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  2. CQM-374

Data outside the visit or measurement period'

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      Computation of episode of care and longitudinal measures is covered in http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/2014_eCQM_Measure_Logic_Guidance.pdf.
      Regarding data criteria that are outside of the encounter of interest: In the particular case of NQF0439, the clause is one of several scenarios that cause the patient to be included in the denominator. If the data is not present or available, then the patient is simply not included in the denominator.
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      Computation of episode of care and longitudinal measures is covered in http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/2014_eCQM_Measure_Logic_Guidance.pdf . Regarding data criteria that are outside of the encounter of interest: In the particular case of NQF0439, the clause is one of several scenarios that cause the patient to be included in the denominator. If the data is not present or available, then the patient is simply not included in the denominator.
    • CMS105v1/NQF439
    • CMS165v1/NQF0018

      In NQF439 there is this clause in the Denominator criteria – "Occurrence A of Encounter, Performed: Inpatient Encounter (admission datetime)" <= 30 day(s) starts after end of "Laboratory Test, Result: LDL-c (result >= 100 mg/dL)".
      Also, in NQF0018 there is this clause in the IPP definition – "Diagnosis, Active: Essential Hypertension" <= 6 month(s) starts after start of "Measurement Period".

      How are vendors to handle measures that have data criteria outside of the encounter of interest or data criteria that is potentially outside the 90 day reporting period?

            saul.kravitz Saul Kravitz (Inactive)
            siemens Siemens (Inactive)
            Deborah Krauss (Inactive), Laura Goodman (Inactive)
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