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  2. CQM-1559

Discrepancy in measure document for Numerator section

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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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    • Sandeep Kaur
    • This question is addressed in the linked ticket.
    • CMS73v3/NQF0373
    • High

      Guidance states"

      Patients who received overlap therapy (warfarin and parenteral anticoagulation):

      • Five or more days, with an INR greater than or equal to 2 prior to discontinuation of parenteral therapy OR
      • Five or more days, with an INR less than 2 and discharged on overlap therapy OR
      • Less than five days and discharged on overlap therapy

      But Numerator section under Population criteria states:

      Difference between dates>= 4 days

      ◾AND: FIRST: ◾OR: "Medication, Administered: Parenteral Anticoagulant" < 1 day(s) starts after start of ("Medication, Administered: Warfarin" during "Occurrence A of Encounter, Performed: Encounter Inpatient")
      ◾OR: "Medication, Administered: Warfarin" < 1 day(s) starts after start of ("Medication, Administered: Parenteral Anticoagulant" during "Occurrence A of Encounter, Performed: Encounter Inpatient")
      ◾OR: "Medication, Administered: Parenteral Anticoagulant" < 1 day(s) starts after start of ("Medication, Administered: Warfarin" during "Occurrence A of Encounter, Performed: Emergency Department Visit")
      ◾OR: "Medication, Administered: Warfarin" < 1 day(s) starts after start of ("Medication, Administered: Parenteral Anticoagulant" during "Occurrence A of Encounter, Performed: Emergency Department Visit")

      ◾AND: MOST RECENT: ◾OR: "Occurrence A of Medication, Administered: Parenteral Anticoagulant" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
      ◾OR: "Occurrence A of Medication, Administered: Parenteral Anticoagulant" during "Occurrence A of Encounter, Performed: Emergency Department Visit

      OR

      Difference between dates< 4 days

      ◾AND: FIRST: ◾OR: "Medication, Administered: Parenteral Anticoagulant" < 1 day(s) starts after start of ("Medication, Administered: Warfarin" during "Occurrence A of Encounter, Performed: Encounter Inpatient")
      ◾OR: "Medication, Administered: Warfarin" < 1 day(s) starts after start of ("Medication, Administered: Parenteral Anticoagulant" during "Occurrence A of Encounter, Performed: Encounter Inpatient")
      ◾OR: "Medication, Administered: Parenteral Anticoagulant" < 1 day(s) starts after start of ("Medication, Administered: Warfarin" during "Occurrence A of Encounter, Performed: Emergency Department Visit")
      ◾OR: "Medication, Administered: Warfarin" < 1 day(s) starts after start of ("Medication, Administered: Parenteral Anticoagulant" during "Occurrence A of Encounter, Performed: Emergency Department Visit")

      ◾AND: MOST RECENT: ◾OR: "Occurrence A of Medication, Administered: Parenteral Anticoagulant" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
      ◾OR: "Occurrence A of Medication, Administered: Parenteral Anticoagulant" during "Occurrence A of Encounter, Performed: Emergency Department Visit

      Kindly suggest what needs to be considered ie Do we need to consider 5 or more day difference or 4 or more day difference?

            JLeflore Joelencia Leflore
            sandeepk3 Sandeep Kaur (Inactive)
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