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  2. CQM-4892

Change QDM from Procedure to Encounter for radiation treatment management

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Details

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

    Description

      Brief Description of Measure:

      CMS157: Oncology: Medical and Radiation - Pain Intensity Quantified:
      Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified

      Description of Issue:

      ​The measure has two populations with different return types, where Population 1 returns an Encounter while Population 2 returns a Procedure.
      It is the intent of the measure steward to capture the clinician-patient encounter component of the radiation treatment management in the Population 2, which is consistent with the guidance provided in the measure.

      Proposed Solution:

      ​The measure steward proposes to update CQL definition 'Radiation Treatment Management During Measurement Period with Cancer Diagnosis' and reclassify Radiation Treatment Management data element from 'Procedure' to 'Encounter'. 
      CURRENT:
      Radiation Treatment Management During Measurement Period with Cancer Diagnosis
      ["Procedure, Performed": "Radiation Treatment Management"] RadiationTreatmentManagement
        with ["Diagnosis": "Cancer"] Cancer
          such that Cancer.prevalencePeriod overlaps Global."NormalizeInterval" ( RadiationTreatmentManagement.relevantDatetime, RadiationTreatmentManagement.relevantPeriod )
        where Global."NormalizeInterval" ( RadiationTreatmentManagement.relevantDatetime, RadiationTreatmentManagement.relevantPeriod ) during "Measurement Period"

      PROPOSED:
      Radiation Treatment Management During Measurement Period with Cancer Diagnosis
      ["Encounter, Performed": "Radiation Treatment Management"] RadiationTreatmentManagement
        with ["Diagnosis": "Cancer"] Cancer
          such that Cancer.prevalencePeriod overlaps RadiationTreatmentManagement.relevantPeriod
        where RadiationTreatmentManagement.relevantPeriod during "Measurement Period"

      Rationale for Change:

      ​The proposed change will align the population basis for both populations of the measure and help clarify that Population 2 intends to capture the clinician-patient encounter component of the radiation treatment management, which is consistent with the guidance provided in the measure.

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            khancock Mathematica EC eCQM Team
            sgearhart Mathematica EH eCQM Team
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            Dates

              Created:
              Updated: