Disease Registry population tools
Basic Instructions: --- Instructions: 1) Run the three PSP Panel assessment tools before and after to document changes 2) Run the tools in the order 1-6, you can get a non physician to run 1-4, but the physician should do 5-6 3) Tool 4. takes about 30min to run and then when the results are available, the CPP box needs to be manually checked each time to confirm that the diagnosis is accurate. -------Details------- Update December 8th 2017 - I have posted these before but had to redo 5. (this compares billing diagnostic code with what is in the disease registry) I have also numbered the others as it makes it easier to refer to them by number. RBT 1-3 can be run by the MOA and entered automatically (should be run in that order). RBT 4 can be run by MOA but they need to check the CPP box manually each time to see what is actually written there (this one does free text string searching) RBT 5 and 6 should be run by the doctor as will need their review. RBT 1-4 added about 1700 disease registry codes for me RBT 5-6 – I have had to review about 300 results and will end up adding about 100 disease registry codes. I have included the word document where I outline the “master” list of diagnostic codes that I was working on Our MOAs took about 8-10 hrs to do RBT 1-4 so was quite time intensive (but there was funding through PSP to do this). 4. took the most time to do. I was able to find a few chronic diseases that would add billing and a few patients eligible for complex care. Overall I think it is going to be useful to now see my patients in “disease” panels. --------- November 5th 2017 - Here are the Disease Registry population tools Run in this order: 1) DisRegPanelbyMeasure 2) byLab 3)byMedication 4)SLOW...byCPP BEWARE this is a big free text search that on my server takes 20-30 min so on a slower server may take a few hours. Only do it when no one is working 5)byBilling 6)Doctor Our plan is to have the MOA run and do the first 4 With the CPP search they will need to open every file, go to the CPP and read that it has found the correct diagnosis For example the search text 'CHF' will find 'Watchful waiting' for my prostate Ca patient! If the diagnosis was deleted, unfortunately it will still show up in this search (so if the MOA can't see it in the box then they will not add the code to the DR) Hopefully after the above is completed, search 5 will be smaller This will then be presented to the doctor and they will say yes or no (we often bill with sloppy codes!) Finally search 6 needs to be reviewed by the doctor as there are alternate diagnoses possible. My hope is once 1-4 have been run and the disease registries are populated, that there will be minimal work left in 5-6 I would be happy to get feedback, otherwise I will let you know how the process works out in our clinic If you are going to use these, run the PSP panel tool for disease registry first and then run it again at the end (I sent it in the previous email) I am estimating that this will add about 1000 entries to my disease registry! Just a note: In medications if the patient is on SSRI it will suggest 311 depression for the disease registry. This is not 100% (it could be anxiety or OCD etc) If you run the byMeasures first, then the patient should be coded according to PHQ/GAD scores and if they are 3000 then the depression prompt will not be provided. There are going to be a few errors made but I think this is going to provide the least work for the doctor. I have added the OverCoding report...I am still not sure if I will be using it so have not done much work on it so it is not complete but will provide a skeleton on which to build. Finally for the GM users there is a GM script that provides a dropdown list in the Caseload view so that you can easily see these sets of patients. You will need to customize 1) The roster that you are using (ours is EMR) 2) The doctor names if you want this functionality The script you need to change is somewhere in the middle - the function() scripts David