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Explorys FAQs

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ACO and HEDIS Measurement Periods

Yes, currently the reporting period for ACO is 2016, while the reporting period for HEDIS is 2015. You can refer to the detailed Measure Specification to verify (Select Measure --> Select a Category --> Select a Measure --> Select 'Download Definition')


Attribution

If the patient has been receiving primary care services (like health maintenance activities) and would be attributed to a particular provider, but the provider is not present in the org chart, the patient will not be attributed to any provider. The patient can be found in Explorys using patient search, however will not be a part of the numerator or denominator for any measure for any provider.



ACO = Accountable Care Organization; Patients attributed to the physician they have seen the most within the past 18 months.
PCP = Primary Care Physician; Patients attributed to the Physician desginated as the Primary Care Physician




Benchmarks

  1. Select Inform from the main landing page or drop down at the top of your screen.
  2. Select Add/Edit Comparators --> The Comparatives pop up box will appear.  Make sure the Benchmarks tab is selected.
  3. To view each level, select the triangle next to each level to expand it.
  4. To add comparators, select the checkbox next to the level you want to add.  You can de-select to remove.
  5. Once finished, click Done to save and apply your changes.


  1. Select Measure from the main landing page or drop down at the top of your screen.
  2. Select a Measure Category --> You will see the 'Select Organization Units' icon in the upper right hand corner of your screen (depicted by an icon that looks like a spreadsheet).  Select it.  The Comparatives pop up box will appear.  Make sure the Benchmarks tab is selected.
  3. Select the triangle next to Explorys Network Benchmarks or KPP to view available options.
  4. To add benchmarks, select the checkbox next to the percentile you wish to add or de-select to remove.
  5. Once finished, click Submit to save and apply your changes.


Benchmark's are useful if you want to see how you are performing in comparison to a larger population (such as the Explorys Network)


Breadcrumbs

Breadcrumb is a term used to denote that while moving from page to page in Explorys, you should see the path you took at the top of the screen. This normally is denoted by a Page Name/Page Name/ with the '/' indicating a change in pages. You can get back to prior pages by select the name of the page within the breadcrumb. Breadcrumbs are the preferred way of moving back and forth within the application versus the browser back and forward buttons.

The back button is not recommended within Explorys, to go back to previous pages/screens, you must utilize the breadcrumbs.


Comparator

Comparator refers to the different levels within KPP.  The levels are listed below:

  • KPP
  • KPN
  • Specialty Groups - Primary Care, Medical Specialist, Surgical Specialist, Other
  • Specialty
  • Practice
  • Physician

When you are adding 'comparators' you are adding one or more of these levels so that you can view performance or other information tied to them.
This term is used inter-changeably with Org Chart.




Data Source

Currently, Explorys is updated daily with data from Kettering's EPIC system.  On a monthly basis, Claim and Pharmacy files supporting the Employee Health Plan are ingested into the system.
Within Virtual Chart you will see tabs along the top of the page.  Each tab indicates what sources provided data for the selected patient.

Additional data sources will be added to support KPP.  Communications will be sent out as new sources are added.




Explorys Network

The Explorys Network represents all clients who utilize Explorys, which includes all of their providers, members, claims, etc. If you add the Explorys Network as a comparator within Measure and/or Inform, you can view how you are performing in comparison to the entire Explorys Network.


High Risk Registry

Not all patients in a practice will be included the High Risk registry. Only those patients meeting the definition of High Risk Registry will be included in the registry population.

All living patients greater than or equal to age 18 who in the last year had HCC Score > 3  AND  Charleson Deyo Risk Index greater than 2.




Hypertension Registry

All living patients who in the last year having

  • 1 diagnosis of hypertension in the first 6 months of the measurement period

AND

  • 1 ambulatory encounter in the past year

AND NOT

  • have diagnosis of End Stage Renal Disease, Pregnancy, Steroid Induced Diabetes, Gestational Diabetes or Polycystic Ovaries.



Inform

You can hover your mouse over the percentages to view the target

To review the Measure Specification document within Inform:

  1. You must be on an individual measure (EX. ACO 28).  Therefore, if you are on the Clinical Quality tab and the categories of Diabetes, Cardiovascular, etc are showing, you will need to either click into the appropriate category or select 'Sub-Measures' from the drop down that appears next to it.
  2. With the measure in question in view, select the 'Definition/Trending' option from the drop next to the measure.
  3. There is a 'Download Definition' link that appears on the trending screen.  If you select this option, it will allow you to view the Measure Specification.


You must be looking at a specific measure.  So from the main Clinical Quality showcase tile for example, either select a category heading (Cardiovascular, Diabetes, etc) or select the drop down to the right of these options and select Sub Measures.  
Once the individual measures are shown, you can select the drop down next to each comparator's percentage/value to select the Patient List option.



You will need to contact iSupport to report what you would expect to see (937-384-4500). They will route this ticket to the necessary team for research.



After opening Definition/Trending, you can check or un-check the boxes next to each comparator. This will add or remove them from the trend analysis. If you would like to add comparators that are not currently present, you will need to add additional comparators to your Org Chart. Go to the Org chart/Comparators Category to learn how.



Select the Add/Edit Comparators option that appears on the Inform dashboard. Go to the Org chart/Comparators Category to learn how.



Scroll all the way down on the vertical scroll bar and the horizontal scroll bar will appear

You can select the column headers of 'Cardiovascular', 'Diabetes', etc to view the measures that make up each. Another option is to hover your mouse to the right of the percentage/value under the category you wish to expand. You can select the Sub Measures option to view the measures that make up the category.

If you have chosen the Explorys Network as one of your comparators, the percentile you selected will appear here. If it is green, it means you are performing at or above the Explorys Network. If grey, it means you are performing below the Explorys Network.

The grey dotted line is another visual of where the target is set. The blue shading that you also see running through the percentage or value shows where your comparator is currently tracking.

The blue shading represents where you are currently at against target. The grey dotted line represents the target. This is another visual to help you gauge performance.

Reference Date indicates how current the data is.  So for example, if the reference date showed yesterday's date it would mean the data is current up through yesterday.
Explorys will run 1-2 days behind production EPIC.



You can hover your mouse to the right of any percentage or value, a drop down will appear. You can select Definition/Trending to view a graphical depiction of your Comparator's performance.

You will need to set up your Org Chart/Comparators. Go to the Org chart/Comparators Category to learn how.



Most clinical measures are supported by percentages.  However, when you are looking at utilization/claim based measures, they may be represented by whole numbers.  In addition, scores, such as risk scores may also be represented by a whole number.  To understand what to expect and how a measure is calculated, you can refer to the detailed Measure Specification document.  
To review the Measure Specification document within Inform:

  1. You must be on an individual measure (EX. ACO 28).  Therefore, if you are on the Clinical Quality tab and the categories of Diabetes, Cardiovascular, etc are showing, you will need to either click into the appropriate category or select 'Sub-Measures' from the drop down that appears next to it.
  2. With the measure in question in view, select the 'Definition/Trending' option from the drop next to the measure.
  3. There is a 'Download Definition' link that appears on the trending screen.  If you select this option, it will allow you to view the Measure Specification.


The status circles within the Inform Dashboard will appear empty if the target was not met OR no target was set to compare performance to. You can hover over the % or score in question to view if a target has been set. If yes, the target % will be shown as well.

Inform is defaulted to the ACO attribution model

Within the dashboard, the Clinical Quality showcase tile will display the roll up of the Quality Measures. The Utilization and Population Health Showcase tiles only contain 1 measure within their details, therefore the summary at the top of the tile is tied to those specific measures.


Logging In

There are multiple ways to access the Explorys application:

  1. Select the Explorys icon from your desktop - Denoted by the IBM logo and the words IBM Explorys underneath it.
  2. Select the 'Explorys EPM Suite' link from the Physician Dashboard within EPIC
  3. Select the Explorys icon from the Citrix main application page
  4. Select the Explorys icon from the Carelink toolbar

Once selected, you will need to enter your network ID and password.



Currently, only KPN physicans/practice managers/care managers/navigators/coordinators and transition managers have access to the application.  
If you are part of KPN and in one of the above roles -- please contact iSupport (937-384-4500).  They can create the request to have you added.
If you are not part of KPN or one of the roles listed - more information to be rolled out in the future on when others will be able to gain access.  If you feel you have a pressing need for access now, please contact iSupport at the number above.  They will route the request to the appropriate team for follow up.



The Explorys application can be used in recent versions of Internet Explorer, FireFox and Chrome. Kettering Health Network only supports Internet Explorer and therefore is the recommended browser.

If you receive a blank page after entering in your network credentials to log into Explorys, you may need to un-check the compatability view option in Internet Explorer (this issue has been seen within this particular browser)
With Internet Explorer open, select the 'gear' icon that appears in the upper right hand corner of the screen.
Select the 'Compatability View Settings' option
Un-Check the box next to 'Display intranet sites in compatability view'
Select Close
Re-Try entering Explorys.  
If the issue persists, contact iSupport at 937-3844500.



While this is a redundant step, the intent is to protect PHI. Explorys does contain PHI and as a result, the secondary login helps to prevent unlawful access.


Logging Out

For KPN a log out button will not appear.  You can exit your session by closing the browser or closing the Explorys tab if you wish to keep the browser open.

Explorys times out after 30 minutes, therefore you may need to re-login if you attempt to enter the application after this point.




Measure

There are some patients described as having “white coat syndrome” with high blood pressure readings in the office but normal blood pressure readings at home. Many users have asked if a normal blood pressure recorded during an office visit type of “nurse visit” will meet this measure.

CMS does not include a nurse visit (CPT 99211) in the office visit types for this measure. The patient needs to have a blood pressure recorded in an office visit type that is included in the measure specifications.

Encounter Visits:

Outpatient visit, Office visit
CPT                     HCPCS   SNOMED        
99201 99202 99203 99204 99205 99212 99213 99214 99215 99241   G0438   12843005 18170008 185349003 1854630005 185465003
88242 99243 99244 99245 99341 99342 99343 99344 99345 99347   G0439   19681004 207195004 270427003 270430005 308335008
99348 99349 99350 99385 99386 99387 99395 99396 99397         390906007 406547006 439708006 87790002 90526000

 



The measure HEDIS 2016 - Statin Therapy for Patients With Cardiovascular Disease (SPC) - Received Statin Therapy - Total is not looking at whether a Statin medication is prescribed for a patient, but is looking at patients with specific atherosclerotic cardiovascular disease (ASCVD) conditions to determine if they have been prescribed an effective statin therapy medication AND if the patient continues taking the medication consistently during the reporting period. Patients must be "dispensed at least one high or moderate-intensity statin medication during the measurement year".  If the patient is allergic to Statins they will not be on the medication to be evaluated for consistency in taking the medication. Allergy to statin medication is not considered in the exclusions for this measure. Statin therapy medications for this measure include: 

High-intensity Statin therapy*

Atorvastatin 40–80 mg Rosuvastatin 20–40 mg
Amlodipine-atorvastatin 40-80 mg Simvastatin 80 mg
Ezetimibe-atorvastatin 40-80 mg   Ezetimibe-simvastatin 80 mg

 Moderate-intensity Statin therapy* 

Atorvastatin 10–20 mg Pravastatin 40–80 mg
Amlodipine-atorvastatin 10-20 mg Aspirin-pravastatin 40-80 mg
Ezetimibe-atorvastatin 10-20 mg Lovastatin 40 mg
Rosuvastatin 5–10 mg Niacin-lovastatin 40 mg
Simvastatin 20–40 mg Fluvastatin XL 80 mg
Ezetimibe-simvastatin 20-40 mg Fluvastatin 40 mg bid
Niacin-simvastatin 20-40 mg Pitavastatin 2–4 mg
Sitagliptin-simvastatin 20-40 mg  

 *Note: Please review NCQA HEDIS 2017, Volume 2 for a comprehensive list of medications and NDC codes related to this measure.  www.ncqa.org.

