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Implementation Problem
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Resolution: Delivered
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Minor
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None
We would appreciate guidance regarding the updates to ED-1 in the July 2015 eCQM specifications. More specifically, what dates are intended to be used to represent the ED Visit discharge date time and admission date time included in the Measure Observation section below.
Population Criteria
Initial Population = ◦AND: Occurrence A of $EncounterInpatient
•Measure Population = ◦AND: Initial Population
◦AND: "Occurrence A of Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
•Measure Population Exclusions = ◦None
•Measure Observation = ◦Median of: ◾Datetime difference of: ◾"Occurrence A of Encounter, Performed: Emergency Department Visit (discharge datetime)"
◾"Occurrence A of Encounter, Performed: Emergency Department Visit (admission datetime)"
•Stratifications = ◦Stratification 1 = ◾AND NOT: "Diagnosis, Active: Psychiatric/Mental Health Patient (ordinality: Principal)" starts during "Occurrence A of Encounter, Performed: Emergency Department Visit"
◦Stratification 2 = ◾AND: "Diagnosis, Active: Psychiatric/Mental Health Patient (ordinality: Principal)" starts during "Occurrence A of Encounter, Performed: Emergency Department Visit"
As we all know, workflows vary across healthcare organizations, in some cases, a patient seen in the ED that is admitted for inpatient care will have 2 encounters created, one for the ED encounter and one for the Inpatient encounter (2 encounter scenario). In other cases, a single encounter may be used and in this case the patient registration record is updated from an ED to Inpatient encounter type and transferred from the ED location to an acute care nurse unit (single encounter scenario).
Example > Single encounter scenario
Patient arrives via ambulance to the ED on 11/13/2015 at 0900.
Patient is registered and the registration transaction occurs on 11/13/2015 at 0930. The registration includes this info:
Arrival Dt/Tm of 11/13/2015 0900
Encounter Type: ED
Location: ED unit
Decision to admit occurs and an admit order is placed on 11/13/2015 at 1030. The patient registration info is updated to include:
Encounter Type changed from ED to IP
Inpatient Admit Dt/Tm 11/13/2015 1030
Location: ED unit (doesn’t change because patient hasn’t been moved physically to an inpatient bed)
Arrival Dt/Tm: 11/13/2015 0900 (doesn’t change)
At 1130, the patient is physically moved to an acute care unit. The patient registration info is updated to include:
Location: ED unit is changed to applicable nurse unit, room, and bed, e.g. 1North, 101, A
Encounter Type, Inpatient Admit Dt/Tm, and Arrival Dt/Tm stay the same.
Note: there is no discrete date/time entered for time of transfer in registration, but rather there is a transaction date/time recorded of when the unit was changed on the registration record.
Note: In a single encounter scenario there is no discrete ED discharge dt/tm captured when a patient is transferred to an inpatient unit.
In this example, what should be used for Encounter, Performed: Emergency Department Visit (admission datetime)? In comparison to the HIQR chart-abstracted measures, we think of admission dt/tm to mean when the patient was admitted for acute inpatient care, however in these eCQM specifications, this does not appear to be the purpose. In this example, would this be the Arrival Dt/Tm or the time the registration transaction took place and the patient was identified with an ED encounter type?
Also in this example, what should be used for Encounter, Performed: Emergency Department Visit (discharge datetime)? As noted above, in a single encounter scenario, there is no discharge transaction that takes place when the patient is moved from ED to Inpatient. In this example, would this be the transaction dt/tm when the encounter type is changed from ED to IP or would this be the transaction dt/tm when the location is changed from ED unit to inpatient unit?
A JIRA was logged by another person that is related:
https://jira.oncprojectracking.org/browse/CQM-1645?jql=text%20~%20%22departure%22
However the response uses the same terms that were used to define the measure, which does not provide clarity.
- relates to
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CQM-1934 ED admitted may be used instead of ED departure which results in a shorter than actual time spent in ED
- Closed
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CQM-1939 Observation patients' discharge time for ED-1 and ED-2 eCQM
- Closed
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CQM-1956 eCQM guidance needs to clarify what data is gathered for the ED departure date and time performance measure
- Closed
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CQM-1961 Determination of ED Discharge time when still in ED location but tranferred to medical care
- Closed
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CQM-2027 Are we still looking for the total time the patient is physically in the ED?
- Closed