Brief Description of Measure:

​CMS108/VTE-1: Venous Thromboembolism Prophylaxis
This measure assesses the number of patients who received VTE prophylaxis or have documentation why no VTE prophylaxis was given between the day of arrival to the day after hospital admission or surgery end date for surgeries that start the day of or the day after hospital admission
CMS190/VTE-2: Intensive Care Unit Venous Thromboembolism Prophylaxis
This measure assesses the number of patients who received VTE prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after the initial admission (or transfer) to the Intensive Care Unit (ICU) or surgery end date for surgeries that start the day of or the day after ICU admission (or transfer)
Description of Issue:

​The datatype "Device, Applied" is retired from Quality Data Model (QDM) v5.6, the version of the standard to be used for this annual update. Therefore, this datatype will be replaced with "Procedure, Performed" for the sequential Compression Devices (SCDs) used in the VTE measures.

Proposed Solution:

1. Create a new value set named "Device Application" (OID: 2.16.840.1.113762.1.4.1110.48) with a SNOMED code under the procedure category.​
2.Change the definition "VTE Prophylaxis by Medication Administered or Device Applied" from:
.......
union ["Device, Applied": "Intermittent pneumatic compression devices (IPC)"]
union ["Device, Applied": "Venous foot pumps (VFP)"]
union ["Device, Applied": "Graduated compression stockings (GCS)"]
TO:
.......
["Procedure, Performed": "Device Application"] DeviceApplied
where DeviceApplied.result in "Intermittent pneumatic compression devices (IPC)"
or DeviceApplied.result in "Venous foot pumps (VFP)"
or DeviceApplied.result in "Graduated compression stockings (GCS)"

Rationale for Change:

​The datatype "Device, Applied" is retired from QDM v5.6 and is recommended to be replaced with "Procedure, Performed".