EMR Name/Model Ingenix CareTracker - version 7 EMR Vendor Ingenix CareTracker Stage 1 objectives Use CPOE Use of CPOE for orders (any type) directly entered by authorizing provider (for example, MD, DO, RN, PA, NP) For EPs, CPOE is used for at least 80% of all orders. For eligible hospitals, CPOE is used for 10% of all orders. retrieve, and manage medication, laboratory, radiology/imaging, procedure, and referral orders. Additional features include the ability to create/save/utilize favorites and order set functionality. Implement drug-drug,drug-allergy, drug-formulary checks. Implement drug-drug, drug-allergy, drug-formulary checks. The EP/eligible hospital has enabled this functionality YES - Ingenix CareTracker's EMR contains an integrated, "real time" medication interaction screening tool that runs when prescribing a medication. The screening rules include drug - condition, drug - dosing, drug - food, drug - drug, duplicate therapy, drug - allergy, and precaution screening. The formulary screening is accomplished through the Ingenix CareTracker seamless SureScripts connection and includes all the major Pharmacy Benefit Managers. An additional feature includes "Complete Interaction" medication screening functionality that can be run at any time a user chooses to do so. Another feature includes the ability and requirement to enter a structured interaction screening override reason for chart audit purposes.
Maintain an up-to-date problem list of current and active diagnoses based on ICD 9 CM or SNOMED CT. Generate and transmit permissible prescriptions electronically (erx) Maintain an up-to-date problem list of current and active diagnoses based on ICD 9 CM or SNOMED CT. At least 80% of all unique patients seen by the EP or admitted to the eligible hospital have at least one entry or an indication of none recorded as structured data. At least 75% of all permissible prescriptions written by the EP are transmitted electronically using certified EHR technology and retrieve a patient's problem list. The patient's problem list utilizes the ICD-9 standard vocabulary which is maintained and updated globally. Additional features include the ability for a user to mark a patient's problem as resolved, associate one or more problems with an order (medication, laboratory, radiology/imaging, procedure, referral), and acknowledging when a patient's full problem list is reviewed. YES - Ingenix CareTracker's EMR generates and transmits all eligible prescriptions electronically through the seamlessly integrated Surescripts connection for those subscribed retail and mail order pharmacies. Maintain active medication list. Maintain active medication list. At least 80% of all unique patients seen by the EP or admitted to the eligible hospital have at least one entry (or an indication of none if and retrieve active and inactive medications. Additional features include the the patient is not currently prescribed acknowledgement when a patient's full any medication) recorded as structured data. medication list is reviewed and the ability to distinguish a medication that is prescribed by the user and one that was prescribed by another physician in the continuity of care circle.
Maintain active medication allergy list. Maintain active medication allergy list. At least 80% of all unique patients seen, by the EP or admitted to the eligible hospital have at least one entry or (an indication of none if the patient has no medication allergies) recorded as structured data. and retrieve a patient's active medication allergy list. The information provided in this list is derived from the interaction screening described in item 11. Record demographics Record demographics.. At least 80% of all unique patients seen by the EP or admitted to the eligible hospital have demographics recorded as structured data. preferred language preferred language See above insurance type insurance type See above gender gender See above race race See above ethnicity ethnicity See above date of birth date of birth See above date and cause of death in the event of mortality NO and retrieve patient demographic information. Record and chart changes in vital signs: height weight blood pressure Calculate and display: BMI. Record and chart changes in vital signs: height weight blood pressure Calculate and display: BMI. For at least 80% of all unique patients age 2 and over seen by the EP or admitted to eligible hospital, record blood pressure and BMI; additionally plot growth chart for children age 2 20. and retrieve patient vital signs including Height, Weight, BMI, Blood Pressure, Temperature, Pulse Oximetry, Pulse Rate, Respitory Rate, and Pain Level. Additional features include the ability to record height, weight, and temperature in metric units and the ability to electronically record patient vital signs which are taken in the home setting.
Plot and display growth charts for Plot and display growth charts for children 2 20 years, including BMI. children 2 20 years, including BMI. ability for users to plot and electronically display pediatric growth charts. The included pediatric growth charts are for children 0-36 months old: Head Circumference/Weight for Length and for children 2-20 years old: Stature/Weight for Age and BMI for Age. Record smoking status for patients 13 years old or older. Record smoking status for patients 13 years old or older. At least 80% of all unique patients 13 years old or older seen by the EP or admitted to the eligible hospital have smoking status recorded. and retrieve patient smoking status in the progress note and social history sections of the application. Incorporate clinical lab-test results into EHR as structured data. Incorporate clinical lab-test results into EHR as structured data. At least 50% of all clinical lab tests ordered whose results are in a positive/negative or numerical format are incorporated in certified EHR technology as structured data. receiving clinical laboratory results electronically. Currently Ingenix CareTracker has various HL-7 interfaces set up with national and local laboratories which enable the seamless retrieval of results electronically. Additional features include the ability for users to track laboratory results by distinguishing new versus signed/reviewed, test result report drill down, result graphing/ charting/plotting, and reference range display. Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, and outreach. Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, and outreach. Generate at least one report listing patients of the EP or eligible hospital with a specific condition. generating electronic patient lists via the Patient Care Management - Population Management functionality. The user has the ability to select, sort/retrieve and output these patient lists from within the application.
Report ambulatory quality measures Report hospital quality measures to to CMS or the States. CMS or the States. For 2011, provide aggregate numerator and denominator through attestation as discussed in section II(A)(3) of this proposed rule. For 2012, electronically submit the measures as discussed in section II(A)(3) of this proposed rule. calculating and displaying various quality measures and the current content include various NCQA HEDIS 2010 items. NO - Ingenix CareTracker's EMR development of the electronic submission functionality is awaiting the final ruling. Send reminders to patients per patient preference for preventive/follow up care. Reminder sent to at least 50% of all unique patients seen by the EP that are age 50 or over. generating and tracking patient reminders through the Recall functionality. Once the reminder lists are generated, letter templates may be used or messages may be sent through to the HealthTracker patient portal. Implement 5 clinical decision support rules relevant to specialty or high clinical priority, including diagnostic test ordering, along with the ability to track compliance with those rules. Implement 5 clinical decision support rules related to a high priority hospital condition, including diagnostic test ordering, along with the ability to track compliance with those rules. Implement 5 clinical decision support rules relevant to the clinical quality metrics the EP/Eligible Hospital is responsible for as described further in section II(A)(3). supporting clinical decision support via the Patient Care Management functionality. The imbedded clinical decision support rules are organized into categories including health maintenance and disease management. Examples of the health maintenance rules are the adult/pediatric immunization schedules, colorectal and cervical cancer screenings. The disease management category includes comprehensive diabetes management and cholesterol management for patients with cardiovascular conditions. Additional features include the ability to change the reminder intervals at a patient/rule level and all rule satisfiers are fully integrated throughout the application.
Check insurance eligibility electronically from public and private payers. Check insurance eligibility electronically from public and private payers. Insurance eligibility checked electronically for at least 80% of all unique patients seen by the EP or validating patient eligibility for a variety of public and private insurance payers. Check insurance eligibility electronically from public and private payers. Check insurance eligibility electronically from public and private payers. Insurance eligibility checked electronically for at least 80% of all unique patients seen by the EP or admitted to the eligible hospital. See response to item 60 Submit claims electronically to public and private payers. Submit claims electronically to public and private payers. At least 80% of all claims filed electronically by the EP or the eligible hospital. submitting primary and secondary claims to all public and private insurance payers who are accepting electronic claims. Additional features include clearinghouse and insurance payer submission report batching for review, real time claims adjudication and full inbound Electronic Remittance Advice (ERA) capability. Provide patients with an electronic copy of their health information (including diagnostic test results, problem list, medication lists, allergies), upon request. Provide patients with an electronic copy of their health information (including diagnostic test results, problem list, medication lists, allergies, discharge summary, procedures), upon request. At least 80% of all patients who request an electronic copy of their health information are provided it within 48 hours. providing patients with an electronic copy of their health information. The patient has the choice of a full chart summary or a Continuity of Care Document (CCD). These electronic copies of the patient's health information can be transferred as a secure file to the patient's encrypted device of choice or sent to the HealthTracker patient portal. Provide patients with an electronic copy of their discharge instructions and procedures at time of discharge, upon request. At least 80% of all patients who are discharged from an eligible hospital and who request an electronic copy of their discharge instructions and procedures are provided it. N/A - Hospital EMR Requirement - Ingenix CareTracker's EMR is Ambulatory ONLY at this time
Provide patients with timely electronic access to their health information (including lab results, problem list, medication lists, allergies) within 96 hours of the information being available to the EP. At least 10% of all unique patients seen by the EP are provided timely electronic access to their health information. providing patients with an electronic copy of their health information. The patient has the choice of a full chart summary or a Continuity of Care Document (CCD). These electronic copies of the patient's health information can be transferred as a secure file to the patient's encrypted device of choice or sent to the HealthTracker patient portal. Provide clinical summaries for Clinical summaries are provided for patients for each office visit. at least 80% of all office visits. See response to item 69 Capability to exchange key clinical information (for example, problem list, medication list, allergies, diagnostic test results), among providers of are and patient authorized entities electronically. Provide summary care record for each transition of care and referral. Capability to submit electronic data to immunization registries and actual submission where required and accepted. Capability to exchange key clinical information (for example, discharge summary, procedures, problem list, medication list, allergies, diagnostic test results), among providers of care and patient authorized entities electronically. Provide summary care record for each transition of care and referral. Capability to submit electronic data to immunization registries and actual submission where required and accepted. Performed at least one test of certified EHR technology s capacity to electronically exchange key clinical information. Provide summary of care record for at least 80% of transitions of care and referrals. Performed at least one test of certified EHR technology s capacity to submit electronic data to immunization registries. securely exchanging a patient's Continuity of Care Document (CCD) among providers of care via the Referring Provider Network. See response to item 76 submitting immunization data electronically to state and national registries on a real time or bath basis.
Capability to provide electronic submission of reportable lab results (as required by state or local law) to public health agencies and actual submission where it can be received. Performed at least one test of the EHR system s capacity to provide electronic submission of reportable lab results to public health agencies (unless none of the public health agencies to which eligible hospital submits such information have the capacity to receive the information electronically). N/A - Hospital EMR Requirement - Ingenix CareTracker's EMR is Ambulatory ONLY at this time Capability to provide electronic syndromic surveillance data to public health agencies and actual transmission according to applicable law and practice. Capability to provide electronic syndromic surveillance data to public health agencies and actual transmission according to applicable law and practice. Performed at least one test of certified EHR technology s capacity to provide electronic syndromic surveillance data to public health agencies (unless none of the public health agencies to which an EP or eligible hospital submits such information have the capacity to receive the information electronically). NO - Ingenix CareTracker's EMR development of the electronic syndromic surveillance data submission functionality is awaiting the final ruling. Protect electronic health information created or maintained by the certified EHR technology through the implementation of appropriate technical capabilities. Protect electronic health information created or maintained by the certified EHR technology through the implementation of appropriate technical capabilities. Conduct or review a security risk analysis per 45 CFR 164.308(a)(1) and implement security updates as necessary. Specify protocol used for security risk NIST COBIT ISO DIACAP YES - Ingenix CareTracker's EMR meets or exceeds HIPAA standards and compliance. The application and hosted infrastructure undergoes regular security/risk analysis assessments, preformed by United Health Group's Internal Risk Management team. Ingenix CareTracker is in the process of developing a client solution to assist with the security risk analysis "Meaningful Use" requirement.
Other (specify) None United health Group - Internal Risk Management