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Secondary Summary/Title:
Snomed is using the time the patient arrived on the ED unit for the ED Departure time. Is this the correct intent?
Contact Name:
Geralyn Kranz
Contact Email:
Geralyn Kranz@phci.org
Contact Phone:
262-928-4291
Institution/Name:
ProHealth Care, Inc
Guidance required:
Yes
Solution:

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Yes, the measure is using a SNOMED CT code to define an Emergency department visit (4525004). The logic is looking for the discharge datetime to capture the ED departure time. "Occurrence A of Encounter, Performed: Emergency Department Visit (discharge datetime)". The ED visit end should be based on when the patient physically leaves the ED, the timestamp in the EHR that most closely captures the date and time the patient leaves the ED.

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Yes, the measure is using a SNOMED CT code to define an Emergency department visit (4525004). The logic is looking for the discharge datetime to capture the ED departure time. "Occurrence A of Encounter, Performed: Emergency Department Visit (discharge datetime)". The ED visit end should be based on when the patient physically leaves the ED, the timestamp in the EHR that most closely captures the date and time the patient leaves the ED.
2016 Reporting Period EH eCQMs:

CMS55v4/NQF0495
2015 Reporting Period EH eCQMs:

CMS111v3/NQF0497
Impact:
CQM 55 and CQM 111 ED Departure Time: Discrepancy regarding discrete electronic medical record field to use for ED Departure time.

relates to

CQM-1956 eCQM guidance needs to clarify what data is gathered for the ED departure date and time performance measure