Uploaded image for project: 'eCQM Issue Tracker'
  1. eCQM Issue Tracker
  2. CQM-4952

Replace Average Number of Drinks per Drinking Day value set with a DRC

    XMLWordPrintable

Details

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

    Description

      Brief Description of Measure:
      ​CMS249: Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture:
      Percentage of female patients 50 to 64 years of age without select risk factors for osteoporotic fracture who received an order for a dual-energy x-ray absorptiometry (DXA) scan during the measurement period

      Description of Issue:
      ​​This measure currently uses ​the value set "Average Number of Drinks per Drinking Day (OID: 2.16.840.1.113883.3.464.1003.106.12.1018)", which contains a single code. To align with best practices, we propose to replace this single-code value set with a LOINC direct reference code (DRC) of 11287-0 - 'Alcoholic drinks per drinking day - Reported'.

      Proposed Solution:
      ​//Terminology

      //Before
      valueset "Average Number of Drinks per Drinking Day": 'urn:oid:2.16.840.1.113883.3.464.1003.106.12.1018'

      //After
      code "Alcoholic drinks per drinking day - Reported": '11287-0' from "LOINC" display 'Alcoholic drinks per drinking day - Reported'

      //Logic

      //Before
      define "First Average Number of Drinks Assessments Indicating More Than Two Per Day":
      ...(["Assessment, Performed": "Average Number of Drinks per Drinking Day"] AverageDrinks
         ...

      //After
      ...(["Assessment, Performed": "Alcoholic drinks per drinking day - ReportedAverage Number of Drinks per Drinking Day"] AverageDrinks
          ...

      Rationale for Change:
      The eCQM Logic and Guidance v5 (May 2021) Section 5.3 states, "the use of direct reference codes prevents using an alternative identifier for a code system concept and eliminates additional implementation work to unpack the value set". 
      Therefore, we propose to replace the value set "Average Number of Drinks per Drinking Day (2.16.840.1.113883.3.464.1003.106.12.1018)" with a DRC to align with current best practices. 

      Attachments

        Activity

          People

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

            Dates

              Created:
              Updated: