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EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
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Resolution: Fixed
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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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Thank you for your question. This has been corrected to AFTER. Updated measure specifications and gudance will be published during the annual update on April 1.
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CMS188v1/NQF0147
In the numerator logic for numerator 1, the check for IV Macrolides ICU looks that it occurs <=1400 minute(s) starts before start of 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: "Diagnosis, Active: Hospital Measures-Presumptive pneumonia" starts during "Occurrence A of Encounter, Performed: Encounter Inpatient (facility location: 'Hospital Measures-Non-ICU Locations', facility location arrival datetime)"
■AND:
■AND: FIRST:"Medication, Administered: Hospital Measures-IV Macrolides ICU (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient (facility location arrival datetime, facility location: 'Hospital Measures-Non-ICU Locations')"
Per the other examples of checking for this regimen, this should be <=1440 minute(s) starts AFTER start of the Non-ICU location