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EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
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Resolution: Answered
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Minor
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None
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Tamara Bailey
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520.750.4324
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Midas+
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CMS188v1/NQF0147
In the denominator of PN6 where it is attempting to determine if a patient who was a direct admit to ICU got a CT Scan with finding of Pneumonia, the first "AND NOT" statement checks ED encounter that starts <=24 hour(s) before their admittance to a Non-ICU location.
■OR:
■AND NOT: "Occurrence A of Encounter, Performed: Hospital Measures-Encounter ED (facility location arrival datetime)" <= 24 hour(s) starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient (facility location: 'Hospital Measures-Non-ICU Locations')"
■AND NOT: "Occurrence A of Encounter, Performed: Encounter Inpatient (facility location: 'Hospital Measures-Non-ICU Locations', facility location arrival datetime)" starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient (facility location: 'Hospital Measures-ICU Locations', facility location arrival datetime)"
■AND:
■OR: "Diagnostic Study, Result: Hospital Measures-CT scan including chest (result: 'Hospital Measures-Radiological findings consistent with pneumonia')" <= 24 hour(s) starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient (facility location arrival datetime, facility location: 'Hospital Measures-ICU Locations')"
■OR: "Diagnostic Study, Result: Hospital Measures-CT scan including chest (result: 'Hospital Measures-Radiological findings consistent with pneumonia')" during "Occurrence A of Encounter, Performed: Encounter Inpatient (facility location arrival datetime, facility location: 'Hospital Measures-ICU Locations')"
Per other examples in this measure, this should be checking for an ED encounter that starts <=24 hour(s) before their admittance to a ICU location.