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Due to the current hybrid measure logic, If a patient has labs done in the ED but then has a long observation stay (over 24 hours) they are listed as missing labs on the CMS HSR reports and this will count against the hospital. In order to avoid this, physicians would need to order labs sooner than they clinically indicated. Is there any consideration being given to revise the measure logic to use the patient's arrival to the ED rather than the inpatient date/time?
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Due to the current hybrid measure logic, If a patient has labs done in the ED but then has a long observation stay (over 24 hours) they are listed as missing labs on the CMS HSR reports and this will count against the hospital. In order to avoid this, physicians would need to order labs sooner than they clinically indicated. Is there any consideration being given to revise the measure logic to use the patient's arrival to the ED rather than the inpatient date/time?