Uploaded image for project: 'eCQM Issue Tracker'
  1. eCQM Issue Tracker
  2. CQM-2577

CMS126v4/NQF0036 - Age Stratification total score incorrect

XMLWordPrintable

    • Hide
      The age ranges in the measure guidance indicate the age the patient is at the end of the year. The matching age ranges in the Stratification Pseudocode are calculated as of 1/1 of the measurement year.
       
      Because the age is calculated based on 1/1 of the measurement period, the ranges in the logic match the ranges in the description. For example, if you are 10 years old on the first day of the measurement period, you will turn 11 sometime during the measurement period, so you should be included in the first stratum. If you are 11 years old on the first day of the measurement period, you will turn 12 during the measurement period and should be included in the second stratum.
      Show
      The age ranges in the measure guidance indicate the age the patient is at the end of the year. The matching age ranges in the Stratification Pseudocode are calculated as of 1/1 of the measurement year.   Because the age is calculated based on 1/1 of the measurement period, the ranges in the logic match the ranges in the description. For example, if you are 10 years old on the first day of the measurement period, you will turn 11 sometime during the measurement period, so you should be included in the first stratum. If you are 11 years old on the first day of the measurement period, you will turn 12 during the measurement period and should be included in the second stratum.
    • CMS126v4/NQF0036
    • Blocking for Medicaid customers who use eCQMs for reporting

      Closed out issue: https://oncprojectracking.healthit.gov/support/browse/CQM-1799?jql=text%20~%20%22stratification%22 - Need further clarification. Clarification does not match logic outlined.

      Stratum for Patient ages do not align for any of the eCQM measures looking for age stratification. Please clarify output of logic and verbiage for Stratification Total Score to be displayed?
      Example:
      CMS126v4/NQF 0036 : Use of Appropriate Medications for Asthma
      eCQM specification:
      Stratification 1 =Stratification Report a total score
      AND: Age >= 5 year(s) at: "Measurement Period" Stratum 1: Patients age 5-11
      AND: Age < 11 year(s) at: "Measurement Period"
      Stratification 2 =
      AND: Age >= 11 year(s) at: "Measurement Period" Stratum 2: Patients age 12-18
      AND: Age < 18 year(s) at: "Measurement Period"
      Stratification 3 =
      AND: Age >= 18 year(s) at: "Measurement Period" Stratum 3: Patients age 19-50
      AND: Age < 50 year(s) at: "Measurement Period"
      Stratification 4 =
      AND: Age >= 50 year(s) at: "Measurement Period" Stratum 4: Patients age 51-64
      AND: Age < 64 year(s) at: "Measurement Period"

      Based on the Logic the stratum does not align correctly:
      Patients by Birth Date Based on the Logic the Report total score should be
      01/01/XXXX = 5 Stratum 1: Patients age 5 - 10
      12/31/XXXX = 10

      01/01/XXXX = 11 Stratum 2: Patients age 11 - 17
      12/31/XXXX = 17

      01/01/XXXX = 18 Stratum 3: Patients age 18 - 49
      12/31/XXXX = 49

      01/01/XXXX = 50 Stratum 4: Patients age 50 - 63
      12/31/XXXX = 63

            edave Mathematica EC eCQM Team
            lwissell Laurie Wissell (Inactive)
            Votes:
            0 Vote for this issue
            Watchers:
            6 Start watching this issue

              Created:
              Updated:
              Resolved:
              Solution Posted On: