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  2. CQM-1582

Heparin flush doses for IV patency should not be included in eMeasure 109 Value Set

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    • Icon: Value Sets Value Sets
    • Resolution: Done
    • Icon: Minor Minor
    • Measure, ValueSet
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      Thank you for reporting this issue. We included RxNorm code 1361048 in the unfractionated heparin value set because this is a concentration used for heparin bags. Since the release of the 2015 Annual Update, some RxNorm heparin codes have been replaced with codes that make it easier to distinguish heparin flushes from heparin bags (e.g. new RxNorm code for heparin bag is 1361607| 500ML heparin sodium, porcine 40 UNT/ML). We plan to revise the unfractionated heparin value set to make use of the more recent codes, which should resolve your issue.
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      Thank you for reporting this issue. We included RxNorm code 1361048 in the unfractionated heparin value set because this is a concentration used for heparin bags. Since the release of the 2015 Annual Update, some RxNorm heparin codes have been replaced with codes that make it easier to distinguish heparin flushes from heparin bags (e.g. new RxNorm code for heparin bag is 1361607| 500ML heparin sodium, porcine 40 UNT/ML). We plan to revise the unfractionated heparin value set to make use of the more recent codes, which should resolve your issue.
    • Heparin flush administrations for IV patency are resulting in fallout of patients in eMeasure 109.

      Patients who receive heparin as a "flush" for intravenous lines are falling into eMeasure 109 due to the RXNorm code and Heparin intravenous dosing being included in the Value Set. This code should not be included in the Value Set for eMeasure 109 as it is not a treatment dose, but rather a means of maintaining IV patency. Please reconsider the inclusion of RXNorm code 1361048 in eMeasure 109 due to the common use for IV patency.

            JLeflore Joelencia Leflore
            bnvilla Brooke Villarreal
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