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  2. CQM-1061

Clarification regarding CMS 179 patient age requirement and calculation for % of TTR for each patient

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    • Icon: Intent/Governance affecting more than 1 eCQM Intent/Governance affecting more than 1 eCQM
    • Resolution: Answered
    • Icon: Major Major
    • Certification, Measure
    • Elissa Chandler
    • NextGen Healthcare
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      RESPONSE to 1. Yes, a patient must be 18 years or older prior to the start of the measurement period. Thus, the “government spec” logic should be used: “AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of ‘Measurement Period’”. We’ll review the supplemental SQL logic for opportunities to align with the HQMF.

      RESPONSE to 2: The Rosendaal method of calculating “time in therapeutic range” uses ‘number of days’ rather than ‘number of test results in range’. ‘Number of test results in range’ is a different approach, sometimes referred to as “fraction in range”, which is not equivalent to the Rosendaal method.
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      RESPONSE to 1. Yes, a patient must be 18 years or older prior to the start of the measurement period. Thus, the “government spec” logic should be used: “AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of ‘Measurement Period’”. We’ll review the supplemental SQL logic for opportunities to align with the HQMF. RESPONSE to 2: The Rosendaal method of calculating “time in therapeutic range” uses ‘number of days’ rather than ‘number of test results in range’. ‘Number of test results in range’ is a different approach, sometimes referred to as “fraction in range”, which is not equivalent to the Rosendaal method.
    • Need for certification of CMS measures

      1. The following has been mentioned under the population criteria of the government spec:
      ◦AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of "Measurement Period"
      However, the CMS179v2 _Supplemental_SQL_Logic_Reference.pdf has the following statement:
      The logic in this section contains a filter that states the patient must be 18 years or older during the measurement period.

      Can you please confirm if the patient should be 18 years or older prior to the start of the measurement period or 18 years or older during the measurement period?

      2. Based on the Rosendaal method, can you please confirm which of the following is correct in order to calculate the overall % in range?
      a. % of days in range: To calculate overall % in range, add total days in range for each time period, and divide by total therapeutic days = 63/76 = 83% OR
      b. % of tests in range: add total tests in range for each time period, and divide by total tests = 4/5 = 80%
      PLEASE SEE ATTACHMENT FOR GRID RELATED TO THIS QUESTION

        1. CMS179_question_NG_q4_submitted_4_2_14.docx
          14 kB
        2. CMS 179 NextGen questions_3_7_14.docx
          17 kB
        3. Grid for JIRA - CMS 179 questions.docx
          14 kB
        4. JIRA Responses _20140409.docx
          19 kB
        5. NEXTGEN QUESTION_CMS179_submitted_3_27_14.docx
          24 kB

            yanheras Yan Heras
            elissa Elissa Chandler (Inactive)
            Elissa Chandler (Inactive)
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