EHR Patient Reports

Novo Nordisk is a registered trademark of Novo Nordisk A/S.

© 2017 Novo Nordisk All rights reserved. USA17DCP01577 May 2017

These reports enable the practice to analyze clinical data about their patients based on specific information, such as:

• Diagnosis

• Lab results

• Medications

• ADA standards of care

Reviewing patient reports can support your practice efforts by:

• Identifying patients not at goal

• Finding patients overdue for an office visit

Developing Registry Reports in the eClinicalWorks EHR (electronic health record) helps to facilitate and support a continuous quality improvement mindset.

Patient Report Examples• Patients who have not reached

their treatment goal based on a lab value (eg, recent HbA1c test)

- This report can be further stratified by patients who have been prescribed a particular medication, class of medication or multiple medications

ABOUT THIS GUIDE

This Guide provides a high-level overview of Registry Reports in eClinicalWorks and how they can be used to help identify appropriate candidates not at treat ment goal and gaps in care. The overview is meant to provide guidance for you, your practice EHR champion, or IT staff.

Experienced users are the main focus of this Guide; not every step is included in the instructions, and this is not a replacement for training from eClinicalWorks. There are several ways to approach each workflow in eClinicalWorks. This Guide highlights one workflow; however, you may be familiar with an alternative approach. Please note that this Guide was created based upon eClinicalWorks version 10. Screens and features may change as new software versions are released.

For additional questions about the eClinicalWorks EHR, the practice should contact their internal or EHR vendor support services.

EHR Patient Reports

Novo Nordisk is a registered trademark of Novo Nordisk A/S.

© 2017 Novo Nordisk All rights reserved. USA17DCP01577 May 2017

Criteria Example #1: Identify patients not at goal for HbA1c

The Registry Report in eClinicalWorks EHR can be used to identify appropriate candidates not at treatment goal and gaps in care.

The following demonstrates how to run reports based upon criteria in eClinicalWorks EHR.

To create a Registry Report, select Registry from the left navigation menu and then select the Large R for Registry

Navigate to the Labs / DI /Proc. tab

Click Sel to select the test from the list of available labs

In the pop-up window which appears, change the drop-down from "starts with" to "contains"

- Search for A1c

- Choose the A1c lab test code that your practice uses for ordering labs*

- Select OK to close the pop-up window

In the Attribute grid, set the Lower Limit to 9, leave Upper Limit blank

Check Ignore Fasting Conditions box

Set a Results Date Range

Click Run New

Imm / T. Inj

Registry

Patient Name DOB Sex Age

Demographics Vitals Labs / DI / Proc.

…

…

…

Date Range

Appt. Provider

Facility

mfmf

34Y59Y32Y59Y

Ren. Provider / PCG Visit

AdminPracticeRegistry

Run New

Encounters Structured Data

W

W

W

Patient Recall

Lookup Encounter

Registry

Registry Reports

R

R

Saved Reports Referrals

CPT

Imm / T. Inj Encounters Structured Data

Registry

Demographics Vitals Labs / DI / Proc. ICD

Labs Sel

…Result

Results Date Range

Actual Fasting

Number of tests > =

Query Attributes

Ordered Fasting

Ignore Fasting Conditions

Include tests without results

to

Save Queries Run Subset Run NewRun Subset (NOT)

Attribute Lower Limit Upper Limit

HbA1c 1/1/2017 3/31/2017

9Hgb A1C

Fasting

To export report, select Analyze (at bottom right). Select Copy. Then select Open Excel file. Close the blank pop-up box that appears and the Excel file will open

EHR Patient Reports

Novo Nordisk is a registered trademark of Novo Nordisk A/S.

© 2017 Novo Nordisk All rights reserved. USA17DCP01577 May 2017

*Factors That May Impact Registry Reports The number of patients appearing on a Registry Re port may be impacted by the clinical data available in the EHR. For example, if lab results are saved in the EHR as a PDF file and not available for use as ‘data’ to be queried. Query results are only based on the specific lab code that is selected. In those cases where there are several different A1c lab options or codes (eg, A1c, HbA1c, Hemoglobin A1c, Wellness A1c) or where lab re sults are received from multiple laboratories, it may be necessary to map each lab’s codes to Logical Observation Identifiers Names and Codes (LOINC) or select each lab's order codes individually to enable all appropriate patients to appear on the Registry Report. As a best practice, all Health Care Professionals (HCPs) should consistently use the same A1c lab code option so that the query results will encompass all patients within the practice that have an A1c >9%.

The selected time period evaluates all patients who had an HbA1c >9% in the data range, regardless of what the HbA1c value is on the date the report is run.

Follow steps in Query #1, to identify patients with HbA1c value > 9%

Select RX Tab

Click SEL and type name of medication in Find box. A list of the medication(s) will display. Select the medication name and dose for which you want to run a report

Click OK after you select the drug

Make sure the search is defaulted to CURRENT MEDICATION AS OF TODAY

Select RUN SUBSET. Or, select Run Subset (NOT) to identify patients with an A1c >9% and not on a specific medication

To export data, select ANALYZE, Copy, open Excel file, close blank pop-up window, and Excel file will open.

Criteria Example #1a: Further stratify by patients who have been prescribed a particular medication,

class of medication or multiple medications

Imm / T. Inj Encounters Structured Data Structured Reports

Demographics Vitals Labs / DI / Proc.

Registry

Drug Name Sel

Prescribed as of Date:

Current Medications as of today

to

Save Queries Run Subset Run NewRun Subset (NOT)

Select Rx

Type

Rx

Find

Real Time Search Show Discontinued Drugs

Selected Rx

Strength Formulation Take Route Duration Disp Refill AWP ($)

StrengthName Formulation Take Route Duration Disp Refill AWP ($)

Dosage Calculator

Remove

Add to CustomNew<< >> Add to… CancelOK

X

Rx