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CMS60v4_NQF0164_AMI7a_FibrinolyticTher\CMS60v4_validation check

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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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      Thank you for comment. In regards to “what should be considered for validation of ECG results” are you asking about who decides what the result of the ECG is (person or computer)? If so, the source of the ECG results should be a physician/APN/PA (rather than the ECG machine's computerized results). And in regards to the timing: To identify the ECG closest to the hospital arrival, the denominator will identify the most recent ECG performed that starts less than 1 hour prior to the Emergency Department (ED) or inpatient encounter OR the first ECG performed that starts after the ED or inpatient encounter started.
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      Thank you for comment. In regards to “what should be considered for validation of ECG results” are you asking about who decides what the result of the ECG is (person or computer)? If so, the source of the ECG results should be a physician/APN/PA (rather than the ECG machine's computerized results). And in regards to the timing: To identify the ECG closest to the hospital arrival, the denominator will identify the most recent ECG performed that starts less than 1 hour prior to the Emergency Department (ED) or inpatient encounter OR the first ECG performed that starts after the ED or inpatient encounter started.
    • CMS60v4/NQF0164
    • High

      Denominator of AMI 7a states:
      • AND:
      • OR:
      o AND: "Occurrence A of Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
      o AND: Union of:
       Most recent: "Occurrence A of Diagnostic Study, Performed: Electrocardiogram (ECG)" <= 1 hour(s) starts before start of "Occurrence A of Encounter, Performed: Emergency Department Visit"
       First: "Occurrence A of Diagnostic Study, Performed: Electrocardiogram (ECG)" starts after start of "Occurrence A of Encounter, Performed: Emergency Department Visit"
      • OR:
      o AND NOT: "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
      o AND: Union of:
       Most recent: "Occurrence A of Diagnostic Study, Performed: Electrocardiogram (ECG)" <= 1 hour(s) starts before start of Occurrence A of $EncounterInpatient
       First: "Occurrence A of Diagnostic Study, Performed: Electrocardiogram (ECG)" starts after start of Occurrence A of $EncounterInpatient
      • AND: "Occurrence A of Diagnostic Study, Performed: Electrocardiogram (ECG) (result: Acute or Evolving MI)"
      • AND NOT: "Occurrence A of Diagnostic Study, Performed: Electrocardiogram (ECG) (result: STEMI Exclusions)

      .What should be considered for validation of the ECG results

      If the patient encountered in ED department and Diagnostic study is performed twice before ED admitdate, then it is not necessary that patient will get the expected result ie (Acute or evolving MI) on Most recent visit

            JLeflore Joelencia Leflore
            michellen michelle (Inactive)
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