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  1. eCQM Issue Tracker
  2. CQM-1250

Look back period for 'starts before or during Measurement Period' concepts

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    • Icon: Implementation Problem Implementation Problem
    • Resolution: Answered
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    • Guidance
    • CitiusTech Inc.
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      In answer to your first question, when the timing constraint is 'before or during Measurement Period’, the intent is to look-back as far as the structure EHR data will allow. In answer to your second question about specific guidance, each EHR system and database is unique. We do not have guidance on how the logic will work in your particular system.
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      In answer to your first question, when the timing constraint is 'before or during Measurement Period’, the intent is to look-back as far as the structure EHR data will allow. In answer to your second question about specific guidance, each EHR system and database is unique. We do not have guidance on how the logic will work in your particular system.
    • Problem with implementation

      For measures which are supposed to check for data elements 'before or during Measurement Period", what should be the look back period for the events that happened before the start of the measurement period?

      E.g. for NQF 0018 Controlling High Blood Pressure, the Denominator Exclusion logic checks for presence of Dialysis or Kidney Transplant or ESRD that has happened before or during the measurement period.

      How far back in the patient's record should we check for presence of these procedures?

      Our certified system acts as a calculation engine on top of an EHR and thus needs to pull patient data only for a particular duration. Obviously, it's not practical to pull a Dialysis procedure for the patient which may have happened in 1986 - that means pulling ALL the procedures that ever existed in the EHR for that patient.

      Is there a specific guidance to address this problem?

            rtallapragada Ramya Tallapragada (Inactive)
            harshad.patil@citiustech.com Harshad Patil (Inactive)
            Rob McClure (Inactive)
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