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  2. CQM-1714

Question on timing of Vancomycin in Numerator of CMS172v5

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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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      After further review of this logic, including steward input, the logic as it is written is accurate. According to the specifications, the timing for appropriate antibiotic administration is <=1440 minutes before the surgical incision and goes up until the end of the anesthesia. The logic as it is currently written represents this timing of antibiotic administration accurately.
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      After further review of this logic, including steward input, the logic as it is written is accurate. According to the specifications, the timing for appropriate antibiotic administration is <=1440 minutes before the surgical incision and goes up until the end of the anesthesia. The logic as it is currently written represents this timing of antibiotic administration accurately.
    • CMS172v5/NQF0528

      We have a question about this clause in the Numerator of CMS172v5:

      "Medication, Administered: IV Vancomycin" satisfies all
      ■(route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: CABG Surgeries (incision datetime)"
      ■starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"

      If the first bullet is true and Vancomycin was given within 24hrs before the start of Occurrence A of Procedure, then wouldn’t that time ALWAYS be before the end of Occurrence A of Anesthesia (which is the Anesthesia associated to the Procedure)? The timing check in the second bullet seems redundant since the surgery element must be within the anesthesia element based on the previously established IPP logic. Can you please clarify what was intended by the second timing check in my example?

            JLeflore Joelencia Leflore
            Caroline Klink Caroline Klink (Inactive)
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