Develop an Executive level report and presentation outlining how Meaningful Use requirements, related to the Stroke and VTE quality measure sets, have been met for this facility by August 2012. Obtain and review literature and information surrounding: Meaningful Use requirements for attestation related to the specific quality measures, and documentation requirements for Stroke and VTE measure set compliance. 1.2 Identify specific necessary documentation requirements for each measure within each measure set Search Cinahl, PubMed and other databases for research and information about Meaningful Use requirements. 1.1 b Search Quality Net for the Center for Medicare and Medicaid Services’ Specification Manual related to measure set compliance requirements 1.1 c Compile literature and other information sources’ reference list 1.1 d Obtain information related to the quality metrics from Spectrum Health’s lead for Meaningful Use 1.2 a List each measure within each measure set and outline required documentation for each Complete by June 5, 2012 1.1 b Complete by June 5, 2012 1.1 c Complete by June 5, 2012 1.1 d Complete by June 5, 2012 1.2 a Complete by June 15, 2012
1.3 the EHR system the facility will be adopting including how the EHR has been built to capture documentation surrounding the Stroke and VTE measure sets. 1.3 a Attend Cerner classes specific to nursing documentation 1.3 b Attend Cerner CPOE classes 1.3 c Review Cerner Lighthouse product related to quality metrics 1.3 d Meet with Spectrum Health’s Quality department’s Stroke and VTE measure abstractors to learn specific areas of Cerner where data points related to each measure is documented 1.3 e Review current Spectrum Health plans related to Stroke and VTE care 1.3 f Create outline of data points Cerner contains to capture documentation related to the measure sets 1.3 a Complete by June 29, 2012 1.3 b Complete by June 29, 2012 1.3 c Complete by June 29, 2012 1.3 d Complete by June 29, 2012 1.3 e Complete by July 6, 2012 1.3 f Complete by July 11, 2012
to the two quality measure sets. Prepare an evaluation tool 1.7 Present report to Executive team and ask for feedback 1.8 Review feedback 1.6 b Develop an evaluation tool 1.7 a Present PowerPoint to executive team and administer evaluation tool 1.8 a Review feedback with preceptor 1.8 b Provide any necessary additional information to executive team and preceptor 1.6 b Complete by July 27, 2012 1.7a July 30, 2012 1.8 a August 3, 2012 1.8 b August 3, 2012 APPENDIX B Preceptor and Agency Agreements
Objective Exceeded Objective Met Objective Not Met Objective 1.4 Perform a gap analysis for documentation needs that ensure measure set compliance and the ability to attest to the MU requirements. The student has compared the required documentation for each quality measure with the outline of the EHR’s data points related to documentation of the quality metrics for Meaningful Use and has effectively identified and outlined the gaps between the two. Preceptor Comments/Examples Objective Exceeded Objective Met Objective Not Met Student Comments/Examples Objective Exceeded Objective Met Objective Not Met Objective 1.5 As identified through the gap analysis, develop specific EHR data points that are still needed or need to be unique to this facility to meet requirements of MU and submit to facility’s Information Technology department. As identified through the gap analysis, suggestions of data points necessary for capture of accurate documentation have been submitted. Preceptor Comments/Examples