Difference between revisions of "CDR User Manual"
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::::*Record smoking status for patients 13 years old or older. ( AMC:170.302(g) ) | ::::*Record smoking status for patients 13 years old or older. ( AMC:170.302(g) ) | ||
::::*Record demographics. ( AMC:170.304(c) ) | ::::*Record demographics. ( AMC:170.304(c) ) | ||
::::*Send reminders to patients per patient preference for preventive/follow up care. ( AMC:170.304(d) ) |
Revision as of 22:30, 24 May 2011
This is essentially an engine that allows incorporation of rule sets to check/monitor/report clinical information (such as vitals, history information, medications, procedures, labs, etc.) in real time. It has been built in a fashion to be very flexible and support internationalization.
- 1) Clinical Decision Support ('Clinical Reminders') widget can be found in the top right of the patient summary screen.
- Shows if an action is due soon, due now, or over due.
- Some actions offer a link (this then shows a screen where results can be stored). Note these are to store action results that are not found elsewhere in the OpenEMR database.
- 'Edit' button opens a screen:
- 'Main' tab shows all pertinent actions (whether completed or due).
- 'Plans' tab shows all pertinent actions (whether completed or due) organized by plan.
- 'Admin' tab allows per patient customization of the plans and rules.
- 2) The patient reminder ('Patient Reminders') widget can be found in bottom left (above vitals widget) of the patient summary screen.
- Shows if a reminder action is due soon, due now, or over due; and shows if a reminder has been sent.
- 'Edit' button opens a screen:
- 'Main' tab provides more details on when reminder was created and sent (and which medium it was sent).
- 'Admin' tab allows per patient customization of the rules.
- 3) The reporting for the clinical rules module can be found at Reports->Clinic->Quality Measures.
- Lots of options for reporting clinic-wide rules results.
- Also place for creating the CQM and AMC results (note the AMC and CQM rules are still under development)
- Can also produce PQRI (this is a way to show CQM results) formatted results.
- 4) Patient Reminder Admin page can be found at Administration->Patient Reminders.
- Shows the active reminders.
- The batch to send the reminders to patients can be run from this script by clicking the Send Reminder Batch button(only works for email so far).
- 5) Rule alert settings Admin page can be found at Administration->Alerts.
- Allows quick toggling of active/passive alerts and patient reminders for each rule.
- 6) The Clinical Decision Rules (CDR) editor GUI can be found at Administration->Rules.
- Full support to add and modify rules.
- 7) The clinical reminder and patient reminder feature(s) can be toggled off/on in the Administration->Globals->CDR section.
- 8) Currently supported Standard Rules/Plan sets on installation (note these can be fully modified and new ones can be added at Adminstration->Rules):
- Plans
- Preventative Care
- Diabetes
- Rules
- Hypertension: Blood Pressure Measurement
- Every year
- clinical reminder
- Tobacco Use Assessment
- clinical reminder
- Tobacco Cessation Intervention
- Every year
- clinical reminder
- Adult Weight Screening and Follow-Up
- Age < 18
- clinical reminder
- Weight Assessment and Counseling for Children and Adolescents
- clinical reminder
- Influenza Immunization for Patients >= 50 Years Old
- Age > 50
- Yearly during flu season
- clinical reminder
- Pneumonia Vaccination Status for Older Adults
- Age > 65
- clinical reminder
- Diabetes: Hemoglobin A1C
- Every 3 months
- clinical reminder
- Diabetes: Urine Microalbumin
- Every year
- clinical reminder
- Diabetes: Eye Exam
- Every year
- clinical reminder
- Diabetes: Foot Exam
- Every year
- clinical reminder
- Cancer Screening: Mammogram
- Age > 40
- Every year
- clinical reminder
- Cancer Screening: Pap Smear
- Age > 18
- Every year
- clinical reminder
- Cancer Screening: Colon Cancer Screening
- Age > 50
- clinical reminder
- Cancer Screening: Prostate Cancer Screening
- Age > 50
- clinical reminder
- Coumadin Management - INR Monitoring
- If on coumadin/warfarin
- Every 3 weeks
- clinical reminder
- 9) Currently supported AMC/CQM Rules/Plan sets on installation:
- Plans
- PQRI Measure Groups (under development)
- Rules
- Clinical Quality Measures(CQM) (under development)
- Adult Weight Screening and Follow-Up (CQM) ( PQRI:128 NQF:0421 )
- Childhood immunization Status (CQM) ( NQF:0038 )
- Diabetes: HbA1c Poor Control (CQM) ( PQRI:1 NQF:0059 )
- Diabetes: LDL Management & Control (CQM) ( PQRI:2 NQF:0064 )
- Hypertension: Blood Pressure Measurement (CQM) ( NQF:0013 )
- Influenza Immunization for Patients >= 50 Years Old (CQM) ( PQRI:110 NQF:0041 )
- Pneumonia Vaccination Status for Older Adults (CQM) ( PQRI:111 NQF:0043 )
- Tobacco Use Assessment (CQM) ( NQF:0028a )
- Weight Assessment and Counseling for Children and Adolescents (CQM) ( NQF:0024 )
- Automated Measure Calculations(AMC) (under development)
- Maintain an up-to-date problem list of current and active diagnoses. ( AMC:170.302(c) )
- Maintain active medication list. ( AMC:170.302(d) )
- Maintain active medication allergy list. ( AMC:170.302(e) )
- Record and chart changes in vital signs. ( AMC:170.302(f) )
- Record smoking status for patients 13 years old or older. ( AMC:170.302(g) )
- Record demographics. ( AMC:170.304(c) )
- Send reminders to patients per patient preference for preventive/follow up care. ( AMC:170.304(d) )