| DESCRIPTION |
National extract definitions were sent out with Clinical Reminders V.2.0 to
- summarize finding total counts that reflect site activities during the
EPRP performance measures often require a current qualifying visit and
an anchor visit during the previous year. Since some patients seen
during a reporting month do not have a prior year anchor visit, the
national extract's total patient counts for a given month will
typically be less than the Reminder Due report's total patient counts
for the same month.
The lists of patients used for each reporting period's national
extract are stored on the local system for sites to validate the
patient denominator counts and provide local quality of care
reporting month.
monitoring.
Compliance total counts are accumulated based on the reminder status
for each patient: total, applicable, not applicable, due, and not
due. The extract criteria used to create the totals is stored with
the total counts on the local system, as well as transmitted to the
AAC.
Finding total counts are accumulated for pre-defined national finding groups
based on the findings found during reminder evaluation for the patient. The
- list unique applicable patients included in the finding count (Patient
finding counts are totaled into categories that reflect the reminder status
for each patient: total, applicable, not applicable, due and not due patient
counts. The finding counts are sent to the AAC with the extract criteria
used to create the counts.
Utilization counts are accumulated for pre-defined national finding groups
that count how many times specified findings were entered during the
reporting period for patients for each patient denominator. The finding
counts are sent to the AAC with the extract criteria used to create the
counts.
List is not sent to Austin)
Each patient that had a finding count is stored on the local system for
follow-up patient care and validation of reporting results. The patients are
not sent to the AAC.
The national extract tools use Mailman links with the HL7 interface to send
compliance totals and finding totals for each monthly period to the AAC. AAC
adds the national monthly reporting to the Compliance Totals National
Database stored at the AAC.
The national extract reports are generated by a job. IRM Staff can help set
up each type of extract definition to automatically reschedule itself to run
monthly at each site. The extract run needs to occur prior to the tenth of
each month.
The sites can manually rerun an extract and/or selectively retransmit an
extract to AAC in the event of a failed transmission. The Extract Summary
reports may be used to verify compliance totals.
Parties interested in viewing the AAC Compliance Totals National Database
An extract definition may be manually run or set-up to automatically run
may be granted read-only access to this data. The AAC uses the
national database to create Simple Authentication and Security (SAS)
files with read-only access.
File relationships:
The extract definition uses list rules (#810.4) to build lists of patients.
If the extract definition is for Compliance and Finding Totals, the extract
definition will be defined with counting rules (#810.7). The counting rules
will be defined based on counting groups (#810.8).
monthly or quarterly. The extract can be defined to only produce compliance
Data from the extract is stored in the extract summary file (#810.3) and
patient lists are saved in the patient list file (#810.5). HL7 messages
containing the extract data from the extract summary (#810.3) are passed
to the HL7 package for transmission to the AAC. Individual patient
level data is not sent to Austin. However, a list of patients with
particular findings may be stored in the extract summary file (#810.3)
for validation of patients.
Nationally distributed definitions are prefixed 'VA-' and cannot be modified
totals, or to also include finding totals.
by site.
Sites should name locally created extract definitions according to their local
naming convention.
Each extract definition identifies:
support site roll-up of reporting totals to the Austin Automation Center
- Which type of totals the extract will create: compliance, finding
- What patient list(s) should be created first, second, third, , and
what criteria should be used to build the patient list(s).
- For each patient list created when the extract is run, what reminders
should be run.
- For each reminder run, what findings found should be used to include
in finding count totals, based on the reminder status for each
patient, and pre-defined counting groups.
- Counting groups are used to define findings that may have been found
from reminder evaluation, as well as findings that may not be in the
(AAC). The generic extract functionality supports corporate level management
reminder but need to be counted for utilization counts.
- Counts are accumulated depending on whether the reminder status was
applicable, not applicable, due or not due for the patient.
- Utilization counts count how many times the findings in a counting
group were entered during the reporting period for the patients in
the patient list.
The extract definition also identifies the last extract reporting period run
and the next reporting period to be run. This information is used to support
managing extract runs. The next reporting period is used by the next
analysis by providing reports that:
automated run to know which period should be run.
The reporting results are stored in the REMINDER EXTRACT SUMMARY file (#811.3)
The national extract definitions are defined in this file to support generic
extract and roll-up needs by facility. The generic extract tools provide
options to:
- manage extract criteria
- manage extract runs (manual and automated)
- manage transmissions to AAC
- view extract reporting results
- view the list of patients making up the patient denominator
When analyzing the results of an extract run, it is important to take note of
the following information before drawing conclusions:
- list rule criteria used to create the target patient lists
(denominators)
- reminder definition used to create applicable, not applicable, due and
not due compliance and finding totals
- counting rules used to accumulate totals
- summarize patient reminder compliance totals (not applicable,
- counting groups of findings and the type of totals accumulated (all
patients, applicable, due or not due patients)
The following is a comparison of Reminder Due and Reminder Extract report
functionality:
Reminder Due reports:
Use report criteria and pre-defined report templates with location/clinic
stop, provider, and team lists to build the list of patients that will be
applicable, due, not due)
used to evaluate reminders.
National Reminder Due report criteria and pre-defined report templates are
not nationally distributed.
The Reminder Due report evaluates reminders and provides counts for Total
patients, applicable patients and patients due.
The patient with a Due status can be saved in a Reminder Patient List for
further follow-up Patient Demographic and Health Summary reporting.
- summarize finding total counts that reflect the most recent findings
The findings in the reminder are not used to accumulate counts.
An existing Reminder Patient List can be used to identify target patients,
instead of report criteria and report templates.
The Reminder Due report can be created in a Summary or detailed report
format, and is typically queued to run in a job during off-hours.
National extract reports:
resulting from reminder evaluation
Defines complex extract criteria into one extract definition that is
pre-defined as a national Reminder Extract Definition.
Pre-defined national extract criteria uses findings (reminder terms),
independent of a reminder definition, to build one or more lists of
patients that are used to evaluate one or more reminders.
National extract criteria used to identify patients is similar to VA
External Peer Review (EPRP) performance measure reporting criteria.
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