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  2. CQM-1308

Confusion regarding coding of the measure

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    • Icon: EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
    • Resolution: Answered
    • Icon: Minor Minor
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      The following guidance is provided for this measure: CMS suggests eligible hospitals participating in the Medicare & Medicaid EHR Incentive Programs not select CMS185/NQF0716: Healthy Term Newborn as one of their electronic clinical quality measures (eCQMs) for meaningful use. The measure will no longer be maintained since the measure steward has submitted a substantially changed measure to NQF for endorsement.
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      The following guidance is provided for this measure: CMS suggests eligible hospitals participating in the Medicare & Medicaid EHR Incentive Programs not select CMS185/NQF0716: Healthy Term Newborn as one of their electronic clinical quality measures (eCQMs) for meaningful use. The measure will no longer be maintained since the measure steward has submitted a substantially changed measure to NQF for endorsement.
    • CMS185v3/NQF0716

      In reviewing eMeasure 185 V3, we noted the Initial Patient Population includes “Procedure, Performed: Arterial or Umbilical Venous Cath Group". However, this criterion is also included as “AND NOT” statement for the Numerator population. The addition of this new criterion into the Initial Patient Population and the resulting Denominator Population seems counterintuitive to the intent of the measure.

      • Initial Patient Population =
      o AND:
       OR:
       AND: "Occurrence A of Encounter, Performed: Encounter Inpatient" starts during "Procedure, Performed: Arterial or Umbilical Venous Cath Group"

      • Denominator =
      o AND: "Initial Patient Population"

      • Numerator =
      o AND NOT:
       OR: "Procedure, Performed: Arterial or Umbilical Venous Cath

      1.) Please clarify the addition of the “Procedure, Performed: Arterial or Umbilical Venous Cath. Group" criterion into the Initial Patient and Denominator Populations.

            JLeflore Joelencia Leflore
            bodinekm Kimberly M. Bodine (Inactive)
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