NHAMCS 2011 Changes

Attachment 1

2011 NHAMCS Changes

1. Cervical Cancer Screening Supplement Questions

The following questions will be removed from the Ambulatory Unit Record, NHAMCS-101U:

CHECK ITEM A-2: Is this an OPD Clinic whose specialty is GM or OBG?

1-Yes, Continue with Item 5

2-No, Skip to Section B

Section A. 5. Does this clinic offer any type of cervical cancer screening?

1-Yes – Leave NHAMCS-906

2-No

3-Unknown

Section H. 3. DISPOSITION OF NHAMCS-906 Cervical Cancer Screening Supplement

1-Completed

2-Refused

3-Not applicable – Ambulatory unit not eligible for CCSS

2. EMR/EHR Questions

The following questions will be deleted from the EMR questions tables on the Hospital Induction form on pages 12, 19, and 20 and on the Freestanding Ambulatory Surgery Center Induction form on page 9.

●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

● 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

● 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 on the NHAMCS-101 and NHAMCS-101FS:

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 on the NHAMCS-101 and NHAMCS-101FS:

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 EMR questions tables on the Hospital Induction form on pages 12, 19, and 20 and on the Freestanding Ambulatory Surgery Center Induction form on page 9.

● These questions were 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

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

3. NHAMCS Outpatient Department Patient Record form (NHAMCS-100(OPD))

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

-In situ

-stage I

-stage II

-stage III

-stage IV

-Unknown stage

● The following cerebrovascular checkbox will be added to the 2011 PRF:

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

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