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© eClinicalWorks, 2014. All rights reserved

MAQ DASHBOARD USERS GUIDE

V10 - July 2014

CONTENTS

ABOUT THIS GUIDE __________________________________________________4Product Documentation ___________________________________________________________4

Webinars ___________________________________________________________________________ 4eClinicalWorks Newsletter _____________________________________________________________ 4

Getting Support__________________________________________________________________5Conventions_____________________________________________________________________5

MAQ DASHBOARD __________________________________________________6MAQ Dashboard Benefits__________________________________________________________6Reference Documents for MAQ Dashboard ___________________________________________7Access MAQ Dashboard ___________________________________________________________7Practice View____________________________________________________________________8

MAQ Measure Configuration ___________________________________________________________ 9Configuring the Meaningful Use Stage _______________________________________________ 10Configuring Clinical Quality Measures for Extraction ____________________________________ 11

Selecting Providers __________________________________________________________________ 13Selecting the Measure Type___________________________________________________________ 15Stage 1 Tab ________________________________________________________________________ 16

Stage 1 Meaningful Use Tab________________________________________________________ 16Stage 1 Core Measures_________________________________________________________ 16Stage 1 Menu Measures ________________________________________________________ 17

Stage 1 Quality Tab_______________________________________________________________ 17Stage 2 Tab ________________________________________________________________________ 18

Stage 2 Meaningful Use Tab________________________________________________________ 18Stage 2 Core Measures_________________________________________________________ 19Stage 2 Menu Measures ________________________________________________________ 19

Stage 2 Quality Tab_______________________________________________________________ 20Selecting the Viewing Period __________________________________________________________ 20

Monthly View ___________________________________________________________________ 21Calendar Year View_______________________________________________________________ 2390-Day View ____________________________________________________________________ 26Quarter View ___________________________________________________________________ 27QTD View ______________________________________________________________________ 30YTD View_______________________________________________________________________ 30Yearly View _____________________________________________________________________ 32Score Card View _________________________________________________________________ 34Historic View____________________________________________________________________ 38

© Copyright eClinicalWorks, July 2014 - MAQ Dashboard Guide 2

CONTENTS

MAQ On-Demand Data Request Tool _______________________________________________41Requesting Extraction of Data for Core, Menu Objective, and Clinical Quality Measures __________ 42

Provider View __________________________________________________________________49Practice View vs Provider View ____________________________________________________52Help Menu Topics _______________________________________________________________53

APPENDIX: NOTICES ________________________________________________ 55Trademarks ____________________________________________________________________55Copyrights _____________________________________________________________________55


ABOUT THIS GUIDE

This document provides information about using the Meaningful Use, Adoption, Quality (MAQ) Dashboard.

Product DocumentationThe eClinicalWorks documentation supports the eClinicalWorks Electronic Medical Record (EMR), Practice Management (PM), and/or additional software features.

eClinicalWorks Documentation is available from:

my.eclinicalworks.com Customer Portal https://my.eclinicalworks.com

click the Documents and Videos widget on the Knowledge tab to display the documents available in PDF format

click the HelpHub widget on the Helpdesk tab to display the documents available in HelpHub

eClinicalWorks application - from the Help menu, click the HelpHub link

Webinars

For more information, take advantage of the free unlimited eClinicalWorks webinars—interactive seminars conducted online. These courses are presented by product trainers who are experts with eClinicalWorks and all of its capabilities. To sign up for an eClinicalWorks webinar, go to:

my.eclinicalworks.com Customer Portal https://my.eclinicalworks.com.

To view and register for the webinars, from the Services tab click the eCW Webinar option.

eClinicalWorks Newsletter

To receive important, timely, and informative product notifications, subscribe to the eClinicalWorks Newsletter e-mailing list.

To subscribe to the newsletter:

click the link available on the Customer Portal: https://my.eclinicalworks.com

OR

click the link available on the eClinicalWorks website: http://eclinicalworks.com/

OR

click the direct link: eClinicalWorks newsletter


https://my.eclinicalworks.com/

http://eclinicalworks.com/

http://visitor.constantcontact.com/manage/optin/ea?v=0019HoID97QI3eGOPJ7ov8gtg%3D%3D

https://my.eclinicalworks.com

ABOUT THIS GUIDE GETTING SUPPORT

Getting SupportSend messages directly to eClinicalWorks Support through the eClinicalWorks Customer Portal:


You may also call or e-mail eClinicalWorks Support:

Phone: (508) 475-0450

E-mail: [email protected]

ConventionsThis section list typographical conventions and describes the icons used to call out additional information and to indicate item keys, new features, and enhancements to the application.

Typographical conventions:

Icons are used to highlight new features and indicate enhanced features and item keys:

Bold Identifies options, keywords, and items in a description.

Italic Indicates variables, new terms and concepts, foreign words, or emphasis.

Monospace Identifies examples of specific data values, and messages from the system, or information that you should actually type.

Icon Description

Indicates an item key.

Identifies new features, suggested by clients, from the eCWIdeas website: http://ecwideas.eclinicalworks.com.

Identifies new features.

Indicates an enhanced feature.

Points out helpful tips or additional information.

Indicates feature meets a Meaningful Use requirement.

Note to Cloud/SaaS Users: When accessing the eClinicalWorks application via RDP (Remote Desktop Protocol) as a backup, be advised that Microsoft® Office® applications such as Excel® and Word® will not be supported.



mailto: [email protected]

http://ecwideas.eclinicalworks.comu

MAQ DASHBOARD

The Meaningful Use, Adoption, Quality (MAQ) Dashboard is a tool to measure provider and practice performance on meaningful adoption of EHR, population health trends, and chronic disease/preventive care management. The MAQ Dashboard is designed to help practices report on Meaningful Use Objectives and Measures.

For more information, refer to the following topics:

MAQ Dashboard Benefits

Reference Documents for MAQ Dashboard

Access MAQ Dashboard

Practice View

MAQ On-Demand Data Request Tool

Provider View

Practice View vs Provider View

Help Menu Topics

MAQ Dashboard BenefitsThe MAQ Dashboard has been designed to channel feedback to providers, healthcare institutions, and communities, improving clinical charting, and quality of care.

The benefits of using the MAQ Dashboard are:

Identify provider and practice pattern around EMR usage

Track changes in clinical charting patterns over time

Side-by-side provider and practice comparison of MU (Meaningful Use) measures

Compare provider and practice performance against community, state, and national standards

Build automation to proactively inform the providers if they do not meet the thresholds set for Meaningful Use or at a community level

Experience efficiency gains and improved quality of care

Dashboards help physicians see improved quality through data

Benchmark against other providers/practices – regional and national comparisons based on eClinicalWorks providers

Can use in payer fee schedule negotiations by showing improvement in quality of care based on actual/real data

Population health trends


MAQ DASHBOARD REFERENCE DOCUMENTS FOR MAQ DASHBOARD

This level of data cannot be analyzed when using paper records; it can only be achieved through true EHR adoption and meaningful usage

This method will be the only way to view MU data for reporting to CMS

Patient-level drill-down capability will be available from the Dashboard

Reference Documents for MAQ DashboardThis document provides information on how to use the MAQ Dashboard. Additional documents on Meaningful Use and the MAQ Dashboard are present in the Customer Portal and some of them can also be accessed through the MAQ Dashboard Help options. Please refer to the additional documentation to understand Meaningful Use Objectives, Measures, and reporting criteria on the MAQ Dashboard:

A detailed description of Core Set Objectives (including Clinical Quality Measures) and Menu Set Objectives can be found in the Meaningful Use Training Scenarios Guide.

Calculations used by eClinicalWorks software for Meaningful Use Reporting on the MAQ Dashboard can be found in the eClinicalWorks Meaningful Use Calculations Guide.

Common questions concerning the eClinicalWorks MAQ Dashboard can be found in the MAQ Dashboard Frequently Asked Questions.

A list of available resources and the most common questions concerning the Meaningful Use incentive program and eClinicalWorks can be found in Meaningful Use Resources And Frequently Asked Questions.

A quick reference for all Meaningful Use measures and the most basic steps needed to satisfy them with eClinicalWorks can be found in Meaningful Use Quick Reference Guide.

For additional documentation on Meaningful Use, refer to the Knowledge > Meaningful Use tab in Customer Portal.

Access MAQ DashboardThe MAQ Dashboard can be accessed by providers and eCW practice administrators. Staff members who are not eCW practice administrators cannot access the MAQ Dashboard.

To access the MAQ Dashboard:

1. Click the Meaningful Use link in the main toolbar of the eCW application:

The following window opens displaying the MAQ Dashboards Terms of Use:


MAQ DASHBOARD PRACTICE VIEW

2. Read the terms and conditions carefully and then click I Agree to proceed to MAQ Dashboard.

The MAQ Dashboard displays in Provider View or Practice View depending on whether the logged-in user is a provider or eCW practice administrator.

Practice ViewWhen an eCW practice administrator logs into eClinicalWorks and clicks the Meaningful Use link in the main toolbar, the MAQ Dashboard window is launched in Practice View, displaying the Welcome page with an overview of Meaningful Use for 2014:

Note: Once the user is logged into eCW, they do not need to log in again to access the MAQ Dashboard.

Note: Microsoft® Silverlight® must be downloaded on each machine that will be used to access the MAQ Dashboard.



The Select Provider option is available only if the logged-in user is an administrator of the software. The Meaningful Use and the Quality tabs under Stage 1 and Stage 2 are available for the eCW practice administrator and provider for viewing.

To display Meaningful Use Summary for measures in Practice View:

1. Configure a Meaningful Use stage and Clinical Quality Measures for extraction.

For more information, refer to MAQ Measure Configuration.

2. Select providers.

For more information, refer to Selecting Providers.

3. Select a view.

For more information, refer to Selecting the Viewing Period.

4. Select a stage and a measure.

For more information, refer to Selecting the Measure Type, Stage 1 Tab, and Stage 2 Tab.

MAQ Measure Configuration

Configure Meaningful Use stage and select Clinical Quality Measures for extraction using the MAQ Measure Configuration tool. The MAQ Measure Configuration tool is available under Score Card View and Historic View for Clinical Quality Measures. The view is same for both providers and eCW practice administrators. Currently there are no security settings that can restrict users from accessing this tool.

For more information on using MAQ Measure Configuration tool, refer to the following sections:

Configuring the Meaningful Use Stage

Configuring Clinical Quality Measures for Extraction



Configuring the Meaningful Use Stage

To enable automatic extractions for 2014, configure Meaningful Use stage preferences from the Configuration tool on MAQ Dashboard. Select the stage that you will be attesting for this year. If you are a practice administrator, set up the preferences for all providers. This will enable viewing of the appropriate Meaningful Use Stage 1 or 2 data on the MAQ Dashboard based on your participation.

To select a Meaningful Use stage:

1. From the Select View drop-down list, click Score Card View or Historic View.

2. Click the Settings icon:

The MAQ Provider Measure Configuration window displays.

The Practice Settings tab displays the following measure configuration - Include Outgoing Referrals sent to providers within the same eClinicalWorks database for the denominator calculations of the Summary of Care measure (Stage 2: Core-15) and the Transition of Care Summary measure (Stage 1: OBJ-304I).

This measure configuration is disabled by default. To enable the measure configuration, click Yes.

3. Click the Provider Settings tab.

4. Enter the name, facility, speciality, stage, or program in the Search field, and then click Go.

Providers that match the search criteria display. For example, if the user enters a facility name in the Search field, all providers that have the same facility display:

5. Select one or more providers, and click Edit Settings.

The Select Stage window displays.

6. Click from one of the following options:

Stage 1 (2011-2013) - To select Meaningful Use Stage 1 data from 2011-2013

Stage 1 (2014) - To select Meaningful Use Stage 1 data from 2014




7. Select a program the providers are attesting for - Medicare or Medicaid.

8. Click Save.

A confirmation message displays.

The stage name displays in the Stage column for providers that have been configured for that stage.

Configuring Clinical Quality Measures for Extraction

The MAQ Measure Configuration Setting is also used to request specific Clinical Quality Measures for one or more providers. Once the specific measures are selected, users can wait for the monthly automatic extractions or use the On-Demand Data Request Tool to extract results for the selected measures.

To set measure preferences for the 64 clinical quality measures for 2014, practices can use the Configuration Tool, and select eCQM 2014 option. 20 measures can be selected per provider for extraction. Each provider has to attest for only 9 quality measures.

For more information on the On-Demand Data Request tool, refer to MAQ On-Demand Data Request Tool.

To select specific Clinical Quality Measures for extraction:


2. Click the Settings icon:

The MAQ Provider Measure Configuration window displays:

Note: Selecting the program is for eCW reference purposes only.

Note: Automatic extractions cannot be performed for providers that have not configured a Meaningful Use stage preference.

Note: This functionality is available only through a Product Hub patch. For more information on getting this patch, contact eClinicalWorks Support.



3. Select one or more provider(s), and then click CQM (2011-2013) or eCQM (2014):

CQM (2011-2013) - Users that are still attesting for 2013 can use this option:

• The three Core Clinical Quality Measures and the three Alternative Core Clinical Quality Measures are selected by default.

• The Measure Dictionary field displays CQM 2011.

• Select up to six Additional Clinical Quality Measures, and then click Save.

The Clinical Quality Measures configuration is saved.

eCQM (2014) - There are 64 clinical quality measures for 2014 that are divided into six different categories, i.e., National Quality Strategy Domains.

IMPORTANT! A Meaningful Use stage must be configured for the provider(s) before selecting the measures. If the stage is not configured, the Measure Selection window does not open for the provider.



Users must select at least nine and up to a maximum of 20 of the approved 64 measures. The measures that are selected must fall under at least three of the six measure categories (six National Quality Strategy Domain):

• The Measure Dictionary field displays eCQM 2014.

• Select the nine measures, and then click Save.

If a minimum of nine measures is not selected, and the user clicks Save, a message displays - A minimum of 9 measures must be selected.

To view the measures saved for each provider, click the More (...) button next to a provider.

The Measure Configuration Detail for the provider displays.

Selecting Providers

Select providers to view Meaningful Use data comparison summaries between providers and the entire practice.

The number of providers that can be selected for a measure varies by the view:

In Score Card view, up to 225 providers can be selected.

In Historic view, only one provider can be selected.

In Monthly, Calendar Year, 90-Day, YTD view, Quarter, QTD, and Yearly View, up to five providers can be selected.

Note: A set of nine measures will be extracted by default if users have not selected the measures. The nine default measures are - CMS 138, CMS 90, CMS 69, CMS 68, CMS 156, CMS 166, CMS 165, CMS 2, CMS 50.

Note: If the logged-in user is an eCW practice administrator, they can request extraction for one or all providers in the list. If the logged-in user is a provider, they will see only their name in the provider list and can request extraction for themselves.



To select providers:

1. Click Select Provider to open the Provider Lookup window.

The Provider Lookup window displays:

The Facility and Specialty columns display the billing facility and the specialty associated with the provider respectively, in the Provider Setup. The Provider Type column displays whether the provider is a Supervising Provider. The Supervising Provider information is captured from the Claim Providers section in the Appointment window. The NPI column displays the provider’s NPI number.

To sort the results by facility name, provider name, specialty name, NPI, or provider type, click the respective column headers.

2. Check the box(es) next to provider name(s) to select the provider(s), and then click OK.

3. (Optional) To filter by provider, enter the name or the first few letters of the provider name in the Search box.

Alternatively, to filter by facility, provider, specialty, NPI, or provider type, click the funnel icon in the column header to open an additional filter window for that column:



Check the boxes to select only those values.

OR

a. Select a value from the Is equal to drop-down list.

b. Enter a corresponding value in the following field.

c. Select a value in the And drop-down list, and the second Is equal to drop-down list, to set an additional filter.

d. Enter a corresponding value in the following field.

To clear values in the filter, click Clear Filter.

e. Click Filter.

The results display.

4. Click OK.

Selecting the Measure Type

Select between Core, Menu, or Clinical Quality Measures from the Meaningful Use tab or the Clinical Quality Measure tab respectively. These measures are separated by Stage 1 and Stage 2 tabs.

Note: When switching views, such as from Monthly to 90-Day, the provider selection is retained.

Note: The Select Provider option is available only if the logged-in user is an administrator of the software.



Stage 1 Tab

Stage 1 tab displays the Meaningful Use Stage 1 measures, that are divided under the Meaningful Use tab and the Quality tab.

For more information on different measures available for viewing under the Stage 1 tab, refer to:

Stage 1 Meaningful Use Tab

Stage 1 Quality Tab


The Meaningful Use tab contains two options - Core Measures and Menu Measures.

To select a measure:

1. Click the arrow in the Meaningful Use tab to display the options:

2. Click on Core or Menu to view the summary.

Stage 1 Core Measures

The Core Measures tab displays the comparison between the provider and the practice’s Meaningful Use of Core Objective Measures in graphs. The comparison summaries can be viewed in eight different formats: Monthly, Calendar Year, 90-Day, Quarter, QTD (Quarter to Date), YTD (Year to Date), Yearly, Score Card, and Historic. Only 10 Core Objective Measures are available for viewing because CMS has defined thresholds for only these 10 Core Objective Measures.

IMPORTANT! To enable automatic extractions for 2014, configure preferences from the Configuration tool on MAQ Dashboard. Select the stage that you will be attesting for this year. If you are a practice administrator, set up the preferences for all providers. This will enable viewing of the appropriate Meaningful Use Stage 1 or 2 data on the MAQ Dashboard, based on your participation.For more information on configuring the stages, refer to MAQ On-Demand Data Request Tool. Extraction will be performed for the stage that has been configured for the provider.




The Core Objective Measures for which the summaries are displayed are:

Computerized Provider Order Entry (CPOE)

Maintain an up-to-date problem list of current and active diagnosis

Generate and transmit permissible prescriptions electronically (eRx)

Maintain active medication list

Maintain active medication allergy list

Record of demographics

Record and chart changes in the vital signs

Record smoking status for patients 13 years old or older

Patient Electronic Access (Timely)

Provide clinical summaries for patients for each visit

Stage 1 Menu Measures

The Menu Measures tab displays the comparison between the provider(s) and the practice’s Meaningful Use of Menu Objective Measures in graphs. The comparison summaries can be viewed in eight different formats: Monthly, Calendar Year, 90-Day, QTD (Quarter to Date), Quarter, YTD (Year to Date), Yearly, Score Card, and Historic. Only five Menu Objective Measures are available for viewing because CMS has defined thresholds for only these five Menu Objective Measures.

The five Menu Objective Measures for which the summaries are displayed are:

Clinical lab test result

Patient reminders

Patient-specific education resources

Medication reconciliation

Summary care record

Stage 1 Quality Tab

The Quality tab displays the comparison between the provider(s) and the practice’s Meaningful Use of Clinical Quality Measures. Clinical Quality Measures are part of Core Objective Measures.

The Clinical Quality Measures displays two tabs:

Note: Three asterisks (***) displayed next to a measure indicates that the measure is not eligible for MU attestation.

Note: Three asterisks (***) displayed next to a measure indicates that the measure is not eligible for MU attestation.



2011-2013 CQMs - This tab displays Clinical Quality Measures from 2011-2013 under the Core tab. Users that are still attesting for 2013 can use this option. The Clinical Quality Measures consists of 44 measures defined by CMS. Of these, only the measures requested by the provider/practice is extracted and displayed. CMS has categorized these measures as Core Measures, Alternative Core Measures, and Additional Measures. No thresholds have been defined for Clinical Quality Measures. Currently, only the Core tab is viewable.

2014 eCQMs - There are 64 clinical quality measures for 2014 that are divided into six different categories , i.e., six National Quality Strategy Domain - Patient and Family Engagement, Patient Safety, Care Coordination, Population/Public Health, Efficient Use of Healthcare Resources, and Clinical Process/Effectiveness. The measures that are selected for the providers through MAQ Configuration tool will display across these six categories. If no measures are selected, data for the default nine measures will display: CMS 138, CMS 90, CMS 69, CMS 68, CMS 156, CMS 166, CMS 165, CMS 2, CMS 50.

The comparison summaries can be viewed in nine different formats: Monthly, Calendar Year, 90-Day, Quarter, QTD (Quarter to Date), YTD (Year to Date), Yearly, Score Card, and Historic.

To select Clinical Quality Measure:

1. Click the arrow in the Quality tab.

2. Click one of the following options as required:

Click the 2011-2013 CQMs tab, and then click the Core tab.

Click the 2014 eCQMs tab, and then click one of the six tabs: Patient and Family Engagement, Patient Safety, Care Coordination, Population/Public Health, Efficient Use of Healthcare Resources, and Clinical Process/Effectiveness.

Stage 2 Tab

Stage 2 tab displays the Meaningful Use Stage 2 measures, that are divided under the Meaningful Use tab and the Quality tab.

For more information on different measures available for viewing under the Stage 2 tab, refer to:


Stage 2 Quality Tab


The Meaningful Use tab contains two options: Core Measures and Menu Measures.

To select a measure:

Note: Three asterisks (***) displayed next to a measure indicates the measure is not eligible for MU attestation.




1. Click the arrow in the Meaningful Use tab to display the options:

2. Click Core or Menu to view the summary.

Stage 2 Core Measures

The Core Measures tab displays the comparison between the provider and the practice’s Meaningful Use of Core Objective Measures in graphs. The comparison summaries can be viewed in nine different formats: Monthly, Calendar Year, 90-Day, QTD (Quarter to Date), Quarter, YTD (Year to Date), Yearly, Score Card, and Historic. There are 17 Core Objective measures, of which 13 are displayed for viewing. The rest of the measures do not require calculations and can be self-attested by users.

The Core Objective Measures for which the summaries are displayed are:

Using CPOE for Medication, Laboratory, and Radiology Orders

Generating and Transmitting e-Prescriptions

Recording Demographics

Recording Vital Signs

Recording Smoking Status

Patient Electronic Access

Providing Clinical Summaries

Incorporating Lab Test Results as Structured Data

Preventive Care

Patient-Specific Education Resources

Medication Reconciliation

Summary of Care

Use Secure Electronic Messaging

Stage 2 Menu Measures

The Menu Measures tab displays the comparison between the provider(s) and the practice’s Meaningful Use of Menu Objective Measures in graphs. The comparison summaries can be viewed in eight different formats: Monthly, Calendar Year, 90-Day, Quarter, QTD (Quarter to Date), YTD (Year to Date), Yearly, Score Card, and Historic. Three of the six Menu Objective measures that need calculations are displayed for viewing. Rest of the measures do not need calculations and can be self-attested by users.



The Menu Objective Measures for which the summaries are displayed are:

Electronic Notes

Imaging Results

Family Health History

Stage 2 Quality Tab

The Quality tab displays the comparison between the providers’ and the practice’s Meaningful Use of Clinical Quality Measures. An additional tab 2014 eCQMs displays under the Quality tab.

There are 64 clinical quality measures for 2014 that are divided into six different categories, i.e., six National Quality Strategy Domain: Patient and Family Engagement, Patient Safety, Care Coordination, Population/Public Health, Efficient Use of Healthcare Resources, and Clinical Process/Effectiveness. The measures that are selected for the providers through MAQ Configuration tool will display across these six categories. If no measures are selected, data for the default nine measures will display: CMS 138, CMS 90, CMS 69, CMS 68, CMS 156, CMS 166, CMS 165, CMS 2, CMS 50.

The comparison summaries can be viewed in nine different formats: Monthly, Calendar Year, 90-Day, Quarter, ATD (Quarter to Date) YTD (Year to Date), Yearly, Score Card, and Historic.

To select Clinical Quality Measure:

1. Click the arrow in the Quality tab.

2. Click the 2014 eCQMs tab, and then click one of the six tabs: Patient and Family Engagement, Patient Safety, Care Coordination, Population/Public Health, Efficient Use of Healthcare Resources, and Clinical Process/Effectiveness.

Selecting the Viewing Period

Select a data-viewing period from the following options:

Monthly View

Calendar Year View

90-Day View

Quarter View

QTD View

YTD View

Yearly View

Score Card View

Historic View

Note: Three asterisks (***) indicates the measure is not eligible for MU attestation.



Monthly View

The graphs displayed in this view are side-by-side comparisons of the providers’ and the entire practice’s Meaningful Use of the selected measure type for the current month, against the threshold set by CMS. No thresholds have been defined for Clinical Quality Measures.

To display data in Monthly View:

1. Click a measure from the Meaningful Use tab or the Quality tab for the stage that has been configured for extraction.

2. Click Select View in the upper-right corner of the window and then click Monthly View:

The Meaningful Use comparison summary displays for the current month.

Note: Practice data includes an average of all results for all providers in your database.



Core Measures - Monthly View:

Menu Measures - Monthly View:



Clinical Quality Measures - Monthly View:

The entire practice’s Meaningful Use of the selected measure type is displayed in red on the graph, and the providers’ Meaningful Use is displayed in various contrasting colors.

The percentage for the Meaningful Use of the selected measure type achieved by the practice and the provider(s) is displayed on top of their corresponding bars. The percentages can also be viewed by hovering the mouse over each individual bar.

The green line indicates the threshold defined by CMS for each measure.

Calendar Year View

The graphs displayed in this view are side-by-side comparisons of the providers’ and the entire practice’s Meaningful Use of the selected measure type for the year-to-date. The graphs display the comparison data for every month to date.

The Calendar Year View is a line graph, therefore the threshold line has not been included to avoid confusion.

Note: In any view, click the small black icon located on the upper-right corner of a graph box to view the graph in a larger window.Use the scroll bar to move down through each of the measures to view comparison summary for that section.

Note: If the denominators for some of the measures are zero (0), then the graphs for those measures do not display.

Note: No thresholds have been defined for Clinical Quality Measures.



To display data in Calendar Year View:

1. Click a measure from the Meaningful Use tab or the Quality tab for the stage that has been configured.

2. Click Select View in the upper-right corner of the window and then click Calendar View.

The Meaningful Use comparison summary displays for the calendar year.

Core Measures - Calendar Year View:

Menu Measures - Calendar Year View:

Note: If only one provider is selected, the provider’s performance is displayed in red and the practice’s performance is displayed in blue bar graphs. The percentage for the Meaningful Use achieved by the practice and the provider is displayed on top of their corresponding bars. The percentages can also be viewed by hovering the mouse over each individual bar.If more than one provider is selected, the performance summary is displayed in line graphs.



Clinical Quality Measures - Calendar Year View:



90-Day View

The graphs displayed in this view are side-by-side comparisons of the providers’ and the entire practice’s Meaningful Use of the selected measure type for a 90-Day period, against the threshold set by CMS. No thresholds have been defined for Clinical Quality Measures.

To display data in 90-Day View:


2. Click Select View in the upper-right corner of the window and then click 90-Day View.

The Meaningful Use comparison summary displays for the 90-Day period.

Core Measures - 90-Day View:

Menu Measures - 90-Day View:



Clinical Quality Measures - 90-Day View:

Quarter View

The graphs displayed in this view are side-by-side comparisons of the providers’ and the entire practice’s Meaningful Use of the selected measure type for the available quarter, against the threshold set by CMS. No thresholds have been defined for Clinical Quality Measures.



To display data in Quarter View:


2. Click Select View in the upper-right corner of the window and then click QTR View.

The Meaningful Use comparison summary displays for the quarter.

Core Measures - Quarterly:



Menu Measures - Quarterly:

Clinical Quality Measures - Quarterly View:



QTD View

The graphs displayed in this view are side-by-side comparisons of the providers’ and the entire practice’s Meaningful Use of the selected measure type for quarter to date period, against the threshold set by CMS. No thresholds have been defined for Clinical Quality Measures.

To display data in QTD View:


2. Click Select View in the upper-right corner of the window, and then click QTD.

The Meaningful Use comparison summary displays for the quarter to date.

YTD View

The graphs displayed in this view are side-by-side comparisons of the providers’ and the entire practice’s Meaningful Use of the selected measure type for year-to-date period, against the threshold set by CMS. No thresholds have been defined for Clinical Quality Measures.

To display data in YTD View:


2. Click Select View in the upper-right corner of the window, and then click YTD.

The Meaningful Use comparison summary displays for the year to date.

Core Measures - YTD View:

Note: The beginning date in the QTD period is the first day of the current quarter, and the end date in the QTD period is the latest extraction date.

Note: Data in the QTD view displays only after a data extraction has been performed. Data extraction can be requested from the MAQ Dashboard On-Demand Data Request Tool.

Note: The beginning date in the YTD period is the first day of the current calendar year, and the end date in the YTD period is the latest extraction date.

Note: Data in the YTD view displays only after a data extraction has been performed. Data extraction can be requested from the MAQ Dashboard On-Demand Data Request Tool.



Menu Measures - YTD View:

Clinical Quality Measures - YTD View:



Yearly View

The graphs displayed in this view are side-by-side comparisons of the providers’ and the entire practice’s Meaningful Use of the selected measure type for the previous calendar year, against the threshold set by CMS. No thresholds have been defined for Clinical Quality Measures.

To display data in Yearly View:


2. Click Select View in the upper-right corner of the window, and then click Yearly.

The Meaningful Use comparison summary displays for the previous calendar year.

Note: The beginning date in the yearly period is the first day of the previous calendar year, and the end date in the yearly period is the last date of the previous calendar year.

Note: Data in the Yearly view displays only after a data extraction has been performed. Data extraction can be requested from the MAQ Dashboard On-Demand Data Request Tool.



Core Measures - Yearly View:

Menu Measures - Yearly View:



Clinical Quality Measures - Yearly View:

Score Card View

The data displayed in this view are comparisons of the providers’ and the entire practice’s Meaningful Use of the selected measure type in two different periods.

To display data in Score Card View:


2. Click Select View in the upper-right corner of the window, and then click Score Card View.

3. Click the arrow in the Period A field and select Monthly, 90-Day, QTR, QTD, YTD, or Yearly:

Note: In Score Card view, up to 225 providers can be selected to view the comparison summaries.

Select Viewing Period...

To Display...

Monthly Latest month’s data

90-Day Latest 90-Day data



4. Click the arrow in the Period B field and select Monthly, 90-Day, QTR, QTD, YTD, or Yearly.

The Meaningful Use Score Card summary displays for the two periods selected in steps 3 and 4.

Core Measures - Score Card View:

QTD Data displays based on the date range that uses the first day of the current quarter as the beginning date and the latest extraction date as the end date

QTR Latest quarterly data

YTD Data displays based on the date range that uses the first day of the calendar year as the beginning date and the latest extraction date as the end date

Yearly Data displays based on the previous calendar year

Note: The following comparisons are now allowed: Monthly to Monthly 90-Day to 90-Day Quarterly to Quarterly QTD to QTD YTD to YTD Yearly to Yearly

Select Viewing Period...

To Display...



Menu Measures - Score Card View:

Clinical Quality Measures - Score Card View:

The selected periods display as Period A and Period B in the first column header.

The columns are categorized by Period A and Period B; the latest period is displayed by default.

Denominator and Numerator Columns - The selected period’s denominator and numerator comparison summaries for the provider(s) and the entire practice for each of the measures.

Threshold Columns - The performance of the provider(s) and the practice for the selected period compared to the threshold percentages defined by CMS, for each of the measures.

The threshold percentage defined by the CMS is listed in parentheses, and the provider/practice performance is listed outside the parentheses, in the respective columns.

Threshold Values - If the practice’s performance (in percentage) is less than the threshold percentage defined by CMS (in parentheses), then the field is highlighted in red.



Provider Summary Breakdown - To view the performance, numerator, and denominator summaries for the provider(s), click the Plus (+) icon next to a measure in the table.

The provider names display along with their individual numerator, denominator, threshold, and performance percentage breakdown for the selected period:

The Plus (+) icon does not display if the logged-in user is not the eCW practice administrator. In this case, providers can view their individual numerator and denominator information directly on the window.

Provider Exclusion Column - The Provider Exclusion column displays patients that meet certain exclusion criteria and have been manually marked as excluded from the Progress Notes Chart Panel to prevent their inclusion from the measure calculation. The exclusions are displayed for both the selected periods.

Patient-Level Breakdown - To view patient-level breakdown of a provider’s performance summary, click the Plus (+) icon next to a measure. Then, double-click in the Provider Period A or Provider Period B Threshold fields.

The patient list for the selected provider’s performance summary opens, displaying the account number for the patients and if the patients satisfy the numerator and denominator for the measure:

If a patient satisfies the denominator and numerator of the measure, they are captured in the list and are denoted by Yes in the Denominator and Numerator columns respectively. If a patient does not satisfy the numerator of the measure, they are denoted by No in the Numerator column.

Note: Graphs have been disabled for the Score Card View.

Note: This column only applies to Clinical Quality Measures

Note: In a Provider View, simply double-click in the Provider Period A or Provider Period B Threshold fields to view the patient-level breakdown.



To export the entire patient list to Microsoft Excel® and to save it to your computer, click Save (All) as CSV.

To export the patient list displayed in the current window to Microsoft Excel and to save it to your computer, click Save (Page) as CSV.

To filter the values in any columns, click the funnel icon in the column header to open an additional filter window for that column. For more information on using these filters, refer to Selecting Providers.

Click the Disk icon and then click Save as CSV to save the report in a CSV format on your machine:

For more information on the green folder icon with an arrow refer to MAQ On-Demand Data Request

Tool.

Historic View

In Historic View, the user can select a Monthly, 90-Day, Quarterly, QTD, YTD, or Yearly viewing period from a past set of scheduled or manual extraction periods. Two different time periods, such as Monthly and YTD can be compared to one another, but two similar periods, such as Monthly and Monthly cannot be compared. When an extraction is requested or a scheduled extraction is performed, the period of extraction is added to the Historic View (Select Any One Period window).

To display data in Historic View:

1. Click Select Provider button to open the Provider Lookup window.

The Provider Lookup window displays.

2. Select only one provider.

3. Click OK.

4. Click Select View in the upper-right corner of the window, and then click Historic View.

Note: There are only 10 Core and 6 Menu Set measures because these are the only measures that require thresholds to be met and calculations to be made. The remaining measures are reported through self-attestation (Yes/No from the provider).

Note: When there is no data available for a measure, check the date range you are viewing. Some features required for Meaningful Use reporting (such as tracking printed and faxed prescriptions, sending reminders, viewing PHR, etc.) were added after the V10 upgrade, therefore date ranges prior to the upgrade will not display information.

If you are viewing a date range after your upgrade, please attend our Meaningful Use webinars, which contain useful reporting tips. If the issue still exists after this point, please contact eClinicalWorks Support.

Note: The Select Provider option is available only if the logged-in user is an administrator of the software. In Historic View, only one provider can be selected at a time.




6. Click the arrow in the Period A field and select Monthly, 90-Day, QTR, QTD, YTD, or Yearly:

The Select Any One Period window displays for the selected period. The window displays all monthly, 90-Day, YTD, Quarterly, QTD, Yearly extractions performed in the past depending on the type of period selected (Monthly, 90-Day, YTD, Quarterly, QTD, or Yearly).

The following image for Select Any One Period window displays all monthly extractions performed in the past:

7. Check the box for one period.

8. Repeat steps 5 - 6 for Period B field.

9. (Optional) To filter the values in any columns, click the funnel icon in the column header to open an additional filter window for that column.

For more information on using these filters, refer to Selecting Providers.

Note: The end dates for YTD differ based on the past extraction dates.

Note: The following comparisons are now allowed: Monthly to Monthly 90-Day to 90-Day Quarterly to Quarterly QTD to QTD YTD to YTD Yearly to Yearly

Note: Any selection made in this window is retained until the user changes their selection. If the user exits the MAQ Dashboard and logs back in, the selection is reset to the latest extraction periods.



10. Click OK.

The Meaningful Use historic summary displays.

Core Measures - Historic View:

Menu Measures - Historic View:


MAQ DASHBOARD MAQ ON-DEMAND DATA REQUEST TOOL

Clinical Quality Measures - Historic View:

The date range displays as Period A and Period B in the first column header.

The columns are categorized by Period A and Period B.

For more information on the denominator, numerator, threshold, provider summary breakdown, patient-level breakdown, and threshold values, refer to the Score Card View.

MAQ On-Demand Data Request ToolThe On-Demand Data Request Tool is used to request a monthly, 90-Day, year-to-date, quarter-to-date, quarterly, and yearly data extraction for Meaningful Use of Objective and Clinical Quality Measures. Only past or current data can be extracted; future dates cannot be requested for extraction.

This tool is available under Score Card View and Historic View for Core Objective, Menu Objective, and Clinical Quality Measures for Meaningful Use Stage 1 and Stage 2. The view is same for both providers and eCW practice administrators. Currently there are no security settings that can restrict users from accessing this tool.

Generally, the extraction is performed overnight after submission of request, and the results can be viewed in the Score Card View. However, if the number of providers for extraction exceeds 100, it may take more than one night to complete the extraction.



Any dates that are requested for extraction, become part of the Historic View Dates (Select Any One Period window). Dates that are not in the current time period can also be viewed in the Historic View. If a user requested an extraction, everyone else in the practice with access to the MAQ Dashboard can view that extraction period in Historic View (Select Any One Period window). However, providers cannot view results for other providers; only eCW practice administrators can view results for other providers.

For more information on MAQ On-Demand Data Request Tool, refer to the following section:

Requesting Extraction of Data for Core, Menu Objective, and Clinical Quality Measures

Requesting Extraction of Data for Core, Menu Objective, and

Clinical Quality Measures

Data extraction for all available Core, Menu Objective Measures, and Clinical Quality Measures can be requested at one time. To request data extraction by 90-Day, Monthly, YTD, QTD, Quarterly, or Yearly, only one extraction (Objective or Quality, or both) and one Meaningful Use stage can be submitted at one time.

To request data extraction for Core, Menu Objective, and Clinical Quality Measures:


2. Click the black arrow button: .

The MAQ On-Demand Console window displays:

IMPORTANT! Only one extraction request can be submitted at a time; users must wait until an extraction is complete to request another extraction. For example, if Dr. Sam Willis has submitted a request for extraction, the eCW practice administrator, Jennifer Davis, cannot submit a request for Dr. Sam Willis or other providers at the same time. Jennifer Davis must wait until Dr. Sam Willis’ request has been processed before she can submit another request.

Note: If the data extraction coincides with the latest date ranges on the regular view, then the data will display on the regular Monthly, 90-Day, Quarter-To-Date, Quarterly, YTD, or Yearly views (whichever was requested). But if the data is requested for a past time frame, then that data will be available in the Historic View.



The console displays the ID, type of measure, extraction period, reporting start and end dates, time and date of request, and the status of the request.

Click the More (...) button under Providers to display the name of the provider for whom the extraction was requested. Only practice administrators can view requests for other providers.

Click the Prev and Next buttons to browse to previous and next pages respectively.

Click the Display number buttons to display a selected number of results per page.

3. Click Add New Extraction Request.

The second On-Demand Console window displays:

Note: The Add New Extraction Request button is disabled if the status of any data extraction is pending.



4. Click one of the following options:

Stage 1 (2011-2013) - To select Meaningful Use Stage 1 data from 2011-2013


Stage 2 - To select Meaningful Use Stage 2 data from 2014

5. Click a Meaningful Use Measure Type:

If Stage 1 (2011-2013) is selected, click Objective or Quality, or both check boxes in Measure Type.

The Objective Measure type captures Meaningful Use data for Core Objective and Menu Objective Measures and the Quality Measure type captures Meaningful Use data for Clinical Quality Measures.

If Stage 1 (2014) is selected, click Objective or eCQMs, or both boxes in Measure Type.

The eCQMs are electronic Clinical Quality Measures for 2014.

If Stage 2 is selected, click Objective or eCQMs, or both boxes in Measure Type.

6. Click a duration: Monthly, 90-Day, Year-To-Date, Quarter-To-Date, Quarterly, or Yearly icon to select a date-range type. Only one extraction by viewing period can be submitted at once.

The durations display based on the stage selected:

Stage 1 (2011-2013): Monthly, 90 Days, Yearly

Stage 1 (2014) and Stage 2: Monthly, 90 Days, Quarter-To-Date, Quarterly, Year-To-Date, Yearly

The following table summarizes steps 4 - 6:



Additional options display for the reporting period:

• If Monthly is selected, click the drop-down arrows in the Reporting End Month/Year field to select a month and year for the monthly period. Only calendar months are allowed for extraction.

For Stage 1 (2011-2013), the Year field displays options for 2011, 2012, and 2013.

For Stage 1 (2014) and Stage 2, the Year field only displays the year 2014 and the Month field displays the months that are available for extraction in 2014.

The start date is calculated based on the selected end date and displays in the Calculated Start Date field:

• If 90-Day is selected, click the calendar icon in the Reporting End Date field to select the end date for the 90-Day period.


Step 1 - Select a Stage

Step 2 - Select MU Measure Type

Step 3 - Select a Duration

Stage 1 (2011-2013) ObjectiveOR

QualityOR

Both

Monthly 90 Days Yearly

Stage 1 (2014)Stage 2

ObjectiveOR

eCQMOR

Both

Monthly 90 Days Quarter-To-Date Quarterly Year-To-Date Yearly



• If Quarter-To-Date is selected, click the drop-down arrows in the Reporting End Year/Quarter field to select a year and a quarter.

The Year field displays only the year 2014, and the Quarter field displays the available quarter to date. The Quarter-To-Date reporting period will be available from the second quarter in 2014.


• If Quarterly is selected, click the drop-down arrows in the Reporting End Year/Quarter field to select a year and a quarter.

The Reporting End Date field displays the last date of the quarter and the Calculated Start Date field displays the first date of the quarter. The Quarterly reporting period will be available from the second quarter in 2014.

• If Year-To-Date is selected, the Reporting End Date field displays the last data extraction date and the Calculated Start Date field displays the first day of the calendar year:



• If Yearly is selected, the Reporting End Date field displays the last date of the calendar year and the Calculated Start Date field displays the first date of the calendar year. The Yearly reporting period will be available at the end of 2014:

7. Select a provider from the list for whom the extraction is being requested.

If the logged-in user is an eCW practice administrator, they can request extraction for one or all providers in the list.

If the logged-in user is a provider, they will only see their name in the provider list and can request extraction for themselves.

8. Click Submit.

A message displays notifying the user with the confirmation number of the request:



The extraction is processed after the submission of request. Depending upon the number of providers for whom the extraction is requested, the extraction can take 24 hours or more to be completed. Users can view their results in Score Card View after the extraction is complete.

If an extraction request is submitted in error, users do not have to wait 24 hours to submit another request. They have the option to retire an existing request.

To retire an existing request, click the Retire button in the MAQ On-Demand Console window:

Note: At this point, the name of the user that requested the extraction does not display.


MAQ DASHBOARD PROVIDER VIEW

The status of the request changes to Retire.

Users can retire only pending requests. If an extraction is complete, the Retire button does not display for that request.

Provider ViewWhen a provider logs into eClinicalWorks and clicks the Meaningful Use link in the main toolbar, the MAQ Dashboard window is launched in Provider View, displaying the Welcome page with an overview of Meaningful Use for 2014. Providers must configure the Meaningful Use stage and Clinical Quality Measures before they can view the measures in their MAQ Dashboard. For more information about MAQ Measure configuration, refer to MAQ Measure Configuration.

Provider View:



The provider can access the same tabs, measures, and views as the eCW practice administrators:


Core Measures

Monthly View Calendar View 90-Day View QTD View Quarterly View YTD View Yearly View Score Card View Historic View

Menu Measures




Stage 1 Quality Tab

2011-2013 CQMs2014 eCQMs

Monthly View Calendar View 90-Day View QTD View Quarterly YTD View Yearly View Score Card View Historic View

2011-2013 CQMs2014 eCQMs

Monthly View Calendar View 90-Day View QTD View Quarterly YTD View Yearly View Score Card View Historic View


Core Measures


Menu Measures



MAQ DASHBOARD PRACTICE VIEW VS PROVIDER VIEW

Practice View vs Provider ViewThe Select Provider button is absent in the Provider View. Therefore, if the logged-in user is a provider, they can view only their performance summary in comparison to the entire practice’s performance summary. From this view, providers cannot view data for another provider.

The Select Provider button is present in the Practice View. Therefore, if the logged-in user is an eCW practice administrator, they can view the data for other providers and the entire practice.

In Provider View, providers can request data extraction only for themselves using the MAQ On-Demand tool. However, in Practice View, the eCW practice administrators can request data extraction for one or all providers.

If a practice needs to provide access to other users that are not eCW administrators or providers, they must contact eClinicalWorks Support for a username and password for the users. This username and password can be shared by other users that need access to the MAQ Dashboard.

The users can log in to the MAQ Dashboard using the following link:

https://mu.eclinicalworks.com/maqdashboards/

They can use the username and password provided by eClinicalWorks Support to log in to the MAQ Dashboard from the above link:

Stage 2 Quality Tab

2014 eCQMs Monthly View Calendar View 90-Day View Quarterly View QTD View YTD View Yearly View Score Card View Historic View


https://mu.eclinicalworks.com/maqdashboards/

MAQ DASHBOARD HELP MENU TOPICS

Help Menu TopicsThe Select Help menu is located at the top right corner of the MAQ Dashboard window. The Help menu provides easy access to various resources and documentation available for the MAQ Dashboard and Meaningful Use in eClinicalWorks.

1. Click the Select Help menu button to display a drop-down list:

2. From the drop-down list, click one of the following options:

MAQ FAQs

MAQ Guide

MU Calc

MU Guide

MU FAQs


MAQ DASHBOARD HELP MENU TOPICS

myeCW

Live Chat

The document/resource corresponding to the selected menu option displays:

Menu Option Document/Resource

MAQ FAQThe MAQ Dashboard FAQ displays. This is a list of most common questions and answers concerning the eClinicalWorks MAQ Dashboard.

MAQ GuideThe MAQ Dashboard Guide displays. This is a guide to using the eClinicalWorks MAQ Dashboard (this document).

MU GuideThe Meaningful Use Training Scenarios Guide displays. This guide provides detailed description of Core Set Objectives and Menu Set Objectives.

MU Calc

The Meaningful Use Calculations Guide displays. This is a guide to the calculations used by the eClinicalWorks software for Meaningful Use reporting on the MAQ Dashboard.

MU FAQ

The Meaningful Use Frequently Asked Questions displays. This is a list of available resources and most common questions and answers concerning the Meaningful Use incentive program and eClinicalWorks Version 9.

myeCW The https://my.eclinicalworks.com page displays. This is the eClinicalWorks Customer Portal.

Live Chat

The Live Chat window displays.To log in to Live Chat:1. Enter your practice name in the first field.2. Enter your name in the second field.3. Enter your e-mail address in the third field.4. Enter your phone number in the fourth field.5. Select the category of your question from the

drop-down field.The mandatory fields are marked in red.

6. Click Start Chat to start chatting with an eClinicalWorks resource.Before you start chatting, please note the Live Chat hours displayed on the window.


https://my.eclinicalworks.com/


APPENDIX: NOTICES

TrademarkseClinicalWorks®

eClinicalWorks is a registered trademark of eClinicalWorks, LLC. All other trademarks or service marks contained herein are the property of their respective owners.

Microsoft®

Microsoft, Excel, Word, Silverlight are either registered trademarks or trademarks of Microsoft Corporation in the United States and/or other countries.

CopyrightsMicrosoft Copyright Notice

©2007 Microsoft Corporation. All rights reserved.

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