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Template Library (EHR)

Template Library (EHR)

We are happy to announce the release new subnotes and patient forms screening tools in the Physical Therapy and Ortho/Sports specialty area, and new notes, subnotes, and patient forms in the eCQM folders for the 2019 reporting period.

Physical Therapy and Ortho/Sports

These subnotes and patients forms are used as screening tools for providers.

Go to EHR | Admin | Templates | Library | Physical Therapy or Ortho/Sports.

Subnotes

  • Tools – HOOS, Jr., Patient Outcome Measure
  • Tools – KOOS, Jr., Patient Outcome Measure
  • Tools – KOOS, Patient Outcome Measure

Patient Forms

  • Tools – HOOS, Jr., Patient Outcome Measure
  • Tools – KOOS, Jr., Patient Outcome Measure
  • Tools – KOOS, Patient Outcome Measure
eCQM Folders

We have created three new folders for eCQM reporting that contain notes, subnotes, and patient forms for the 2019 reporting period:

  • eCQM 2019 – Changed from 2018
  • eCQM 2019 – Unchanged from 2018
  • eCQM 2019 – Claims Method

 

eCQM 2019 – Changed from 2018

This folder contains templates that have been changed from 2018 in order to capture eCQM data for the 2019 reporting period.

Go to EHR | Admin | Templates | Library | eCQM 2019 – Changed from 2018.

Notes

  • 050v.7: Close Loop Referral 1 of 2
  • 050v.7: Close Loop Referral 2 of 2
  • 056v.7: for FSA, HOOS for TKA with PROM
  • 056v.7: for FSA, HOOSJr for THA with PROM
  • 066v.7: for FSA, KOOS for TKA

Subnotes

Note: Use subnotes with ‘_N‘ after the template name for documenting numerator criteria only.

  • 124v.7: Cervical Cancer Screening
  • 124v.7_N: Cervical Cancer Screening
  • 125v.7: Breast Cancer Screening
  • 125v.7_N: Breast Cancer Screening
  • 127v.7: Pneumococcal for Older Adults
  • 129v.8: Prostate Cancer: Overuse Bone Scan
  • 130v.7: Colorectal Cancer Screening
  • 130v.7_N: Colorectal Cancer Screening
  • 131v.7: Diabetes: Eye Exam
  • 134v.7: Medical Attn for Nephropathy
  • 138v.7: Tobacco Use and Cessation
  • 138v.7_N: Tobacco Use and Cessation
  • 139v.7: Falls Risk Screening
  • 142v.7: Diabetic Exam Communication
  • 147v.8: Influenza Immunization
  • 147v.8_N: Influenza Immunization
  • 149v.7: Dementia: Cognitive Assessment
  • 153v.7: Chlamydia Screening for Women
  • 153v.7_N: Chlamydia Screening for Women
  • 155v.7: Wt Assessment Child & Adolescent
  • 155v.7_N: Wt Assessment Child & Adolescent
  • 160,159: Adolescent Depression Screening/Remission
  • 160,159: Adult Depression Screening/Remission
  • 165v.7: Controlling HBP
  • 022v.7: Screening HBP & Follow-up
  • 022v.7_N: Screening HBP & Follow-up
  • 022v.7 & 165v.7_N: HBP Screening & Control
  • 002v.8: Depression Screening & Follow-up
  • 002v.8_N: Adolescent Depression Screening & Follow-up
  • 050v.7: Close Loop Receipt of Report
  • 056v.8: for FSA, VR-12 for THA
  • 056v.8: for FSA, PROMIS 10 for THA
  • 066v.7: for FSA, KOOSJr for TKA
  • 066v.7: for FSA, PROMIS 10 for TKA
  • 066v.7: for FSA, VR-12 for TKA
  • 069v.7: BMI Screening Follow-up
  • 069v.7_N: BMI Screening & Follow-up
  • 090v.8: for FSA, KCCQ for CHF
  • 090v.8: for FSA, PROMIS 10 for CHF
  • 090v.8: for FSA, PROMIS 29 for CHF
  • 090v.8: for FSA, VR-12 for CHF
  • 090v.8: for FSA, VR-36 for CHF
  • 056v.7: FSA, HOOS for THA with PROM
  • 056v.7: FSA, HOOSJr for THA with PROM
  • 066v.7: FSA, KOOSJr for TKA
eCQM 2019 – Unchanged from 2018
This folder contains templates you can continue to use for the eCQM 2019 reporting period because the measures for these templates have not changed from 2018. If you have previously downloaded any of the 2018 templates listed below to document measures for the 2018 reporting period, continue to use these templates for eCQM 2019.

<

em>Notes:

  • Use subnotes marked ‘Exclusion only‘ to exclude a patient from the measure for the 2019 reporting period and the patient data will not be included in the performance score.
  • Use subnotes with ‘_N‘ after the template name for documenting numerator criteria only.

Go to EHR | Admin | Templates | Library | eCQM 2019 – Unchanged from 2018.

Subnotes
  • 117: Child Immunizations – Exclusion only
  • 122: Hemoglobin HbA1c Poor Control
  • 128: Anti-depression Medications Management – Exclusion only
  • 132: Complication Post Cataract Surgery
  • 133: Cataract Surgery Visual Acuity
  • 135: HF: ACE or ARB Treatment for LVSD
  • 136: Child ADHD Medications – Exclusion only
  • 137: Drug Dependence Treatment – Exclusion only
  • 143: POAG: Optic Nerve Evaluation
  • 144: HF: Beta-Blocker Treatment for LVSD
  • 145: Beta-blocker Treatment Prior MI/LVEF
  • 146: Test for Child with Pharyngitis
  • 154: Child URI Treatment – Exclusion only
  • 156: Medications in the Elderly – Exclusion only
  • 161: Adult (MDD): Suicide Risk
  • 177: Child/Adolescent (MDD): Suicide Risk
  • 347: Statin Therapy Prevent Treatment CVD
  • 052: HIV/AIDS: PCP Prophylaxis
  • 068: Document Current Medications
  • 068_N: Document Current Medications
  • 074: Primary Caries Prevention
  • 074_N: Primary Caries Prevention
  • 075: Dental Decay
  • 082: Maternal Depression Screening
  • 082_N: Maternal Depression Screening

 

eCQM 2019 – Claims Method

This folder contains templates that allow you to use CPT codes to capture measure data for claims-based submission reporting for the eCQM 2019 reporting period.

Go to EHR | Admin | Templates | Library | eCQM 2019 – Claims Method.

Subnotes

  • #112/CMS125: Breast Cancer Screening
  • #111/CMS127: Pneumococcal Vaccination
  • 113/CMS130: Colorectal Cancer Screening
  • #117/CMS131: Diabetes: Eye Exam
  • #226/CMS138: Tobacco Screening & Cessation
  • #019/CMS142: Diabetic Retinopathy: Communication
  • #110/CMS147: Influenza Immunization
  • #236/CMS165: Controlling HPB
  • #317/CMS22: Screening HBP & Follow-up
  • #134/CMS2: Screen for Depression
  • #128/CMS69: BMI Screen & Follow-up
  • #001/CMS122: Diabetes: HbA1c Control >9%
  • #012/CMS143: POAG: Optic Nerve Evaluation
  • #130/CMS68: Document Current Medications

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