PCMH 5B Factor 10 Must Pass Critical Factor Corporate Survey The practice: Asks patients/families about self-referrals and requesting reports from clinicians Documentation Required Documented Process Report Screen Shots, i.e., electronic may be used as 1) examples (system capabilities of an electronic “copy” health record—EHR) 2 materials (Web site resources) 3 reports (logs, patient lists) or 4) records (e.g. documentation of clinical advice in the medical record Documented Process Written procedures, protocols, processes, workflow (not explanations) Does the Documented Process include the following? Practice Name Date of implementation (Must be at least 90 days before submission) Date of revisions (If applicable) Depicts all aspects of the factor Text boxes, arrows, or other methods identify important sections Text boxes, arrows, or other methods briefly explain the importance to the elements Report Aggregated data showing evidence Stage 2 Core Meaningful Use Requirement Does the Report include the following? Practice Name De-identified PHI Reporting period current, within the past 12 months Correct time frame (at least 5 days) Report is not future dated Displays numerator, denominator, and percent Text boxes, arrows, or other methods identify important headers/sections Text boxes, arrows, or other methods briefly explain the importance to the elements Matches documented process Does this documentation meet the intent of the factor? Yes No If no, suggestions to meet the intent
PCMH 5B Factor 10 Must Pass Critical Factor Corporate Survey The practice: Asks patients/families about self-referrals and requesting reports from clinicians Documentation Required Documented Process Report Screen Shots, i.e., electronic “copy” may be used as 1) examples (system capabilities of an electronic health record—EHR) 2 materials (Web site resources) 3 reports (logs, patient lists) or 4) records (e.g. documentation of clinical advice in the medical record Documented Process Written procedures, protocols, processes, workflow (not explanations) Does the Documented Process include the following? Practice Name Date of implementation (Must be at least 90 days before submission) Date of revisions (If applicable) Depicts all aspects of the factor Text boxes, arrows, or other methods identify important sections Text boxes, arrows, or other methods briefly explain the importance to the elements Report Aggregated data showing evidence Stage 2 Core Meaningful Use Requirement Does the Report include the following? Practice Name De-identified PHI Reporting period current, within the past 12 months Correct time frame (at least 5 days) Report is not future dated Displays numerator, denominator, and percent Text boxes, arrows, or other methods identify important headers/sections Text boxes, arrows, or other methods briefly explain the importance to the elements Matches documented process Does this documentation meet the intent of the factor? Yes No If no, suggestions to meet the intent