Uploaded image for project: 'eCQM Issue Tracker'
  1. eCQM Issue Tracker
  2. CQM-438

PN6 Numerator1 logic flaw in check for regimen 1b on patients admitted to NON-ICU then transfered to ICU

XMLWordPrintable

    • Icon: EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
    • Resolution: Fixed
    • Icon: Minor Minor
    • Measure
    • None
    • Tamara Bailey
    • 520.750.4324
    • Midas+
    • 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.
    • 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

            abt.associate Abt Associate (Inactive)
            tamarabailey Tamara Bailey (Inactive)
            Deborah Krauss (Inactive), Saul Kravitz (Inactive)
            Votes:
            0 Vote for this issue
            Watchers:
            2 Start watching this issue

              Created:
              Updated:
              Resolved: