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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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Sandeep Kaur
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This question is addressed in the linked ticket.
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CMS73v3/NQF0373
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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?
- duplicates
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CQM-1632 VTE-73 Guidance and Specifications Provide Differing Criteria
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- Closed
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