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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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Eric Collins
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410-872-7969
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DECC testing
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CMS172v4/NQF0528
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Contradictory eMeasure definition creates logical dilemma when creating test data.
In the eMeasure definition for CMS172/nqf0528v4 (April 2013), one of the IPP1 criteria is a procecure with Ordinality Principal:
◦AND: "Occurrence A of Procedure, Performed: SCIP Major Surgical Procedure (ordinality: 'Principal')" during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
but then one of the Denominator1 criteria is a different procedure, also with Ordinality Principal:
◦AND: "Occurrence A of Procedure, Performed: Hospital measures-CABG (ordinality: 'Principal')" during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
How can two different procecures simultaneously be the Main (principal) procedure? This reads as logically contradictory.