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EMR Name/ModelEMR VendorIngenix CareTracker - version 7Ingenix CareTrackerStage 1 objectivesStage 1 measuresEligible professionalsHospitalsUse CPOEUse of CPOE for orders (any type)For EPs, CPOE is used for at least 80%directly entered by authorizingof all orders. For eligible hospitals,provider (for example, MD, DO, RN, CPOE is used for 10% of all orders.PA, NP)Implement drug-drug,drug-allergy,drug-formulary checks.Implement drug-drug, drug-allergy,drug-formulary checks.The EP/eligible hospital has enabledthis functionalityEMR Module/FeatureYES - Ingenix CareTracker's EMR provides theability for users to electronically record, modify,retrieve, and manage medication, laboratory,radiology/imaging, procedure, and referralorders. Additional features include the abilityto create/save/utilize favorites and order setfunctionality.YES - Ingenix CareTracker's EMR contains anintegrated, "real time" medication interactionscreening tool that runs when prescribing amedication. The screening rules include drug condition, drug - dosing, drug - food, drug drug, duplicate therapy, drug - allergy, andprecaution screening. The formulary screeningis accomplished through the IngenixCareTracker seamless SureScripts connectionand includes all the major Pharmacy BenefitManagers. An additional feature includes"Complete Interaction" medication screeningfunctionality that can be run at any time a userchooses to do so. Another feature includes theability and requirement to enter a structuredinteraction screening override reason for chartaudit purposes.
Stage 1 objectivesEligible professionalsHospitalsMaintain an up-to-date problem list Maintain an up-to-date problem listof current and active diagnosesof current and active diagnosesbased on ICD–9–CM or SNOMEDbased on ICD–9–CM or SNOMEDCT .CT .Generate and transmit permissibleprescriptions electronically (eRx)Maintain active medication list.Stage 1 measuresEMR Module/FeatureAt least 80% of all unique patientsseen by the EP or admitted to theeligible hospital have at least oneentry or an indication of nonerecorded as structured data.At least 75% of all permissibleprescriptions written by the EP aretransmitted electronically usingcertified EHR technologyMaintain active medication list.At least 80% of all unique patientsseen by the EP or admitted to theeligible hospital have at least oneentry (or an indication of ‘‘none’’ ifthe patient is not currently prescribedany medication) recorded asstructured data.YES - Ingenix CareTracker's EMR provides theability for users to electronically record, modify,and retrieve a patient's problem list. Thepatient's problem list utilizes the ICD-9 standardvocabulary which is maintained and updatedglobally. Additional features include the abilityfor a user to mark a patient's problem asresolved, associate one or more problems withan order (medication, laboratory,radiology/imaging, procedure, referral), andacknowledging when a patient's full problemlist is reviewed.YES - Ingenix CareTracker's EMR generates andtransmits all eligible prescriptions electronicallythrough the seamlessly integrated Surescriptsconnection for those subscribed retail and mailorder pharmacies.YES - Ingenix CareTracker's EMR provides theability for users to electronically record, modify,and retrieve active and inactive medications.Additional features include theacknowledgement when a patient's fullmedication list is reviewed and the ability todistinguish a medication that is prescribed bythe user and one that was prescribed byanother physician in the continuity of carecircle.
Stage 1 objectivesEligible professionalsHospitalsMaintain active medication allergy Maintain active medication allergylist.list.Record demographicspreferred languageinsurance typegenderraceethnicitydate of birthRecord and chart changes in vitalsigns:heightweightblood pressureCalculate and display: BMI.Record demographics .preferred languageinsurance typegenderraceethnicitydate of birthdate and cause of death in the eventof mortalityRecord and chart changes in vitalsigns:heightweightblood pressureCalculate and display: BMI.Stage 1 measuresEMR Module/FeatureAt least 80% of all unique patientsseen, by the EP or admitted to theeligible hospital have at least oneentry or (an indication of ‘‘none’’ ifthe patient has no medicationallergies) recorded as structureddata.At least 80% of all unique patientsseen by the EP or admitted to theeligible hospital have demographicsrecorded as structured data.YES - Ingenix CareTracker's EMR provides theability for users to electronically record, modify,and retrieve a patient's active medicationallergy list. The information provided in this listis derived from the interaction screeningdescribed in item 11.YES - Ingenix CareTracker's EMR provides theability for users to electronically record, modify,and retrieve patient demographic information.See aboveSee aboveSee aboveSee aboveSee aboveSee aboveNOFor at least 80% of all unique patientsage 2 and over seen by the EP orYES - Ingenix CareTracker's EMR provides theadmitted to eligible hospital, record ability for users to electronically record, modify,blood pressure and BMI; additionally and retrieve patient vital signs including Height,plot growth chart for children ageWeight, BMI, Blood Pressure, Temperature,2–20.Pulse Oximetry, Pulse Rate, Respitory Rate, andPain Level. Additional features include theability to record height, weight, andtemperature in metric units and the ability toelectronically record patient vital signs whichare taken in the home setting.
Stage 1 objectivesEligible professionalsHospitalsPlot and display growth charts forPlot and display growth charts forchildren 2–20 years, including BMI. children 2–20 years, including BMI.Stage 1 measuresEMR Module/FeatureYES - Ingenix CareTracker's EMR provides theability for users to plot and electronicallydisplay pediatric growth charts. The includedpediatric growth charts are for children 0-36months old: Head Circumference/Weight forLength and for children 2 - 20 years old:Stature/Weight for Age and BMI for Age.Record smoking status for patients13 years old or older.Record smoking status for patients13 years old or older.At least 80% of all unique patients 13years old or older seen by the EP oradmitted to the eligible hospital have‘‘smoking status’’ recorded.Incorporate clinical lab-test resultsinto EHR as structured data.Incorporate clinical lab-test resultsinto EHR as structured data.At least 50% of all clinical lab testsordered whose results are in apositive/negative or numericalformat are incorporated in certifiedEHR technology as structured data.Generate lists of patients by specificconditions to use for qualityimprovement, reduction ofdisparities, and outreach.YES - Ingenix CareTracker's EMR provides theability for users to electronically record, modify,and retrieve patient smoking status in theprogress note and social history sections of theapplication.YES - Ingenix CareTracker's EMR is capable ofreceiving clinical laboratory resultselectronically. Currently Ingenix CareTrackerhas various HL-7 interfaces set up with nationaland local laboratories which enable theseamless retrieval of results electronically.Additional features include the ability for usersto track laboratory results by distinguishing newversus signed/reviewed, test result report drilldown, result graphing/ charting/plotting, andreference range display.Generate lists of patients by specific Generate at least one report listingconditions to use for qualitypatients of the EP or eligible hospital YES - Ingenix CareTracker's EMR is capable ofgenerating electronic patient lists via theimprovement, reduction ofwith a specific condition.Patient Care Management - Populationdisparities, and outreach.Management functionality. The user has theability to select, sort/retrieve and output thesepatient lists from within the application.
Stage 1 objectivesStage 1 measuresEligible professionalsHospitalsReport ambulatory quality measures Report hospital quality measures to For 2011, provide aggregateto CMS or the States.CMS or the States.numerator and denominator throughattestation as discussed in sectionII(A)(3) of this proposed rule.For 2012, electronically submit themeasures as discussed in sectionII(A)(3) of this proposed rule.Send reminders to patients perpatient preference forpreventive/follow up care.Implement 5 clinical decisionsupport rules relevant to specialty orhigh clinical priority, includingdiagnostic test ordering, along withthe ability to track compliance withthose rules.Reminder sent to at least 50% of allunique patients seen by the EP thatare age 50 or over.Implement 5 clinical decisionsupport rules related to a highpriority hospital condition, includingdiagnostic test ordering, along withthe ability to track compliance withthose rules.EMR Module/FeatureYES - Ingenix CareTracker's EMR is capable ofcalculating and displaying various qualitymeasures and the current content includevarious NCQA HEDIS 2010 items.NO - Ingenix CareTracker's EMR developmentof the electronic submission functionality isawaiting the final ruling.YES - Ingenix CareTracker's EMR is capable ofgenerating and tracking patient remindersthrough the Recall functionality. Once thereminder lists are generated, letter templatesmay be used or messages may be sent throughto the HealthTracker patient portal.Implement 5 clinical decision supportrules relevant to the clinical qualityYES - Ingenix CareTracker's EMR is capable ofmetrics the EP/Eligible Hospital isresponsible for as described further supporting clinical decision support via thePatient Care Management functionality. Thein section II(A)(3).imbedded clinical decision support rules areorganized into categories including healthmaintenance and disease management.Examples of the health maintenance rules arethe adult/pediatric immunization schedules,colorectal and cervical cancer screenings. Thedisease management category includescomprehensive diabetes management andcholesterol management for patients withcardiovascular conditions. Additional featuresinclude the ability to change the reminderintervals at a patient/rule level and all rulesatisfiers are fully integrated throughout theapplication.
