Understanding and Using the Eyefinity EHR MIPS Dashboardeac9face-2d3e-42e5-bbfc... · 3. Select the Certification Edition. 4. Swipe up or scroll down until you see the report table

Understanding and Using the Eyefinity EHR MIPS Dashboard 1®

Understanding and Using the Eyefinity EHR MIPS Dashboard

In this document:• Navigating the MIPS Dashboard, 2

• Opening the MIPS Dashboard, 2

• Reviewing Quality, 3

• Reviewing Promoting Interoperability, 9

• Selecting Clinical Practice Improvement Activities, 14

For information on submitting your MIPS data to CMS from the MIPS dashboard, go to the “Reporting MIPS Performance with the Eyefinity EHR Registry” document.

While MIPS (the Merit Based Incentive Program) streamlined Medicare incentive programs by gathering them under one program, MIPS also complicated scoring and performance.

The Eyefinity EHR MIPS dashboard takes the complexity and guesswork out of tracking your performance by giving you a visual scorecard that you can reference regularly. Eyefinity recommends reviewing the MIPS dashboard weekly to track your progress throughout your performance period.

This document explains how to navigate around the dashboard, how to make important selections that impact your MIPS score, and how to drill down into the different categories for additional information.

NOTES • The calculations presented in this report are intended to help you track your MIPS performance. While the numbers reported represent a close approximation, they may not match your IRIS or CMS calculations exactly.

• Only finalized exams count toward your MIPS score. Regularly finalize your exams to ensure your performance data is as current and accurate as possible.

• The cost category is determined by CMS based on claims.

http://www.eyefinity.com/dam/eyefinity/documentation/ehr/MIPS/EEHR-MIPS-Registry.pdf



2 Understanding and Using the Eyefinity EHR MIPS Dashboard

Understanding and Using the Eyefinity EHR MIPS DashboardNavigating the MIPS Dashboard

Navigating the MIPS Dashboard

The MIPS dashboard gives you a quick snapshot of your MIPS performance. If you need more specific information, you can tap through each of the categories to review details and select various reporting options. If you need still more information, you can even review which exams counted toward each measure.

Opening the MIPS Dash-board

You can access the MIPS dashboard through the iPad app and through the web.

To open the MIPS dashboard in the iPad app, navigate to the home screen, tap the Compliance action bar icon, and select MIPS.

To open the MIPS dashboard on the web, navigate to the home page and click the MIPS action bar icon.

Categories. The category tiles show you how well you’re performing in individual MIPS categories. Tap each tile for details.

Score. The Overall Score represents your estimated MIPS score based on the sum and weights of the individual categories.

Reporting Year. Select the performance year you wish to report.

Understanding and Using the Eyefinity EHR MIPS Dashboard 3

Understanding and Using the Eyefinity EHR MIPS DashboardReviewing Quality

Reviewing Quality

This section describes how to review quality details, select measures, and reconcile exams.

• Opening and Navigating Quality Details, 3

• Selecting Quality Measures, 5

• Reviewing Quality Measures, 6

• Mediating Quality Measures, 7

Opening and Navigating Quality Details

Eyefinity EHR gives you the flexibility to report a wide variety of quality measures. Despite this variety, only six are required. Eyefinity EHR will determine your top six from the measures you choose to display.

To open the Quality Detail report, tap the Quality tile on the MIPS dashboard.

NOTES • For information about quality scoring and benchmarking, go to http://www.eyefinity.com/eehr-quality-benchmarking.

• For information about individual quality measures, go to the MIPS Resource Center.

http://www.eyefinity.com/eehr-quality-benchmarking

http://www.eyefinity.com/resource-center/MIPS/EEHR-MIPS-resources.html




The Quality Detail report screen opens.This page explains how your estimated score is calculated and lists the measures that factored into your score.

EHR. This score reflects any bonus points you will earn for registry or EHR reporting.

