Uploaded image for project: 'eCQM Issue Tracker'
  1. eCQM Issue Tracker
  2. CQM-2923

CMS 52 / NQF 0405: IPP does not match for top and bottom portion of eSpec

XMLWordPrintable

    • Susan Marx
    • 919-800-5718
    • Allscripts
    • Hide
      The definition of $HIVisit limits the encounters to the measurement period:

      $HIVvisit =
      Union of:
      "Encounter, Performed: Office Visit"
      "Encounter, Performed: Face-to-Face Interaction"
      "Encounter, Performed: Preventive Care Services - Established Office Visit, 18 and Up"
      "Encounter, Performed: Preventive Care Services-Initial Office Visit, 18 and Up"
      "Encounter, Performed: Preventive Care - Established Office Visit, 0 to 17"
      "Encounter, Performed: Preventive Care- Initial Office Visit, 0 to 17"
      "Encounter, Performed: Outpatient Consultation"
      during "Measurement Period"
       
      In addition, because there is one encounter within at least 90 days after another, there must be 2 encounters.
      Show
      The definition of $HIVisit limits the encounters to the measurement period: $HIVvisit = Union of: "Encounter, Performed: Office Visit" "Encounter, Performed: Face-to-Face Interaction" "Encounter, Performed: Preventive Care Services - Established Office Visit, 18 and Up" "Encounter, Performed: Preventive Care Services-Initial Office Visit, 18 and Up" "Encounter, Performed: Preventive Care - Established Office Visit, 0 to 17" "Encounter, Performed: Preventive Care- Initial Office Visit, 0 to 17" "Encounter, Performed: Outpatient Consultation" during "Measurement Period"   In addition, because there is one encounter within at least 90 days after another, there must be 2 encounters.
    • CMS52v6/NQF0405
    • Need clarification on mismatch between top and bottom portion of eSpec to complete configuration for 2018 Measure.

      While reviewing CMS 52v6 / NQF 0405 for configuration, we have noticed a discrepancy in the IPP 1, 2, 3 specification.
      The top descriptive part says: at least two visits during the measurement year

      The bottom part says: $HIVvisit >= 90 day(s) starts after end of $HIVvisit

        1. 2017-12-01_1350.png
          2017-12-01_1350.png
          34 kB
        2. 2017-12-01_1351.png
          2017-12-01_1351.png
          3 kB

          [CQM-2923] CMS 52 / NQF 0405: IPP does not match for top and bottom portion of eSpec

          Mathematica EC eCQM Team added a comment -

          The denominator statement says there must be at least two visits during the measurement period, with at least 90 days between visits. As such, any 2 encounters that are at least 90 days apart meet the intent of the measure, regardless if there are other encounters between. As long as there are a pair of visits that meet this requirement, the patient will fall into the denominator. Numerator compliance is based on diagnosis or lab test date, not an encounter.

          Mathematica EC eCQM Team added a comment - The denominator statement says there must be at least two visits during the measurement period, with at least 90 days between visits. As such, any 2 encounters that are at least 90 days apart meet the intent of the measure, regardless if there are other encounters between. As long as there are a pair of visits that meet this requirement, the patient will fall into the denominator. Numerator compliance is based on diagnosis or lab test date, not an encounter.

          Kelly Cooper (Inactive) added a comment -

          If there are more than 2 encounters, can the timeframe be counted between the first and last HIV encounters?

          Kelly Cooper (Inactive) added a comment - If there are more than 2 encounters, can the timeframe be counted between the first and last HIV encounters?

          Mathematica EC eCQM Team added a comment -

          ​Because there is one encounter within at least 90 days after another, there must be 2 encounters.

          Mathematica EC eCQM Team added a comment - ​Because there is one encounter within at least 90 days after another, there must be 2 encounters.

          Sarah Christie added a comment -

          Clarification needed is does the intent of the measure require 2 visits during the measurement period or only one?

          Sarah Christie added a comment - Clarification needed is does the intent of the measure require 2 visits during the measurement period or only one?

            edave Mathematica EC eCQM Team
            smmarx Susan Marx (Inactive)
            Votes:
            1 Vote for this issue
            Watchers:
            5 Start watching this issue

              Created:
              Updated:
              Resolved:
              Solution Posted On: