QDM Modeling Question

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Done
    • Priority: Moderate
    • Component/s: Measure
    • None
    • Floyd Eisenberg
    • 202-643-6359
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      Thank you for your question. This measure is no longer being maintained by the steward. As finalized in the fiscal year 2018 Inpatient Prospective Payment System (IPPS) Final Rule, CMS185 Healthy Term Newborn was removed from the hospital quality reporting program effective 1/1/2017. Further, CMS suggests eligible hospitals participating in the Medicare & Medicaid EHR Incentive Programs not select CMS185/NQF0716: Healthy Term Newborn as one of their additional electronic clinical quality measures (eCQMs) for meaningful use - see ticket CQM-1620.
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      Thank you for your question. This measure is no longer being maintained by the steward. As finalized in the fiscal year 2018 Inpatient Prospective Payment System (IPPS) Final Rule, CMS185 Healthy Term Newborn was removed from the hospital quality reporting program effective 1/1/2017. Further, CMS suggests eligible hospitals participating in the Medicare & Medicaid EHR Incentive Programs not select CMS185/NQF0716: Healthy Term Newborn as one of their additional electronic clinical quality measures (eCQMs) for meaningful use - see ticket CQM-1620 .
    • CMS185v5/NQF0716
    • CMS185v4/NQF0716
    • CMS185v3/NQF0716
    • Use of QDM

      Measure 185 lists the intent as "Percent of term singleton live births (excluding those with diagnoses originating in the fetal period) who DO NOT have significant complications during birth or the nursery care."
      The population uses the logic phrase, "AND: "Occurrence A of Encounter, Performed: Encounter Inpatient (reason: 'Birth')"
      Can you explain why the Encounter, Performed attribute "reason" was used rather than the "diagnosis" attribute? - i.e., either:
      Encounter, Performed: Newborn admission
      OR
      Encounter, Performed: Inpatient admission (diagnosis = newborn)
      OR
      Encounter, Performed: Inpatient admission (principal diagnosis = newborn)

            Assignee:
            Joelencia Leflore
            Reporter:
            Floyd Eisenberg (Inactive)
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