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UDS Reporting

UDS Reporting. Ensuring Accurate Results! Jim Rose. Agenda. Discuss 2013 Challenges Outline our action items for 2014 Overview of 2014 changes Overview of Definitions document How to ensure better more accurate results Plans for the next 120 days. 2013 Background.

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UDS Reporting

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  1. UDS Reporting Ensuring Accurate Results! Jim Rose

  2. Agenda • Discuss 2013 Challenges • Outline our action items for 2014 • Overview of 2014 changes • Overview of Definitions document • How to ensure better more accurate results • Plans for the next 120 days

  3. 2013 Background • Convened a UDS Advisory Council • Reviewed all reports • Concentrated on reports that the Advisory council identified as problematic • Made changes to address concerns • Initiated testing to validate changes

  4. 2013 Challenges • Found several issues with baseline extracts that were not originally reported as problems • Customer Data was not consistent • Encountered performance problems with both Crystal and SSRS versions of Clinical Measures • Did not react fast enough to correct problems • Ended up making too many changes after 12/31/2013

  5. 2013 Wins • Identified and fixed long standing issues with Table 9D. Table 9D does balance today. • Identified and fixed several clinical measure challenges in Tables 6A, 6B, and 7 • Successfully transitioned to SSRS • Built more flexibility into several Clinical measures for customers to add their own OBS Terms and/or DX Codes.

  6. 2014 Action Items • Programming needed changes for 2014 prior to 8/31/2014 based on PAL information. Completed • Create detailed document explaining how Centricity, with the Visualutions software, finds, extracts, and produces UDS data for each report. First Draft Completed • Review all coding for each report and where possible, pull out hard coded values and replace them with customer modifiable inputs. In process

  7. 2014 Action Items (continued) • Test Reports against live customer data In Process • Deliver first version of 2014 Reports for testing by 9/15/2014 Scheduled • Have all Reports ready for final delivery by 11/15/2014. Scheduled

  8. Overview of 2014 Changes • Patient Characteristics • The number of public housing patients is reported on line 26 of Table 4 – Selected Patient Characteristics. Reports against live customer data.

  9. Overview of 2014 Changes • Patient Counts • The number of patients with a first time diagnosis of HIV is reported on line 1-2 (a) of Table 6A – Selected Diagnoses and Services Rendered. • What the report does is look for the Diagnosis codes on the PatientVisitDiag table and checks to make sure it is the “first time” it occurs for the patient in the reporting year.

  10. Overview of 2014 Changes • Reportable Services • All health centers now are required to report prenatal and perinatal services for the prenatal access to care and low birth weight measures in Table 6B and Table 7, for all health center patients regardless of whether they receive services in the health center or are referred elsewhere. This will be changed so that only the Perinatal Case is needed, regardless if the patient received specific prenatal services or not.

  11. Overview of 2014 Changes • Reportable Services • All health centers now are required to report prenatal and perinatal services for the prenatal access to care and low birth weight measures in Table 6B and Table 7, for all health center patients regardless of whether they receive services in the health center or are referred elsewhere. In addition, we are creating a form that will allow the user to update all births with a sub-race, if appropriate, and ethnicity. This was missing from our 2013 reporting. Next year we will be changing this so that the information flows from the EMR.

  12. Overview of 2014 Changes • Quality of Care Measures • All Table 6B – Quality of Care Indicators is modified by removing the check box for no prenatal care provided (described above) and • Combining the tobacco screening and cessation intervention pair into a single measure Section G1 and G2 are combined in 2014 and will be a single measure. The denominator from G1 is combined with the numerator from G2. • Retaining the current lipid therapy measure No change but originally this was slated to be removed for 2014.

  13. Overview of 2014 Changes • Quality of Care Measures • All Table 6B – Quality of Care Indicators is modified by removing the check box for no prenatal care provided (described above) and • Adding a measure for new HIV cases with timely follow up, and Will use same process as 6A but will now look for follow up within 90 days of Dx.

  14. Overview of 2014 Changes • Quality of Care Measures • All Table 6B – Quality of Care Indicators is modified by removing the check box for no prenatal care provided (described above) and • Adding a behavioral health measure for clinical depression screening and follow up.

