Transcript Meaningful Use Overview - University of Pittsburgh

Annual Wellness Visits
January 25, 2011
Guidelines
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Review medical/family history
List current providers and suppliers
Measure ht, wt, BMI, BP ,etc
Detect cognitive impairment
Review risk factors for depression
Review functional ability and safety (based on obs or
questionnaire)
• Establish written screening schedule for next 5-10 yrs
• Furnish personalized health advice to individual with
appropriate referrals to health education, etc
Interim Approach
• Patient Completes Self-Assessment
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PHQ-2
Fall Risk Assessment
IADLs
Hearing/Vision/Incontinence
List of all health care and equipment providers
Tablet or Written ROS
• MA
– Usual check list
– Vital signs including height and weight
Doctor WorkFlow
• Review any presenting complaints or changes.
• Review active problems
• Brief review of PMH, PSH, FH, SH
– correct and respond if needed.
• Medication reconciliation (of course!)
• Review answers to patient self-assessment form.
• Assess identified risks further and make plans if needed(see
below for order set).
• Review BPAs and HM -- update HM as appropriate.
• Do an exam (this is appropriate to patient needs –
comprehensive only if you are billing Preventative rather than
AWV)
Smart Set
• Smart Text documentation template
– Documents that the above was done
– Section for doctor to select risks that were identified and plan that
was done (fall, hearing, depression, smoking, etc …)
• Orders
– PT
– Hearing assessment
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• Patient Information for AVS
– Default in HM with due dates
– Smart List – doctor chooses risks and plans for them
– Patient education materials doc can choose – next slide
Patient Education Materials
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Fall avoidance
Depression
Incontinence
Cholesterol
Hypertension
Hypertensive Meds
Confusion
Dementia