Included in Measure Points. Green check marks indicate the six highest performing measures that compose your score.

Measure Points. This score reflects the number of points earned based on your six highest performing measures.

Measure Bonus. This score reflects any bonus points earned for additional priority or outcome measures (min. 20 exams).

Total. This score reflects your estimated score in the quality category (max. 60 points).



Selecting Quality Measures1. Open the Quality Detail report.

2. Tap Click Here to Select Measures.

3. Select the check boxes for six to twelve measures you’re likely to report.

4. Tap Save Selections to confirm your measures and return to the Quality Detail report.

NOTES • Only measures for which you have at least one exam that meets the denominator criteria are displayed and available to select.

• Select only six to twelve measures that you intend to report. Selecting more measures may significantly increase the time required to generate your report.



Reviewing Quality Measures1. Open the Quality Detail report.

2. Swipe up or scroll down until you see the report table.

The report lists the six measures that are counted toward your measure points first. The measures listed after the first six do not factor into your quality score.

NOTE For information about how individual measures are scored, go to http://www.eyefinity.com/eehr-quality-benchmarking.

Column Description

Measure Type Outcome or process. At least one measure must be an outcome measure. Bonus point are available for additional outcomes.

High Priority If no outcome measures are available, at least one measure must be high priority. Bonus points are available for additional priority measures.

Met Number of exams that count toward your score.

Not Met Number of exams that count against your score.

Exclusions Number of exams that are excluded and neither count toward nor against your score.

Points Performance is measured against benchmarks and assigned points. Each measure carries a maximum of 10 points.

http://www.eyefinity.com/eehr-quality-benchmarking



Mediating Quality Measures1. Log in to Eyefinity EHR on the web and open the MIPS dashboard. To learn

how to open the MIPS dashboard on the web, go to “Opening the MIPS Dashboard” on page 2.

2. Open the Quality Detail report.

3. Review the statistics reported for each measure.

4. If a measure is not performing as well as you expected, click the measure Title to see a list of exams included in the measure calculations.

Included in Measure Points

The six highest performing measures, indicated by a green check mark, are included in your score.

Column Description



5. Correct any unfavorable exams as needed:

a. Review the exam.

b. On the Quality Details page, select an option from the Override drop-down when it is appropriate to do so.

6. Click Regenerate Report to refresh the calculations.

7. Click the Quality Detail breadcrumb to return to the Quality report.

NOTE To review the exam without navigating away from the Quality Detail page, choose one of the following options:

• Review the exam in the iPad app while the Quality Detail page is open in your web browser; or

• Open a new tab in your web browser, point your browser to Eyefinity EHR on the web, and review the exam in the second tab.

NOTE Overriding quality measures will not improve claims-based reporting. Quality codes are sent to the practice management system only when charges are sent.


Understanding and Using the Eyefinity EHR MIPS DashboardReviewing Promoting Interoperability

Reviewing Promoting Interopera-bility

This section describes how to review promoting interoperability (PI) details and select options.

• Opening and Navigating Promoting Interoperability Details, 9

• Reviewing Promoting Interoperability Measures, 10

• Marking Measures Complete, 11

• Reviewing Patient Lists, 12

Opening and Navigating Promoting Interoperability Details

The Promoting Interoperability Detail report enables you to track your progress and indicate the completion of activities that impact your score.

To open the Promoting Interoperability Detail report, tap the Promoting Interoperability tile on the MIPS dashboard.

NOTE For information about individual PI measures, go to the MIPS Resource Center.





The Promoting Interoperability Detail report screen opens.This page explains how your estimated score is calculated and lists the measures that factored into your score.

Reviewing Promoting Interoperability Measures1. Open the Promoting Interoperability Detail report.

2. Select the Start Date and End Date for your PI performance period. In 2018, this must be 90 or more days.

3. Select the Certification Edition.


The report lists all available PI measures. Each of the required measures must be completed. If any of the required measures are incomplete, the PI

NOTE Most clinicians will choose the 2014 Edition criteria. The 2015 Edition criteria earns a MIPS bonus, but has a higher threshold for completion.