A November 2016 article describing this measure can be found here.

 



There are 2 different thresholds assessed for this measure:

PHQ-2: 3 and under is considered negative

PHQ-9: 9 and under is negative



You can select the icon next to Attribution that is represented by a green circle/plus sign. You can view the possible choices and make your selection.

You can modify what appears as comparators. Go to the Org chart/Comparators Category to learn how.



After selecting the 'Trend Analysis' icon, you can select one of the following options: 

  1. Next to "Zoom" select an option to narrow or broaden your view 
  2. Select the "handlebars" at the bottom of the Trend Analysis screen.  These are the lines that appear at the bottom of the trend chart that have a 'pill shaped' icon on top of them.  You can drag these handlebars to the desired timeframe.


To get to the motion chart, select Measure --> Select a Category --> Select the 'bar graph' icon that appears to the left of the measure. At the top of the motion chart, you will see tabs that will allow you to change the graph to a ball chart, a bar graph or a trend chart.

The motion chart by default will display who you have selected as your Comparators or Org Chart. You can select/de-select these by either clicking the checkbox to the right of the motion chart or hovering over the name of the compator and selecting the 'X' that appears to the right of it. If you are not seeing a comparator and would like to add Go to the Org chart/Comparators Category to learn how.



You can select Measure --> Select a Category --> Select a Measure Name. Within the Measure Summary pop up box you will see the target source.

Measurement periods can differ between ACO and HEDIS, therefore to verify what the measuremet period is, refer to the Measure Definition Document
Select Measure --> Select a Category --> Select a Measure --> Select the 'download definition' button from the Measure Summary pop up box.  
You will see the measurement periods listed towards the top of this document, as well as under the sections that detail the numerator and denominator.



Select the Measure application --> Select a Category --> The patient list icon will appear under each Comparator you have set up. Appears as people. Select this icon under the comparator you wish to review.

The ED Visits per 1000 Measure evaluates the number of ED visits in the past 12 months per 1000 member years.  Currently it is only going against the Kettering Employee Health Plan.  As part of the calculation, the extent of the member's eligibility is factored into the calculation -- meaning it is not assumed that every member had coverage for the full 12 months.  Therefore their actual coverage span is taken into consideration.

Denominator:
Sum( Eligibility Interval ) / ( 365 * 1000 ) For patients that meet criteria Eligibility

Eligibility Interval = the total number of days persons were eligible for the plan (In Kettering's case UNITEDHEALTH)


Numerator:
Sum( Medical Claim Line or Medical Claim Line or Medical Claim Line or Medical Claim Line or Medical Claim Line or Medical Claim Line or Medical Claim Line
or Medical Claim Line or Medical Claim Line or Medical Claim Line or Medical Claim Line ) For patients that meet criteria ( Medical Claim Line or Medical Claim Line or Medical Claim
Line or Medical Claim Line or Medical Claim Line or Medical Claim Line or Medical Claim Line or Medical Claim Line or Medical Claim Line or Medical Claim Line or Medical Claim
Line )

This counts the number of ED visits for those who were eligible during the measure period (12 month look back) meeting all the criteria:

Must have a claim revenue code in the included set for ED visits (0450, 0451, 0452, 0453, 0454, 0455, 0456, 0457. 0458. 0459, 0981) during the time the member was eligible for the plan
AND
The above claim must have been an OP claim type
AND
The above claim must have a claim line paid amount that is not 0

 



You will need to contact iSupport to report what you would expect to see (937-384-4500). They will route this ticket to the necessary team for research.



A target may be set to 0% if there was not enough baseline data to determine a valid target or a national standard does not exist. As more data becomes available, these measures will be assessed to determine if a target can be set.

The triangle icon with the exclamation point can mean that either there is not enough information yet to determine adherence (EX. Physician or Practice is new) or no target was set.

A red X means you are not adherent to the target set for the Measure. A green check mark indicates you are adherent. To view the target, you can hover your mouse over the X or check mark to see the target. You can also view the target by clicking on the Measure Name. The Measure Summary pop up box that appears will list the target.

Motion Charts: Select Measure --> Select a Category --> Select the bar graph icon that appears to the left of the measure name.
Trend Analysis: Select Measure --> Select a Category --> Select the trend graph icon that appears under each measure performance % or score.



ACO = Accountable Care Organization; Patients attributed to the physician they have seen the most within the past 18 months.
PCP = Primary Care Physician; Patients attributed to the Physician desginated as the Primary Care Physician



Reference Date indicates how current the data is.  So for example, if the reference date showed yesterday's date it would mean the data is current up through yesterday.
Explorys will run 1-2 days behind production EPIC.



The population shown is tied to your Comparator/Org Chart selections. If you wish to change your comparators, Go to the Org chart/Comparators Category to learn how.



It could be that you do not have any Comparators set up. We also refer to this as the Org Chart. Go to the Org chart/Comparators Category to learn how.

There are a couple places you can look:
Select Measure --> Select a Category --> Hover over the Measure Name - You will see a brief description.  
Select Measure --> Select a Category --> Click on a Measure
When the Measure Summary pop up box appars, select the 'Download Definition' button.  This will produce a PDF that details out how the measure is calculated.



There are a few ways to find this information:
Select Measure --> Select a Category --> You can hover the % to view the numerator and denominator values.  Another way to view this information is to select the Patient List icon.  To get there:
Measure --> Select a Category --> Select the people icon that is tied to the measure you want to view.  A drop down appears at the top that provides you the counts that make up the numerator and denominator.



The KPP Quality Team determined the measures and targets for this 1st phase.

Explorys is a KPP application. Over time, additional libraries will be built within Measure to support other measures/targets. You would see these libraries after you select 'Measure' -- Libraries will appear on the left side of the screen. Their intent is to hold different sets of Measures and/or Targets (EX. KPN MIPS, KPN CPC+, Payer, etc). Updates will be provided to you when a new library is ready for launch.

Most clinical measures are supported by percentages.  However, when you are looking at utilization/claim based measures, they may be represented by whole numbers.  In addition, scores, such as risk scores may also be represented by a whole number.  To understand what to expect and how a measure is calculated, you can refer to the Measure definition document  This can be found within Measure by:

  • Selecting a Measure Name
  • Selecting the 'Download Definition' button 


This is due to most measures looking at 2 years worth of data.

The denominator on hover is rounded to two decimal places for display purposes; however, the actual calculation takes into consideration a more precise value, therefore the bold display of the value is more precise than what the percentage would lead to. Normally this discrepancy will be seen if you are looking at a comparator high up in the Org Chart (EX. KPN or Primary Care level).  As you look at this calculation for the lower levels of the Org Chart (Practice, Physician), you should not notice this discrepancy.



The MIPS data for KPN will be submitted using the CMS ACO attribution model. The CMS ACO attribution model assigns patients to an attending provider, not to a NP or PA. In Explorys, the NP and PA will not have any patients in the numerator or denominator. The data for these providers will be shown as NA.




Measure/Inform

Results may not match for the following reasons:

  • Within Measure you can select the PCP Attribution model, where as in Inform it defaults to ACO.  Make sure they match if you want the data to be the same.
  • Verify you have the same comparators set up or are referring to the same comparator.



Org Chart

Org Chart refers to the different levels within KPP.  The levels are listed below:

  • KPP
  • KPN
  • Specialty Groups - Primary Care, Medical Specialist, Surgical Specialist, Other
  • Specialty
  • Practice
  • Physician

When you are adding an Org Chart you are adding one or more of these levels so that you can view performance or other information tied to them.
This term is used inter-changeably with Comparators.




Org Chart/Comparators

  1. Select Inform from the main landing page or drop down at the top of your screen.
  2. Select Add/Edit Comparators --> The Comparatives pop up box will appear.  Make sure the Providers/Org Units tab is selected.
  3. To view each level, select the triangle next to each level to expand it.
  4. To add comparators, select the checkbox next to the level you want to add.  You can de-select to remove.
  5. Once finished, click Done to save and apply your changes.


  1. Select Measure from the main landing page or drop down at the top of your screen.
  2. Select a Measure Category --> You will see the 'Select Organization Units' icon in the upper right hand corner of your screen (depicted by an icon that looks like a spreadsheet).  Select it.  The Comparatives pop up box will appear.  Make sure the Providers/Org Units tab is selected.
  3. To view each level, select the triangle next to each level to expand it.
  4. To add comparators, select the checkbox next to the level you want to add.  You can de-select to remove.
  5. Once finished, click Submit to save and apply your changes.


  1. Select Registry from the main landing page or drop down at the top of your screen.
  2. Select More Actions --> Change Org Unit --> The Select organization units to view pop up box will appear.  
  3. To view each level, select the triangle next to each level to expand it.
  4. To add comparators, select the checkbox next to the level you want to add.  You can de-select to remove.
  5. Once finished, click Submit to save and apply your changes.


You may want to see different comparators within Measure, Registry and Inform. Once you set up your Org Chart/Comparators, those options will be saved and will appear each time you login. You will only need to modify if you wish to make changes.

By setting up your Org Chart/Comparators, you are defining:

  1. What levels of the organization you want to be able to view performance results against.
  2. For practices/physicians, it defines what patient population you want to view
  3. For Registries, defines the patient population that will be appear under each registry.

Examples:
Patient Population in Measure = If you have set up your practice and physicians in the Org Chart, when you select the 'Patient List' icon from the Practice level you will view all patients tied to that practice.  If you select the 'Patient List' icon that is tied to the physician, you will just the patients attributed to them.

Patient Population in Registry = For each Comparator in the Org Chart you select, you are essentially saying you want to view the patient population tied to those levels within Registry.  So for example, if you are tied to multiple practices -- you will see the patients tied to all of the practices.




Patient List

Explorys is not meant to replace the EPIC EMR in care management. While it does supply some data from EPIC, it does not provide all. Therefore, EPIC is still the source of truth.

Explorys uses Probabilistic Patient Matching (PPM) to match patients from the various source systems. It used the following data fields to perform the match -- First Name; Middle Name; Last Name; Gender; Birth Date; Death date, Address(es); Phone Number(s); Email address(es); EMPI; SSN; MRN. Additional data elements, such as those specific to a source system or insurance related information can be used as well. These fields are identified and mapped by the Explorys data analyst team.

Explorys uses the above data elements to score a patient when matching the data. A patient must match on a high number of these elements to be considered a match. There will always instances where an algorithm can’t make the right call. In that case, there will be two distinct patients in the system. IBM currently does not have a mechanism to manually merge/split patients, and instead rely on customers to update information in their sources.



  1. Select Inform
  2. Select a Measure
  3. Under a given measure and next to the comparator you wish to view, select the drop down to select the Patient List option


  1. Select Measure
  2. Select a Category
  3. For a given comparator, select the people icon to view the patient list associated with the measure and chosen comparator.


  1. Select Patient Search from the drop down at the top of the screen
  2. Enter search criteria
  3. Once the patient is returned, select them.


Anything that existed in EPIC as a procedure was mapped over to procedures in Explorys. Therefore you will pick up such values as orderables and communications. Explorys tends to not omit data because this could have a negative impact on measure calculations.

You may see no status or more generic statuses in Explorys - this is driven by how the measures are calculated and what values they are looking for in status. Behind the scenes, statuses from EPIC have been mapped to the Explorys values to ensure proper calculation.

The Risk Score feature displays the various risk models in Explorys. When selected, you can view scores attributed to this patient.

For each patient you select, you will have the option to view their virtual chart. This option will allow you to view encounters, admissions, diagnosis, observation, allergy, procedure and habit information tied to the patient.

This is a listing of the various encounters tied to the patient and the provider who provided care to them.

The Measure Scorecard will display the measures that the selected patient is adherent or non-adherent to.

This is an un-used feature in Explorys at this point

The Registry Scorecard displays the registries that the patient belongs to.

Only patients coming into the practice for an office visit will be included in your patient panel.  If a physician from your practice is going to a nursing home to care for a patient there -- they should not be listed as the PCP.  Instead they should be listed as the Nursing Home Physician in EPIC.  This will separate them from the physician's patient panel.




Patient Search

Explorys uses Probabilistic Patient Matching (PPM) to match patients from the various source systems. It used the following data fields to perform the match -- First Name; Middle Name; Last Name; Gender; Birth Date; Death date, Address(es); Phone Number(s); Email address(es); EMPI; SSN; MRN. Additional data elements, such as those specific to a source system or insurance related information can be used as well. These fields are identified and mapped by the Explorys data analyst team.

Explorys uses the above data elements to score a patient when matching the data. A patient must match on a high number of these elements to be considered a match. There will always instances where an algorithm can’t make the right call. In that case, there will be two distinct patients in the system. IBM currently does not have a mechanism to manually merge/split patients, and instead rely on customers to update information in their sources.



You can perform an 'Advanced Search' to enter other criteria.  You can access Patient Search by:

  1. Selecting it from the drop down that appears at the top of the page
  2. Selecting Patient Search from the main landing page
  3. Selecting the Advance Search option from below the patient search entry box


This is a special permission that must be granted -- if provided, it will allow you to see patients you do not provide care for.

This is an identifier assigned by Explorys -- in most cases it will match the EPIC patient ID.

Because data is coming from many sources, sometimes a patient may appear multiple times if it could not be determined with 100% certainty they were 1 in the same.

If the criteria you are entering is too broad, it means the results found are too large to be returned. You should enter more criteria to narrow the search.


Reference Date

Reference Date indicates how current the data is.  So for example, if the reference date showed yesterday's date it would mean the data is current up through yesterday.
Explorys will run 1-2 days behind production EPIC.




Registry

Registry displays the patient list tied to the comparators you select from the Org Chart. You must first define your Org Chart before the patient list can appear.

You can select the More Options drop down, located at the top of your screen.  From there you can select 'Select Columns'.  In this view, you can choose what you want to view, as well as modify the order.  See below...
To choose what displays versus not -- Select the checkbox next to each data element, a check should appear if you want it displayed, a blank box should appear if you do not.
To change the order of what is displayed - you can click on a column heading and drag it to the position you would like to see it displayed in.

Be sure to select Save to view your updates.



You can select the More Options drop down, located at the top of your screen.  From there you can select 'Select Columns'.  In this view, you can choose what you want to view, as well as modify the order.  See below:
To choose what displays versus not -- Select the checkbox next to each data element, a check should appear if you want it displayed, a blank box should appear if you do not.
To change the order of what is displayed - you can click on a column heading and drag it to the position you would like to see it displayed in.

Be sure to select Save to view your updates.



Yes, to export to Excel, select the 'More Options' drop down from the top of your screen. Select the Export to Excel option.

After selecting a Registry, select the More Options drop down located at the top of your screen. Select Change Org Unit to modify your Org Chart. Go to the Org chart/Comparators Category to learn how.

