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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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CMS178v4/NQF0453
The Denominator criterion for eMeasure 178 V4 has been changed to include the use of the location of PACU or ICU. While the movement of the patient to the ICU is regularly captured as a location move, the movement of the patient in the perioperative location usually occurs as one temporary location. However, there is documentation in the PACU documentation that does indicate the date/time the patient moved out of Phase I care.
eMeasure 178 V4
Denominator =
AND: "Initial Patient Population"
AND: "Occurrence A of Procedure, Performed: Indwelling urinary catheter" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
AND:
OR: "Occurrence A of Procedure, Performed: Indwelling urinary catheter" ends after end of "Occurrence A of Encounter, Performed: Encounter Inpatient (facility location: 'ICU Locations')"
OR: "Occurrence A of Procedure, Performed: Indwelling urinary catheter" ends after end of "Occurrence A of Encounter, Performed: Encounter Inpatient (facility location: 'Hospital Measures-PACU')"
1.) Please provide coding guidance regarding the use of PACU documentation to define the end of care provided in the PACU location.