CentricityTM Practice Solution V12.0 - Secure.millbrook

What’s new in this release?Under Export diagnosis code settings, you can now choose from the following options: Export diagnoses with 2 codes - sends ICD-10 and ICD-9 codes if both areavailable. Sends ICD-10 code and SNOMED code if no ICD-9 code is available.(Default setting for new installations)On upgrade to SP11 from earlier versions your previously selected valuewill be retained. If Export diagnoses with only ICD-9 codes was checked beforeupgrade, then on upgrade Export diagnoses with only ICD-9 codes isset. If Export diagnoses with only ICD-9 codes was unchecked beforeupgrade, then Export diagnoses with 2 codes is set. Export diagnoses with only ICD-9 codes - sends only the ICD-9 code for eachdiagnosis. Export diagnoses with only ICD-10 codes - sends only the ICD-10 code for eachdiagnosis. SPR 63757Clinical users can capture NKA and NKDA separatelyChart users can now capture No Known Drug Allergies (NKDA) when an environmentalor food allergy is present in the patient chart. When no allergies are documented, theNo Known Allergies (NKA) check box is available. Once a food or environmental allergyis added, the No Known Drug Allergies (NKDA) check box is available. SPR 64053Cloud-based Advanced Specificity Problem Search availableCloud-based Advanced Specificity Problem Search previously in limited availabilityfor testing in SP10 is now available for all customers. In this release, search methodsare enhanced to improve the specificity of results returned.When this feature is enabled in Administration (in Advanced Features), all providers(enterprise-wide) using Full Reference Search in Chart or users searching in Billingand Case Management will access the latest HLI ICD-9 and ICD-10 code databaseand can quickly find and select the most specific diagnosis code for billing.Fixes and enhancements in SP11 Advanced Specificity Problem Search has been modified so it returns precisely theresult a user selects from the Advanced Specificity Problem Search window. SPR64113 The Internet URL site type for Advanced Specificity Problem Search cannot beinadvertently changed in Administration and interrupt the connection. SPR 641407

CPS v12.0.11 Release NotesFeatures added in SP10 Enable cloud-based Advanced Specificity problem search - In Administration,go to Advanced Features and check Enable Advanced Specificity ProblemSearch.Confirm your firewall permits workstation access to this /soap/queryIf your site loses Internet access, return to setup and uncheck this option to switchto the on-premise version of problem search. Search for and select the most specific code using Clinical Attributes - Fromsearch results, select a term to review its level of specificity for ICD-10 billing.Where relevant, select additional Clinical Attributes for a more specific code, suchas disease process, anatomical site, causative agent, episode of care, laterality,stage, healing, time course, fracture type, and so on.Add screenshot hereSelect additional attributesto increase specificity.8

What’s new in this release?As you select attributes, these icons indicate the level of specificity.Tips for using Advanced Specificity Problem Search Combination Codes (aka Code Also)Some conditions require two ICD-10 codes in order to appropriately describea condition (for example, Subacute degeneration of the spinal cord is codedas G32.0 and E53.8). While searches for these conditions display both codesin the Advanced Specificity Problem Search, only one code at a time can beadded to the patient's problem list, and so only the first code will be added.Workaround: Add the first code then search for the second code and add itto the patient's problem list. Multiple code refinements from the selection of a single codeSometimes, when you search for and select a condition that lists a singlecode in the ICD-10 column of the search, the search refreshes and displays alist of codes. This is due to the Advanced Specificity Problem Searchrefreshing the list of available codes to show you. In those instances, thedescription in the Advanced Specificity Problem Search changes to the firstlisted ICD-10 code in the refined list. To navigate to your intended code, usethe clinical attributes to drill down to your intended selection. Correcting search attributes to navigate to a new codeAdvanced Specificity Problem Search uses clinical attributes to help guideyou through the hierarchy of the ICD-10 code book. Sometimes, when youget to a deep level within the attributes (this often happens once you'vespecified laterality), you will be unable to deselect attributes in order to backall the way out to the original code. When this occurs, refresh your search listby clicking the magnifying glass icon.Edit mapped ICD-10 code for a problem custom listWhen adding or changing a problem to a custom list, the ICD-10 code field is noweditable to allow a more specific ICD-10 code to be mapped to an ICD-9 code when9

