Meaningful Use WorkgroupDeeming Subgroup

Paul Tang, Chair

March 19, 2013

Deeming

1. Prevention of high priority disease (pick 2)a. Breast cancer (mammography screening)b. Colon cancer (colonoscopy screening)c. Influenza (flu vax)d. Pneumonia (pneumococcal vaccine)e. Smoking (smoking screening and follow up)f. Obesity (BMI screening and follow up)g. Cardiovascular disease (LDL screen)h. HTN (BP screen and follow up)

2. Control of high priority chronic health condition (pick 2 from)a. HTN (BP control or improvement)b. Diabetes (A1c control)c. Heart attack (LDL control)d. Asthma (controller med)e. CHF (ACEI or ARB meds)b. MI (beta blocker)

3. Care coordinationa. Close the referral loop

4. Disparitiesa. Pick 2 high priority conditions (from #1 or 2) and stratify population report by disparity variables

Demonstrate high (top 30 percentile) or improved performance (20% reduction of gap between last year's performance and top quartile):

Items Deemed

• Demographics• CPOE• CDS• eRx• Structured labs• Patient lists• Reminders• Electronic notes

• Test tracking• Clinical summary• Patient education• VDT• Secure patient

messaging• Reconcile problems,

meds, allergies

If good performer or improver, then deemed in satisfaction with:

Open Questions

• Alignment with CAHPS?– http://cahps.ahrq.gov/clinician_group/cgsurvey/a

bouthealthinformationtechnologyitemset.pdf– http://cahps.ahrq.gov/clinician_group/cgsurvey/a

boutpatientcenteredmedicalhomeitemset.pdf• Public health?