| • | Objective: The EP who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconciliation. |
| • | Measure: The EP who performs medication reconciliation for more than 50 percent of transitions of care in which the patient is transitioned into the care of the EP. |
| • | Exclusion: Any EP who was not the recipient of any transitions of care during the EHR reporting period. |
What is the criterion to record the Denominator and Numerator Values?
Criteria to record Denominator value
| • | At least one encounter should have been started that has either “New Patient” option selected or else both “Existing Patient” and “Provision of Summary…” check box selected. |
* Note: Number of denominator increase will depend on the number of encounters started (with above selections), for example, if 5 encounters started for the same patient during reporting period (1 encounter has “New Patient” option selected and 4 encounters have “Existing Patient” and “Provision of Summary…” check box selected), the number of denominator increase will be 5.
Criteria to record Numerator value
| • | Either medication reconciliation should have been actually performed or an option should have been opted as an indication that the medication reconciliation is performed. |
How can I increase Denominator in InSync?
When starting an encounter, ensure that either you have opted “New Patient” option or have opted both “Existing Patient” option and “Provision of Summary…” check box.
To increase the denominator:
| • | From the top menu bar, click Patient Search. |
| • | Click Facesheet adjacent to the patient name. |
| • | Expand the Show Encounter(s) panel. |
| • | Start a new encounter or click the More link for the existing encounter. |
| • | Do either of the following: |
| o | Select “New Patient” option, or |
| o | Select “Existing Patient” option and “Provision of Summary of Care Record to provider from external source” check box. |
How can I increase Numerator in InSync?
Ensure that the medication reconciliation has been actually performed or an option is opted as an indication that the medication reconciliation is performed.
To reconcile the medication:
| • | From the top menu bar, click Patient Search. |
| • | Click Facesheet adjacent to the patient name. |
| • | Edit the in-progress encounter. |
| • | From the links shown on the top, click Medications/Allergies. |
| • | Click the Reconcile Medications & Allergies button. |
| • | On the Medication and Allergies Reconciliation screen, 2 sections appear: Allergies List and Medications List. |
| • | Perform the following steps to reconcile the medications: |
| o | The left pane indicates the existing medications you have prescribed for the patient, if any. |
| o | The right pane allows you to browse and upload the xml file that you have imported from an external provider. |
| o | Click the Browse button; select the xml file that you received from an external provider, and click Upload. |
| o | Once the xml file is uploaded, you can add it to the preview list by clicking the  icon. |
| o | Review the medications that you have imported and click Confirm. The imported medications will be merged with the prescribed medications in the system. |
OR
| • | From the top menu bar, click Patient Search. |
| • | Click Facesheet adjacent to the patient name. |
| • | Edit the in-progress encounter. |
| • | From the links shown on the top, click Medications/Allergies. |
| • | Select the Medication Reconciled check box. |
