The measure algorithm lists " Transfer From: Hospital Measures-Acute care hospital" as a Denominator Exclusion for Population 1 & 2 for the measure. However, the Hospital Measures-Acute care hospital Value Set OID 2.16.840.1.113883.3.666.5.684 only contains units from a facility, not the Admission Source that would establish that the patient was a transfer from an Acute Care Hospital.

Intensive care unit (environment)
Adult intensive care unit (environment)
Cardiac intensive care unit (environment)
Metabolic intensive care unit (environment)
Neurological intensive care unit (environment)
Pediatric intensive care unit (environment)
Respiratory intensive care unit (environment)
Psychiatric intensive care unit (environment)
Surgical intensive care unit (environment)
Telemetry unit (environment)
Burns intensive care unit (environment)
Medical intensive care unit (environment)
Ambulatory surgery center (environment)

OR:
o OR: "Transfer From: Hospital Measures-Acute care hospital"
o OR: "Transfer From: Hospital Measures-Ambulatory surgical center"
o OR: "Occurrence B of Encounter, Performed: Hospital Measures - Encounter ED"
o OR: "Occurrence A of Encounter, Performed: Encounter Inpatient (length of stay < 24 hour(s))"
o < 24 hour(s) starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"

1.) What development guidance can you offer?