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Creating and Editing Practice Advisories PART II: EHR-ECQM

Published on June 4, 2019 Duration: 1:11:30 minutes
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This is the second of a three part video. It explains how to understand prepare a complex MIPS clinical practice guideline that will be turned into Praxis Practice Advisories (PAs). It results in 12 different and synergistic Praxis PAs logically linked in an algorithm that will assist theclinic at the point of care perform with great ease, speed, and performance scores. This guideline is as complex as we have found, soit is a great teaching case. If you can follow the logic here, you can pretty much do all the others with ease. This next video discusses some of the required logic in Praxis but focuses mainly how to interpretthe MIPS Guideline in a logical manner, using a specially created Microsoft Word File (attached below). Among other themes, it covers what Value Sets and SNOMED Codes are about. Once the Word file has been properly completed, the next video will explain how to easily prepare the clinic to use it and how to do the Guidelines themselves bytransferring the information from the word file created here.


TITLE Min:Secs
Introduction
00:00
Understanding the Guideline
3:35
First Population - LVSD
10:04
Value Sets
12:54
s/p Cardiac Surgery-Preparing a Chart in advance (First Part)
22:35
Practice Advisory Algorithms
30:53
Medical, patient and system reasons
38:13
Entering Negatives of Negatives
42:22
Second Population - S/P MI
53:31
Title Spacing is Important
1:01:03
Practice Advisory Warnings
1:03:55
Summary
1:09:16

SUMMARY OF LOGIC USED

  • Not(OR + OR + OR +..) = AND NOT + AND NOT + AND NOT ...
  • Do not mix ORs with AND NOTs within a single window pane
  • Within given a window pane all entries are ORs or AND NOTS
  • Between window panes resulting logical entries are ANDs
  • To create ORs you may also generate Cousin Practice Advisories
  • Line items generate codes needed to attest.
  • Line items can be set to trigger other Practice Advisories
  • The Parent PA value set frequency should probably be set for "once a year" to comply with the reporting requirements with ease.


Practice Advisories created

Practice Advisories created

REFERENCES:

CMS Quality Payment Program QPP
https://qpp.cms.gov/mips/explore-measures/quality-measures?py=2019#measures


National Library of Medicine - Value Set Authority Center
https://vsac.nlm.nih.gov


Useful Microsoft Word File
Doing_Practice_Advisories.doc (DOC file)