{"id":23,"date":"2011-08-03T10:09:50","date_gmt":"2011-08-03T10:09:50","guid":{"rendered":"http:\/\/www.eclipsepracticemanagementsoftware.com\/blog\/?p=23"},"modified":"2012-09-28T06:54:16","modified_gmt":"2012-09-28T10:54:16","slug":"medication-reconciliation-2","status":"publish","type":"post","link":"http:\/\/eclipsepracticemanagementsoftware.com\/blog\/2011\/08\/03\/medication-reconciliation-2\/","title":{"rendered":"Medication Reconciliation"},"content":{"rendered":"<p>As a computer professional with over 25 years of experience in health care, I spent months moving ECLIPSE through the maze to get it ONC-ATCB certified as a <strong>Complete EHR<\/strong> with CCHIT. I personally certified ECLIPSE on every possible measure, plowing through extensive test scripts and getting interpretations of test criteria from CCHIT and other sources.<\/p>\n<p>Yesterday, a doctor told us that \u2013 when it comes to <strong>Medication Reconciliation (170.302j)<\/strong> \u2013 he\u2019d rather take the word of all the \u201cexperts\u201d he\u2019s seen at seminars who indicated that he <em>must<\/em> perform medication reconciliation for all his patients.<\/p>\n<p>So let\u2019s examine the facts. First of all, once you own certified technology, the only things you\u2019re responsible for reporting are covered in <strong>170.302n \u2013 Automate measure calculation <\/strong>and<strong> 170.304j\u00a0\u2013 Calculate and Submit Clinical Quality Measures<\/strong>. You may report on a subset of these \u2013 depending on your degree and scope of practice.<\/p>\n<p>Next, let\u2019s examine <strong>Appendix A<\/strong> from the CCHIT <strong>Automate measure calculation<\/strong><br \/>\ntest script. Here\u2019s the only section that references medication reconciliation:<\/p>\n<blockquote><p>\u201cThe EP, eligible hospital or CAH who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconciliation\u201d<\/p><\/blockquote>\n<p>Thus, medication reconciliation is performed if a patient meets one of 2 conditions:<\/p>\n<ul>\n<li>The patient was referred by or otherwise transitioned from another physician to your care.<\/li>\n<li>You think it\u2019s necessary.<\/li>\n<\/ul>\n<p>And the requirement for Stage 1 is as follows:<\/p>\n<blockquote><p>\u201cThe EP, eligible hospital or CAH performs medication reconciliation for more than 50% of transitions of care in which the patient is transitioned into the care of the EP&#8230;\u201d<\/p><\/blockquote>\n<p>In other words, it\u2019s not required that you actually perform any medication reconciliations unless your practice derives patients from physician referrals (or the patient switched doctors \u2013 which falls into the \u201cyou think it&#8217;s necessary<em><\/em>\u201d category in real life). And for patients who meet the criteria, if you perform the reconciliation for just over half of them, you&#8217;ve satisfied the requirement. Certified technology should handle both of the above situations and ECLIPSE is directly certified to perform medication reconciliation without 3<sup>rd<\/sup> party tools that require a subscription.<\/p>\n<p>So&#8230; finally&#8230; how do you perform a medication reconciliation in ECLIPSE? Let&#8217;s return to the CCHIT test script language I used for the certification:<\/p>\n<blockquote><p>\u201cSelect an existing patient record and display two or more medication lists as separate lists. One list must be a current medication list in the patient\u2019s electronic record.\u00a0 Compare the two lists.\u201d<\/p><\/blockquote>\n<p>ECLIPSE maintains a medication list internally as part of the patient&#8217;s EHR on the <strong>History<\/strong> tab. Simply right-click for the context-sensitive menu, change the view and compare. You&#8217;ve just performed a medication reconciliation.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>As a computer professional with over 25 years of experience in health care, I spent months moving ECLIPSE through the maze to get it ONC-ATCB certified as a Complete EHR with CCHIT. I personally certified ECLIPSE on every possible measure, &hellip; <a href=\"http:\/\/eclipsepracticemanagementsoftware.com\/blog\/2011\/08\/03\/medication-reconciliation-2\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[3],"tags":[17],"class_list":["post-23","post","type-post","status-publish","format-standard","hentry","category-meaningfuluse","tag-chiropractic-meaningful-use"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Medication Reconciliation - ECLIPSE Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/2011\/08\/03\/medication-reconciliation-2\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Medication Reconciliation - ECLIPSE Blog\" \/>\n<meta property=\"og:description\" content=\"As a computer professional with over 25 years of experience in health care, I spent months moving ECLIPSE through the maze to get it ONC-ATCB certified as a Complete EHR with CCHIT. I personally certified ECLIPSE on every possible measure, &hellip; Continue reading &rarr;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/2011\/08\/03\/medication-reconciliation-2\/\" \/>\n<meta property=\"og:site_name\" content=\"ECLIPSE Blog\" \/>\n<meta property=\"article:published_time\" content=\"2011-08-03T10:09:50+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2012-09-28T10:54:16+00:00\" \/>\n<meta name=\"author\" content=\"Mike Norworth\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Mike Norworth\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/2011\/08\/03\/medication-reconciliation-2\/\",\"url\":\"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/2011\/08\/03\/medication-reconciliation-2\/\",\"name\":\"Medication Reconciliation - ECLIPSE Blog\",\"isPartOf\":{\"@id\":\"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/#website\"},\"datePublished\":\"2011-08-03T10:09:50+00:00\",\"dateModified\":\"2012-09-28T10:54:16+00:00\",\"author\":{\"@id\":\"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/#\/schema\/person\/77b0ff03a4cb25079e40a98746886c81\"},\"breadcrumb\":{\"@id\":\"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/2011\/08\/03\/medication-reconciliation-2\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/2011\/08\/03\/medication-reconciliation-2\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/2011\/08\/03\/medication-reconciliation-2\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Medication Reconciliation\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/#website\",\"url\":\"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/\",\"name\":\"ECLIPSE Blog\",\"description\":\"Direct from the developers... Mike Norworth &amp; Dr. Karen Walters. D.C.\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/#\/schema\/person\/77b0ff03a4cb25079e40a98746886c81\",\"name\":\"Mike Norworth\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/fc5b4af7c33087471c7bf77771ef82b1129f08a383a46013509b986d8addb3dd?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/fc5b4af7c33087471c7bf77771ef82b1129f08a383a46013509b986d8addb3dd?s=96&d=mm&r=g\",\"caption\":\"Mike Norworth\"},\"sameAs\":[\"http:\/\/www.eclipsepracticemanagementsoftware.com\"],\"url\":\"http:\/\/eclipsepracticemanagementsoftware.com\/blog\/author\/mikenorworth\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Medication Reconciliation - ECLIPSE Blog","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/2011\/08\/03\/medication-reconciliation-2\/","og_locale":"en_US","og_type":"article","og_title":"Medication Reconciliation - ECLIPSE Blog","og_description":"As a computer professional with over 25 years of experience in health care, I spent months moving ECLIPSE through the maze to get it ONC-ATCB certified as a Complete EHR with CCHIT. I personally certified ECLIPSE on every possible measure, &hellip; Continue reading &rarr;","og_url":"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/2011\/08\/03\/medication-reconciliation-2\/","og_site_name":"ECLIPSE Blog","article_published_time":"2011-08-03T10:09:50+00:00","article_modified_time":"2012-09-28T10:54:16+00:00","author":"Mike Norworth","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Mike Norworth","Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/2011\/08\/03\/medication-reconciliation-2\/","url":"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/2011\/08\/03\/medication-reconciliation-2\/","name":"Medication Reconciliation - ECLIPSE Blog","isPartOf":{"@id":"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/#website"},"datePublished":"2011-08-03T10:09:50+00:00","dateModified":"2012-09-28T10:54:16+00:00","author":{"@id":"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/#\/schema\/person\/77b0ff03a4cb25079e40a98746886c81"},"breadcrumb":{"@id":"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/2011\/08\/03\/medication-reconciliation-2\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/eclipsepracticemanagementsoftware.com\/blog\/2011\/08\/03\/medication-reconciliation-2\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/2011\/08\/03\/medication-reconciliation-2\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/"},{"@type":"ListItem","position":2,"name":"Medication Reconciliation"}]},{"@type":"WebSite","@id":"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/#website","url":"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/","name":"ECLIPSE Blog","description":"Direct from the developers... Mike Norworth &amp; Dr. Karen Walters. D.C.","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/#\/schema\/person\/77b0ff03a4cb25079e40a98746886c81","name":"Mike Norworth","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/eclipsepracticemanagementsoftware.com\/blog\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/fc5b4af7c33087471c7bf77771ef82b1129f08a383a46013509b986d8addb3dd?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/fc5b4af7c33087471c7bf77771ef82b1129f08a383a46013509b986d8addb3dd?s=96&d=mm&r=g","caption":"Mike Norworth"},"sameAs":["http:\/\/www.eclipsepracticemanagementsoftware.com"],"url":"http:\/\/eclipsepracticemanagementsoftware.com\/blog\/author\/mikenorworth\/"}]}},"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p1Kj8h-n","jetpack_sharing_enabled":true,"jetpack_likes_enabled":true,"_links":{"self":[{"href":"http:\/\/eclipsepracticemanagementsoftware.com\/blog\/wp-json\/wp\/v2\/posts\/23","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/eclipsepracticemanagementsoftware.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/eclipsepracticemanagementsoftware.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/eclipsepracticemanagementsoftware.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/eclipsepracticemanagementsoftware.com\/blog\/wp-json\/wp\/v2\/comments?post=23"}],"version-history":[{"count":7,"href":"http:\/\/eclipsepracticemanagementsoftware.com\/blog\/wp-json\/wp\/v2\/posts\/23\/revisions"}],"predecessor-version":[{"id":36,"href":"http:\/\/eclipsepracticemanagementsoftware.com\/blog\/wp-json\/wp\/v2\/posts\/23\/revisions\/36"}],"wp:attachment":[{"href":"http:\/\/eclipsepracticemanagementsoftware.com\/blog\/wp-json\/wp\/v2\/media?parent=23"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/eclipsepracticemanagementsoftware.com\/blog\/wp-json\/wp\/v2\/categories?post=23"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/eclipsepracticemanagementsoftware.com\/blog\/wp-json\/wp\/v2\/tags?post=23"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}