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  1. eCQM Issue Tracker
  2. CQM-2903

Seeking Numerator mapping guidance for CMS22 Screening for Hypertension and Follow-Up Documented; and CMS 69 BMI Screening and Follow-Up Plan. We are requesting your guidance to map to Hypertension and BMI education interventions for these measures.

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    • Jill Bradford
    • VCU Health
    • ​The intent is as described and the intervention may not necessarily be in the form of an order. We will review and consider revising the logical expression of these interventions in a future update.
    • CMS69v6/NQF0421
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      ​Numerator logic does not provide the ability to capture all actions as it is currently written as "Intervention order." For each case indicating "Intervention, order" we would also include "or" "Intervention, performed."

      "Numerator Logic: For each case indicating ""Intervention, order"" we would also include ""or"" ""Intervention, performed.""

      For the High BMI Follow Up Encounters definition, we will add the following logic “ OR [""Intervention, Performed "": ""Above Normal Follow-up"")

      For the Low BMI Follow Up Encounters definition, we will add the following logic ""OR [""Intervention, Performed"":""Below Normal Follow-up"")"
      Show
      ​Numerator logic does not provide the ability to capture all actions as it is currently written as "Intervention order." For each case indicating "Intervention, order" we would also include "or" "Intervention, performed." "Numerator Logic: For each case indicating ""Intervention, order"" we would also include ""or"" ""Intervention, performed."" For the High BMI Follow Up Encounters definition, we will add the following logic “ OR [""Intervention, Performed "": ""Above Normal Follow-up"") For the Low BMI Follow Up Encounters definition, we will add the following logic ""OR [""Intervention, Performed"":""Below Normal Follow-up"")"
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      Based on CRP feedback, for each case indicating "Intervention Order" we will also include "or" "Intervention, performed" in the measure logic.

      Show
      Based on CRP feedback, for each case indicating "Intervention Order" we will also include "or" "Intervention, performed" in the measure logic.

      Seeking Numerator mapping guidance for eCQMs CMS22 Screening for High Blood Pressure and Follow-Up Documented; and CMS 69 BMI Screening and Follow-Up Plan. We are requesting your guidance to map to Hypertension and BMI education interventions for these measures. According to the spec documents, the measures are looking for follow-up in the form of an "order". However, the value sets for these measures include education which is not capture as an "order", and does not require an order to be performed. In practice, Hypertension and BMI education topics, such as the ones included in the value sets (lifestyle, diet, nutrition, exercise, ETOH consumption, etc), are completed. We believe the intent of the measure is looking for an intervention and not necessarily in the form of an order. By only mapping to "orders" we would only capture a referral to a specialist which in most cases isn't necessary.

            edave Mathematica EC eCQM Team
            jbradfo2 Jill Bradford-Shuemaker (Inactive)
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