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  1. eCQM Issue Tracker
  2. CQM-4883

Revise numerator statement to align with intent and logic

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Details

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

    Description

      Brief Description of Measure:

      ​CMS144: Heart Failure (HF): Beta- Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD):
      Percentage of patients aged 18 years and older with a diagnosis of heart failure (HF) with a current or prior left ventricular ejection fraction (LVEF) < 40% who were prescribed beta-blocker therapy either within a 12-month period when seen in the outpatient setting OR at each hospital discharge

      Description of Issue:

      The numerator in the measure narrative states “…prescribed beta-blocker therapy either within a 12-month period when seen in the outpatient setting OR at each hospital discharge,” but the logic does not limit the prescribed medication to "within a 12-month period" when seen in an outpatient setting.
      This isn't a logic issue but rather a narrative issue. The intent of the measure is to determine if the Beta Blocker was prescribed during the measurement period, which is reflected in the current logic.

      Proposed Solution:

      ​Update measure numerator narrative to state "…prescribed beta-blocker therapy during the measurement period…"

      Rationale for Change:

      ​The proposed change will align the measure numerator narrative with measure intent and logic.

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            khancock Mathematica EC eCQM Team
            sgearhart Mathematica EH eCQM Team
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            Dates

              Created:
              Updated: