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CMS 65 IPP Timeframe Guidance and Espec Contradictory

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    • Sarah Christie
    • Allscripts
    • IPP Timeframe Clarification
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      ​According to the Quality Data Model, when Day (date 2) >= day (date 1):

      Duration (months) = (year (date 2) – year (date 1))*12 + (month (date 2) – (month (date 1))
       
      If the measurement year is 2016,
       
      Date 1: 1/1/2016
      Date 2: 7/1/2016
       
      Therefore Duration = (2016 - 2016)*12 + (7 - 1) = 6 months
       
      Therefore, having "< 6 month(s) ends after or concurrent with start of" as the timing operator in the population criteria will include any visits done through the month of June. The timing in the header matches the logic.
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      ​According to the Quality Data Model, when Day (date 2) >= day (date 1): Duration (months) = (year (date 2) – year (date 1))*12 + (month (date 2) – (month (date 1))   If the measurement year is 2016,   Date 1: 1/1/2016 Date 2: 7/1/2016   Therefore Duration = (2016 - 2016)*12 + (7 - 1) = 6 months   Therefore, having "< 6 month(s) ends after or concurrent with start of" as the timing operator in the population criteria will include any visits done through the month of June. The timing in the header matches the logic.

      The Guidance for the IPP for CMS 65 2018 Measure states:

      All patients aged 18-85 years of age, who had at least one outpatient visit* in the first six months *of the measurement year, who have a diagnosis of essential hypertension documented during that outpatient visit, and who have uncontrolled baseline blood pressure at the time of that visit.

      However, the eSpec is asking for this:

      Initial Population = ◦ AND: Age>= 18 year(s) at: "Measurement Period"
      ◦ AND: Age< 85 year(s) at: "Measurement Period"
      ◦ AND: First: ◾"Occurrence A of Encounter, Performed: Blood Pressure Visit" satisfies all: < 6 month(s) starts after or concurrent with start of "Measurement Period"
      ◾overlaps "Diagnosis: Essential Hypertension"
      ◾overlaps "Physical Exam, Performed: Systolic Blood Pressure (result)"
      ◦ AND: "Physical Exam, Performed: Systolic Blood Pressure" satisfies all: ◾Most Recent: (result) during "Occurrence A of Encounter, Performed: Blood Pressure Visit"
      ◾ (result >= 140 mmHg)

      Should the First Encounter Occurrence A timing be Less than 6 months OR the first six months of the year? It is written both ways. Please advise. Thank you in advance.

            edave Mathematica EC eCQM Team
            SChristie Sarah Christie
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