Performance and Bonus Scores. These scores represent your performance in optional PI measures.

Composite Score. This score reflects your estimated performance in the PI category.

Base Score. This score reflects the number of points earned based on the required measures. If any of the required measures are incomplete the PI category receives a zero score.



category receives a zero score. In the screenshot shown below, the PI category score is zero because the ePrescribing measure is not met.

Marking Measures Complete

Most measures are calculated automatically based on your use of Eyefinity EHR; however, some measures require activity outside of the software and require you to manually indicate their completion on the Promoting Interoperability Detail.

1. Open the Promoting Interoperability Detail report.


3. Next to Protect Patient Health Information, select the Yes radio button to indicate that you have completed a comprehensive security risk analysis within the performance calendar year.

4. If applicable, select the Yes radio button to indicate that you have actively engaged with an immunization registry during your performance period.

NOTE For information about how to complete individual measures, go to the MIPS Resource Center.

http://www.eyefinity.com/resource-center/MIPS/MIPS-Overview.html



5. If you qualify for any exclusions, select the Yes radio button to claim the exclusion.

6. Tap Update Score to refresh the calculations.

Reviewing Patient Lists

With Eyefinity EHR, you can see which patients count toward or against individual PI measures. This information can help you identify areas for improvement in your PI performance.

1. Open the Promoting Interoperability Detail report.




3. Tap a measure Name to see a list of patients included in the measure calculations.

The report displays the list of patients seen during the performance period and indicates whether the patient counts toward the measure. This list is informational only.

4. Tap the Promoting Interoperability Detail breadcrumb to return to the measure report.


Understanding and Using the Eyefinity EHR MIPS DashboardSelecting Clinical Practice Improvement Activities

Selecting Clinical Prac-tice Improve-ment Activities

This section describes how to review and select clinical practice improvement activities.

• Opening and Navigating Improvement Activities Details, 14

• Marking Activities Complete, 15

Opening and Navigating Improvement Activities Details

The Improvement Activities Details report enables you to select the activities in which you were engaged for at least 90 days during your performance period.

To open the Promoting Interoperability Detail report, tap the Improvement Activities tile on the MIPS dashboard.

NOTE For information about the improvement activities category, go to the MIPS Resource Center.




The Improvement Activities report screen opens.This page explains how your estimated score is calculated and enables you to select the measures that you wish to report.

Marking Activities Complete

While the other MIPS categories are automatically calculated based on your use of Eyefinity EHR, the improvement activities category requires you to indicate activities that you performed outside of the software.

1. Open the Improvement Activities Detail report.

2. Select your Practice Size.

Select Small if your practice has 15 or fewer eligible clinicians or is located in a rural area.

Select Large if your practice has more than 15 eligible clinicians.


4. Locate improvement activities in which you were engaged for 90 days or more during your performance period. You may need to advance to the next pages of activities by tapping the page navigation at the bottom of the list.

NOTE For information about selecting appropriate improvement activities, go to the MIPS Resource Center.

Medium and High Weight Scores. These scores represent your performance based on the activities selected.

Improvement Activities Score. This score reflects your performance in the Improvement Activities category.

Check Boxes. Select the check boxes that correspond to the improvement activities in which you engaged for at least 90 days during your performance period.




5. Select the check boxes that correspond to the activities you wish to report.

6. Tap Save Selections and review your score.

7. Tap the MIPS Report breadcrumb to return to the MIPS Dashboard.

NOTE Select only those activities for which you can document engagement during the reporting period.

Documents

Understanding and Using the Eyefinity EHR MIPS Dashboardeac9face-2d3e-42e5-bbfc... · 3. Select the Certification Edition. 4. Swipe up or scroll down until you see the report table