Clinical Lab Test Results

Configuring RPMS-EHR for Meaningful Use

Resource Patient Management System

Presenters:

Angela Kihega, RHITOklahoma City Area HIM Consultant

Andrea Scott, MBA, BSNavajo Area Clinical Applications Coordinator

Clarence Smiley, MPH, MTIHS OIT Laboratory Consultant

Clinical Lab Test Results

Training Objectives

• Understand the MU objective and the measure

• Compare and contrast Laboratory Package, Reference Lab Interface, Point of Care lab & PCC Data Entry of structured laboratory data

• Discuss the unintended consequences of entering laboratory results into PCC data entry in the Electronic Health Record environment

Clinical Lab Test Results

Objective and Measure

Incorporate clinical lab-test results into certified EHR technology as structured data.More than 40% of all clinical lab test results ordered by the provider or by an authorized provider of the hospital for patients admitted to its inpatient or emergency department during the EHR reporting period, the results of which are either in a positive/negative or numerical format, are incorporated in certified EHR technology as structured data.

Clinical Lab Test Results

MU Measure

Type of Measure: Rate

The number of lab test results whose results are expressed in a positive or negative affirmation or

as a number, which are incorporated as structured data. >40%The number of lab tests ordered by the provider

during the EHR reporting period whose results are expressed in a positive or negative affirmation or

as a number.

Clinical Lab Test Results

RPMS Reporting Logic

Denominator Inclusions:COUNT: each V LAB entry ordered by an eligible

provider during the EHR reporting periodWHERE: the lab test is NOT a Pap Smear, determined by

using the BGP PAP SMEAR TEST lab taxonomyAND WHERE: the result of the test is not equal to “canc”

(canceled)AND WHERE: (EPs only) the ordering provider on the V

LAB entry is the provider for which the report is being run

Clinical Lab Test Results

RPMS Reporting Logic

Numerator Inclusions:COUNT: each test in the denominator

WHERE: the status flag is resultedWHERE: Results does not equal “comment”OR WHERE: Results = “comment”

AND WHERE: Comments does not equal null

Clinical Lab Test Results

RPMS Reporting Logic

Measure Exclusion:• EPs who order no lab tests having results that are

displayed in either a positive/negative or numeric format during the EHR reporting period are excluded from this measure.

Clinical Lab Test Results

What HIM Needs to Know

• Process for staff to request corrections• Difference between POC documentation,

regular hospital labs and outside labs• Cumulative Lab Reports• Different ways to print lab results• Process of providing patients with lab results

(Doctors input)

Clinical Lab Test Results

Configuration

• Point of Care Testing– POC Test Codes

• Reference Laboratory Tests– Reference Lab Test Codes – Reference Lab Interface Configuration

• Lab CPT Code Configuration

Clinical Lab Test Results

How-to Session

• Print lab results• Look up lab results• Enter POC from Data Entry

Clinical Lab Test Results

Policy and Procedure

Review

Clinical Lab Test Results

Questions & Discussion

Clinical Lab Test Results