Stage 1 objectivesEligible professionalsHospitalsCheck insurance eligibilityCheck insurance eligibilityelectronically from public andelectronically from public andprivate payers.private payers.Check insurance eligibilityelectronically from public andprivate payers.Check insurance eligibilityelectronically from public andprivate payers.Stage 1 measuresInsurance eligibility checkedelectronically for at least 80% of allunique patients seen by the EP orEMR Module/FeatureYES - Ingenix CareTracker's EMR is capable ofvalidating patient eligibility for a variety ofpublic and private insurance payers.Insurance eligibility checkedelectronically for at least 80% of allunique patients seen by the EP oradmitted to the eligible hospital.See response to item 60Submit claims electronically topublic and private payers.Submit claims electronically topublic and private payers.At least 80% of all claims filedelectronically by the EP or the eligibleYES - Ingenix CareTracker's EMR is capable ofhospital.submitting primary and secondary claims to allpublic and private insurance payers who areaccepting electronic claims. Additional featuresinclude clearinghouse and insurance payersubmission report batching for review, real timeclaims adjudication and full inbound ElectronicRemittance Advice (ERA) capability.Provide patients with an electroniccopy of their health information(including diagnostic test results,problem list, medication lists,allergies), upon request.Provide patients with an electroniccopy of their health information(including diagnostic test results,problem list, medication lists,allergies, discharge summary,procedures), upon request.At least 80% of all patients whorequest an electronic copy of theirhealth information are provided itwithin 48 hours.Provide patients with an electroniccopy of their discharge instructionsand procedures at time of discharge,upon request.At least 80% of all patients who aredischarged from an eligible hospitaland who request an electronic copyof their discharge instructions andprocedures are provided it.YES - Ingenix CareTracker's EMR is capable ofproviding patients with an electronic copy oftheir health information. The patient has thechoice of a full chart summary or a Continuity ofCare Document (CCD). These electronic copiesof the patient's health information can betransferred as a secure file to the patient'sencrypted device of choice or sent to theHealthTracker patient portal.N/A - Hospital EMR Requirement - IngenixCareTracker's EMR is Ambulatory ONLY at thistime
Stage 1 objectivesEligible professionalsStage 1 measuresEMR Module/FeatureHospitalsProvide patients with timelyelectronic access to their healthinformation (including lab results,problem list, medication lists,allergies) within 96 hours of theinformation being available to theEP.At least 10% of all unique patientsseen by the EP are provided timelyelectronic access to their healthinformation.Provide clinical summaries forpatients for each office visit.Clinical summaries are provided forat least 80% of all office visits.YES - Ingenix CareTracker's EMR is capable ofproviding patients with an electronic copy oftheir health information. The patient has thechoice of a full chart summary or a Continuity ofCare Document (CCD). These electronic copiesof the patient's health information can betransferred as a secure file to the patient'sencrypted device of choice or sent to theHealthTracker patient portal.See response to item 69Capability to exchange key clinicalinformation (for example, problemlist, medication list, allergies,diagnostic test results), amongproviders of are and patientauthorized entities electronically.Capability to exchange key clinicalinformation (for example, dischargesummary, procedures, problem list,medication list, allergies, diagnostictest results), among providers ofcare and patient authorized entitieselectronically.Performed at least one test ofcertified EHR technology’s capacity toelectronically exchange key clinicalinformation.Provide summary care record foreach transition of care and referral.Provide summary care record foreach transition of care and referral.Provide summary of care record forat least 80% of transitions of care andSee response to item 76referrals.Capability to submit electronic datato immunization registries andactual submission where requiredand accepted.Capability to submit electronic datato immunization registries andactual submission where requiredand accepted.Performed at least one test ofcertified EHR technology’s capacity tosubmit electronic data toimmunization registries.YES - Ingenix CareTracker's EMR is capable ofsecurely exchanging a patient's Continuity ofCare Document (CCD) among providers of carevia the Referring Provider Network.YES - Ingenix CareTracker's EMR is capable ofsubmitting immunization data electronically tostate and national registries on a real time orbath basis.
Stage 1 objectivesEligible professionalsHospitalsCapability to provide electronicsubmission of reportable lab results(as required by state or local law) topublic health agencies and actualsubmission where it can be received.Capability to provide electronicsyndromic surveillance data topublic health agencies and actualtransmission according to applicablelaw and practice.Protect electronic healthinformation created or maintainedby the certified EHR technologythrough the implementation ofappropriate technical capabilities.Capability to provide electronicsyndromic surveillance data topublic health agencies and actualtransmission according to applicablelaw and practice.Protect electronic healthinformation created or maintainedby the certified EHR technologythrough the implementation ofappropriate technical capabilities.Stage 1 measuresEMR Module/FeaturePerformed at least one test of theEHR system’s capacity to provideelectronic submission of reportablelab results to public health agencies(unless none of the public healthagencies to which eligible hospitalsubmits such information have thecapacity to receive the informationelectronically).Performed at least one test ofcertified EHR technology’s capacity toprovide electronic syndromicsurveillance data to public healthagencies (unless none of the publichealth agencies to which an EP oreligible hospital submits suchinformation have the capacity toreceive the informationelectronically).Conduct or review a security riskanalysis per 45 CFR 164.308(a)(1) andimplement security updates asnecessary.Specify protocol used for security riskNISTCOBITISODIACAPN/A - Hospital EMR Requirement - IngenixCareTracker's EMR is Ambulatory ONLY at thistimeNO - Ingenix CareTracker's EMR developmentof the electronic syndromic surveillance datasubmission functionality is awaiting the finalruling.YES - Ingenix CareTracker's EMR meets orexceeds HIPAA standards and compliance. Theapplication and hosted infrastructureundergoes regular security/risk analysisassessments, preformed by United HealthGroup's Internal Risk Management team.Ingenix CareTracker is in the process ofdeveloping a client solution to assist with thesecurity risk analysis "Meaningful Use"requirement.
Stage 1 objectivesEligible professionalsStage 1 measuresHospitalsOther (specify)NoneEMR Module/FeatureUnited health Group - Internal RiskManagement
YES - Ingenix CareTracker's EMR provides the ability for users to electronically record, modify, and retrieve a patient's active medication allergy list. The information provided in this list is derived from the interaction screening described in item 11. Record demographics Record demographics . YES - Ingenix CareTracker's EMR provides the
