Joined in 2016 Previously IT Manager at RSNWO in Northwest Ohio AAS in Computer Programming A+ Certification in 2012 Microsoft Certified Professional

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3 Joined in 2016 Previously IT Manager at RSNWO in Northwest Ohio AAS in Computer Programming A+ Certification in 2012 Microsoft Certified Professional in SQL Server 2012/2014

4 Overview The material in this presentation comes directly from HRSA documentation and training material. This presentation will highlight the main topics of concern for UDS 2018 changes. We will discus how these changes may or may not affect your anticipated report numbers for the 2018 reporting year. Discussion of workflow as related to data collection. Available Assistance from HRSA can be found below:

5 Uniform Data System The 2018 UDS changes were: Approved on December 16, 2017 Published Program Assistance Letter (PAL) Link: Effective Dates: Changes are to be reported with the submission of the 2018 UDS report due on February 15, 2019 Changes in data to be collected were effective January 1, 2018 Train and educate staff about changes. Review workflow regarding data collection.

6 Clinical Measure Alignment HRSA will continue to align UDS CQMs with those used by the Centers for Medicare and Medicaid Services (CMS) UDS will also monitor 4 other clinical quality measures of interest that do not have corresponding CQMs (HIV Linkage to Care, Coronary Artery Disease: Lipid Therapy, Early Entry into Prenatal Care, Low Birth Weight) Some minor changes will continue to be made to tie measures to the Health Center Program's operations, goals, and objectives Most measure criteria will remain the same for 2018

7 Clinical Measure Alignment CQM The use of the May 2017 ecqms for eligible professionals is required for calendar year 2018 reporting. Note: Each year these measures are updated for the following year. Do not use the ones that come out in The specifications that come out in 2018 will be used for 2019 reporting The following CQMs do not have corresponding ecqms: Coronary Artery Disease (CAD): Lipid Therapy HIV Linkage to Care Early Entry to Prenatal Care Low Birth Weight Information taken from HRSA :

8 Major Changes for UDS 2018 Patients in hospice care are excluded from the denominator Childhood Immunization Cervical Cancer Screening Weight for Children and Adolescents IVD Colorectal Cancer Screening Hypertension Diabetes Hospice patient exclusion will rarely occur in health centers. Urgent care patients are not automatically excluded.

9 Weight for Children and Adolescents Universe Change Added: Encounter must take place on outpatient visit Exclusions Change Exclude patients in hospice care No Numerator Change

10 Adult BMI Screening and Follow-Up No Universe Change No Exclusion Change Numerator Change BMI and when counseling are appropriate, they must occur during the most recent visit OR during the previous 12 months Change from previous 6 months to 12 months

11 Colorectal Cancer Screening No Universe Change Exclusions Change Exclude patients in hospice care Numerator Change Fecal immunochemical test (FIT)-deoxyribonucleic acid (DNA) test during the measurement period or the prior two years (e.g. Cologuard) Computerized tomography (CT) colonography during the measurement period or the four years prior to the measurement period

12 Diabetes No Universe Change Exclusions Change Exclude patients in hospice care Numerator Change HbA1c <8% no longer needed for UDS reporting Only report patients with uncontrolled diabetes, HbA1c >9% or not test

13 Measures with No Change Early Entry to Prenatal Care Tobacco Use: Screening and Cessation Intervention Use of Appropriate Medications for Asthma Coronary Artery Disease (CAD): Lipid Therapy HIV Linkage to Care Screening for Depression and Follow-Up Plan Dental Sealants for Children between 6 9 Years Low Birth Weight

14 UDS and VisAnalytics VisAnalytics offers on-premises reporting solutions and dashboards Custom maintenance functionality for mapping UDS data points HCPC qualifiers Provider Assignments Procedure Assignments Observation Term Assignments

15 VisAnalytics Reporting Maintenance Qualifier Assignment Grants user ability to assign procedure codes to specific qualifiers. Easy to use button push assignment

16 VisAnalytics Reporting Maintenance Provider Assignment Grants user ability to assign providers to specific line items Easy to use provider search and line assignment Easily remove and update providers as needed

17 VisAnalytics Reporting Maintenance Observation Assignment Grants user ability to assign observation terms and values to UDS measures Easy to use measure and observation lookup, insert, and delete options

18 VisAnalytics Reporting Maintenance Procedure, Diagnosis, Immunization, and Medication Assignment Grants user ability to assign each item to their respective categories Easy to use look up for verification and audit

19 VisAnalytics UDS Dashboards Flexible platform accessed through a secure web portal Includes UDS Zip through table 7 Table 9d coming soon Offers many cross pivots of data to include Age Ethnicity Gender Veteran Status Race And more.. Dashboards offer robust and actionable visualizations, Offering complete control over your data

20 VisAnalytics UDS Dashboards UDS Table 3 Offers year over year comparisons Cross pivots allow users to dig deep into patient demographics.

21 VisAnalytics UDS Dashboards UDS Table 6a Go deeper into diagnosis and services rendered Cross pivot on demographic identifiers

22 VisAnalytics UDS Dashboards UDS Table 6b and 7 Deep comparison of measures with previous 2 years of data Cross pivot on demographic identifiers

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