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  1. eCQM Issue Tracker
  2. CQM-490

SCIP-Inf-9 Denominator Exclusion Clarification Requested for Urinary Diversion

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    • Icon: EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
    • Resolution: Fixed
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    • Patricia Van Egmond
    • 520-750-4371
    • Midas+
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      Thank you for your question. The denominator exclusion was updated to include the following:

      • Patients who had a urinary diversion or a urethral catheter or were being intermittently catheterized prior to hospital arrival.

      This update was included in the April 1 annual update; please see revised specifications and guidance posted on the CMS website.
      Show
      Thank you for your question. The denominator exclusion was updated to include the following: • Patients who had a urinary diversion or a urethral catheter or were being intermittently catheterized prior to hospital arrival. This update was included in the April 1 annual update; please see revised specifications and guidance posted on the CMS website.
    • CMS178v1/NQF0453

      Should this Denominator Exclusion be changed from:

      "Patients who had a urethral catheter, a suprapubic catheter or who were being intermittently catheterized prior to the perioperative period."

      TO:

      Patients who had a URINARY DIVERSION or a urethral catheter or were being intermittently catheterized prior to the perioperative period."

      This logic statement supports the need for this change:

      OR: "Physical Exam, Finding: Hospital Measures-SCIP urinary diversion" >= 1 minute(s) starts before start of "Occurrence A of Procedure, Performed: SCIP Major Surgical Procedure"
      OR: "Procedure, Performed: Hospital Measures-SCIP urinary diversion procedures" >= 1 minute(s) starts before start of "Occurrence A of Procedure, Performed: SCIP Major Surgical Procedure"

            abt.associate Abt Associate (Inactive)
            pvanegmond Patricia Van Egmond (Inactive)
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              Created:
              Updated:
              Resolved: