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  1. eCQM Issue Tracker
  2. CQM-1756

CMS73v4VTE3_ Discrepancy in Guidance and the measure

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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
    • Measure
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    • michelle
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      Thank you for reporting this issue. The two seemgly missing exclusions are modeled as denominator inclusions in the eCQM logic, i.e. only patients who have a confirmatory VTE diagnostic test and who receive warfarin during the hospitalization are included in the denominator. In the upcoming annual update, we plan to revise the denominator and denominator exclusions statements in the eCQM header to better align with the logic.
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      Thank you for reporting this issue. The two seemgly missing exclusions are modeled as denominator inclusions in the eCQM logic, i.e. only patients who have a confirmatory VTE diagnostic test and who receive warfarin during the hospitalization are included in the denominator. In the upcoming annual update, we plan to revise the denominator and denominator exclusions statements in the eCQM header to better align with the logic.
    • CMS73v4/NQF0373
    • High

      The Giudance section for Denominator Exclusion below condtions are mentioned:

      • Patients with Comfort Measures documented
      • Patients discharged to a health care facility for hospice care
      • Patients discharged to home for hospice care
      • Patients who expired
      • Patients who left against medical advice
      • Patients discharged to another hospital
      • Patients without warfarin therapy during hospitalization
      • Patients without VTE confirmed by diagnostic testing

      whereas in the measure in the Denominator Exclusion two conditions are missed
      ◦OR: $InterventionComfortMeasures starts during Occurrence A of $EncounterInpatient
      ◦OR: $InterventionComfortMeasures starts during ◾"Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient

      ◦OR: Intersection of: ◾Occurrence A of $EncounterInpatient
      ◾"Encounter, Performed: Encounter Inpatient" satisfies any ◾ (discharge status: Discharge To Acute Care Facility)
      ◾ (discharge status: Discharged to Home for Hospice Care)
      ◾ (discharge status: Patient Expired)
      ◾ (discharge status: Discharged to Health Care Facility for Hospice Care)
      ◾ (discharge status: Left Against Medical Advice)

            JLeflore Joelencia Leflore
            michellen michelle (Inactive)
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