vitera intergy chc annual reports

Vitera Intergy CHC Annual Reports

Wednesday, January 8, 2014

Presenters

• Tim Mullen, Director of Product Management

• Leslie Marshall, Senior Business Consultant

UDS Updates for 2013 & Proposed Updates for 2014

• Gabriel Lopez, Product Analyst

Ryan White Updates for 2013 & Proposed Updates for 2014

• Shannon Feighny, Senior Business Analyst

Intergy and Practice Analytics Updates

Welcome

• Welcome to the Intergy CHC Annual Reports Webinar

• You may submit questions during the webinar via the general chat

feature at the right of your screen

• Additional questions can be submitted to [email protected]

until Friday January 10, 2014

• FAQ document will be available after the webinar on the Support Center

addressing the submitted questions

• The Slide presentation and a recording of today’s session will be

available shortly after the webinar on the Support Center

mailto:[email protected]

Agenda

• Intergy Version Requirements and Availability

• UDS Changes for Reporting Year 2013

• Intergy and Practice Analytics Changes for Reporting Year 2013

• Summary of Proposed UDS Changes for Reporting Year 2014

• Summary of Ryan White Changes for Reporting Year 2013

• Summary of Proposed Ryan White Changes for Reporting Year 2014

• Additional Resources

Version Requirements

• Intergy and Practice Analytics UDS updates will be available shortly, the following versions will contain the updates:

Intergy

▪ Version 8.10.00.15 or higher (Target release date 1/17/14)


Practice Analytics



• Customers on v8.10 and v9.00 will receive their software updates via auto

delivery

• Customers on v8.00 should request their upgrade to v9.0 by visiting the Vitera Support Center at www.viterahealthcare.com

http://www.viterahealthcare.com/

NACHC Intergy User Group

• NACHC Vitera User Group on Linkedin.com

• Group objectives: Focused on Community Health Centers providing

user interaction, idea exchange, and improved product utilization

• Monthly meeting: Fourth Thursday of the month 1-2 pm ET

• 224 members and growing

• Group contact:

Melissa Mitchell

Director of Systems Operations for HealthLinc, Inc.

[email protected]

mailto:[email protected]

UDS Changes for Reporting Year 2013Leslie Marshall

UDS Changes for 2013

• Clinical Performance Measure

Table 6B – Childhood Immunizations

Table 6B – Cervical Cancer Screening

• Other Measures

Patient Zip Codes

Table 4 – Principal Third Party Medical Insurance Source

Clinical Performance Measures

• Table 6B - Childhood Immunizations

– The age for immunization completion has been changed from

“on or before age 2” to “on or before age 3” (date of birth

between January 1, 2010 – December 31, 2010 for the 2013

period)

▪ Has had first visit prior to their 3rd birthday

▪ CDC/AAP still recommends immunization by age 2

▪ Changed to align with the Healthy People 2020 goals


• Table 6B - Childhood Immunizations

– Removing Hepatitis A, Rotavirus and Influenza immunization

categories from the immunization test battery

– 2013 Immunizations:

▪ 4 DTP/DTaP

▪ 3 IPV

▪ 1 MMR

▪ 2 Hib

▪ 3 HepB

▪ 1 VZV (Varicella)

▪ 4 Pneumoccocal conjugate


• Table 6B - Cervical Cancer Screening

Compliancy updated to include women age 30 or older at the

time of their visit who received a Pap test accompanied with an

HPV test during the current reporting period or the prior 4 years

▪ Also included: Women 24 – 64 who have had a Pap test

during the current reporting period or prior 2 years

Aligns with the 2012 recommendations for the U.S. Preventive

Services Task Force

Other Measures

• Patient Zip Codes

– Broken out by Insurance Source instead of just patient count and zip

code

▪ Insurance Sources:

• None/Uninsured

• Medicaid/CHIP/Other Public

• Medicare

• Private Insurance

Other Measures

• Table 4 - Principal Third Party Medical Insurance Source

– Updated Age Categories:

▪ Changed to 0 – 17 and 18 and Older

▪ Currently 0 – 19 and 20 and older

Will match the census categories

Intergy and Practice Analytics

Changes for Reporting Year 2013 Shannon Feighny

Intergy and Practice Analytics Overview

• 2013 Software Changes

– Childhood Immunization Clinical Measure Changes

– Cervical Cancer Screening Clinical Measure Changes

– Patient Zip Codes by Insurance Source

– Revised Age Break to Summarize Insurance Source Data

– Practice Analytics UDS Dashboard Updates

Childhood Immunization Clinical Measure Changes

• Changes to Table 6B

The Hepatitis A, Rotavirus, and Influenza immunizations have been

removed from the immunizations required for a child to be counted

as fully immunized

A child is considered as fully immunized if the child has been

vaccinated or there is documented evidence of contraindication for

the vaccine or a history of illness

A child is considered fully immunized prior to or on the third birthday

Childhood Immunization Clinical Measure Changes

• In the following example, the UDS Report Table 6B - Quality of Care

Indicators Section C - Childhood Immunization is displayed

Cervical Cancer Screening Clinical Measure Changes

• The UDS Report Table 6B Pap Tests section reporting has now

been updated to include female patients age 30 to 64 years who

have a 5 year interval for Pap tests when accompanied by an HPV

test on the same lab order.

• The measure counts the female patients based on both of the

following criteria:

Women age 24 to 64 years with a 3 year interval between Pap

tests

Women age 30 to 64 years with 5 year interval between Pap

tests accompanied by an HPV test on the same lab order

Cervical Cancer Screening Clinical Measure Changes

• Patients are now included for an HPV test based on lab results that

correspond to specific LOINC codes for HPV tests.

• The following LOINC codes indicate HPV tests:

69358-0

71432-9

59263-4

14503-7

59420-0

69002-4

30167-1

21440-3

59264-2

71431-1

38372-9

21441-1

42481-2

14499-8

44550-2

42770-8

11083-3

Cervical Cancer Screening and LOINC Codes

• LOINC Codes help identify laboratory and clinical observations

In iEHR map the LOINC codes as they point to the new HPV Clinical

Measurement

Clinical>Labs>Information>utilities>LOINC X-Ref

If you need additional help mapping LOINC codes please call Vitera

Support

Use Audit Reports in Intergy if your practice does not utilize iEHR

Patient Zip Codes by Insurance Source

• The UDS Report Patients by Zip Code section has been updated to

report counts of patient zip codes in categories of insurance sources,

such as Medicare to comply with the HRSA 2013 reporting requirements

• The number of patients by Zip code is counted for each of the following

insurance sources:

– None/Uninsured (Column b)

– Medicaid/CHIP/Other Public (Column c)

– Medicare

– Private Insurance

• The UDS Zip Code Analysis Report output in the Intergy system have

been updated for the reporting changes


• The following example shows the UDS Report Patients by Zip Code

section


• The following example shows the UDS Zip Code Analysis Report

Revised Age Break to Summarize Insurance Source Data

• UDS Report Table 4 - Selected Patient Characteristics

• Updates include changes to age categories that comply with HRSA

reporting requirements for 2013

• The patient age ranges for Table 4 count includes patients from age 0-

17 for Column(a) and patients age 18 and older for Column(b)


• In the UDS Table 4 - 3rd Party Ins Source Analysis Report window, the Age Group radio buttons have been changed from “All, 0-19, and 20 and Older” to “All, 0-17, and 18 and Older”


• The UDS Table 4 - 3rd Party Ins Source Analysis Report output in the

Intergy system has been updated for the reporting changes. In the

following example, the 18 and Older age group is reported


• The UDS Report Table 4 - Selected Patient Characteristics section

output in the Intergy system has been updated for the reporting changes

Practice Analytics UDS Dashboard Updates

• Practice Analytics includes an updated dashboard that displays

reporting updates for HPV

Summary of UDS Proposed

Changes for Reporting Year 2014Leslie Marshall

Summary of UDS Proposed Changes for 2014

• Clinical Performance Measures

– Table 6B - Quality of Care Measures

▪ Combine Tobacco Screening and Cessation Intervention into

a single measure

• Aligns with the NQF measure and MU

– New Measure: New HIV Cases with Timely Follow Up

▪ Patients whose first ever HIV diagnosis was made by health

center staff between Oct 1, 2013 and Sept 30, 2014 and who

were seen for a follow up within 90 days of that first ever

diagnosis



– New Measure: Behavioral Health Measure for Clinical Depression

Screening and Follow Up

▪ Patients ages 12 and over who were

• Screened for depression with a standardized tool AND

• Had a follow up plan documented if patients were considered

depressed

▪ Aligns with NQF and MU – importance of behavioral health

quality measurement



Table 7 - Health Outcomes and Disparities Measures

▪ Revising the Diabetes Control measure to no longer require

reporting HbA1c levels that are less than 7

• Categories: less than 8%, 8% through 9%, and greater than

9%

▪ Aligns with NQF and MU which reduces health center reporting

burdens


• Other Measures:

