Is there a QDM enhancement coming to represent when an element must be aligned to the reporting provider?

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Done
    • Priority: Moderate
    • Component/s: Measure
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      As is the inquirer noted, there is not a way to represent within the logic that the reporting provider be the same as the referring provider, though that is the measure intent. The QDM which will be used for the next round of annual updates does not include attribution as is noted within the issue. You can submit questions or comments to the QDM team at qdm@esacinc.com or by accessing the QDM JIRA site.

      While the measure guidance for CMS50 does not currently address that the reporting provider should be the same provider who initially referred the patient to a specialist, the numerator statement includes the context “for which the referring provider received a report from the provider to whom the patient was referred.” The measure header, in its entirety, should be reviewed and utilized for implementation purposes.
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      As is the inquirer noted, there is not a way to represent within the logic that the reporting provider be the same as the referring provider, though that is the measure intent. The QDM which will be used for the next round of annual updates does not include attribution as is noted within the issue. You can submit questions or comments to the QDM team at qdm@esacinc.com or by accessing the QDM JIRA site. While the measure guidance for CMS50 does not currently address that the reporting provider should be the same provider who initially referred the patient to a specialist, the numerator statement includes the context “for which the referring provider received a report from the provider to whom the patient was referred.” The measure header, in its entirety, should be reviewed and utilized for implementation purposes.

      Is there a QDM enhancement coming to represent when an element must be aligned to the reporting provider?
      For example with CMS 50. There is a clarification here that the Encounter provider needs to be the same as the referring provider. This totally makes sense but is not represented at all in the logic. Using machine language or consuming the specification would not be able to capture that info. Worse, it is only in this jira ticket and not in the measure guidance.
      https://oncprojectracking.healthit.gov/support/browse/CQM-1669

      Is something coming that would look like:

      AND: First: "Occurrence A of Intervention, Performed: Referral" during "Measurement Period" (Encounter Provider).

            Assignee:
            Mathematica EC eCQM Team (Inactive)
            Reporter:
            Rich Almeida (Inactive)
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