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  2. CQM-1279

Further discussion of timing of anesthesia and surgical start CMS178

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    • Carolyn Cordtz
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      Has been clarified in Implementation Guide. A =0 days Ends after End B means: A ends after the end of B, but on the same day. See time duration calculation in current implementation guide for more explanation.
      http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/2014_eCQM_Measure_Logic_Guidance.pdf
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      Has been clarified in Implementation Guide. A =0 days Ends after End B means: A ends after the end of B, but on the same day. See time duration calculation in current implementation guide for more explanation. http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/2014_eCQM_Measure_Logic_Guidance.pdf
    • CMS113v1/NQF0469, CMS178v1/NQF0453

      "Occurrence A of Procedure, Performed: SCIP Major Surgical Procedure (ordinality: 'Hospital Measures - Principal')" = 0 day(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia"

      Please clarify the date logic to accomplish measure intent. In practice it is unlikely to have two date/time stamps to be exactly equal; more often, anesthestia procedure would precede the surgical procedure and extend beyond the end of the surgical window.

            cindy.cullen Cindy Cullen
            cordtz04 Carolyn Cordtz (Inactive)
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