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  2. CQM-1332

Misalignment with parallel Core Measure

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    • Icon: EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
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      For the April 2014 Updates, we considered explicit logic for this data element, evaluating the feasibility of structured data availability as well as the likelihood of this manually abstracted data element resulting in patient exclusion from the denominator. At the time, we felt the lack of structured data and low number of cases potentially impacted warranted a lower priority than other potential "explicit Reasons for Not" we intended to model in that update.

      We will re-evaluate this data element for the 2015 update and invite your suggestions on available structured data sources and the clinical processes that support the availability of this data for electronic measurement.
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      For the April 2014 Updates, we considered explicit logic for this data element, evaluating the feasibility of structured data availability as well as the likelihood of this manually abstracted data element resulting in patient exclusion from the denominator. At the time, we felt the lack of structured data and low number of cases potentially impacted warranted a lower priority than other potential "explicit Reasons for Not" we intended to model in that update. We will re-evaluate this data element for the 2015 update and invite your suggestions on available structured data sources and the clinical processes that support the availability of this data for electronic measurement.
    • CMS91v4/NQF0437

      In reviewing the Specifications Manual for National Hospital Inpatient Quality Measures Discharges 01-01-15 (1Q15) through 09-30-15 (3Q15), we noted a new data element “Reason for Extending the Initiation of IV Thrombolytic. However, comparable reasons for such an extension were not added to the eMeasure 91 Version 4 of the parallel clinical quality measure.

      Will the following reasons be added to the next version of the eMeasure 91 to ensure alignment with the parallel core measure?

      Last Updated: New Data Element Version 4.4
      Definition: Reasons for extending the initiation of IV thrombolytic to 3 to 4.5 hours.
      • Documentation of treatment to lower blood pressure prior to IV thrombolytic initiation
      • Documentation of patient/family refusal of IV thrombolytic which was recanted/reversed prior to IV thrombolytic initiation
      • Documentation of cardiac arrest, respiratory arrest, cardiopulmonary resuscitation, defibrillation, or intubation in the emergency department prior to IV thrombolytic initiation
      • Other reasons for extending the initiation of IV thrombolytics to 3 to 4.5 hours documented by physician/APN/PA or pharmacist.

            JLeflore Joelencia Leflore
            bodinekm Kimberly M. Bodine (Inactive)
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