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  2. CQM-1670

Logic issue with HDL measurement CMS64v4

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Icon: Minor Minor
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    • None
    • Elissa Chandler
    • 267-725-5354
    • NextGen Healthcare
    • This issue has been addressed in the 2015 annual update. Please see CMS64v5 for the updated version.
    • CMS64v4/NQFna
    • High, impacts measures development for annual update.

      QUESTION CMS64v4: Could you confirm the required result criteria for satisfactory reporting of Denominator 2, regarding “Laboratory Test, Result: High Density Lipoprotein (HDL)"?

      The following has been stated in the header ‘Population Criteria 2’ underneath ‘Denominator 2’:
      • OR:
      o AND: Count = 2 of:
       OR: FIRST: “Patient Characteristic: Current Cigarette Smoker" starts before or during "Measurement Period"
       OR: FIRST: “Diagnosis, Family History: Family History CHD" starts before or during "Measurement Period"
       OR: FIRST: “Laboratory Test, Result: High Density Lipoprotein (HDL)" during "Measurement Period"
       OR: FIRST:
       OR: "Diagnosis, Active: Diagnosis of hypertension grouped" starts before or during "Measurement Period"
       OR: "Medication, Active: Anti-Hypertensive Pharmacologic Therapy" during "Measurement Period"
      o AND:
       OR NOT: "Laboratory Test, Performed: High Density Lipoprotein (HDL)" during "Measurement Period"
       OR:
       AND: MOST RECENT: “Occurrence A of Laboratory Test, Result: High Density Lipoprotein (HDL)" during "Measurement Period"
       AND: "Occurrence A of Laboratory Test, Result: High Density Lipoprotein (HDL) (result < 60 mg/dL)"

      In the bullet point below under 'Population Criteria 2': there is no result criteria, where in the last previous measure version, the criteria was (result < 40 mg/dL).

      Bullet Point in Question: OR: FIRST: “Laboratory Test, Result: High Density Lipoprotein (HDL)" during "Measurement Period"

      In addition, the other criteria for Laboratory HDL test result under the same header is looking for (result < 40 mg/dL).

      Therefore, could you please confirm the required result criteria for satisfactory reporting of Denominator 2, regarding “Laboratory Test, Result: High Density Lipoprotein (HDL)"?

      Thank you.

            edave Mathematica EC eCQM Team
            elissa Elissa Chandler (Inactive)
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