Extraneous ECG criteria in CMS53v3 and CMS60v3

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    • Type: Annual Update
    • Resolution: Resolved
    • Priority: Minor
    • Component/s: Measure
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      Thank you for your feedback on AMI-8a and AMI-7a and your recommendation to resolve the issue. The logic in the Denominator for both measures will be updated to remove the logic clauses in question during the next regularly-schedule update of the eligible hospital measures.
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      Thank you for your feedback on AMI-8a and AMI-7a and your recommendation to resolve the issue. The logic in the Denominator for both measures will be updated to remove the logic clauses in question during the next regularly-schedule update of the eligible hospital measures.

      Consider the following set of criteria which exist in two places in the Denominator of CMS53v3 (AMI-8a) and likewise in CMS60v3 (AMI-7a):

      • AND: "Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG (result: 'Hospital Measures-Acute or Evolving MI')"
      • AND NOT:
        • AND: "Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG (result: 'Hospital Measures-Acute or Evolving MI')"
        • AND: "Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG (result: 'NSTEMI')"
      • AND NOT: "Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG (result: 'NSTEMI')"

      The second bullet item (the AND NOT and its contained ANDs) is extraneous, its logic being covered by the first and last bullets. (The first bullet ensures an "Acute or Evolving MI" result. The last bullet ensures the absence of a "NSTEMI" result. Given those, the second bullet will always be true since its second AND will be false.)

      Proposed fix: Remove the second bullet item (the AND NOT and its contained ANDs), leaving the following:

      • AND: "Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG (result: 'Hospital Measures-Acute or Evolving MI')"
      • AND NOT: "Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG (result: 'NSTEMI')"

      This simpler set of criteria has the same truth value as the original.

            Assignee:
            Joelencia Leflore
            Reporter:
            Jon Salmon (Inactive)
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