How to apply stratification in CMS137v5 Initiation and Engagement of Alcohol and Other Drug Dependence Treatment

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Done
    • Priority: Moderate
    • Component/s: Measure
    • None
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      The below list is what is expected to be submitted:

      Total (both stratifications added together) IP Population Criteria 1
      Total (both stratifications added together) Denom Population Criteria 1
      Total (both stratifications added together) Denom Exclusion Population Criteria 1
      Total (both stratifications added together) Numerator Population Criteria 1
       
      Stratification 1 IP Population Criteria 1
      Stratification 1 Denom Population Criteria 1
      Stratification 1 Denom Exclusion Population Criteria 1
      Stratification 1 Numerator Population Criteria 1
       
      Stratification 2 IP Population Criteria 1
      Stratification 2 Denom Population Criteria 1
      Stratification 2 Denom Exclusion Population Criteria 1
      Stratification 2 Numerator Population Criteria 1
       
      Total (both stratifications added together) IP Population Criteria 2 - this should match Total IP Population Criteria 1
      Total (both stratifications added together) Denom Population Criteria 2 - this should match Total Denom Population Criteria 1
      Total (both stratifications added together) Denom Exclusion Population Criteria 2 - this should match Total Denom Exclusion Population Criteria 1
      Total (both stratifications added together) Numerator Population Criteria 2
       
      Stratification 1 IP Population Criteria 2 - this should match Stratification 1 IP Population Criteria 1
      Stratification 1 Denom Population Criteria 2 - - this should match Stratification 1 Denom Population Criteria 1
      Stratification 1 Denom Exclusion Population Criteria 2 - - this should match Stratification 1 Denom Exclusion Population Criteria 1
      Stratification 1 Numerator Population Criteria 2
       
      Stratification 2 IP Population Criteria 2 - this should match Stratification 2 IP Population Criteria 1
      Stratification 2 Denom Population Criteria 2 - - this should match Stratificaiton 2 Denom Population Criteria 1
      Stratification 2 Denom Exclusion Population Criteria 2 - - this should match Stratification 2 Denom Exclusion Population Criteria 1
      Stratification 2 Numerator Population Criteria 2
      Show
      The below list is what is expected to be submitted: Total (both stratifications added together) IP Population Criteria 1 Total (both stratifications added together) Denom Population Criteria 1 Total (both stratifications added together) Denom Exclusion Population Criteria 1 Total (both stratifications added together) Numerator Population Criteria 1   Stratification 1 IP Population Criteria 1 Stratification 1 Denom Population Criteria 1 Stratification 1 Denom Exclusion Population Criteria 1 Stratification 1 Numerator Population Criteria 1   Stratification 2 IP Population Criteria 1 Stratification 2 Denom Population Criteria 1 Stratification 2 Denom Exclusion Population Criteria 1 Stratification 2 Numerator Population Criteria 1   Total (both stratifications added together) IP Population Criteria 2 - this should match Total IP Population Criteria 1 Total (both stratifications added together) Denom Population Criteria 2 - this should match Total Denom Population Criteria 1 Total (both stratifications added together) Denom Exclusion Population Criteria 2 - this should match Total Denom Exclusion Population Criteria 1 Total (both stratifications added together) Numerator Population Criteria 2   Stratification 1 IP Population Criteria 2 - this should match Stratification 1 IP Population Criteria 1 Stratification 1 Denom Population Criteria 2 - - this should match Stratification 1 Denom Population Criteria 1 Stratification 1 Denom Exclusion Population Criteria 2 - - this should match Stratification 1 Denom Exclusion Population Criteria 1 Stratification 1 Numerator Population Criteria 2   Stratification 2 IP Population Criteria 2 - this should match Stratification 2 IP Population Criteria 1 Stratification 2 Denom Population Criteria 2 - - this should match Stratificaiton 2 Denom Population Criteria 1 Stratification 2 Denom Exclusion Population Criteria 2 - - this should match Stratification 2 Denom Exclusion Population Criteria 1 Stratification 2 Numerator Population Criteria 2
    • CMS137v5/NQF0004

      We are working on developing “eCQM137v5 Initiation and Engagement of Alcohol and Other Drug Dependence Treatment” in our EHR software.

      As per the QDM logic we need to apply Stratification 1 and Stratification 2 to both the Population Criteria 1 and the Population Criteria 2. So exactly how does this work ? When we report the denominator and the numerator counts, would there be in total 2 denominators and 4 numerators ?

      i.e.

      Population Criteria 1
      Denominator 1 (for Stratification 1)
      Denominator 2 (for Stratification 2)

      Numerator 1 (for Stratification 1)
      Numerator 2 (for Stratification 2)

      Population Criteria 2
      Denominator 1 (same as Population criteria 1)
      Denominator 2 (same as Population criteria 1)

      Numerator 3 (for Stratification 1)
      Numerator 4 (for Stratification 2)

      Are we getting this right ? If not, please help us with this.

      Also, do we have to apply stratification to Denominator Exclusions too in the similar manner ?

            Assignee:
            Mathematica EC eCQM Team (Inactive)
            Reporter:
            Mansi Shah
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