The Acmeware Advisor.

Your source for timely information on MEDITECH Data Repository, SQL Server and business intelligence, quality reporting, healthcare regulatory issues, and more.

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EHR Downtime Insights

In the world of healthcare, Electronic Health Records (EHRs) have become indispensable tools, revolutionizing the way patient information is documented, managed, and shared.  MEDITECH, one of the leading providers of EHR systems, has played a significant role in this transformation.  However, despite their reliability, EHR systems are not immune to downtime, which can occur due to various reasons such as technical glitches, ransomware attacks, maintenance activities or even natural disasters. 

Power BI blog

Why Power BI is the best reporting platform for DR #2

In part one of this blog from January 2024, I wrote about why I think Microsoft Power BI is a superior data analysis and reporting platform for MEDITECH Data Repository compared to SQL Server Reporting Services. In this second part of a a two-part analysis, I continue the discussion by reviewing the user presentation and interactivity experience.

Power BI blog

Why Power BI is the Best Reporting Platform for DR #1

I’ve been working with MEDITECH Data Repository since 2000. That’s longer than I care to note, but I still remember when SQL Server Reporting Services was first included with SQL Server, in version 2000: after struggling to find an easy way for our small hospital to share DR data and reports without having budget dollars for software like Crystal Reports, suddenly we could share it on our intranet. 

Navigating Antimicrobial Use and Resistance Reporting

A Guide to Meeting Promoting Interoperability Program Requirements

As the healthcare landscape evolves, so do the requirements for quality reporting. One such significant change for hospitals and critical access hospitals (CAHs) in the upcoming year (CY 2024) is the mandatory requirement of the Antimicrobial Use and Resistance (AUR) Surveillance measure under the Public Health and Clinical Data Exchange Objective in the Medicare Promoting Interoperability (PI) Program. 

2024 OPPS Final Rule

CMS recently published the CY 2024 Outpatient Prospective Payment System (OPPS) Final Rule, which finalized changes for the Hospital Outpatient Quality Reporting (OQR) Program. In the final rule, CMS finalized modifications to three measures and finalized the adoption of two measures in the OQR Program. These modifications aim to further meaningful measurement and reporting of the quality of care provided in the outpatient setting. For the full text of the rule, see the Federal Register.

2024 QPP Final Rule

CMS recently published the CY 2024 Quality Payment Program (QPP) Final Rule which included numerous updates to MIPS Value Pathways (MVPs) and Merit-based Incentive Payment System (MIPS). For the full text of the rule, see the Federal Register.

The Importance of Mapping for Quality

If your electronic Clinical Quality Measure (eCQM) performance numbers do not reflect your workflow and are not what you would expect them to be, then it’s likely that you have mapping inaccuracies. What is data mapping, and why is it important for accurately calculating quality measure data?

2024 IPPS Final Rule

CMS recently published the FY 2024 Inpatient Prospective Payment System (IPPS) Final Rule which includes several changes to the Hospital Inpatient Quality Reporting (IQR) Program and Medicare Promoting Interoperability (PI) Program for eligible hospitals (EHs) and critical access hospitals (CAHs). For the full text of the rule, see the Federal Register.

2024 IPF PPS Final Rule

CMS recently published the FY 2024 Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Final Rule which finalized changes to the Inpatient Psychiatric Facility Quality Reporting (IPFQR) program. All IPFs, which include psychiatric hospitals and psychiatric units of an acute care hospital or critical access hospital, paid under the IPF PPS must meet IPFQR reporting requirements. For the full text of the proposed rule, see the Federal Register.

2024 QPP Proposed Rule

CMS recently published the CY 2024 Quality Payment Program (QPP) Final Rule which included numerous updates to MIPS Value Pathways (MVPs) and Merit-based Incentive Payment System (MIPS). For the full text of the rule, see the Federal Register.

2024 OPPS Proposed Rule

CCMS recently released the CY 2024 Outpatient Prospective Payment System (OPPS) Proposed Rule, which included proposals for the Hospital Outpatient Quality Reporting Program (OQR) Program.For the full text of the rule, see the Federal Register.

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Nonclustered Indexes in Data Repository

What are indexes? Simply put, indexes in a SQL Server database are structures that speed up data access from tables and views. There are two types of indexes: clustered and nonclustered. Since any database table can only have a single primary key (therefore, a single clustered index), nonclustered indexes are what we as developers and analysts can optionally use to improve query performance.