– Table 4: Characteristics Special Populations

▪ Line 26 will be added to report the number of public housing

patient

– Table 6A: Selected Diagnoses and Services Rendered

▪ Line 1-2(a) will be added to report the number of patients with a

first time diagnosis of HIV being reported


• Other Measures:

– Table 6B and Table 7 Prenatal and Perinatal Services – Changes

▪ All Health Centers will report the services and outcomes for ALL

pregnant medical patients who were either provided prenatal

services (some or all) OR received no prenatal services but were

referred for prenatal care and delivery

▪ The program expectation is that the patients will be tracked in

order to assure continuity of care – especially if they are referred

out for these services

Summary of Ryan White

Changes for Reporting Year 2013Gabriel Lopez

Summary of Ryan White Changes

• RSR Instruction Manual Guideline changes

– Updated on July 15, 2013

– Located in the What’s New section of the RSR Instruction

Manual (page 2)

• Program Reporting Requirement changes

– No reporting requirement changes for 2013

• RSR Data Changes

– No data changes for 2013 reporting


• RSR Instruction Manual Guideline changes:

Page 9: Expanded the designation of who may recommend medical nutrition therapy from ‘physician’ to health care professional.

Page 26 and 40: Added guidance that HAB expects all service providers to complete their own RSR Provider reports and upload client-level data. Grantees may only submit data for providers who are exempt from reporting.

Page 53 and 54: Clarified the reporting guidance related to high-risk insurance pool clients. If RWHAP funds are used to pay the client’s insurance premium, report the client in the “No insurance” category.

Page 54: Clarified when to report a client in the “No Insurance” category.



Page 54: Clarified the guidance on when to report a service visit

as a RWHAP-funded service visit.

Page 56 and 57: Updated the response options for reporting

essential support services and core medical services, Local

AIDS Pharmaceutical Assistance services and Health Insurance

Premium & Cost Sharing Assistance services.

Page 66: Added guidance that Substance use screening, Item

61, may be administered by a substance abuse treatment

professional or by a trained health care professional in another

medical/clinical discipline.

Summary of Proposed Ryan White

Changes for Reporting Year 2014Gabriel Lopez

Summary of Proposed Ryan White Changes


– Pending release for 2014 changes

• Program Reporting Requirement changes (for grantees):

– Changes to reporting frequency by 35%

• RSR Data Changes:

– Changes to data elements for data collected beginning January 1st, 2014

▪ Reduce reported data elements by 37%

▪ Data changes (additions) to support implementation of proposed HIV Core Indicators

▪ Retiring data elements that are ineffective

▪ Consistent language across HHS



– Eliminating Duplicate Reports

▪ RSR grantee report will be revised so that it provides the

information needed for both:

• Service Provider Contracts (from RSR)

• Consolidated List of Contractor

▪ Integrating these two reports eliminates the Allocations for

the Allocations and Expenditures report for grantees


• Program Reporting Requirement changes (for grantees):

Reducing Reporting Frequency

▪ ADAP Data Report (ADR) will be changed from semi-annual

to annual reporting

• Client-level data for 1/1/2013-12/31/2013 will need to be

in report

• Calendar year 2013 data will be due on 4/28/2014 (not

12/16/2013)

▪ ADR will be annual from that point forward (representing

budget period of 4/1/2013-3/31/2014)

▪ Eventually eliminate Minority AIDS Initiative Reports


• HIV core indicators (from Ryan White data collection)

– In July 2012, the Secretary approved the seven core HIV indicators

developed by the HAIIG, which were aligned with Institute of

Medicine recommendations for monitoring federally-funded HIV

prevention programs and consistent with a framework used by the

CDC, HRSA, and others to enhance the continuum of care needed

to achieve durable viral suppression in persons living with HIV

▪ HIV Positivity

▪ Linkage to HIV Medical Care

▪ Retention in HIV Medical Care

▪ Antiretroviral Therapy (ART) among Persons in HIV Medical Care

▪ Viral Load Suppression among Persons in HIV Medical Care

▪ Housing Status



– Eliminating Data Elements (due to poor quality or redundant)

▪ First Service Date

▪ Date of Death

▪ Number of visits per quarter

▪ Clarify Viral Load

▪ Screened for TB/Hepatitis B/Hepatitis C during reporting

period



– Changed existing Demographic Data Elements

▪ Federal Poverty Level (FPG) will

be changed to match Affordable

Care Act (ACA) groupings:

