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EC eCQMs - Eligible Clinicians
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Resolution: Answered
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Minor
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None
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Elissa Chandler
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267-725-5354
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NextGen Healthcare Information Systems
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In the scenario described the patient would be in Denominator 2 (Population Criteria 2). Although the HDL result subtracts one risk factor the patient begins with 3 CHD risk factors (male age >=45, smoker, family history of CHD).
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CMS61v5/NQFna
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high impacts measure dev
The follow has been mentioned in Denominator 3(Population Criteria 3) of the Measure:
• OR:
o AND: Count = 1 of: $FraminghamCADRiskFactors
o AND:
OR:
AND: "Patient Characteristic Sex: Male"
AND: Age >= 45 year(s) at: "Measurement Period"
OR:
AND: "Patient Characteristic Sex: Female"
AND: Age >= 55 year(s) at: "Measurement Period"
o AND:
OR: $RecentLowHDLResult
OR NOT: "Laboratory Test, Performed: High Density Lipoprotein (HDL)" during "Measurement Period"
• OR:
o AND:
AND: Count = 2 of: $FraminghamCADRiskfactors
AND: $RecentHighHDLResult
o AND:
OR:
AND: "Patient Characteristic Sex: Female"
AND: Age < 55 year(s) at: "Measurement Period"
OR:
AND: "Patient Characteristic Sex: Male"
AND: Age < 45 year(s) at: "Measurement Period"
Question:
If the patient has two counts of the $FraminhamCADRiskFactors but does not meet the two count option, can the patient still meet denominator for one count since they will have one of the two counts?
Scenario:
Male patient 45 years old with qualifying encounter during the measurement period. He has a current every day smoker with a family history of CHD. And has HDL laboratory results of 60 mg/dL.