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EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
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Resolution: Answered
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Minor
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None
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CMS171v4/NQF0527
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eMeasure 171 V4 population will be reduced
The specification for eMeasure 171/V4 includes the incision date and time in the performance of General or Neuraxial Anesthesia. This statement is confusing in that the incision date and time would normally be associated with the Procedure Performed, as stated in eMeasure 171/V3.
eMeasure 171/V4
Numerator 1 =
AND:
OR: "Medication, Administered: IV quinolones (route: 'Hospital measures-Route IV')" <= 120 minute(s) starts before start of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia (incision datetime)"
OR: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')" <= 120 minute(s) starts before start of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia (incision datetime)"
OR: "Medication, Administered: IV Antimicrobial medication (route: 'Hospital measures-Route IV')" <= 60 minute(s) starts before start of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia (incision datetime)"
eMeasure 171/V3
Numerator 1 =
AND:
OR: "Medication, Administered: Hospital measures-SCIP IV quinolones (route: 'Hospital measures-Route IV')" <= 120 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (incision datetime)"
OR: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')" <= 120 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (incision datetime)"
OR: "Medication, Administered: Hospital measures-IV Antimicrobial medication (route: 'Hospital measures-Route IV')" <= 60 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (incision datetime)"
This also varies from eMeasure 172/V3 andV4, which also includes the incision date and time with the actual surgical procedure performed, instead of General or Neuraxial Anesthesia
1.)What development guidance can you offer to accurately capture the involved data?
- relates to
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CQM-1818 Need understanding for Numerator in CMS174
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- Closed
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