Uploaded image for project: 'eCQM Issue Tracker'
  1. eCQM Issue Tracker
  2. CQM-3578

CMS 249 Guidance does not match the Espec

XMLWordPrintable

    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Icon: Moderate Moderate
    • Measure
    • None
    • Sarah Christie
    • Does the Assessment and the Result have to happen on the same visit?
    • Hide
      Thank you for your question. For both assessments (current tobacco user and average number of drinks), we are looking for the first assessment with a result during the measurement period. It does not have to be during a visit. We use "first" to indicate that there is at least one assessment during the measurement period.​
      Show
      Thank you for your question. For both assessments (current tobacco user and average number of drinks), we are looking for the first assessment with a result during the measurement period. It does not have to be during a visit. We use "first" to indicate that there is at least one assessment during the measurement period.​
    • CMS249v1/NQFna
    • Need clarification between Guidance and Espec in order to configure the measure.

      When trying to configure the Exclusion criteria, there are pieces of the top Guidance that do not match the bottom portion of the espec. We need to have these clarified in order to configure the measure to the CMS's intent.

      1. Denominator Exclusion Guidance:
      _"The following risk factors may occur any time in the patient's history but must be active during the measurement period:
      Smoker (current during the measurement period)"

      Bottom Espec States:
      _"Current Tobacco User

      { First(["Assessment, Performed": "Tobacco Use Screening"] TobaccoScreen
      where TobaccoScreen.result in "Current Tobacco Smoker"
      and TobaccoScreen.authorDatetime during "Measurement Period"
      sort by authorDatetime"_

      Question Here: Is this truly the First Assessment in the Measurement Period with the First Result in the Measurement Period all completed on same visit?

      2. Denominator Exclusion Guidance:
      "Alcohol consumption (> two units per day (one unit is 12 oz. of beer, 4 oz. of wine, or 1 oz. of liquor))"
      Bottom Espec States:
      Average of More Than Two Drinks Per Drinking Day
      _{{color:red} First(["Assessment, Performed": "Average Number of Drinks per Drinking Day"] AverageDrinks
      where AverageDrinks.authorDatetime during "Measurement Period"
      and AverageDrinks.result > 2
      sort by authorDatetime

      Question Here: Is this truly the First Assessment in the Measurement Period with the First Result in the Measurement Period all completed on same visit?

            edave Mathematica EC eCQM Team
            SChristie Sarah Christie (Inactive)
            Votes:
            0 Vote for this issue
            Watchers:
            6 Start watching this issue

              Created:
              Updated:
              Resolved:
              Solution Posted On: