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  2. CQM-1493

Need clarification on Numerator condition

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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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      Timing relationships that appear as the last "bullet" in a logic block apply to the left-hand side of the immediately preceeding logic criteria. In this case, "Procedure, Performed: Treatment Adjustment by Protocol" and "Procedure, Performed: Clinical Pathway Protocol" are constrained to occur both after the unfractionated heparin medication order AND during the inpatient encounter. Please note, however, that "Occurrence A of Medication, Order: Unfractionated Heparin (route: 'Intravenous Route')" is not constrained by the last timing relationship in the logic block.
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      Timing relationships that appear as the last "bullet" in a logic block apply to the left-hand side of the immediately preceeding logic criteria. In this case, "Procedure, Performed: Treatment Adjustment by Protocol" and "Procedure, Performed: Clinical Pathway Protocol" are constrained to occur both after the unfractionated heparin medication order AND during the inpatient encounter. Please note, however, that "Occurrence A of Medication, Order: Unfractionated Heparin (route: 'Intravenous Route')" is not constrained by the last timing relationship in the logic block.
    • CMS109v3/NQFna
    • High

      The numerator states:

      AND:
      OR: "Procedure, Performed: Treatment Adjusted by Protocol"
      OR: "Procedure, Performed: Clinical Pathway Protocol"
      AND: "Laboratory Test, Performed: Platelet Count"
      starts after start of "Occurrence A of Medication, Order: Unfractionated Heparin (route: 'Intravenous route')"
      during "Occurrence A of Encounter, Performed: Encounter Inpatient"
      How to interpret or read the above conditions block ie during "Occurrence A of Encounter, Performed: Encounter Inpatient validation belongs to entire block?

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          [CQM-1493] Need clarification on Numerator condition

          Sandeep Kaur (Inactive) added a comment -

          ◾AND:
          ◾AND: ◾OR: "Procedure, Performed: Treatment Adjusted by Protocol"
          ◾OR: "Procedure, Performed: Clinical Pathway Protocol"

          ◾AND: "Laboratory Test, Performed: Platelet Count"
          ◾ starts after start of "Occurrence A of Medication, Order: Unfractionated Heparin (route: 'Intravenous route')"

          ◾ during "Occurrence A of Encounter, Performed: Encounter Inpatient"

          As per above during should be applicable for Procedures as well as Medication, Order: Unfractionated Heparin (route: 'Intravenous route') as its fall under
          ◾ during "Occurrence A of Encounter, Performed: Encounter Inpatient"

          Kindly suggest

          Sandeep Kaur (Inactive) added a comment - ◾AND: ◾AND: ◾OR: "Procedure, Performed: Treatment Adjusted by Protocol" ◾OR: "Procedure, Performed: Clinical Pathway Protocol" ◾AND: "Laboratory Test, Performed: Platelet Count" ◾ starts after start of "Occurrence A of Medication, Order: Unfractionated Heparin (route: 'Intravenous route')" ◾ during "Occurrence A of Encounter, Performed: Encounter Inpatient" As per above during should be applicable for Procedures as well as Medication, Order: Unfractionated Heparin (route: 'Intravenous route') as its fall under ◾ during "Occurrence A of Encounter, Performed: Encounter Inpatient" Kindly suggest

            JLeflore Joelencia Leflore
            sandeepk3 Sandeep Kaur (Inactive)
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