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guideline is created for a patient, any subsequent ED visits are not counted in the denominator. Each hospitals Care
Guideline numerator and denominator is created in EDIE, as is a list of patients who do not have care guidelines and
have five or more visits. As hospitals write care guidelines for these patients, they are removed from the list of those
needing a care guideline (and the hospitals numerator increases). Each individual hospital is therefore able to check its
status toward meeting the incentive metric. Examples of how individual scenarios are counted are included in the
Measure Specification sheet on the OHA HTPP website.
Care Guidelines can be viewed within the EDIE web portal and are shown on printed and faxed EDIE Notifications. EDIE
has a Care Guideline template that hospitals can utilize. If a hospital is sending their guidelines directly to EDIE, they can
review their submitted guidelines in their "Patients with Guidelines" EDIE Group under the Referrals & Groups tab, as
below:
See Appendix A for an example of what the Care Guidelines in EDIE look like.
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Historical data (both encounters and outreach notifications to primary care providers); and,
Data on ongoing outreach to primary care (covering the performance year of HTPP).
For the historical data, all hospitals must contact CMT to submit the following information: 1) Historical encounter
data from October 1, 2012 onward; and 2) Historical outreach data from October 1, 2012 onward. The flat file format
hospitals should use in submitting these data is outlined in Appendix B.
In addition, CMT needs to be able to track ongoing outreach to primary care providers (for the performance year of
HTPP). Therefore, hospitals need to submit ongoing data about outreach to primary care. There are three ways
hospitals can submit these data 1:
1. If you are sending your own customized letters to a patients care provider within the EDIE system no further
action is needed (CMT will automatically receive this information for your hospital).
2. If you are using the auto notified feature after manually selecting this element for a patient within the EDIE
system, then EDIE will automatically notify the care provider each time the patient presents to the ED no
further action is needed (CMT will automatically receive this information for your hospital).
3. However, if you are corresponding with primary care via an electronic health system outside EDIE, you can
provide this information in two ways:
a. Manually document this correspondence to the primary care provider in the Patient Correspondence
section of EDIE - no further action needed (CMT will automatically receive this information for your
hospital).
b. If you do not want to manually document this information in EDIE, the hospital must work with CMT so
that the data can be sent automatically to CMT, and CMT can send OAHHS the appropriate reports and
populate the Patient Correspondence section on your behalf.
The contact person at CMT to create these data feeds both historical and ongoing outreach data is:
Ryan Grimmett
Client Relations Manager
385-351-1683
ryan.grimmett@collectivemedicaltech.com
The Oregon Association of Hospitals and Health Systems (OAHHS) must have the HTPP baseline year EDIE data
populated by January 23, 2015. OAHHS needs time to check and tabulate these data before it makes the official
submission to OHA on behalf of hospitals. The official submission must be made to OHA by February 28, 2015 to meet
requirements with CMS.
Hospitals will still need to fill out the work plan page on the OAHHS reporting platform. This lets OAHHS know whether
to expect a full- or partial-year of data for the baseline period, or if the hospital will need to use data from the
performance period for baseline calculations. However, no monthly data entry is needed once hospitals have taken the
steps above to ensure that CMT has both the historical data and the ongoing outreach data; OAHHS will get the monthly
data directly from CMT.
th
Details on these steps, including screen shots from EDIE, are included in the slides from the November 18 webinar, available on
the OHA HTPP webpage: http://www.oregon.gov/oha/Pages/Hospital-Baseline-Data.aspx
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Once the initial data feed with CMT is set up as described above, hospitals need only continue entering data directly into
the EDIE system. CMT will provide monthly reports to OAHHS. OAHHS will then input these data into its reporting
platform each month so that hospitals can assess progress. OAHHS will compile both baseline and performance year
data directly from CMT and submit this information to OHA on behalf of all DRG hospitals in Oregon.
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Address
Phone
Other limited data in some cases
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