• <100% FPG

• 100% - 138% FPG

• 139% - 200% FPG

• 201% - 250% FPG

• 251% - 400% FPG

• 401% - 500% FPG

• >500% FPG

▪ *Coverage Categories will be changed to match ACA categories:

• Private- Employer

• Private- Individual

• Medicare

• Medicaid, CHIP, or other public plan

• VA, IHS, Tricare, and other military health care

• Other Plan

• No Insurance/uninsured



Added Race/Ethnicity Data Elements

▪ Hispanic Ethnicity sub-

groups

• Mexican, Mexican

American, Chicano/a

• Puerto Rican

• Cuban

• Another Hispanic,

Latino/a or Spanish

origin

▪ Native Hawaiian/Pacific

Islander Race

subgroups

• Native Hawaiian

• Guamanian or

Chamorro

• Samoan

• Other Pacific

Islander

▪ Asian Race subgroups

• Asian

• Asian Indian

• Chinese

• Filipino

• Japanese

• Korean

• Vietnamese

• Other Asian



Added Demographic Data Elements

▪ Sex at Birth (this is in addition to current gender identification-will not replace it)

▪ *Primary Language at Home

▪ Assessment of Disabilities from a functional perspective

• Deaf or serious difficulty hearing

• Blind or serious difficulty seeing, even with glasses

• Serious difficulty concentrating remembering, or making decisions due

to physical, mental, or emotional condition

• Serious difficulty walking or climbing stairs

• Difficulty dressing or bathing

• Difficulty doing errands alone due to physical, mental, or emotional

condition

*Primary Language and Coverage Categories are still under development as of 12/16/2013


• HAB expects all programs to use the new data set during calendar

year 2014

Data collected after January 1, 2014 must include any new variables

and does not need to include variables that have been deleted. In

addition, required schema changes will need to be implemented prior to

reporting in 2014.

• Timeline for Implementation

Department of Health and Human Services expects that federal

programs will implement these new data requirements for fiscal year

2014, (Beginning on October 1, 2013)

RSR manual addenda to be added in November 2013 (?)

Data Dictionary & Schema to be release in late Spring 2014

Additional webcasts in February 2014 and after

Useful Resources Tim Mullen

UDS Resources

• PAL for UDS Calendar Year (CY) 2013:

http://bphc.hrsa.gov/policiesregulations/policies/pal201302.html

• PAL for UDS CY 2014:




Ryan White Resources

• HRSA HIV/AIDS Program: http://hab.hrsa.gov/reauthorization/

• 2013 RSR Instruction Manual:https://careacttarget.org/sites/default/files/file-upload/resources/2013RSRInstructionManual508b_0.pdf

• 2014 Data changes to RSR: https://careacttarget.org/library/data-changes-2014

• HIV Core Indicators: http://blog.aids.gov/2012/08/secretary-sebelius-approves-indicators-for-monitoring-hhs-funded-hiv-services.html

• 2013 Submission Timeline: https://careacttarget.org/library/ryan-white-hivaids-program-services-report-submission-timeline

• RSR Data Dictionary/XML Schema: https://careacttarget.org/sites/default/files/file-upload/resources/RSR%20Data%20Dictionary%20Version%202.5.pdf

• Streamlining data collection: http://blog.aids.gov/2013/07/secretary-sebelius-approves-plans-to-standardize-and-streamline-data-collection-for-hhs-hiv-grantees.html

• TARGET Center: https://careacttarget.org/

• Blog.AIDS.gov: http://blog.aids.gov/

http://hab.hrsa.gov/reauthorization/

https://careacttarget.org/sites/default/files/file-upload/resources/2013RSRInstructionManual508b_0.pdf

https://careacttarget.org/library/data-changes-2014

http://blog.aids.gov/2012/08/secretary-sebelius-approves-indicators-for-monitoring-hhs-funded-hiv-services.html

https://careacttarget.org/library/ryan-white-hivaids-program-services-report-submission-timeline

https://careacttarget.org/sites/default/files/file-upload/resources/RSR Data Dictionary Version 2.5.pdf

http://blog.aids.gov/2013/07/secretary-sebelius-approves-plans-to-standardize-and-streamline-data-collection-for-hhs-hiv-grantees.html

https://careacttarget.org/

http://blog.aids.gov/

Intergy Resources

• Vitera Support Center, Content Library

Annual Reports New System Features

Vitera Intergy UDS Report Table 6B Reference

Vitera Intergy CHC Annual Reports 2013 New System Features

vitera intergy chc annual reports

Documents