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  1. eCQM Issue Tracker
  2. CQM-4831

Add specificity to stratification language and update relevant logic

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    • EP/EC eCQMs
    • Status: Open
    • Moderate
    • Resolution: Unresolved
    • None

    Description

      Brief Description of Measure:

      CMS74: Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists

      Percentage of children, 6 months - 20 years of age, who received a fluoride varnish application during the measurement period

      Description of Issue:

      The current header narrative for stratifications does not align with the logic, which causes confusion for implementers.

      Proposed Solution:

      We propose updating the Stratification field in the header and logic:

      CURRENT STRATIFICATION HEADER LANGUAGE:
      Population 1: age 6 months - 5 years
      Population 2: age 6- 2
      Population 3: age 13-20

      PROPOSED STRATIFICATION HEADER LANGUAGE:
      Population 1: Patients age 6 months - 5 years at the start of the Measurement Period
      Population 2: Patients age 6-12 years at the start of the Measurement Period
      Population 3: Patients age 13-20 years at the start of the Measurement Period

      CURRENT LOGIC:
      Stratification 1
      exists ( ["Patient Characteristic Birthdate": "Birth date"] BirthDate
      where Global."CalendarAgeInMonthsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) >= 6
      and Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) <= 4)

      Stratification 2
      exists ["Patient Characteristic Birthdate": "Birth date"] BirthDate
      where Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) in Interval[5, 11]

      Stratification 3
      exists ["Patient Characteristic Birthdate": "Birth date"] BirthDate
      where Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) in Interval[12, 20 )

      UPDATED LOGIC:
      Stratification 1
      exists ( ["Patient Characteristic Birthdate": "Birth date"] BirthDate
      where Global."CalendarAgeInMonthsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) >= 6
      and Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) <= 5)

      Stratification 2
      exists ["Patient Characteristic Birthdate": "Birth date"] BirthDate
      where Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) in Interval[6, 12]

      Stratification 3
      exists ["Patient Characteristic Birthdate": "Birth date"] BirthDate
      where Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) in Interval[13, 20 ]

      Rationale for Change:
      We propose adding more details in the 'Stratification' field of the header to provide clarity, as well as updating the logic to align with the narrative and measure intent. We believe these updates will reduce confusion for implementers.

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            khancock Mathematica EC eCQM Team
            khancock Mathematica EC eCQM Team
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            Dates

              Created:
              Updated: