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Prospects for Care Coordination Measurement Using Electronic Data Sources: Table 1. Meaningful Use Measures With Data Elements Potentially Useful for Care Coordination Measure

Prospects for Care Coordination Measurement Using Electronic Data Sour

Measure

Data Elements of Interest

Potential Use*

Comments

Stage I Core Measures

Maintain an up-to-date problem list of current and active diagnoses: >80% of all unique patients (seen by EP or admitted to EH/CAH) have at least 1 entry or an indication that no problems are known for the patient recorded as structured data

Structured list of current and active diagnoses

Useful in identifying denominator population

ONC EHR certification requirements specify use of ICD-9-CM or SNOMED-CT to code current or active diagnoses as structured data

Maintain active medication list: >80% of all unique patients (seen by EP or admitted to EH/CAH) have at least 1 entry (or an indication that the patient is not currently prescribed any medication) recorded as structured data

Structured list of active medications

Useful as a numerator element, particularly pertaining to Medication Reconciliation or Information Transfer

Measure does not specify format or coding of drug information

Maintain active medication allergy list: Maintain active medication list: >80% of all unique patients (seen by EP or admitted to EH/CAH) have at least 1 entry (or an indication that the patient has no known medication allergies) recorded as structured data

Structured list of medication allergies

Useful as a numerator element, particularly pertaining to Medication Reconciliation or Information Transfer

Also useful for measure exclusions and risk adjustment

Measure does not specify format or coding of allergy information

Clinical summaries provided to patients for >50% of all office visits within 3 business days

Elements of clinical summaries potentially of use:

  • Problem list.
  • Diagnostic/lab test orders and/or results.
  • Medication list.
  • Medication allergy list.
  • Reason for visit.
  • Procedures.
  • Immunizations.
  • Time/location next visit.

If captured in EHRs in a structured way, elements of clinical summaries may be useful in the numerator of measures of many different care coordination processes, including Information Transfer, Facilitate Transitions Across Settings, Proactive Plan of Care, and Establish Accountability/Negotiate Responsibility

Specifications do not require data be provided in a structured format, but do require that any of the specified elements that are captured by certified EHRs be included in the clinical summary

CAH—critical access hospital; CPOE—computerized physician order entry; EH—eligible hospital; EHR—electronic health record; EP—eligible provider; MU—Meaningful Use; ONC—Office of the National Coordinator; PCP—primary care provider.

*See the Care Coordination Measures Atlas for a list of activities hypothesized to be important for coordinating care.3 These activities are contained with the care coordination measurement framework.

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Current as of March 2012
Internet Citation: Prospects for Care Coordination Measurement Using Electronic Data Sources: Table 1. Meaningful Use Measures With Data Elements Potentially Useful for Care Coordination Measure: Prospects for Care Coordination Measurement Using Electronic Data Sour. March 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/final-reports/prospectscare/prosptab1.html