CPS v12.0.11 Release Notesappropriate. The new mapping is passed to your billing software and no furtherediting is required to correctly process the claim.CImportant. Changing the ICD-10 code for a problem in a custom list mayaffect reimbursement. If you use Centricity Practice Solution's PM Billingsolution and if an insurer is not ready to take the ICD-10 code, inAdministration, go to Charge Maintenance Edit Diagnoses and check theICD-9 GEMS mappings for the ICD-10 code you want to use.Confirm that ICD-9 code mapped to an ICD-10 code are appropriate for theproblem in your list. SPR 63941Server Configurator enhancementsServer Configurator was initially released with Service Pack 10, and is used for JBossand Service Layer installation. Refer to "Automated server configuration utility" onpage 55 for an overview. For detailed instructions, click F1 on the Configurator toaccess online help. To reduce possible delays and avoid installing unnecessary software on the client,Server Configurator now checks for enabled admin shares and requires 10 GBfree space at the time the installer selects the drive to install JBOSS to. Previously,it expected all drives to have admin shares enabled and created GEDeploymentdirectories on all drives when the Validate & Add button was clicked. SPR 64143 Server Configurator now alerts you if Windows Power Shell Execution Policyprevents Server Configurator from installing the Service Layer. When an executionpolicy is set to AllSigned or Restricted, locate the group policy that has this settingenabled and resolve it. For additional details, click F1 for Server Configuratoronline help. SPR 64236 New options are available for calculating and deploying multiple websites forboth full systems and systems licensed for Centricity PM only.Modified Flag and Care Alert performance filter to hide deleted flagsThis release modified the Flag and Care Alert performance filter that wasimplemented in SP10 to reduce the number of documents, alerts, and flags loadedwhen the chart is opened. SPR 6314910

What’s new in this release?In the previous release the filter did not load flags and care alerts with a due datemore than 12 months prior to the current date. In this release the solution is modifiedto filter out only expired flags, deleted more than 12 months prior to the current date.Unexpired flags and care alerts are loaded regardless of their due date in accordancewith provider view preferences. SPR 64082To remove or modify this filter, do the following:1On a client workstation, locate mldefs5.txt in the client application folder andopen for editing.Note. Save a copy of this file for backup before editing.2Search for the following text: withinLastYear. You’ll find 4 instances of the filterlike this:Filter: withinLastYear,'(Deleted Date is NULL OR Deleted Date DATEADD(MONTH,‐12,CURRENT TIMESTAMP))'HiddenNote. The value -12 indicates that 12 months of history display by default basedon the current date. To display a different period, change -12 to the number of months you want,for example, -24 for 2 years or -36 for 3 years, and so on. To show all flags/care alerts remove the entire filter line.3Search again and modify or remove all instances in the file. Each instance of thefilter applies to a different presentation of flag/alert data in the application.4Save the file.5Restart the client and note the changes in how flag/care alerts display.6To update all client workstations with the revised file, use jobs.txt. See theupgrade guide for your product for detailed instructions.Centricity Immunization Migration Wizard v1.51 availableThis release includes the latest version of the Immunization Migration Wizard whichwas released separately earlier this year (and also included in SP10). The updated toolis located here: install path staging directory DMImmunization\DMImmunization.exeImportant. DO NOT run this tool without first reviewing the release notes andassociated user guide Migrating and Managing Immunization Data.Download release notes and guide /downloadsGE recommends re-running migration with v1.51If you migrated data using a version earlier than v1.51, GE recommends you re-runthe migration with v1.51 to find and include partially recorded immunizations thatwere missed, clean up duplicates and Undetermined vaccines, and increase theaccuracy of your records. Migrating again does not overwrite any previously migrateddata or create duplicates. See Migrating and Managing Immunization Data for details.For information about how GE can help with your immunization migration process,contact inside.sales@med.ge.com.11

CPS v12.0.11 Release NotesChanges impacting Meaningful Use / Quality Measures reportingThis section includes important information about fixes and enhancements impactingMeaningful Use Functional and Quality Measures reporting. in this release and inrelated KnowledgeBase and Clinical Quality Reporting (CQR) web site updates.New Quality Reporting CommunityVisit the new Quality Reporting Service Portal page regularly for new information,updated Quality Reporting guide and other documents, and webinars at uality-reporting-community.Resending data for 2015 reporting periodCustomers attesting for Meaningful Use or reporting for PQRS for a 2015reporting period will likely need to send revised data to CQR.Some changes noted below require resetting the Functional Measure and ClinicalQuality Measure subscriptions to resend data for the current reporting period.Detailed impacts noted under "Key fixes in the release" on page 12.Contact GE Support or your supporting VAR organization to configure andresend your data.View the following Webinar to learn what data update steps must be completedfor PQRS and Clinical Quality / Functional measure reporting before you sendfinal data to the CQR web site.On the Centricity Services Portal, go to the View Past Webinars page /webinarsUnder MU/PQRS Preparation Series, MU and PQRS select the Webinar“Choosing a Service Pack and data submission requirements”. View the sectionentitled “Data Subscription Reset”.Key fixes in the releaseThe following fixes have impacts on reporting workflows and measures you may bereporting on.Functional Measures fixesImportant. In most cases, the following fixes prevent a specified problem goingforward. To correct issues in past patient records, you must manually reset and rerunyour FM subscription for the reporting period before attestation.Contact GE Support or your supporting VAR organization to configure and resendyour data.Objective 5: Referral orders included in Summary of Care measuredenominatorPreviously, when a user completed a Transition of Care referral order on the same daythat it is signed, it was not sent to CQR even though it was marked as Transition ofCare. In this release, a script finds these events and resends them to CQR for inclusionin the calculation. Affected measures include:12

Changes impacting Meaningful Use / Quality Measures reportingFNC 2 Core 15v2 Summary of Care Measure BFNC 2 Core 15v1 Summary of CareFNC 1 Menu 8v1 Transition of Care SummaryWith the Modifications to Meaningful Use in 2015 Through 2017, the secondand third measures are now obsolete.Important. To correct these omissions historically, you must manually reset and rerunyour FM subscription for the reporting period.If you use Centricity Clinical Messenger with Centricity Patient Portal, you must alsoupgrade to v6.4.15, available separately from GE or your VAR or from Surescripts. SPR64332Objective 5: Summary of Care numerator and denominator match iforder is changed after being signedUnder several workflow scenarios, when a Transition of are document was sentelectronically, the numerator might be recorded using the wrong ID to link thenumerator to the denominator, causing unmet measure results. In this release, a scriptfinds these misattributed events and resends them to CQR Web site for inclusion inthe calculation.This affects FNC 2 Core 15v2 Summary of Care Measure B.Important. To correct these errors historically, you must manually reset and rerunyour FM subscription for the reporting period.If you use Centricity Clinical Messenger with Centricity Patient Portal, you must alsoupgrade to v6.4.15, available separately from GE or your VAR or from Surescripts. SPR64718Centricity Clinical Messenger / Centricity Patient Portal v6.4.15Surescripts has made the following TOC-related changes in v6.4.15: TOC workflows and the SM-TOC encounter form now write the correct orderID to the MUActivityLog, increasing CQR numerator counts for measure 15. When there is more than one order associated with an encounter document,the correct referral order information is identified by Surescripts, entered inthe MUActivityLog, and sent to CQR. Messages improperly sent to some Direct addresses selected from theSurescripts directory are now sent in compliance with the direct protocol.SPR 64630Contact GE, your Value-Added Reseller, or Surescripts for upgrade information.Objective 8: PATPORTALPIN correctly counted Electronic AccessmeasuresA change in Service Pack 7 designed to add historical MUActivityLog entries for thePATPORTALPIN observation term used an incorrect parameter to determine whetherto report patient access to the portal. As a result some patients' access was notcounted toward Stage 1-2 Patient Electronic Access measures:13

