Attachment 24 - CTR Draft Exit Guide 4QFY2020.docx

Attachment 24 – 36C24920R0088 - CTR DRAFT EXIT REPORT GUIDE 4QFY2020

· Test results that are abnormal

· The patient was admitted to an inpatient setting within 7 days of the date the test was reported

· The test was a mammogram performed outside VHA

· The test was a Pap test and the date of the report is not a valid date (99/99/9999)

Cases included in the denominator will pass if:

· The patient has a My HealtheVet premium account OR

· The patient had a face to face encounter with a physician/APN/PA <=14 days of the normal test report* date OR

· There is documentation that the results were communicated to the patient <=14 days of the normal test report* date via

· Letter or

· Secure messaging or

· Telehealth or

· Telephone *If the test is a Pap test and the patient had an HPV, timeframe days will be calculated from the most recent of the Pap report date or the HPV report date *If the record is pre-filled for an HCV-RNA or HIV confirmatory test but the test is not found, the date of an applicable screening test (e.g. HCV AB for Hepatitis C or ELISA for HIV) will be used.

· Test results that are normal

· The patient was admitted to an inpatient setting within 7 days of the date the test was reported

· The test was a mammogram performed outside VHA

· The test was a Pap test and the date of the report is not a valid date (99/99/9999)

Cases included in the denominator will pass if:

· The provider documented the abnormal test result did not require action or NO documentation the abnormal test result required action and one of the following:

· The patient has a My HealtheVet premium account or

· The patient had a face to face encounter with a physician/APN/PA <=14 days of the test report* date or

· There is documentation that the results were communicated to the patient <=14 days of the test report* date via

· Letter or

· Secure messaging or

· Telehealth or

· Telephone

OR

· The provider documented action was required for the abnormal test result and one of following

· The patient had a face to face encounter with a physician/APN/PA <=7 days of the test report* date (documentation of discussion of results required) or

· There is documentation that the results were communicated to the patient <=7 days of the test report* date via

· Certified letter or

· Telehealth or

· Telephone or

· Secure messaging

OR

· The abnormal test results were communicated >7 and <= 14 days and the provider documented a reason the results were not communicated timely and

· The results were communicated to the patient in a face to face encounter *If the test is a Pap test and the patient had an HPV, timeframe days will be calculated from the most recent of the Pap report date or the HPV report date If the record is pre-filled for an HCV-RNA or HIV confirmatory test but the test is not found, the date of an applicable screening test (e.g. HCV AB for Hepatitis C or ELISA for HIV) will be used.

· The test was a mammogram performed outside VHA

· The test was a Pap test and the date of the report is not a valid date (99/99/9999)

The test result is normal and one of the following

· The patient has a My HealtheVet premium account OR

· The patient had a face to face encounter with a physician/APN/PA <=30 days of the normal test report* date OR

· There is documentation that the results were communicated to the patient <=30 days of the normal test report* date via

· Letter or

· Secure messaging or

· Telehealth or

· Telephone

OR

· The provider documented the abnormal test result did not require action or NO documentation the abnormal test result required action and one of the following:

· The patient has a My HealtheVet premium account or

· The patient had a face to face encounter with a physician/APN/PA <=30 days of the test report* date or

· There is documentation that the results were communicated to the patient <=30 days of the test report* date via

· Letter or

· Secure messaging or

· Telehealth or

· Telephone

OR

· The provider documented action was required for the abnormal test result and one of following

· The patient had a face to face encounter with a physician/APN/PA <=30 days of the test report* date (documentation of discussion of results required) or

· There is documentation that the results were communicated to the patient <=30 days of the test report* date via

· Certified letter or

· Telehealth or

· Telephone or

· Secure messaging *If the test is a Pap test and the patient had an HPV, timeframe days will be calculated from the HPV report date If the record is pre-filled for an HCV-RNA or HIV confirmatory test but the test is not found, the date of an applicable screening test (e.g. HCV AB for Hepatitis C or ELISA for HIV) will be used

6/23/2020