  15. Overview of 2014 Changes • Health Outcomes and Disparities Measures • All Table 7 – Health Outcomes and Disparities has been modified by: • Revising the diabetes control measure to no longer require reporting for Hba1c levels less than 7

  16. 2014 Definitions Document • This is the first time we have developed and delivered a comprehensive document that details: • Exactly how we recommend you set up your system. • How our queries look for and report data. • How to look for missing data. • What happens when data is missing or is not readable.

  17. 2014 Definitions Document • Comprehensive breakdown of HRSA definitions.

  18. 2014 Definitions Document • Complete explanations concerning how Visualutions determines each measure for every table that can be reported out of Centricity.

  19. 2014 Definitions Document • Explanations for how specific values need to be set up and what will happen if certain data elements are missing.

  20. 2014 Definitions Document • Creates a “how to” explanation for what you need to do to run reports and then check them for data accurately.

  21. 2014 Definitions Document • It provides report samples including detail that can be exported into an excel spreadsheet for verification.

  22. 2014 Definitions Document • Where possible, it shows you how to find missing information.

  23. 2014 Definitions Document

  24. 2014 Definitions Document • Where possible, it allows you to update/add/change specific measurement values if you are not capturing data the way we are looking for it.

  25. 2014 Definitions Document • Key items to remember: • To be counted as a visit for reporting, the visit must have a procedure that has one of the valid Visualutions HCPC qualifiers: • HCPC – MED – Medical Visit • HCPC – DEN – Dental Visit • HCPC – BH – Behavioral Health Visit • HCPC – SA – Substance Abuse Visit • HCPC – EN – Enabling Services Visit • HCPC – OP – Other Professional Visit • To be included in the Patient Count, the patient’s registration record must have a: • Birthdate • Gender

  26. 2014 Definitions Document • Key items to remember: • All Race codes must be cross referenced to one of the following Codes that will be set up in the NSF field of the List Editor for CPS 10 and 11 or in the NIP field for CPS 12. • A = Asian • NH = Native Hawaiian • OPI = Other Pacific Islander • B = Black / African American • AI = American Indian / Alaskan Native • W = White • M = More than one Race • U = Unknown

  27. 2014 Definitions Document • Key items to remember: • Table 5 provider categories require set up of resource types typically associated with Scheduling.

  28. 2014 Definitions Document • Key items to remember: • Insurance Policy Types must be established for all Insurance Carrier and they must cross reference one of the following: • Regular Medicaid: Line 8a – Code “MC” • CHIP Medicaid: Line 8b – Code “MSCHIP” • All Medicaid: Line 8 – Code “MC” or “MSCHIP” • Medicare: Line 9 – Code “MP” • Other Public Insurance: Line 10a – Code “NSCHIP” • Other Public Insurance: Line 10b – Code “PSCHIP” • All Other Public: Line 10 – Code “NSCHIP” or “PSCHIP” • Private Insurance: Line 11 – Code “OT” or “WC” or “SP” or “MG” • Line 12 – Sum of all Insurance codes

  29. 2014 Definitions Document • Key items to remember: • Many OBS Terms require the entry of numeric data but the fields are text based. • If the entries cannot be converted, they will be dropped. • We cannot cleanse this data for you. • If we could, we would.

  30. 2014 Next 120 Days • Install Customer Database - In Process • Test Reports against Data – Scheduled ASAP • Deliver V1 2014 Reports – Scheduled 9/15/14 • Deliver 2014 Prod. Reports – Scheduled 11/15/14 • Finalize all changes – Scheduled 12/31/14

  31. Summary • We had challenges in our reporting efforts for 2013 and we learned a lot. • Even so, 2013 reporting was better than any year previous. • We still needed to do better.

  32. Summary • We tripled our staff in UDS support for 2014. • We completed all changes for 2014 as of today and are testing them as we speak. • We created a detailed Definitions document that we believe will help tremendously for our 2014 reporting accuracies.

  33. Summary • We are testing with live customer data to ensure accuracy. • We are already working on 2015. • We take UDS very seriously because we know you do too!

  34. Download all conference presentations at visualutions.com/ug14conference Thank you. Join our newsletter and stay up to date! visualutions.com/newsletters

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