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  1. eCQM Issue Tracker
  2. CQM-3411

CMS108v7 Numerator validation Query

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    • Icon: EH/CAH eCQMs EH/CAH eCQMs
    • Resolution: Done
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      Thank you for your question. According to measure logic in 2019 reporting year -

      Patient 1 - since VTE Prophylaxis starts prior to hospital Admission, this patient will fail the numerator.

      Patient 2 - since VTE Prophylaxis starts on hospital Admission DateTime, this patient will pass the numerator.

      Patient 3 - since VTE Prophylaxis starts on a day after hospital Admission, this patient will pass the numerator.

      We are currently considering logic that will allow cases to meet the numerator requirements if VTE prophylaxis was administered prior to admission Time but it on the same day of Admission (i.e. patient 1). If this is feasible, it will be implemented in reporting year 2020.
      Show
      Thank you for your question. According to measure logic in 2019 reporting year - Patient 1 - since VTE Prophylaxis starts prior to hospital Admission, this patient will fail the numerator. Patient 2 - since VTE Prophylaxis starts on hospital Admission DateTime, this patient will pass the numerator. Patient 3 - since VTE Prophylaxis starts on a day after hospital Admission, this patient will pass the numerator. We are currently considering logic that will allow cases to meet the numerator requirements if VTE prophylaxis was administered prior to admission Time but it on the same day of Admission (i.e. patient 1). If this is feasible, it will be implemented in reporting year 2020.
    • EH
    •  Venous Thromboembolism Prophylaxis

      Hi team,

      We have a query regarding Numerator validation

      Numerator
      "VTE Prophylaxis Received on Day of or Day After Admission or Procedure"

      Definition
      VTE Prophylaxis Received on Day of or Day After Admission or Procedure
      ( from
      "Encounter With Age Range and Without VTE Diagnosis or Obstetrical Conditions" QualifyingEncounter,
      "VTE Prophylaxis by Medication Administered or Device Applied" HasVTEProphylaxis
      where HasVTEProphylaxis.relevantPeriod starts during VTEICU."CalendarDayOfOrDayAfter"(start of QualifyingEncounter.relevantPeriod)
      return QualifyingEncounter
      )
      union ( from
      "Encounter With Age Range and Without VTE Diagnosis or Obstetrical Conditions" QualifyingEncounter,
      ["Procedure, Performed": "General or Neuraxial Anesthesia"] AnesthesiaProcedure,
      "VTE Prophylaxis by Medication Administered or Device Applied" HasVTEProphylaxis
      where AnesthesiaProcedure.relevantPeriod ends 1 day after day of start of QualifyingEncounter.relevantPeriod
      and HasVTEProphylaxis.relevantPeriod starts during VTEICU."CalendarDayOfOrDayAfter"(end of AnesthesiaProcedure.relevantPeriod)
      return QualifyingEncounter
      )

      *VTE Prophylaxis by Medication Administered or Device Applied *
      ( ["Medication, Administered": "Low Dose Unfractionated Heparin for VTE Prophylaxis"] VTEMedication
      where VTEMedication.route in "Subcutaneous route"
      )
      union ["Medication, Administered": "Low Molecular Weight Heparin for VTE Prophylaxis"]
      union ["Medication, Administered": "Injectable Factor Xa Inhibitor for VTE Prophylaxis"]
      union ["Medication, Administered": "Warfarin"]
      union ["Device, Applied": "Intermittent pneumatic compression devices (IPC)"]
      union ["Device, Applied": "Venous foot pumps (VFP)"]
      union ["Device, Applied": "Graduated compression stockings (GCS)"]

      Consider below scenario:

      Patient 1 has inpatient stay from 01/01/2019 3:00 pm till 01/05/2019 4:00 pm and age is 19 years & has ["Medication, Administered": "Low Dose Unfractionated Heparin for VTE Prophylaxis"] VTEMedication where VTEMedication.route in "Subcutaneous route" starts
      from 01/01/2019 2:00 pm. Will this patient qualify for Numerator?

      Patient 2 has inpatient stay from 01/01/2019 3:00 pm till 01/05/2019 4:00 pm and age is 19 years & has ["Medication, Administered": "Low Dose Unfractionated Heparin for VTE Prophylaxis"] VTEMedication where VTEMedication.route in "Subcutaneous route" starts
      from 01/01/2019 3:00 pm. Will this patient qualify for Numerator?

      Patient 3 has inpatient stay from 01/01/2019 3:00 pm till 01/05/2019 4:00 pm and age is 19 years & has ["Medication, Administered": "Low Dose Unfractionated Heparin for VTE Prophylaxis"] VTEMedication where VTEMedication.route in "Subcutaneous route" starts
      from 01/02/2019 3:00 pm. Will this patient qualify for Numerator?

            JLeflore Mathematica EH eCQM Team
            vinaykumarp Vinay (Inactive)
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