Vital Signs

Configuring RPMS-EHR for Meaningful Use

Resource Patient Management System

Presenters:

Angela Flanagan, BSN, RN, CDEOIT EHR Nurse Consultant

Theresa Tsosie-Robledo, MSN, RN, BC

OIT EHR Nurse Consultant and Informaticist

Vital Signs

Core MU Objective

“Record and chart changes in the following vital signs: Height, weight, and blood pressure and calculate and display body mass index (BMI) for ages 2 and older, plot and display growth charts for children 2-20 years, including BMI.”

- 42 CFR Part 495.6,(d)(8)(i)

Vital Signs

Applicability

• Eligible Professionals (EP)• Eligible Hospitals• Critical Access Hospitals (CAH)

Vital Signs

Training Objectives

• Record and chart changes in vital signs:– Height– Weight– Blood Pressure

• Calculate and display body mass index (BMI) for ages 2 and older.

• Plot and display growth charts for children 2-20 years, including BMI.

Vital Signs

MU Measure

Type of Measure: Rate

The number of unique patients in the denominator who have at least one entry of their height, weight,

and blood pressure recorded as structured data. >50%The number of unique patients age 2 or older seen by the provider during the EHR reporting period.

Vital Signs

Threshold

For more than 50% of all unique patients age 2 and older seen by the provider during the EHR reporting period, height, weight, and blood pressure are recorded as structured data.

Vital Signs

RPMS Reporting Logic

Denominator Inclusions:COUNT: each patient who is 2 years old or older at

the beginning of the EHR reporting periodHAVING: one or more face-to-face visits with the provider

during the EHR reporting period

Vital Signs

RPMS Reporting Logic

Numerator Inclusions:COUNT: each patient in the Denominator

WHERE: structured data is present during the EHR reporting period for each of the following data elements:• Height• Weight• Blood Pressure

Vital Signs

RPMS Reporting Logic

Measure Exclusion:• EPs who see no patients who were two years

old or older at the beginning of the EHR reporting period are excluded from this measure.

• No exclusion for eligible hospitals and CAHs.

Vital Signs

Configure RPMS

During our how-to session we will:1. Configure the EHR Vitals tab for data entry.2. Create a template for measurement display.3. Assign data entry permission to providers.

Vital Signs

Evidence of Functionality

During our how-to session we will:• Verify that required vital signs can be entered

on the EHR Vitals tab.

Vital Signs

How-to Session

Questions & Discussion

Vital Signs