4. Active Medication List
This lesson will demonstrate the steps necessary to meet the Meaningful Use requirement for maintaining an Active Medications List.
SOAPware 2011 or later must be used.
Note: To determine the version of SOAPware being used, Click on Help > About SOAPware. This will open a window which will show the version and build of SOAPware currently in use.
Objective: Maintain active medication list.
Measure: More than 80% of all unique patients seen by the eligible provider have a least one entry (or an indication that the patient is not currently prescribed any medication) recorded as structured data.
For more detailed information on this measure, please click on the "Reference" link below. This CMS documentation includes information on exclusions, attestation requirements, a definition of terms and important additional information.
CLICK TO VIEW THE CMS DOCUMENTATION ON THIS MEASURE:
Reference CMS: Active Medication List
Denominator: The number of unique patients seen that have a face-to-face encounter during the reporting period.
Note: The denominator is unique patients rather than unique patient visits during the reporting period. Therefore, if a patient is seen three times in the reporting period, you only have to fulfill the rule once for that patient, rather than at all 3 encounters. However, the patient must have at least one face-to-face encounter during the reporting period in order to fulfill the rule.
Numerator: The number of patients in the denominator who have at least one structured medication item within the Summary Medications field (or an indication that the patient is not currently prescribed any medications).
Threshold: The resulting percentage must be more than 80%.
* Scoring is individual, provider-based and not practice-wide.
Using structured medications in the Summary Medications field is required to meet this Meaningful Use measure. This will involve using one of the SMARText data entry methods.
SMARText structured documentation can be entered using the following methods:
- Inserting Items with SMARText Items Manager
- Shift + F11 Search
- Shortcut code/Macro
- F11 Search
- Quick Access Location Pick List/Favorites List
Medications can also be transferred to the Summary from an active SOAPnote. This is achieved using one of two methods.
The first method is to right-click on the Medications header or on an individual medication in the SOAPnote. Then, choose the selection for "Copy Encounter Rx to Summary Rx."
An alternate method for transferring medications to the Summary is to choose to merge a prescription to the Summary while in the Rx Manager.
After selecting the option for submitting the Rx, the Summary Merger window will appear. Click the Update box for medications to be sent to the summary and the Ignore box for medications that should not be sent to the summary. Click Merge.
If the patient has no active medications, the structured item for "Current Meds: None" should be inserted. The shortcut for this item is "nomeds".
*Note: Update/Redownload the "nomeds" SMARText Item:
Earlier versions of SOAPware had a similar "No Medications" structured text item. In SOAPware 2011 and 2012, this item will need to be re-downloaded or updated so that it contains the proper coding in the background to calculate towards the meaningful use statistics. To re-download this item from the SOAPware Cloud Library follow the steps below:
Click on Docutainers > SMARText Items.
1. Search for "nomeds" (make sure to check the Include Online Library Items box), and click the Search (magnifying glass) button.
2. Select the green downward facing arrow for the "NoMeds" with an item Type of "No Known Items" (see screenshot above).
3. Click the blue Download button.
*Note: You may receive the following pop-up: "The SMARText item you are attempting to download already exists. Do you want to overwrite it?". Click Yes.
This measure is tracked in the MU Patient Dashboard under "Active Medication List". In SOAPware versions prior to 2012.0.313, this item will be listed in the Patient MU Dashboard as "Medication Status".
The Patient Dashboard can be opened by clicking on the View menu > MU Patient Dashboard.
Once a Medication (or the indication of No Problems) has been recorded in the Summary Medications field, the MU Patient Dashboard icon will change to a green check mark.
*Note: The MU Patient Dashboard will be grayed out if there are no SOAPnote encounters. It will also remain grayed out if the active SOAPnote encounter is signed off or if the SOAPnote encounter is a Non Face-to-Face encounter.
This measure is tracked in the Meaningful Use Dashboard under "Active Medication List". In SOAPware versions prior to 2012.0.313, this item will be listed in the Meaningful Use Dashboard as "Medication Status".
The Meaningful Use Dashboard can be accessed by clicking on the SOAPware menu > Meaningful Use Dashboard.
The Meaningful Use Dashboard will display the Numerator, Denominator and percentage for this measure, as well as, graph the Trend for the dates selected. Please see the following link for instructions on using the Meaningful Use Dashboard: Meaningful Use Dashboard.
*Note: The dashboard icon will display a gray X if the threshold for this measure has not been met for the selected reporting period. The icon will change to a green check mark once the threshold for the meaningful use measure has been met.