Select the 'Clear' link located in the upper right corner within the filter box.

In the upper left hand corner of the Registry screen, select the 'Edit' link.  A pop up will appear allowing you to:

  • Select the column you wish to filter
  • Specify the criteria (exact match, contains, etc)
  • Enter the value to perform the search

Select Apply to view your filter.



You can sort data in ascending or descending mode by clicking on the column headings.

You will need to contact iSupport to report what you would expect to see (937-384-4500). They will route this ticket to the necessary team for research.

We refer to this as a spark line. If you hover over it, you will see the last 5 values recorded.

Man on Notebook - This is the Registry Scorecard; This will show you the registries the patient is tied to, along with data supporting that registry.
Graph Paper with Green Arrow - This opens the Virtual Chart; Provides information on encounters, diagnosis, medications, procedures, etc tied to the patient.
Checkbox - Attribution Validator; Shows a listing of encounters tied to the patient and what provider was attached to each.



ACO = Accountable Care Organization; Patients attributed to the physician they have seen the most within the past 18 months.
PCP = Primary Care Physician; Patients attributed to the Physician desginated as the Primary Care Physician



Reference Date indicates how current the data is.  So for example, if the reference date showed yesterday's date it would mean the data is current up through yesterday.
Explorys will run 1-2 days behind production EPIC.



This means the data is masked given it contains PHI. To view the data un-masked, click on the 'lock' icon that appears at the top of the screen.

You will need to look at the start and end date associated with the medication.  If this overlaps with the lookback period, the medication will be shown.  In addition, if a medication has a null end date.  It is assumed to be 1 year from the start date.



It indicates that the value shown is outside of the threshold.


Risk Models

Model that identifies a patient's comorbidities within a given time frame from their coded procedures and diagnoses, considering 10 comorbidity classes with integer weights
Output: Charleson-Deyo index and list of comorbidity groupings
Inputs: SNOMED codes from diagnoses and procedures
Uses: Risk Stratification and Mortality Studies



Prospective Payment model that identifies a patient's cost weight or risk adjustment factor (RAF) from claims received for Medicare population
Output: Cost Weight and list of hierarchical condition categories
Inputs: Age, Gender, Eligibility Data, Diagnosis
Uses: Payment Modeling, Risk Stratification, Identifying Documentation Gaps



Assess differential risk factors that apply to the same time period
Output: Expected utilization in current year
Inputs: Current year's data (Demographics, Diagnoses)
Uses: Benchmarking and Risk Adjustment

  • Patient outcome comparisons
  • Provider efficiency comparisons
  • Risk adjusted patient panel

Acute conditions are more important as they will lead to additional consumption this year.



Assess differential risk factors that apply to a future time period
Output: Expected utilization for next year
Inputs: Current year's data (Demographics, Diagnoses, Procedures, Medications as well as Observed utilization)
Uses: Planning and Negotiating

  • Evaluating value based contracts
  • Budgeting and Resource Planning

Chronic conditions are more important as they will lead to additional consumption next year.



Incorporates selected models from www.framinghamheartstudy.org

  • Atrial Fibrillation
  • Cardiovascular Disease
  • Congestive Heart Failure
  • Coronary Heart Disease
  • Diabetes
  • Hard Coronary Heart Disease
  • Hypertension
  • Stroke


Reimbursement Adjustment model that identifies a patient's cost weight or risk adjusment factor (RAF) from claims received for populattion enrolled in health insurance exchanges
Output: Cost Weight and list of hierarchical condition categories
Inputs: Age, Gender, Eligibility Data, Diagnosis
Uses: Risk Stratification




Supermart

The Supermart is a back end database that contains all of the data that was sent from EPIC, as well as from the Employee Health Plan Claim and Pharmacy files. In some cases this will be more information than what is seen in Explorys and can be beneficial to report creation.