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  2. CQM-4957

Refining logic by grouping like definitions with similar timing

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Details

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

    Description

      Brief Description of Measure:
      ​CMS646: Intravesical Bacillus-Calmette-Guerin for non-muscle invasive bladder cancer:
      Percentage of patients initially diagnosed with non-muscle invasive bladder cancer and who received intravesical Bacillus-Calmette-Guerin (BCG) within 6 months of bladder cancer staging.

      Description of Issue:
      ​​Opportunity to improve logic that will be explored in the future, after assessing the currently planned changes to the measure logic.

      Proposed Solution:

      o Has Excluding HIV, Immunocompromised Conditions or Mixed Histology Urothelial Cell Carcinoma Diagnosis Before Start of Staging
       
       exists ( ( ( ["Diagnosis": "HIV"]
             union ["Diagnosis": "Immunocompromised Conditions"]
             union ["Diagnosis": "Mixed histology urothelial cell carcinoma for Urology Care"] ) ExclusionDiagnosis
             with "Most Recent Bladder Cancer Staging Procedure" BladderCancerStaging
               such that ExclusionDiagnosis.prevalencePeriod starts on or before start of Global."NormalizeInterval" ( BladderCancerStaging.relevantDatetime, BladderCancerStaging.relevantPeriod )
         )
       )
       
      o  Has Excluding Chemotherapy for Advanced Cancer Medication or Radiotherapy Procedure Six Months or Less Before Staging
       
       exists ( ( ( ["Medication, Active": "Chemotherapy for Advanced Cancer"]
             union ["Procedure, Performed": "Combined radiotherapy (procedure)"] ) ExclusionDiagnosis
             with "Most Recent Bladder Cancer Staging Procedure" BladderCancerStaging
               such that ExclusionDiagnosis.relevantPeriod starts 6 months or less before Global."NormalizeInterval" ( BladderCancerStaging.relevantDatetime, BladderCancerStaging.relevantPeriod )
         )
       )
      o Denominator Exclusion
       
       exists "Acute Tuberculosis Diagnosis"
         or exists "Immunosuppressive Drugs"
         or exists "Cystectomy Done"
         or "Has Excluding  HIV, Immunocompromised Conditions or Mixed Histology Urothelial Cell Carcinoma Diagnosis Before Start of Staging"
         or "Has Excluding Chemotherapy for Advanced Cancer Medication or Radiotherapy Procedure Six Months or Less Before

      Rationale for Change:
      ​Groups like definitions with timing to eliminate a long list.

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            khancock Mathematica EC eCQM Team
            khancock Mathematica EC eCQM Team
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            Dates

              Created:
              Updated: