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Type:
Other
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Resolution: Answered
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Priority:
Moderate
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Component/s: Guidance
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None
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CMS9v5/NQF0480, CMS26v4/NQFna, CMS30v6/NQFna, CMS31v5/NQF1354, CMS32v6/NQF0496, CMS53v5/NQF0163, CMS55v5/NQF0495, CMS60v5/NQFna, CMS71v6/NQF0436, CMS72v5/NQF0438, CMS73v5/NQF0373, CMS91v6/NQF0437, CMS100v5/NQF0142, CMS102v5/NQF0441, CMS104v5/NQF0435, CMS105v5/NQF0439, CMS107v5/NQFna, CMS108v5/NQF0371, CMS109v5/NQFna, CMS110v5/NQFna, CMS111v5/NQF0497, CMS113v5/NQF0469, CMS114v5/NQFna
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Reading the specifications- Plans for improvement?
As the electronic Clinical Quality Measure evolve, are there plans to make versions of "laymen" verbiage of the electronic specifications? (See below). Clearly this can be done, and would be very helpful in helping to explain to leadership, physicians and nurses the requirements of the electronic measures. This would also help to show and explain any groups of outliers or focus areas needed for improvement.
Since performance improvement is the ultimate goal there must be documentation that is easily understood by the majority of end-users who are in the position to make the change.
If this is not a current plan, can this be asked of CMS?
Example:
The following Denominator Exceptions are from NQF418:
Denominator Exceptions =
• OR:
• AND: Union of:
• "Risk Category Assessment not done: Medical or Other reason not done" for "Adolescent Depression Screening"
• "Risk Category Assessment not done: Patient Reason refused" for "Adolescent Depression Screening"
• during "Encounter, Performed: Depression Screening Encounter Codes"
• AND NOT: "Risk Category Assessment: Adolescent Depression Screening" during "Measurement Period"
• OR:
• AND: Union of:
• "Risk Category Assessment not done: Medical or Other reason not done" for "Adult Depression Screening"
• "Risk Category Assessment not done: Patient Reason refused" for "Adult Depression Screening"
• during "Encounter, Performed: Depression Screening Encounter Codes"
• AND NOT: "Risk Category Assessment: Adult Depression Screening" during "Measurement Period"
The following statement is a description of the Denominator Exceptions:
1. The patient has documentation that an adolescent depression screening was not assessed due to "Medical or Other reason not done" or "Patient Reason refused", the reason was documented on the qualifying encounter, and there are no screening results during the measurement period
2. OR the patient has documentation that an adult depression screening was not assessed due to "Medical or Other reason not done" or "Patient Reason refused", the reason was documented on the qualifying encounter, and there are no screening results during the measurement period
Thanks,
- mentioned in
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