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Type: EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
Resolution: Done
Priority: Major
Component/s: Measure
Labels:
- LOGIC

Solution:

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After further review, we would like to amend our answer to provide additional information.

Scenario 1: Measurement Period : 1/1/2019 00:00:00 – 12/31/2019 23:59:59 start of "Measurement Period" - 14 months – 11/1/2017 00:00:00 start of "Measurement Period" - 2 months - 11/1/2018 00:00:00

This scenario is the correct Denominator Identification period for a measurement period of 1/1/2019 00:00:00 12/31/2019 23:59:59.

11/1/2017 00:00:00 is 14 months prior to 1/1/2019 and 11/1/2018 00:00:00 (or effectively 10/31/2018 23:59:59) is two months prior to 1/1/2019. This creates a 12 month (inclusive) Denominator Identification period that starts 14 months prior to 1/1/2019 and ends two months prior to 1/1/2019.

Scenario 2: Measurement Period : 1/1/2019 00:00:00 – 12/31/2019 23:59:59 start of "Measurement Period" - 14 months – 11/1/2017 23:59:59 start of "Measurement Period" - 2 months - 11/1/2018 23:59:59

In order to correctly reflect the Denominator Identification period for this measurement period, which begins at 1/1/2019 00:00:00, Scenario 2 needs include the full day of 11/1/2017 (14 months from the start of the measurement period).

Scenario 3: Measurement Period : 1/1/2019 00:00:00 – 12/31/2019 23:59:59 start of "Measurement Period" - 14 months – 10/2/2017 00:00:00 start of "Measurement Period" - 2 months - 10/2/2018 00:00:00

This scenario does not reflect a Denomination Period that starts 14 months from the start of the measurement period, nor ends 2 months from the start of the measurement period. Scenario 3 does not correctly identify a Denomination Period for a measurement period of 1/1/2019 00:00:00 – 12/31/2019 23:59:59.

Scenario 4: Measurement Period : 1/1/2019 00:00:00 – 12/31/2019 23:59:59 start of "Measurement Period" - 14 months – 10/2/2017 23:59:59 start of "Measurement Period" - 2 months - 10/2/2018 23:59:59

This scenario does not reflect a Denomination Period that starts 14 months from the start of the measurement period, nor ends 2 months from the start of the measurement period. Scenario 4 does not correctly identify a Denomination Period for a measurement period of 1/1/2019 00:00:00 – 12/31/2019 23:59:59.

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After further review, we would like to amend our answer to provide additional information. Scenario 1: Measurement Period : 1/1/2019 00:00:00 – 12/31/2019 23:59:59 start of "Measurement Period" - 14 months – 11/1/2017 00:00:00 start of "Measurement Period" - 2 months - 11/1/2018 00:00:00 This scenario is the correct Denominator Identification period for a measurement period of 1/1/2019 00:00:00 12/31/2019 23:59:59. 11/1/2017 00:00:00 is 14 months prior to 1/1/2019 and 11/1/2018 00:00:00 (or effectively 10/31/2018 23:59:59) is two months prior to 1/1/2019. This creates a 12 month (inclusive) Denominator Identification period that starts 14 months prior to 1/1/2019 and ends two months prior to 1/1/2019. Scenario 2: Measurement Period : 1/1/2019 00:00:00 – 12/31/2019 23:59:59 start of "Measurement Period" - 14 months – 11/1/2017 23:59:59 start of "Measurement Period" - 2 months - 11/1/2018 23:59:59 In order to correctly reflect the Denominator Identification period for this measurement period, which begins at 1/1/2019 00:00:00, Scenario 2 needs include the full day of 11/1/2017 (14 months from the start of the measurement period). Scenario 3: Measurement Period : 1/1/2019 00:00:00 – 12/31/2019 23:59:59 start of "Measurement Period" - 14 months – 10/2/2017 00:00:00 start of "Measurement Period" - 2 months - 10/2/2018 00:00:00 This scenario does not reflect a Denomination Period that starts 14 months from the start of the measurement period, nor ends 2 months from the start of the measurement period. Scenario 3 does not correctly identify a Denomination Period for a measurement period of 1/1/2019 00:00:00 – 12/31/2019 23:59:59. Scenario 4: Measurement Period : 1/1/2019 00:00:00 – 12/31/2019 23:59:59 start of "Measurement Period" - 14 months – 10/2/2017 23:59:59 start of "Measurement Period" - 2 months - 10/2/2018 23:59:59 This scenario does not reflect a Denomination Period that starts 14 months from the start of the measurement period, nor ends 2 months from the start of the measurement period. Scenario 4 does not correctly identify a Denomination Period for a measurement period of 1/1/2019 00:00:00 – 12/31/2019 23:59:59.
Measure Type:
EP
Measure Title:
Depression Remission at Twelve Months

We have a query regarding Denominator condition of CMS159v7:

*Denominator *
o "Initial Population"

Definitions

Denominator Identification Period

o Interval[start of "Measurement Period" - 14 months, start of "Measurement Period" - 2 months )

Please confirm which interval should qualify:

Scenario 1:
Measurement Period : 1/1/2019 00:00:00 – 12/31/2019 23:59:59
start of "Measurement Period" - 14 months – 11/1/2017 00:00:00
start of "Measurement Period" - 2 months - 11/1/2018 00:00:00

Scenario 2:
Measurement Period : 1/1/2019 00:00:00 – 12/31/2019 23:59:59
start of "Measurement Period" - 14 months – 11/1/2017 23:59:59
start of "Measurement Period" - 2 months - 11/1/2018 23:59:59

Scenario 3:
Measurement Period : 1/1/2019 00:00:00 – 12/31/2019 23:59:59
start of "Measurement Period" - 14 months – 10/2/2017 00:00:00
start of "Measurement Period" - 2 months - 10/2/2018 00:00:00

Scenario 4:
Measurement Period : 1/1/2019 00:00:00 – 12/31/2019 23:59:59
start of "Measurement Period" - 14 months – 10/2/2017 23:59:59
start of "Measurement Period" - 2 months - 10/2/2018 23:59:59

Please confirm which scenario is valid

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