-
EC eCQMs - Eligible Clinicians
-
Resolution: Answered
-
Major
-
None
-
None
-
Hugo Andrade
-
Sanford Health
-
-
CMS0069v10
-
CMS69v8/NQF0421e
-
logic as is will cause deprioritization of measure.
this is in follow-up to your solution to my original post – CQM - 4656
Thank you for your response.
The response describes that your intent is to require documentation of a follow-up plan for every newly captured weight, being the most recent high/low BMI, no matter the timing of the previous plan documented to meet the measure (could be days before). Is that correct? the intent described is to document another plan although there is no changes from the previous plan captured during the current measurement period. If this is correct, health systems with the same EMR instance cannot reasonably ask clinicians to redocument the same plan for our patients seeking care more than once a measurement period. please advise, this will cause frustration and deprioritization of work on this measure.
If not able to correct logic to capture numerator action and stop this measurement period, can you confirm that this will be corrected for 2022 or CMS 69v10?
Additionally, can you clarify your solution comments on CQM - 4656 vs CQM - 4676. They are in conflict per interpretation. Which is it? you say that intent will satisfy measure with first three visits follow up plan even though there is a more recent BMI (visit 5) and the other that it is not met with a new BMI captured on 4/1/21.
CQM-4647 solution response:
"Therefore, with the example of the provider documenting follow-up for the first three (3) visits but none for the last two (2) visits, the BMI from the last encounter will be used determine if the performance has been met, and since a follow-up plan was documented during the previous twelve months of the current encounter (from the first three visits), the provider will have met the measure."
CQM-4656 solution response:
"As a result, in the scenario that you outlined, this patient will not meet the measure numerator criteria because the follow-up plan documented on 03/1/2021 is prior to the most recent high BMI on 04/1/2021."
- relates to
-
CYPRESS-2294 CMS69v9 NUMER logic
- Closed