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Type:
Annual Update
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Resolution: Resolved
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Priority:
Minor
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Component/s: Measure
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None
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.
- relates to
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CQM-1172 Need understanding for Numerator in CMS60 & CMS53
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- Closed
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