
H & P | |
D/C | |
OP | |
Meaningful Use | |
Subtotal | 0 |
total (85 possible) | 0 |