Sep
8
Written by:
Kaili
9/8/2011 2:55 PM
In this post we will look at the Meaningful Use, core measure three on Maintaining Problem List for patients. This measure records how many patients have an up-to-date (means the most recent diagnosis known by the Eligible Professional (EP)) problem list that is contained in their medical record within the EMR.
This measure checks that more than 80% of all unique patients (any patient that is seen by the EP more than once during the 90 day reporting period and is only counted once in the denominator) seen during the 90 day reporting period have a record of at least one entry of an active problem (using ICD-9 or SNOMED-CT) or that the patient has no know problems.
Attesting for this measure is based off of your patients data in the form of a
Numerator/Denominator.
- Numerator = The number of patients included in the denominator that have a record of at least one problem, or that no know exist.
- Denominator = All unique patients seen during the 90 day reporting period.
Example: If I the EP, had seen 400 unique patients during the 90 day reporting period and out of those 400 unique patients I recorded 1 or more current problems or that they had no known problems for 340 of those patients I would have an 85% up-to-date problem list.
Attestation Data
340/400=85%
Additional if the EP chooses to enter the current problem in "lay terms" first and then later convert the current problem to structured data using ICD-9 or SNOMED-CT that will also satisfy this measure.
Questions on Maintain Problem List, ask me or anything else on EMRs and/or Meaningful Use and for more help or understanding about Meaningful Use contact me your Meaningful Use Consultant.
Coming up next in the Meaningful Use Breakdown series we will cover core measure four, e-Prescribing (eRx).