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  1. eCQM Issue Tracker
  2. CQM-2915

Diagnosis of Stroke after EOD 2; why not an exception for CMS-72

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    • Icon: EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
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    • Guidance
    • Diagnosis of Stroke after EOD 2; why not an exception for CMS-72
    • Cynthia Blasses
    • (313)870-6163
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      Thank you for your question.

      Reporting will not align with Get with the Guidelines (GWTG). GWTG collects an additional data element, Stroke Diagnosis, or Clinical Diagnosis. This is not a TJC data element and it is not used in the measure rate calculation. ICD-10-CM Principal Diagnosis is the TJC data element used for the stroke IP and to calculate the measure rate. WTG has to use TJC data elements to report for TJC measures. Other GWTG-only measures may be used for AHA/ASA achievement programs but these rates are not what HCOs should be reporting to TJC for the measures.​
      Show
      Thank you for your question. Reporting will not align with Get with the Guidelines (GWTG). GWTG collects an additional data element, Stroke Diagnosis, or Clinical Diagnosis. This is not a TJC data element and it is not used in the measure rate calculation. ICD-10-CM Principal Diagnosis is the TJC data element used for the stroke IP and to calculate the measure rate. WTG has to use TJC data elements to report for TJC measures. Other GWTG-only measures may be used for AHA/ASA achievement programs but these rates are not what HCOs should be reporting to TJC for the measures.​
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      Patients with late diagnosis of stroke are in denominator of CMS-72.
      Get with the guidelines are making exceptions at this time. Reporting is not aligning.
      Show
      Patients with late diagnosis of stroke are in denominator of CMS-72. Get with the guidelines are making exceptions at this time. Reporting is not aligning.

          JLeflore Joelencia Leflore
          CBLASSE1 Cynthia Blasses (Inactive)
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