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Indian Health Service The Federal Health Program for American Indians and Alaska Natives

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Clinical Reporting System (CRS)  

CRS 2006 (versions 6.0 and 6.1)

CRS VERSION 6.1

Version 6.1 was released for national deployment on June 26, 2006. Key enhancements included in CRS Version 6.1 are shown below.

  • Key changes to GPRA measures:
    • Diabetes: Nephropathy Screening: Include patients with any diagnosis ever of ESRD in numerator.
    • Childhood Immunizations: Change denominator from Active Clinical to Active IMM Pkg patients. This means a site must be using the Immunization Package to meet this measure.
    • Colorectal Cancer Screening: Add exclusions for patients with total colectomy and revise timeframe for FOB test from past 2 years to past year.
    • Change to GPRA 06 targets, as shown below.
      Measure New Target FY05 Nat'l Rate Previous Target
      DM: Ideal Glycemic Control 32.0% 30.0% Maintain
      DM: LDL Assessed 56.0% 53.0% Increase
      DM: Nephropathy Assessment 50.0% 47.0% Maintain
      FAS Prevention (Alcohol Screen) 12.0% 11.0% Increase
      IPV/DV Screen 14.0% 13.0% Increase
      CVD Cholesterol Screen 44.0% 43.0% Increase
      Prenatal HIV Testing 55.0% 54.0% Increase
  • Revise HEDIS-based measures to reflect HEDIS 2006 logic, including Diabetes Comprehensive Care, Diabetes: Nephropathy Assessment, Diabetic Retinopathy, Pap Smear, Colorectal Cancer Screening, Beta-Blocker and Persistence of Beta-Blocker Treatment after a Heart Attack, Cholesterol Management after Acute CVD Event, Chlamydia Testing, and Osteoporosis Management.

  • Add 6 new performance measures to the CRS local reports:
    • Adolescent Immunizations*
    • Appropriate Treatment for Children with Upper Respiratory Infection*
    • Appropriate Testing for Children with Pharyngitis*
    • Rheumatoid Arthritis Medication Monitoring
    • Osteoarthritis Medication Monitoring
    • Asthma and Inhaled Steroid Use
    *HEDIS-based measure, also included in the CRS HEDIS report.

  • Revise refusals for IPV/DV Screening, FAS Prevention, and Depression Screening so the performance rate is calculated the same across all applicable measures.
  • Revise existing 10 CMS performance measures to reflect changes made by HQA.
  • Add 7 new hospital measures to the existing CMS report:
    • AMI
      • Thrombolytic agent received within 30 minutes of arrival
      • PCI received within 120 minutes of arrival
      • Adult smoking cessation advice/counseling

    • Heart Failure
      • Discharge instructions
      • Adult smoking cessation advice/counseling

    • Pneumonia
      • Blood culture performed before first antibiotic received in hospital
      • Adult smoking cessation advice/counseling

  • Add new MFI site parameter for sites within the Alaska Area.
  • Add new option for creating a search template from the National GPRA patient lists.

    CRS VERSION 6.0

    Version 6.0 was released for national deployment on November 23, 2005. Key enhancements for this version are listed below.
    • Colorectal Cancer Screening, Depression Screening, Childhood Weight Control, and Tobacco Cessation changed to GPRA measures.
    • Diabetes: Access to Dental Services, Public Health Nursing, Tobacco Use and Assessment, and Obesity Assessment changed to non-GPRA measures.
    • Revisions to several existing measures, including Tobacco Cessation, Depression Screening (renamed and removed the Anxiety component); Childhood Immunizations, and Alcohol Screening (FAS Prevention).
    • 3 new measures
      • Antidepressant Medication Management (also included in HEDIS report)
      • Prediabetes/Metabolic Syndrome
      • Osteoporosis Screening in Women
    • New Comprehensive GPRA Patient List that will list patients included in GPRA measures and lists which measures they did not meet.
    • New site parameter for CHS-only sites
    • New site-defined lab taxonomy report
    • New childhood height and weight data file (GPRA developmental)

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