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  2. CQM-4015

VTE-1 IP and Denominator looks at Discharge date but Numerator looks at within 2 days of Admission

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    • Icon: EC eCQMs EC eCQMs
    • Resolution: Answered
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      Thank you for your question. Reporting year refers to “Measurement Period” in the eCQMs. The determination as to whether the case is eligible for this year’s reporting is based on evaluation of “Discharge Date” (see bolded expression in the logic below). Regardless of the admission date, as long as the length of stay is less than or equal to 120 days and ends during the measurement period being reported (CY2020 in this instance), the case should be reported. Therefore, the case you provided as an example would meet these criteria.

      · Global.Inpatient Encounter
      ["Encounter, Performed": "Encounter Inpatient"] EncounterInpatient
               where "LengthInDays"(EncounterInpatient.relevantPeriod)<= 120
                               and EncounterInpatient.relevantPeriod ends during "Measurement Period"
      Show
      Thank you for your question. Reporting year refers to “Measurement Period” in the eCQMs. The determination as to whether the case is eligible for this year’s reporting is based on evaluation of “Discharge Date” (see bolded expression in the logic below). Regardless of the admission date, as long as the length of stay is less than or equal to 120 days and ends during the measurement period being reported (CY2020 in this instance), the case should be reported. Therefore, the case you provided as an example would meet these criteria. · Global.Inpatient Encounter ["Encounter, Performed": "Encounter Inpatient"] EncounterInpatient          where "LengthInDays"(EncounterInpatient.relevantPeriod)<= 120                          and EncounterInpatient.relevantPeriod ends during "Measurement Period"
    • CMS108v9/NQFna
    • CMS108v8/NQFna
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      VTE-1 IP and Denominator looks for the patient to be discharged.
      The numerator looks for the action within two days of the admission.
      Our reporting period is first quarter, such as Jan. to March 2020.
      The patient was discharged in March (denominator)
      However, the patient was admitted Dec. 19, 2019 and the VTE prophylaxis was administered that day. (Numerator). Should that visit be included in the numerator for our 2020 reporting even though the medication was administered in 2019 but the discharge was in 2020.
      Thank you
      Show
      VTE-1 IP and Denominator looks for the patient to be discharged. The numerator looks for the action within two days of the admission. Our reporting period is first quarter, such as Jan. to March 2020. The patient was discharged in March (denominator) However, the patient was admitted Dec. 19, 2019 and the VTE prophylaxis was administered that day. (Numerator). Should that visit be included in the numerator for our 2020 reporting even though the medication was administered in 2019 but the discharge was in 2020. Thank you

          JLeflore Mathematica EH eCQM Team
          ogburn715 Charla (Inactive)
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