374. Closing the Referral Loop: Receipt of Specialist Report

Document the referral for the denominator:

1. In Eyefinity EHR, create a Visit Note.
2. Open the Ocular Exam.
3. Record the Exam and Diagnosis information.
4. Under Plans, tap Referral.

   A referral recipients window opens.

5. Tap Close.

   To satisfy this measure you will send the CCD electronically via direct messaging. To avoid also sending a fax, tap Close.

   

6. Document the rest of the exam and finalize it.

After the exam is finalized, send the CCD :

1. Return to the Patient Overview.
2. Tap the finalized visit note.
3. Tap the More action bar icon and tap Send CCDA.

   

   A message window opens.

4. Tap or type the first few letters of the provider to whom you’re referring the patient and select the provider’s name from the list.

   

   If you don’t see the provider you’re looking for, open Eyefinity EHR on the web, click the Document Management tab, add the provider and their HISP Address, and return to the Select Referral Recipient window within the exam.

5. Edit the subject as needed.
6. Compose a short message that is relevant to the case.

   

7. Tap Send.

When the consult report is received, perform the following steps:

1. Log in to Eyefinity EHR on the web.
2. Search for the patient and open the Patient Chart.
3. Click the Manage Attachments action bar icon.
4. Attach the inbound fax or upload a scanned copy of the consult report.

   Once attached or uploaded, the file appears in the list of attachments.

5. Locate the report in the attachments list and select the Visit during which the referral was made.
6. Select a Category for the attachment.

   

7. Click Save.

Record the referral to another provider:

1. In a patient’s exam record in ExamWRITER, record the office visit (92xxx or 99xxx).
2. Click Patient Hx.
3. Click the Exam Hx tab and click New Referral.
4. Select the Referring Provider, Refer to Provider, Reason, SNOMED, Referral Date, and Expected Return Date and click Save.
5. Click Create CDA Transition of Care and click Exit.

   

When your practice receives the report from the referred provider, complete the following steps:

1. Open the patient’s exam. This can be the finalized exam from the patient’s exam, or it can be a new exam if you’re seeing the patient again.
2. Click Patient Hx.
3. Click the Exam Hx tab and double-click the referral listed under Patient Referral to Other Providers.
4. Select the Actual Return Date if the patient returned, select the Specialist Report Received check box, and click Save.
5. Click the eDocuments tab.
6. Click Show eDocs.
7. Click Add.
8. Select Receipt of Specialist Report from the Document Type drop-down menu.
9. Scan the physical report or browse for an electronic file received from the referred provider.
10. Click Save/Exit.

    Attaching the report with ECR Vault does not advance the numerator at this time. You must attach it using eDocs.

• EHR (ExamWRITER only)
• Registry (Eyefinity EHR only)
• AAO IRIS (Eyefinity EHR only)

This topic describes how points are calculated for this measure. To learn more about scoring, go to Scoring.

Benchmarks are displayed here as both a chart and a table. The chart gives you a visual representation and helps you quickly compare benchmarks across different reporting methods. The table lists the specific benchmark criteria for each available reporting method.

 

Submission Method	3rd Decile	4th Decile	5th Decile	6th Decile	7th Decile	8th Decile	9th Decile	10th Decile
EHR (ExamWRITER only)	18.61– 27.37	27.38– 35.16	35.17– 43.01	43.02– 51.29	51.30– 60.18	60.19– 72.08	72.09– 89.28	≥ 89.29

Number of patients, regardless of age, who had one or more visits during the measurement period:

AND [registry reporting only] who was referred to another provider or specialist during the on or before October 31:

AND [EHR reporting only] who were referred to another provider documented with one of the following SNOMED codes:

[EHR reporting only] Number of patients with a referral, for which the referring provider (you) received a report from the provider to whom the patient was referred, documented with one of the following SNOMED codes:

Performance Met

[Registry reporting only] Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred:

Performance Not Met

[Registry reporting only] Clinician who referred the patient to another clinician did not receive a report from the clinician to whom the patient was referred: