Changes to 2011 NAMCS

Attachment 1

2011 NAMCS Changes

1. EMR/EHR Mail Survey

● The following questions will be deleted from the 2010 question 19 table. These questions were only applicable if a practice had the computerized capability for clinical notes:

If yes, do they include a list of medications that the patient is taking?

1-Yes

2-Yes, but turned off or not used

3-No

4-Unknown

If yes, does this include a comprehensive list of the patient’s allergies (including allergies to medication)?

1-Yes

2-Yes, but turned off or not used

3-No

4-Unknown

● The following question will be deleted from the 2010 question 19 table. This question was only applicable if a practice had the computerized capability for viewing lab results:

If yes, are out of range levels highlighted?

1-Yes

2-Yes, but turned off or not used

3-No

4-Unknown

● The following question will be deleted from the 2010 question 19 table. This question asks if orders for radiology tests are computerized

Orders for radiology tests?

1-Yes

2-Yes, but turned off or not used

3-No

4-Unknown

● The following question will be deleted from the 2010 core questions:

Which incentive payment do you plan to apply for? CHECK ONE.

1-Medicare

2-Medicaid

3-Unknown

● The following questions will be added to the 2011 core questions:

Do you or your staff verify an individual patient’s insurance eligibility electronically, with results returned immediately?

1-Yes, with a stand-alone practice management system

2-Yes, with an EMR/EHR system

3-No

4-Unknown

Do you exchange patient clinical summaries electronically with any other providers?

1-Yes, send summaries only

2-Yes, receive summaries only

3-Yes, send and receive summaries

4-No

5-Unknown

How do you electronically send or receive patient clinical summaries? CHECK ALL THAT APPLY.

1-Through EMR/EHR vendor

2-Through hospital-based system

3-Through Health Information Organization or state exchange

4-Through secure email attachment

5-Other/Unknown

● The following question will be added to the 2011 question 19 table. This question was only applicable if a practice had the computerized capability for clinical notes:

If yes, do they include a comprehensive list of the patient’s medications and

allergies?

1-Yes

2-Yes, but turned off or not used

3-No

4-Unknown

● The following questions will be added to the 2011 question 19 table indicating whether the reporting location has certain computerized capabilities:

Providing standard order sets related to a particular condition or procedure?

1-Yes

2-Yes, but turned off or not used

3-No

4-Unknown

Providing patients with clinical summaries for each visit?

1-Yes

2-Yes, but turned off or not used

3-No

4-Unknown

Exchanging secure messages with patients?

1-Yes

2-Yes, but turned off or not used

3-No

4-Unknown

2. NAMCS Physician Induction Interview form (NAMCS-1)

● The following questions will be deleted from the 2010 question 23 table. These questions were only asked if a practice had the computerized capability for clinical notes:

If yes, do they include a list of medications that the patient is taking?

1-Yes

2-Yes, but turned off or not used

3-No

4-Unknown

If yes, does this include a comprehensive list of the patient’s allergies (including allergies to medication)?

1-Yes

2-Yes, but turned off or not used

3-No

4-Unknown

● The following question will be deleted from the 2010 question 23 table. This question was only asked if a practice had the computerized capability for viewing lab results:

If yes, are out of range levels highlighted?

1-Yes

2-Yes, but turned off or not used

3-No

4-Unknown

● The following question will be deleted from the 2010 core questions:

Which incentive payment do you plan to apply for?

1-Medicare

2-Medicaid

3-Unknown

● The following questions will be added to the 2011 core questions:

Do you or your staff verify an individual patient’s insurance eligibility electronically, with results returned immediately?

1-Yes, with a stand-alone practice management system

2-Yes, with an EMR/EHR system

3-No

4-Unknown

Do you exchange patient clinical summaries electronically with any other providers?

1-Yes, send summaries only

2-Yes, receive summaries only

3-Yes, send and receive summaries

4-No

5-Unknown

How do you electronically send or receive patient clinical summaries? CHECK ALL THAT APPLY.

1-Through EMR/EHR vendor

2-Through hospital-based system

3-Through Health Information Organization or state exchange

4-Through secure email attachment

5-Other/Unknown

● The following question will be added to the 2011 question 23 table. This question was only asked if the practice had the computerized capability for clinical notes:

If yes, do they include a comprehensive list of the patient’s medications and

allergies?

1-Yes

2-Yes, but turned off or not used

3-No

4-Unknown

● The following questions will be added to the 2011 question 23 table indicating whether the reporting location has certain computerized capabilities:

Providing standard order sets related to a particular condition or procedure?

1-Yes

2-Yes, but turned off or not used

3-No

4-Unknown

Public health reporting?

1-Yes

2-Yes, but turned off or not used

3-No

4-Unknown

If yes to public health reporting, the following question will be asked:

If yes, are notifiable diseases sent electronically?

1-Yes

2-Yes, but turned off or not used

3-No

4-Unknown

Providing patients with clinical summaries for each visit?

1-Yes

2-Yes, but turned off or not used

3-No

4-Unknown

Exchanging secure messages with patients?

1-Yes

2-Yes, but turned off or not used

3-No

4-Unknown

● Five diagnostic tests will be added to the NAMCS-1 induction interview for 2011. If applicable, up to four physician offices will be asked if the following tests can be performed on location:

-EKG/ECG

-Lab testing

-Spirometry

-Ultrasound

-X-Ray

The response categories for these tests will include (1) Yes, (2) No, and (3) Don’t know.

3. NAMCS Patient Record form (PRF)

● The following cancer stage checkboxes will be deleted from the 2010 PRF:

-In situ

-stage I

-stage II

-stage III

-stage IV

-Unknown stage

● The following cerebrovascular checkbox will be added to the 2010 PRF:

-Cerebrovascular disease/History of stroke or transient ischemic attack (TIA)

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