| EHR measures that may apply to podiatry | Rationale | Ease of compliance | Aligns with Meaningful Use |
|---|---|---|---|
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Use of high-risk medications in the elderly
Percentage of patients 66 years of age and older who were ordered high-risk medications. Two rates are reported.
|
Provider prescribes pain medication that could be considered high-risk medication. | Easy – The system looks at the medication list and determines the numerator value for the provider. | |
|
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received cessation counseling intervention if identified as a tobacco user.
|
All physicians of any specialty should discourage smoking. | Easy – Add to your intake form and have staff document in the Social History module, provide smoking cessation encouragement and educational materials in printed form. Consider using the MediTouch patient information document, Smoking and Its Relationship to Foot and Ankle Disease. | |
|
Documentation of Current Medications in the Medical Record
Percentage of specified visits for patients aged 18 years and older for which the eligible professional attests to documenting a list of current medications to the best of his/her knowledge and ability. This list must include ALL prescriptions, over-the-counter medications, herbal supplements, and vitamin/mineral/dietary (nutritional) supplements, AND must contain the medications’ name, dosage, frequency, and route of administration.
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All physicians of any specialty should document the patient’s medications. | Easy – Add to your intake form, have staff document on the Medication List, and review and reconcile medications especially at transitions of care. | |
|
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up
Percentage of patients aged 18 years and older with a calculated BMI in the past six months or during the current reporting period documented in the medical record AND if the most recent BMI is outside of normal parameters, a follow-up plan is documented within the past six months or during the current reporting period.
Normal parameters: Age 65 years and older: BMI ≥ 23 and < 30 Age 18–64 years BMI ≥ 18.5 and < 25.
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For patients with certain diseases of the foot and ankle, an elevated BMI will influence their health and, in many cases, the success of any surgical interventions you provide to the patient. | Easy – Have staff document height and weight and provide educational materials in printed form, documenting accordingly in the chart. Consider using the MediTouch patient information document, Elevated BMI and Its Relationship to Foot and Ankle Disease. | |
|
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred.
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All physicians of any specialty should document the results of an referral for consultation they order. | Easy – Have staff tie each order for a consult with the consult result. | |
| Preventive Care and Screening: Influenza Immunization | Provider performs surgical interventions and overall patient health could impact recovery. | Easy – Add to your intake form and have staff document in the Immunization module. Provider is not required to administer the vaccine; just record status. Consider using the MediTouch patient information document, Flu Vaccine and Its Relationship to Foot and Ankle Disease as educational material. | |
| Preventive Care and Screening: Pneumonia Vaccination for Patients 65 Years and Older | Provider performs surgical interventions and overall patient health could impact recovery. | Easy – Add to your intake form and have staff document in the Immunization module. Provider is not required to administer the vaccine; just record status. Consider using the MediTouch patient information document, Pneumococcal Vaccine and Its Relationship to Foot and Ankle Disease as educational material. | |
| Diabetes Mellitus: Dilated Eye Exam in Diabetic Patient | Provider is involved either directly or peripherally with patient’s diabetic care and should remind patients about comprehensive diabetic care, including eye exam results. | Harder – May require referral or gathering data from another provider. Consider using the MediTouch patient information document, Dilated Eye Exam and Its Relationship to Foot and Ankle Disease as educational material. | |
| Diabetes Mellitus: Foot Exam | Provider is the expert on physical exam of the diabetic foot. | Easy – Core to the podiatric profession. | |
| Percentage of patients 18–75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period. | Provider is involved either directly or peripherally with patient’s diabetic care and diabetic control may influence the treatment and recovery of certain foot and ankle diseases. | Harder – May require gathering test data from another provider. Consider using the MediTouch patient information document, HbA1c and Its Relationship to Foot and Ankle Disease as educational material. |
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Top 10 Podiatry EHR CQMs
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