Additional detail Item Audit Guidance Topic/Item addressed Menu Set Objectives (5 total of 10) – EP EP#1: Drug formulary checks Are drug formulary checks ‘switched Document which formulary is being used (internal, on’ in your EHR? external) Save a screenshot of formulary check EP#2: Structured Lab Test Results Did you enter lab results (>40% Retain a record of numerator and denominator used ordered) as structured data? for calculating percentage of lab tests meeting this measure. Document how data was populated (electronic exchange, manual entry) Document if standard code set used (LOINC, etc.) EP#3: List of patients by condition Have you run a patient list report by Copy of report that was generated specific condition? EP#4: Patient reminders Did you send out patient reminders Retain a record of numerator and denominator used (>20% patients who are ≥ 65 years for calculating percentage of patients meeting this and ≤5 years old) for preventive and measure. follow up care? Document which type of reminder was generated (appointment, preventive/follow-up care) Save a screenshot of reminder EP#5: Patient e-Access to Health Did you provide patient electronic Retain a record of numerator and denominator used Information access (>10% patients) to lab results, for calculating percentage of patients meeting this
Topic/Item Additional detail Item addressed Audit Guidance Menu Set Objectives (5 total of 10) – EP EP#1: Drug formulary checks Are drug formulary checks ‘switched on’ in your EHR? Document which formulary is being used (internal, external) Save a screenshot of formulary check EP#2: Structured Lab Test Results Did you enter lab results (>40% ordered) as structured data? Retain a record of numerator and denominator used for calculating percentage of lab tests meeting this measure. Document how data was populated (electronic exchange, manual entry) Document if standard code set used (LOINC, etc.) EP#3: List of patients by condition Have you run a patient list report by specific condition? Copy of report that was generated EP#4: Patient reminders Did you send out patient reminders (>20% patients who are ≥ 65 years and ≤5 years old) for preventive and follow up care? Retain a record of numerator and denominator used for calculating percentage of patients meeting this measure. Document which type of reminder was generated (appointment, preventive/follow-up care) Save a screenshot of reminder EP#5: Patient e-Access to Health Information Did you provide patient electronic access (>10% patients) to lab results, Retain a record of numerator and denominator used for calculating percentage of patients meeting this
ep_pre_attestationaudit_checklist_tool_-_18july2013_kleeberg.docx