As Meaningful Use, PQRS, and CPCI have developed over the past few years, so have their reporting capabilities. The race to achieve MU-required goals as well as a pattern of late-in-the-year Final Rule updates from Congress have required vendors to rapidly update reporting algorithms. For Allscripts, what began as the Stimulus Reporting Portal with v11.2.3 migrated to the more robust Allscripts Analytics Portal (AAP) in v11.4.1.
In keeping with the ever-changing landscape, AAP 15.2 was deployed to Production on June 9, 2015. There are the usual logic changes, however at a higher number than seen in the past. In fact, there were enough significant issues during UAT testing that this update was delayed for several few weeks. This latest version brings numerous logic, value set, and even workflow changes – 21 pages of calculation changes to be exact! Whenever there is an update to the AAP, every organization’s data will be recalculated, and this can take several days for the process to finish. As of the date of this publication, Allscripts is expecting this process to be completed by the end of the week. Remember that the dropdown for the 2015 reports will be unavailable until the data has reprocessed.
A major change to note is in workflow NQF 0028- Preventative Care and Screening for Tobacco User: Screening and Cessation. In 2014, physicians were credited if counseling was entered as an order, but for 2015, the order must also be in a “completed” status to count in the calculation. The numerous updated measures will have a new section in the configuration document called “Changes from 2014 to 2015”. The specific measures affected can be found here with helpful hyperlinks.
With the combination of increasing alternative payment model adoption and the impending code set change to ICD-10, it stands to reason that audits will increase. It is has become increasingly important to not only have accurate reporting in place, but to also develop the contextual connection to that information.
- Subscribe to the AAP Blog to automatically receive email updates
- Run and validate reports regularly
- Always export reports to excel and save them! This is important for audits, but perhaps even more important for validation testing processes.
- Keep careful records of what a report represents for the organization. A detail as simple as a specific consistent naming convention helps delineate changes, and creates a defensible audit position.
- Keep a calendar or diary of the changes applied, not only for audit purposes, but also for ease of knowledge transfer between team members. For example documentation should include Plan of Correction Actions taken for workflow changes and confirmation of changes to existing configurations.
The healthcare atmosphere requires careful balancing between the many competing objectives of healthcare reform. If you have further questions or feel your organization could use the strategic insight and proven solutions that Galen Healthcare Solutions offers, don’t hesitate to contact us at email@example.com.
Allscripts Analytics Platform Documentation: https://clientconnect.allscripts.com/community/toolbox/doc
Allscripts Advisory Blogs: https://clientconnect.allscripts.com/docs/DOC-33108age
Allscripts Changes 2014 – 2015 Announcement: https://clientconnect.allscripts.com/docs/DOC-19659