Uploaded image for project: 'eCQM Issue Tracker'
  1. eCQM Issue Tracker
  2. CQM-4898

Move age requirements from exclusions definitions into the Long Term Care library

    XMLWordPrintable

Details

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

    Description

      Brief Description of Measure:

      Multiple EC eCQMs

      Description of Issue:

      ​There is an opportunity to improve the readability of the Denominator Exclusions logic by incorporating the age requirement for the long term care exclusion criteria into the library definition instead of specifying it in the individual measure definitions.
       
      This issue is specific to incorporating the age requirement specified in "Denominator Exclusions" into the long term care exclusion library definition. Please note that proposed changes for the long term care exclusion content or age requirement are documented in other issues.

      Proposed Solution:

      CURRENT LOGIC:
      //Exclusion definition from the AdvancedIllnessandFrailtyExclusionECQM library
      FrailtyLTI."Has Long Term Care Periods Longer Than 90 Consecutive Days":
      "Max Long Term Care Period Length" > 90

      //CMS125, 130
      define "Denominator Exclusions":
      ... or ( exists ["Patient Characteristic Birthdate": "Birth date"] BirthDate
             where ( Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) >= 65 )
               and FrailtyLTI."Has Long Term Care Periods Longer Than 90 Consecutive Days" )

      //CMS165
      define "Denominator Exclusions":
      or ( exists ( ["Patient Characteristic Birthdate": "Birth date"] BirthDate
              where Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) >= 65  )
            and ( FrailtyLTI."Has Long Term Care Periods Longer Than 90 Consecutive Days" ) )

      //CMS122, 131, 134
      define "Denominator Exclusions":
      ... or ( exists ["Patient Characteristic Birthdate": "Birth date"] BirthDate
            where ( Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) >= 65 )
              and FrailtyLTI."Has Long Term Care Periods Longer Than 90 Consecutive Days"
              or ...  )

      PROPOSED LOGIC:
      //Exclusion definition from the AdvancedIllnessandFrailtyExclusionECQM library
      FrailtyLTI."Age 66 and Older Living Long Term in a Nursing Home":
      ( AgeInYearsAt(date from
          end of "Measurement Period"
        )>= 66)
        and ( ( Last(["Assessment, Performed": "Housing status"] HousingStatus
              where Global."NormalizeInterval"(HousingStatus.relevantDatetime, HousingStatus.relevantPeriod)ends on or before
              end of "Measurement Period"
              sort by
              end of Global."NormalizeInterval"(relevantDatetime, relevantPeriod)asc
          )) LastHousingStatus
            where LastHousingStatus.result ~ "Lives in a nursing home (finding)"
        ) is not null

      //CMS125, 130, 165, 122, 131, 134, 138
      define "Denominator Exclusions":
      ... or FrailtyLTI."Age 66 and Older Living Long Term in a Nursing Home"

      Rationale for Change:

      The proposed modification should improve the readability and clarity of each measure's "Denominator Exclusions" logic.

      Attachments

        Activity

          People

            khancock Mathematica EC eCQM Team
            sgearhart Mathematica EH eCQM Team
            Votes:
            0 Vote for this issue
            Watchers:
            3 Start watching this issue

            Dates

              Created:
              Updated: