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| | ::- The install steps assume the VistA software is already installed and the environment variables/aliases are defined in your system. | | ::- The install steps assume the VistA software is already installed and the environment variables/aliases are defined in your system. |
| | ::- These instructions assume you are logged into VistA as a user who has access to configure the C0Q package. | | ::- These instructions assume you are logged into VistA as a user who has access to configure the C0Q package. |
| − |
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| − | === INSTRUCTIONS: ===
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| − |
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| − | :1. Set-up MU Measure Parameters
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| − | :: Log into VistA (user must have access to C0Q package). From GTM prompt:
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| − | <pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
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| − | GTM>D ^XUP -- enter the programmer environment
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| − | Select OPTION NAME: COQ Q -- enter C0Q module
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| − | 1 C0Q QUALITY MEASURE DEFINITION QUALITY MEASURE DEFINITION
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| − | 2 C0Q QUALITY MEASUREMENT MENU QUALITY MEASUREMENT MENU
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| − | CHOOSE 1-2: 2 C0Q QUALITY MEASUREMENT MENU QUALITY MEASUREMENT MENU
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| − | Select QUALITY MEASUREMENT MENU Option: SETUP QUALITY REPORTING -- menu for C0Q set-up
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| − |
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| − |
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| − | DISPLAY QUALITY MEASURES
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| − | EDIT SUPERUSERS
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| − | EP EDIT PARMS
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| − | INP EDIT PARMS
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| − | MEASURE SET EDIT
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| − | MU MEASURE EDIT
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| − | QUALITY MEASURE EDIT
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| − |
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| − | Select SETUP QUALITY REPORTING Option: EP EDIT PARMS
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| − | </pre>
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| − | ::Prior to building measures and measure sets, we must establish the parameters. If you’re building outpatient MU measures, “EP EDIT PARMS” should be selected (as seen above). If you’re building, inpatient MU measure, “INP EDIT PARMS” should be selected.
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| − | <pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
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| − | Select C0Q PARAMETER NAME: MU2012 Clinic Reporting -- Enter Name of Parameter
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| − | Are you adding 'MU2012 Clinic Reporting' as
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| − | a new C0Q PARAMETER (the 1ST)? No// y (Yes)
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| − | NAME: MU2012 Clinic Reporting Replace
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| − | MEASUREMENT PERIOD KEY: MU12 -- Period Key groups measures and lists so easy to locate and search
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| − | PARAMETER TYPE: OUTPATIENT -- defines criteria for MU Measure data
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| − | EP MU MEASUREMENT SET: -- To be left empty for now. Will come back to add measure set.
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| − | EP QUALITY MEASUREMENT SET:
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| − | Select CLINIC: DR OFFICE DOCTOR,FOUR --defines visit criteria. To ONLY look for visits in a specific clinic, ward, etc.
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| − | Are you adding 'DR OFFICE' as a new CLINIC (the 1ST for this C0Q PARAMETER)?
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| − | No// y (Yes)
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| − | Select CLINIC: -- You may add a second clinic/location if you wish
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| − | PATIENT LIST LABEL:
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| − | Select SUBSCRIBER:
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| − | </pre>
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| − | ::End of MU Measure Parameter Set-up. [Enter] out of the menu until you reach the QUALITY MEASUREMENT MENU (C0Q Q menu as seen below):
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| − |
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| − |
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| − | :2. Update MU Measures
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| − | <pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
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| − | GTM>D ^XUP -- enter the programmer environment
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| − | Select OPTION NAME: COQ Q -- enter C0Q module
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| − |
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| − | COPY OVER PATIENT LISTS
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| − | ED-1 COMPUTATION
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| − | ED-2 COMPUTATION
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| − | EP UPDATE MU MEASURES
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| − | INP UPDATE MU MEASURES
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| − | PQRI MENU ...
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| − | PQRI PRINT XML
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| − | PRINT C0Q MEASURES
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| − | SETUP QUALITY REPORTING ...
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| − |
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| − | Select QUALITY MEASUREMENT MENU Option: EP UPDATE MU MEASURES
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| − | Jul 25, 2011@98:87:94
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| − | Jul 25, 2011@87:88:53
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| − | Jun 27, 2011@97:94:70
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| − | Jun 27, 2011@97:89:96
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| − | BAD HEALTH FACTOR: Non-Smoker (PMH)
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| − | BAD HEALTH FACTOR: Non-Tobacco User
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| − | BAD HEALTH FACTOR: Current Smoker - No
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| − | BAD HEALTH FACTOR: Current Smoker - Yes
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| − | CREATING MU12-EP-ALL-PATIENTS
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| − | CREATING MU12-EP-DR OFFICE-Patient
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| − | CREATING MU12-EP-FailedDemographics
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| − | CREATING MU12-EP-HasAllergy
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| − | </pre>
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| − | ::If you are building Inpatient MU Measures, select INP UPDATE MU MEASURES instead of EP UPDATE MU MEASURES (as selected above). Once you select “UPDATE MU MEASURE” you should see several lines of text (a small subset of this text can be seen above). When selecting the UPDATE MU MEASURES option, the parameters for Clinics or Inpatient facilities for the Meaningful Use measures are being computed. The parameters then update the patient lists associated with the MU measures, creating new lists (lists are auto-generated for MU measures) only if none exist. They then look for MU Measurement Sets that are in the parameters, and update them, copying over numerator and denominator patient lists, counting them, and computing the percentage. A final update should be performed to ensure the most up-to date data is reported for your MU measure/measure set (see step 6).
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| − |
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| − |
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| − | :3. Create MU Measures
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| − | <pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
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| − | GTM>D ^XUP -- enter the programmer environment
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| − | Select OPTION NAME: COQ Q -- enter C0Q module
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| − | 1 C0Q QUALITY MEASURE DEFINITION QUALITY MEASURE DEFINITION
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| − | 2 C0Q QUALITY MEASUREMENT MENU QUALITY MEASUREMENT MENU
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| − | CHOOSE 1-2: 2 C0Q QUALITY MEASUREMENT MENU QUALITY MEASUREMENT MENU
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| − |
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| − | COPY OVER PATIENT LISTS
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| − | ED-1 COMPUTATION
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| − | ED-2 COMPUTATION
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| − | EP UPDATE MU MEASURES
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| − | INP UPDATE MU MEASURES
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| − | PQRI MENU ...
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| − | PQRI PRINT XML
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| − | PRINT C0Q MEASURES
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| − | SETUP QUALITY REPORTING ...
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| − |
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| − | Select QUALITY MEASUREMENT MENU Option: SETUP QUALITY REPORTING
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| − |
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| − |
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| − | DISPLAY QUALITY MEASURES
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| − | EDIT SUPERUSERS
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| − | EP EDIT PARMS
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| − | INP EDIT PARMS
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| − | MEASURE SET EDIT
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| − | MU MEASURE EDIT
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| − | QUALITY MEASURE EDIT
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| − |
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| − | Select SETUP QUALITY REPORTING Option: MU MEASURE EDIT
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| − |
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| − | Select C0Q QUALITY MEASURE NAME: MU12 Allergy -- MU12 Allergy is name of my measure
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| − | Are you adding 'MU12 Allergy' as a new C0Q QUALITY MEASURE (the 103RD)? No//
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| − | y (Yes)
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| − | C0Q QUALITY MEASURE DISPLAY NAME: Allergy List -- Allergy List is my display name
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| − | NAME: MU12 Allergy// -- Hit Enter to accept the default answer (same as name given)
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| − | MU YEAR KEY: MU12 -- Hit Enter to accept the default answer
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| − | TITLE: -- Hit Enter to bypass (optional)
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| − | VERY LONG DESCRIPTION: -- Hit Enter to bypass (optional)
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| − | 1>
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| − | DISPLAY NAME: Allergy List // -- Hit Enter to accept the default answer
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| − | REPORTING NAME:
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| − | ALTERNATIVE NUMERATOR LIST: MU12 -- list used as the numerator to calculate measure percentage
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| − | 1 MU12-EP-ALL-PATIENTS MU12-EP-ALL-PATIENTS
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| − | 2 MU12-EP-DR OFFICE-Patient MU12-EP-DR OFFICE-Patient
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| − | 3 MU12-EP-FailedDemographics MU12-EP-FailedDemographics
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| − | 4 MU12-EP-HasAllergy MU12-EP-HasAllergy
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| − | 5 MU12-EP-HasDemographics MU12-EP-HasDemographics
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| − | Press <RETURN> to see more, '^' to exit this list, OR
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| − | CHOOSE 1-5: 4 MU12-EP-HasAllergy MU12-EP-HasAllergy
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| − | ALTERNATIVE DENOMINATOR LIST: MU12 -- list used as the denominator to calculate measure percentage
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| − | 1 MU12-EP-ALL-PATIENTS MU12-EP-ALL-PATIENTS
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| − | 2 MU12-EP-DR OFFICE-Patient MU12-EP-DR OFFICE-Patient
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| − | 3 MU12-EP-FailedDemographics MU12-EP-FailedDemographics
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| − | 4 MU12-EP-HasAllergy MU12-EP-HasAllergy
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| − | 5 MU12-EP-HasDemographics MU12-EP-HasDemographics
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| − | Press <RETURN> to see more, '^' to exit this list, OR
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| − | CHOOSE 1-5: 1 MU12-EP-ALL-PATIENTS MU12-EP-ALL-PATIENTS
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| − |
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| − | Select C0Q QUALITY MEASURE NAME:
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| − | </pre>
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| − | ::From year to year some MU measures may use the same numerator and dominator lists. If this applies to you, you can simply re-use and rename a measure instead of building a new measure from scratch. Also, in this example we only created one measure to be included in our MU measure set. If you would like multiple measures to be included, you would create additional measures and name accordingly. Please note: Consistent naming is crucial for keeping measures organized.
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| − |
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| − |
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| − | :4. Create MU Measure SET and add MU Measure(s)
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| − | <pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
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| − | GTM>D ^XUP -- enter the programmer environment
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| − | Select OPTION NAME: COQ Q -- enter C0Q module
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| − | 1 C0Q QUALITY MEASURE DEFINITION QUALITY MEASURE DEFINITION
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| − | 2 C0Q QUALITY MEASUREMENT MENU QUALITY MEASUREMENT MENU
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| − | CHOOSE 1-2: 2 C0Q QUALITY MEASUREMENT MENU QUALITY MEASUREMENT MENU
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| − |
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| − | COPY OVER PATIENT LISTS
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| − | ED-1 COMPUTATION
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| − | ED-2 COMPUTATION
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| − | EP UPDATE MU MEASURES
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| − | INP UPDATE MU MEASURES
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| − | PQRI MENU ...
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| − | PQRI PRINT XML
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| − | PRINT C0Q MEASURES
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| − | SETUP QUALITY REPORTING ...
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| − |
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| − | Select QUALITY MEASUREMENT MENU Option: SETUP QUALITY REPORTING
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| − | Select SETUP QUALITY REPORTING Option: MEASURE SET EDIT
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| − |
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| − | Select C0Q MEASUREMENTS SET NAME: MU12 Measure Set -- MU12 Measure set is name of my measure set
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| − | Are you adding 'MU12 EP Measure Set' as
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| − | a new C0Q MEASUREMENTS (the 10TH)? No// y (Yes)
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| − | SET NAME: MU12 EP Measure Set// -- Hit Enter to accept the default answer
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| − | BEGIN DATE: 1-1-2012 (JAN 01, 2012) -- Beginning Date of visits to be included in the measure set
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| − | END DATE: 12-31-2012 (DEC 31, 2012) -- Ending Date of visits to be included in the measure set
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| − | LOCKED: -- Can Lock the Measure Set once completed
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| − | MU YEAR KEY: MU12 -- Key is same as period Key used above
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| − | Select MEASURE: MU12 -- Add the MU measures created in step 3 to create your measure set
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| − | 1 MU12 Allergy Allergy List
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| − | CHOOSE 1-3: 1 MU12 Allergy Allergy List
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| − | Are you adding 'MU12 Allergy' as a new MEASURE (the 1ST for this C0Q MEASUREM
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| − | ENTS)? No// y (Yes)
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| − | NUMERATOR FILTER LIST:
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| − | DENOMINATOR FILTER LIST:
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| − | Select MEASURE:
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| − |
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| − | Select C0Q MEASUREMENTS SET NAME:
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| − | </pre>
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| − | ::All applicable MU Measures created in Step 3 should be added to your Measure Set.
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| − |
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| − |
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| − | :5. Link Measure Set to Parameter
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| − | <pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
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| − | GTM>D ^XUP -- enter the programmer environment
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| − | Select OPTION NAME: COQ Q -- enter C0Q module
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| − | 1 C0Q QUALITY MEASURE DEFINITION QUALITY MEASURE DEFINITION
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| − | 2 C0Q QUALITY MEASUREMENT MENU QUALITY MEASUREMENT MENU
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| − | CHOOSE 1-2: 2 C0Q QUALITY MEASUREMENT MENU QUALITY MEASUREMENT MENU
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| − |
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| − | COPY OVER PATIENT LISTS
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| − | ED-1 COMPUTATION
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| − | ED-2 COMPUTATION
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| − | EP UPDATE MU MEASURES
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| − | INP UPDATE MU MEASURES
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| − | PQRI MENU ...
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| − | PQRI PRINT XML
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| − | PRINT C0Q MEASURES
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| − | SETUP QUALITY REPORTING ...
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| − |
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| − | Select QUALITY MEASUREMENT MENU Option: SET-UP QUALITY REPORTING
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| − |
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| − | DISPLAY QUALITY MEASURES
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| − | EDIT SUPERUSERS
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| − | EP EDIT PARMS
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| − | INP EDIT PARMS
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| − | MEASURE SET EDIT
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| − | MU MEASURE EDIT
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| − | QUALITY MEASURE EDIT
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| − |
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| − | Select SETUP QUALITY REPORTING Option: EP EDIT PARMS -- or INP EDIT PARMS depending on INP or OP
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| − | Select C0Q PARAMETER NAME: MU12 MU2012 Clinic Reporting -- Parameter created in Step 1
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| − | NAME: MU2012 Clinic Reporting Replace -- Hit Enter to accept the default answer
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| − | MEASUREMENT PERIOD KEY: MU12// -- Hit Enter to accept the default answer
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| − | PARAMETER TYPE: OUTPATIENT// -- Hit Enter to accept the default answer
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| − | EP MU MEASUREMENT SET: MU12 EP Measure Set -- Add MU Measure Set created in Step 5
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| − | EP QUALITY MEASUREMENT SET: -- Hit Enter to accept the default answer
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| − | Select CLINIC: DR OFFICE// -- Hit Enter to accept the default answer
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| − | PATIENT LIST LABEL: -- Hit Enter to accept the default answer
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| − | Select SUBSCRIBER: -- Hit Enter to accept the default answer
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| − |
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| − | Select C0Q PARAMETER NAME:
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| − | </pre>
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| − | :: Your MU Measure Set (which includes MU Measures and visit time frame) is now linked to your parameter. **MU MEASURE BUILD IS COMPLETE**
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| − |
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| − |
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| − | :6. Update MU Measure(s)
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| − | ::Prior to printing or displaying MU Measure perform an UPDATE MU MEASURE. This will ensure we are printing or displaying the most up to date data in the system. To complete this task, follow the instructions outlined in Step 2.
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| − |
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| − |
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| − | :7. Print C0Q Measures
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| − | <pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
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| − | GTM>D ^XUP -- enter the programmer environment
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| − | Select OPTION NAME: COQ Q -- enter C0Q module
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| − | 1 C0Q QUALITY MEASURE DEFINITION QUALITY MEASURE DEFINITION
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| − | 2 C0Q QUALITY MEASUREMENT MENU QUALITY MEASUREMENT MENU
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| − | CHOOSE 1-2: 2 C0Q QUALITY MEASUREMENT MENU QUALITY MEASUREMENT MENU
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| − |
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| − | COPY OVER PATIENT LISTS
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| − | ED-1 COMPUTATION
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| − | ED-2 COMPUTATION
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| − | EP UPDATE MU MEASURES
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| − | INP UPDATE MU MEASURES
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| − | PQRI MENU ...
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| − | PQRI PRINT XML
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| − | PRINT C0Q MEASURES
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| − | SETUP QUALITY REPORTING ...
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| − |
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| − | Select QUALITY MEASUREMENT MENU Option: Print C0Q MEASURES
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| − | Select C0Q MEASUREMENTS SET NAME: MU12 EP Measure Set
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| − |
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| − | DEVICE: TELNET
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| − | C0Q MEASUREMENTS LIST MAR 7,2012 08:20 PAGE 1
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| − | MEASURE:DISPLAY NAME DENOMINATOR NUMERATOR PERCENTAGE
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| − | --------------------------------------------------------------------------------
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| − |
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| − |
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| − | Allergy List 55 23 42.00
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| − | </pre>
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| − | ::Following Build, the above steps will allow you to view (validate the build) and print the MU Measure build created.
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| | | | |
| | == Verifying the Installation == | | == Verifying the Installation == |
The C0Q Quality Reporting Package is a mumps-based addition to VistA for reporting Meaningful Use and Quality Measurements. The package supports both inpatient and outpatient reporting, and computes the Meaningful Use measures from patient records. For Quality Measurements, the reporting package relies on the VistA Reminders Patient Lists as the source for its reporting.
