Thank you for the issue. You are correct, the exclusion of "Patient discharged to another hospital" uses the Discharge to Acute Care Facility value set OID 2.16.840.1.113883.3.117.1.7.1.87 intentionally. This is aligned with the chart-abstracted measure, in which patients assigned a Discharge Disposition of "5" Other Healthcare Facility, i.e. IP, LTC, SNF, are included in the measure population. There is NO exclusion for these cases.

CMS 105 STK6 Ischemic stroke discharged on statin measure has an exclusion of "Patient discharged to another hospital" and the value set 2.16.840.1.113883.3.117.1.7.1.87 contains 3 SNOMED codes that are not appropriate for discharges to acute psychiatry, long term acute care, or skilled nursing facility.