Introduction

This document is intended to provide a general overview and introduction about data collection methods that MRO uses by integrating practice systems to collect the required data for measure calculations. MRO can collect data from various EHR’s (Electronic Health Record), Practice Management (PM), RCM (Revenue Cycle Management) and Laboratory Information System (LIS).

Technology icon Technology
EHR/EMR

All the clinical data is collected from these systems via various mechanisms.

MEC

MRO Enterprise Connector, which is installed on the practice or vendor database server in case of PULL integration.

GCP (Google Cloud Platform)

Platform used to host the Registry data.

CDR (Clinical Data Repository)

Normalized data for all practices across accounts in the MRO GCP environment. While the data structure of various EHR/PM/RCM/LIS systems would be different but CDR will have a standard structure to acquire data in a normalized form.

DM (Data Mart)

Transformed data at the element level as per the Registry Data Dictionary for the measure.

Registry Pegasus dashboard

The Registry specific dashboard that displays measures performance.

CAS (Client Account Support)

MRO support team responsible for reviewing the Registry dashboard with sites.

Data collection icon Data collection
MEC

MRO Enterprise Connector, which is installed on the practice or vendor database server in case of PULL integration.

FAQs
A1: MEC is MRO’s Intellectual Property tool/software that is installed within the practice network if the practice EHR/PM systems are standalone or are installed in the vendor’s cloud network if the EHR/PM systems are cloud-based. Once installed the MEC interface with EHR/PM system database with read-only credentials to extract data.
A2: Registry Practice Connector (RPC), Enterprise Connector (EC), or Elixir Connector or Light Weight Connector (LWC).
A3: The participant practice/Vendor IT person installs the MRO Enterprise Connector(MEC). MRO technical support team will assist as required.
A4: The MRO Enterprise Connector (MEC) is installed within the practice network if the practice EHR/PM systems are standalone, or the MEC is installed in the vendor’s cloud network if the EHR/PM systems are cloud-based.
A5: Anyone having physical access to the server where MEC will be installed will have access to MEC. MRO team has access to MEC over a TCP port for communication with MEC.
A6: The MRO Enterprise Connector (MEC) connects to the EHR/PM database with a read-only account.
A7: The MEC executes a pre-defined set of queries that are scheduled by MRO’s mapping team (ETL) using SPINE to extract data for specific NPI and time duration.
A8: SPINE is a MRO user interface for the mapping team to connect to the Practice EHR database in a read-only mode through MEC (proxy).
A9: The queries should be executed only during the agreed time window with the Practice.
A10: Practice is running their business as usual tasks and MRO queries may hamper the server performance if executed at the same time.
A11: The outbound connection from MEC is to the GCP HUB to a respective IP and a port.
A12: The minimum specifications for the computer (or virtual machine) running the registry practice connector (MRO Enterprise Connector (MEC)) service are:
  • Microsoft Windows Operating System with Microsoft .NET Framework 4.0 installed.
  • Server: Windows 2008 or above.
  • Desktop: Windows 7 or above
  • 2.4 GHz with 2 vCPU
  • 4 GB memory available during scheduled data extraction and upload.
  • 1 GB of hard drive space available.
  • Broadband Internet access.
A13: In case the daily extraction rate for the practice is not giving us throughput of more than 5 days and the number of providers in the practice is above 10, the L1 team should review the performance with the help of Practice IT contact and request for additional connectors for parallel execution of queries.
A14: Additional windows can be requested in case of slow extraction speed and if the current extraction window is less than 6 hours a day.
Data Pull

Automated method for data extraction via the MRO Enterprise Connector (MEC), previously known as Registry Practice Connector (RPC).

FAQs
A1: Data pulled (extracted) on a nightly basis between 12 am - 7:30 am (site local time) or as per the approved time interval.
Data Push

SFTP/FTP process for transferring files from the practice/site/group to MRO. File formats are supported (e.g. CCDA, HL7, CSV, QRDA1).

FAQs
A1: Recommend that the data is sent every week or every 2 weeks.
A2: Additional file formats will need to be reviewed and discussed with MRO.
Data Review Icon Data review
Notes:
  1. The mapping process is an iterative process that is ongoing.
  2. Data processing may be delayed if there are any connectivity issues (or delay in receiving Push files).
  3. Practices in maintenance can still complete mapping refinements if necessary.
What type of data is collected?
Structured data (discrete fields)
  • Vitals
  • Diagnosis codes
  • Procedure codes
  • Medications
Unstructured data (notes)
  • Notes & plan section
Structured data (discrete fields)
  • Encounter data
  • CPT codes

* The list of data points mentioned above is not an exhaustive list of all the information that is gathered, but just some examples of the type of information that is being gathered.

EHR / LIS / PM / RCM
Electronic systems
System Name Category Data Extraction Type
A ADP - AdvancedMD EHR PUSH
A Advanced Data System - Docassistant EHR PULL
A Advantedge RCM PUSH
A Agastha EHR PUSH
A AHLTA and ESSENTRIS EHR PUSH
A Akamai PM PULL
A AllegianceMD / Veracity EHR PUSH
A Allmeds EHR PUSH
A Veradigm Practice Management PM PULL
A Allscripts Misys EHR PULL
A Veradigm EHR EHR PULL
A Altera Sunrise Clinical Manager EHR PULL
A Allscripts Sunrise Emergency Care EHR PULL
A Allscripts Sunrise Gateway EHR PULL
A Altera TouchWorks EHR PULL
A AltaPoint EHR PULL
A Althea/MDSynergy EHR PULL
A Amazing Charts EHR PULL
A American Medical Software EHR PULL
A AntWorks EHR PULL
A AP Easy Cloud LIS PUSH
A AP Easy Software Solutions LIS PUSH
A AP-SimpleLIMS LIS PUSH
A Apollo RCM PUSH
A Aprima EHR PULL
A Arctic Billing Company RCM PUSH
A Aria EHR PULL
A Athenahealth PM PUSH
A AutoAP (Netlims) LIS PUSH
A AVANTI EHR PUSH
A Azalea Health EHR PUSH
B BakoDx LIS PUSH
B Beaker Anatomic Pathology (EPIC) LIS PUSH
B Beaker CoPath PM PUSH
B Brault RCM PUSH
C Cal-Med Practice Expert EHR PUSH
C Care360 EHR PULL
C CareCloud EHR PUSH
C CaregiverDesktop EHR PUSH
C Carelogic EHR PULL
C CareTracker PM PUSH
C Casamba EHR PUSH
C Cedaron EHR PUSH
C Cerner CoPath EHR PUSH
C Cerner CoPathPlus Anatomical Pathology LIS PUSH
C Cerner HealtheIntent EHR PUSH
C Cerner Millenium EHR PUSH
C Cerner Millenium PathNet Anatomical Pathology LIS PUSH
C Cerner Power Chart EHR PULL
C Cerner Power Works EHR PUSH
C CGM Clinical EHR PUSH
C Change HealthCare RCM PUSH
C Chart Maker Clinical EHR PULL
C Chart Perfect EHR PULL
C ChartLogic EHR PULL
C Chartmaker Medical Suite EHR PULL
C Ciproms RCM PUSH
C Clinical File EHR PUSH
C Clinicient EHR PUSH
C ClinixMD EHR PUSH
C CollaborateMD PM PUSH
C CompuGroup Medical EHR PULL
C Compulink EHR PULL
C Compulink Advantage EHR PULL
C Compulink Business systems EHR PULL
C Consensio Health LLC RCM PUSH
C Cortex Gold Standard LIS PUSH
C CPSI Evident EHR PULL
C Criterions EHR PUSH
C Crystal PM EHR PULL
C CureMD EHR PUSH
C CyberPath (Asprya) LIS PUSH
C Cyfluent EHR PUSH
D DoctorSoft EHR PUSH
D Docutap EHR PULL
D DrChrono EHR PUSH
D DRS Enterprise EHR PULL
D DSN EHR PULL
D Duvasawko RCM PUSH
D Duxware PM PUSH
E Easy Billing system PM PULL
E eClinicalWorks EHR PULL
E EDIS company EHR PUSH
E EGO RCM PUSH
E EHR Your Way EHR PUSH
E ehrThomas EHR PULL
E Elation EHR PULL
E eMDs - Cloud Solutions EHR PULL
E eMDs - Lytec MD EHR PULL
E eMDs - Medisoft Clinical EHR PULL
E eMDs - PLUS EHR PULL
E eMDs - Practice Choice EHR PULL
E eMDs - Practice Partner EHR PULL
E eMDs - Solution Series EHR PULL
E Emedicalnotes EHR PULL
E eMedRec EHR PULL
E EmPower EHR PULL
E EnableDoc EHR PULL
E Encite EHR PULL
E ENT-Cloud EHR PUSH
E Epic EHR PULL
E EPOWERdoc EHR PUSH
E EPPA RCM PUSH
E Essentia EHR PULL
E Exam Writer EHR PULL
E Exscribe E-Record EHR PULL
E EyeDoc EHR PULL
E Eyefinity EHR PUSH
E EyeMD EHR PULL
E EZ Docs EHR PULL
E EZAccess EHR PUSH
E EZClaim PM PUSH
E ezEMRxPrivate EHR PUSH
F FastNote RCM PUSH
F FiEHR EHR PULL
F First Healthcare RCM PUSH
F First Insight EHR PULL
F FlexMedical EHR PULL
G GE Centricity EHR PULL
G GEMMS EHR PULL
G GeniusDoc EHR PULL
G Glace EHR PUSH
G gloStream EHR PUSH
G Gottlieb RCM PUSH
G Greenway Health Prime Suite EHR PUSH
G Greenway Health Success EHR PUSH
G Greenway Intergy EHR PULL
H Harris CareTracker EHR PUSH
H HCIT EHR PULL
H Health Care Systems Development RCM PUSH
H HealthFusion MediTouch EHR PUSH
H HealthPac Pro RCM PUSH
H HelloHealth EHR PULL
H Horizon Practice Plus EHR PUSH
I iCentra EHR PUSH
I iClinic EHR PULL
I ICS Software Ltd PM PUSH
I iFa Systems EHR PULL
I iMedicWare EHR PULL
I IMS EHR PULL
I Independent Software Vendor EHR PULL
I InfoQuest EHR PUSH
I Innovative Healthcare Systems RCM PUSH
I InSync EHR PULL
I Integrity EHR PUSH
I IntelleChartPro EHR PULL
I IntelliPath (NetSoft) LIS PUSH
I Interactive Advanced Medicine-PT EHR PUSH
I Intermedix RCM PUSH
I Internal Billing RCM PUSH
I IO Practiceware EHR PULL
I IPatientCare EHR PULL
I Isalus/OfficeEMR EHR PUSH
J Jointman EHR PUSH
K Kareo PM PUSH
K Key Chart EHR PULL
K KeyMedical Software EHR PUSH
L LAbRCM RCM PUSH
L LabWare LIS PUSH
L LigoLab Agile AP/LIS LIS PUSH
L LogixHealth RCM PUSH
M MacPractice MD EHR PULL
M Management Plus EHR PULL
M Mastermind EHR PUSH
M MaximEyes EHR PUSH
M MBMS PM PUSH
M McKesson EHR PULL
M MDOffice EHR PULL
M MDRhythm EHR PULL
M MDSuite EHR PULL
M Med PM PUSH
M MedConnect EHR PUSH
M MedData RCM PUSH
M Medent EHR PUSH
M MedEvolve PM PULL
M Medflow EHR PULL
M MedFormix EHR PULL
M MedGen EHR PUSH
M Medhost RCM PULL
M Medical Management Services RCM PUSH
M Medical Management Specialists EHR PUSH
M Medical Manager EHR PUSH
M Medics DocAssistant EHR PULL
M Medinformatix EHR EHR PULL
M Medinformatix EHR & EPM EHR PULL
M Medinformatix EPM EHR PULL
M Medinformatix RIS EHR PULL
M MediNotes EHR PUSH
M Medisoft PM PULL
M Meditab EHR PULL
M Meditech EHR PULL
M Medpointe - HST EHR PULL
M Medstreaming EHR PULL
M MedTrack EHR PUSH
M MedTrio EHR PULL
M Meridian (Medical Management) EHR PULL
M MicroMD EHR PULL
M Modernizing Medicine- EMA EHR PUSH
M MOSAIQ EHR PULL
M MOSES Cloud Complete EHR PULL
M Multiple EHR PULL
M My Vision Express EHR PULL
N NeoMed EHR PULL
N Netsmart MyAvatar EHR PULL
N nexconnex EHR PULL
N Nextech EHR PULL
N Nextgen EHR PULL
N NovoPath LIS PUSH
N NueMD EHR PUSH
O Oceris FlexMedical EHR PULL
O Office Ally EHR PUSH
O Office Practicum EHR PUSH
O OfficeMate EHR PULL
O OMSVision EHR PULL
O OncoEMR EHR PUSH
O Open Practice Solutions EHR PUSH
O OpenEMR EHR PULL
O OptimisPT EHR PUSH
O Orchard Pathology LIS PUSH
O Origin EHR PULL
O Other LIS PUSH
P Pacific Redwood medical group RCM PUSH
P PathGroup RCM PUSH
P PathSystem LIS PUSH
P PathX (PMIS) LIS PUSH
P PatientNOW EHR PULL
P PBN RCM PUSH
P PCIS Gold EHR PULL
P PDS Cortex PM PUSH
P Perfect Care EHR PULL
P Phycon Billing RCM PUSH
P Physician Choice RCM PUSH
P PICIS EHR PULL
P PMI PM PUSH
P Practice First RCM PUSH
P Practice Fusion EHR PULL
P Practice Studio EHR PULL
P Practice Suite EHR PULL
P PracticeMax RCM PUSH
P Praxis EHR PULL
P Precision Practice Management EHR PUSH
P Presidio Data RCM PUSH
P Prime Clinical System EHR PULL
P PRO EHR EHR PULL
P Probill RCM PUSH
P Proclaim PM PULL
P Professional Data System EHR PUSH
P PrognoCIS EHR PULL
P Pulse EHR PULL
Q QRS PM PUSH
Q Quanum EHR PUSH
Q Quick EMR EHR PUSH
R Raintree Systems Inc EHR PULL
R Reimbursement Technologies, Inc. (RTI) RCM PUSH
R Reliable Health Systems EHR PULL
R Reventics RCM PUSH
R RheumDocs EHR PULL
R RPMS EHR PUSH
S SequelMed EHR PULL
S Silicus EHR PUSH
S SoapWare EHR PULL
S Soarian EDIS EHR PUSH
S Softpath - Telacore EHR PUSH
S SoftPathDX (SCC Soft Computer) LIS PUSH
S SRS Soft EHR PULL
S STI EHR PULL
S StrataPT EHR PUSH
S Strivant Health RCM PUSH
S Successehs/Vitera EHR PULL
S SuiteMed IMS EHR PULL
S Sunquest Anatomic CoPathPlus LIS PUSH
S Sunquest Anatomic PowerPath LIS PUSH
S Synergistics RCM PUSH
S Systemedx EHR PULL
T T-System EHR PUSH
T TD-Histo/Cyto (Technidata) LIS PUSH
T Team Chart Concept EHR PUSH
T Team Health East RCM PUSH
T TotalMD PM PUSH
T TriMed EHR PULL
T TurboPT EHR PUSH
U UHS EHR PUSH
U UniCharts EHR PULL
U UnifiMD EHR PULL
U Urochart EHR PULL
V Valant Premium Psychiatric Suite EHR PULL
V Varian - Aria EHR PULL
V VersaSuite EHR PULL
V VitalPath LIS (VitalAxis) LIS PUSH
V Vitera EMR EHR PULL
W Waiting Room Solutions - WRS EHR PUSH
W Webchart by MIE EHR PUSH
W Wellcentive EHR PUSH
W Wellsoft EHR PUSH
W WetPathLab LIS PUSH
W WindoPath (Psyche Systems) LIS PUSH
W WinOMS/Carestream EHR PULL
W WinSurge (Computer Trust Corp.) LIS PUSH
W WorkPath (Pathagility) LIS PUSH
X Xifin LIS Anywhere LIS PUSH
Z Zotec Partners RCM PUSH
Z Zybex EHR PULL