CPS v12.0.11 Release NotesFNC 1 Core 11v1 Patient Electronic AccessFNC 2 Core 7v1 Patient Electronic AccessIn this release, a script checks for these errors and automatically resends reportingdata for affected patients and providers to the CQR Web site for inclusion in thecalculation. Manual reset of FM subscription is not required. SPR 64741Objective 4: ePrescribing (eRx) patients provided medications withSamples Given method excluded from denominatorAccording to CMS, only prescriptions written for drugs requiring a prescription to bedispensed should be included in the denominator. Samples given do not require aprescription. A patient who received a medication with the prescribing method ofSamples Given is now excluded. Affected measures include:FNC 1 Core 4v1FNC 2 Core 2v1Important. To correct these errors, you must manually reset and rerun your FMsubscription for the reporting period. SPR 64839Clinical Quality Measure fixesIn most cases, the following fixes prevent a specified problem going forward. Tocorrect issues in past patient records, you must apply the September FullKnowledgebase update and manually reset and rerun your CQM subscription for thereporting period before attestation.Contact GE Support or your supporting VAR organization to configure and resendyour data.CCDA failure for getAssessmentDataforProblem errors no longeroccurPreviously, in larger databases occasionally some patient charts included problemassessments that were not linked to problem. The CCDA builder failed when itencountered these orphaned assessments, causing the CQR Dashboard to display theonly the PID for a patient with no other demographic information. SPR 64706CCDA sends Physical Exam section and includes BMI% observationvaluePreviously, a physical exam section was not imported into CQR. Exam sections for thefollowing measures are now always sent. SPR 62743 CMS 123 Diabetes Foot Exam CMS 131 Diabetes Eye Exam CMS 155 Wt Assessment and Counseling for Nutrition and Physical Activity forChildren and Adolescents - BMI% observation term is now included.See also "CAMs not required for procedures, interventions, physical exam elements"on page 15.CCDA builder exports procedures or interventionsThe CCDA builder now exports procedures and interventions recorded as observationsthat were previously not included. See also "CAMs not required for procedures,interventions, physical exam elements" on page 15. SPR 6285014

Changes impacting Meaningful Use / Quality Measures reportingImpacted measures include: CMS 22 Preventive Care and Screening: Screening for High Blood Pressure andFollow-Up Documented – exercise counseling sent. CMS 130 Colorectal Cancer Screening – risk factors form and colonoscopy resultrecorded as observation sent. CMS 68 Documentation of Current Medications in the Medical Record – MedsReviewed observation sent. CMS 155 Wt Assessment and Counseling for Nutrition and Physical Activity forChildren and Adolescents – counseling elements provided during a visit recordedas observations sent. CMS 169 Bipolar Disorder and Major Depression: Appraisal for Alcohol orChemical Substance Use – “How much do you drink” results sent.Clinical list entries removed as Entered in Error excludedCCDA builder now excludes clinical list entries (problem, medication, allergy, and soon) removed with reason Entered in Error so they are excluded from measures. Thischange impacts all CQMS. SPR 64230CCDA physical exam section includes a coded result attributeObservation values now have a mapped coded value type that will send a code forvalues like “positive” or “negative” previously recorded as text for CMS2 PreventiveCare and Screening: Screening for Clinical Depression and Follow-Up Plan. CQM MAPtable has two new columns ResultCode and ResultCodeSet to store these values. SPR59756SNOMED diagnosis co

upgrading to Centricity Practice Solution v12.0.11. For information on installation and configuration, open the Support Document link next to your . Refer to "What's New since 12.0" on page 44 to see all previous v12.0.x service pack fixes, Important Product Notifications, and new features/enhancements. .