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  1. eCQM Issue Tracker
  2. CQM-2485

Clarify Numerator - only includes Pass or Refer

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    • Icon: EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
    • Resolution: Done
    • Icon: Moderate Moderate
    • Measure
    • 832-783-1442
    • Houston Methodist Hospital System
    • Clarification of Numerator
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      ​Assuming “fail” and “repeat” mean the hearing screen was completed, then fail and repeat could be mapped to the eCQM result attribute of “Refer”. We would need more information regarding your facility outcome of “other” to respond appropriately to that outcome. ​
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      ​Assuming “fail” and “repeat” mean the hearing screen was completed, then fail and repeat could be mapped to the eCQM result attribute of “Refer”. We would need more information regarding your facility outcome of “other” to respond appropriately to that outcome. ​
    • CMS31v5/NQF1354
    • Accuracy of the measure

      Our facility has 5 outcomes for each ear re: Newborn Hearing Screening - "Pass, Fail, Repeat, Refer, Other". The numerator definition of the eCQM seems to include only Pass or Refer to indicate that screening has been performed. Can you clarify that if a user selects "Fail or Repeat or Other", then we must fail this measure, or can I map that if this row contains data, then we can assume the newborn has been screened?

            JLeflore Joelencia Leflore
            wamnamc Ainsley Chitwood (Inactive)
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