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Health Maintenance

Last Updated: Mar 28, 2018 01:22PM PDT

What is Health Maintenance?

In Elation, Health Maintenance serves as a central location for tracking and documenting current and outstanding health measures, such as exams and screenings. These measures are calculated in realtime, and will refresh automatically when relevant data is added to the patient's chart. Each item is tied to a Clinical Quality Measure, and can be tracked and reported on using Elation’s Reports Dashboard.

Health Maintenance measures are based on Medicare and the National Quality Forum's eCQMs, which are used for reporting programs such as MIPS and MACRA. You can learn more about these measures here. The measures are all based on nationally-recognized clinical guidelines.

Health Maintenance currently features five commonly tracked items:
  • Breast Cancer Screening
  • Colorectal Cancer Screening
  • Cervical Cancer Screening
  • Diabetes Eye Exam
  • Advanced Care Plan

Why use Health Maintenance?

Health Maintenance can help you make sure your patients receive the right care on time. Stay on top of needed screenings and plan ahead for future visits. You can also use Health Maintenance to add historical or patient-reported data to the patient record, and make sure that it gets credit for quality programs such as MIPS or CPC+.

Using Health Maintenance at the Point of Care:

One important note to remember when using Health Maintenance is that the eCQM definitions apply to active patients. In order to be considered eligible for a Health Maintenance item, the patient must be active-- in Elation, you can indicate this with a visit note dated in the current year.

1/ When preparing or during the patient visit, make sure there is a visit note for the current year-- either a signed or unsigned one will count. Once that has been created, you can glance at the Health Maintenance section to determine if any maintenance items are due for the patient.

2/ Only eligible items will appear, based on the patient’s diagnoses, as listed in the problem list in the clinical profile, as well as the age and sex recorded in their demographics.

3/ If an item has already been met for the patient, based on records in the chart, it will indicate in gray that the measure has been satisfied for the calendar year. We search the entire patient chart for codes such as HCPCS, LOINC, SNOMED, or ICD-10 that are recorded via lab results, bills, problem list diagnoses, and document tags on reports and visit notes.
If no record is present, or if the patient is due for the item, the due date will appear in orange alongside the measure.
Elation calculates these due dates based on standard timelines for each item, calculated from the item's last documented date, using the CMS NQF/eCQM definitions here for timelines.

4/ To record a new item, click on the name of the item you wish to create. Make sure to select "Add New Item", and then record relevant details.. Some measures require a choice of the type of screening.

You can also link an existing report by selecting "Link a report to this item". This opens up a Report Chooser, to select the appropriate report.

5/ To review the results of an already satisfied item, click on the item to view details such as where data came from. You can edit items that you have created.

User created item:

Automatically created item:

6/ Click on the Description section to learn more about the health maintenance item. Here you can see what patients are included in the measure, as well as clinical evidence and recommendations.


To see a report and patient list

1/ Log into your Elation Account, and select “Reports” from the top of the Elation Home page.
2/ Select “Clinical Quality Measures” from the Reports dropdown menu.

3/ Set the parameters on which you want to report. You can edit the provider, measure set, date ranges, and reporting year. Once ready, click Update Report.

This will provide you with a performance score for each health maintenance measure, as seen below:
seconds ago
a minute ago
minutes ago
an hour ago
hours ago
a day ago
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