CMS 159 - Index depression Assessment should use day of when checking against encounter

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      ​Thank you for your comment on CMS159, Depression Remission at Twelve Months. We are aware that a small portion of edge cases occurring during off peak times may be impacted by this change in logic. For example, if a patient who was screened with the PHQ-9 or PHQ-9M 7 days prior to the index event/encounter, but the encounter took place after hours on the 7th day, the encounter may be recorded as occurring on the 8th day following the PHQ-9 screen. Given the small impact of the change, we will review changes to the logic during the next annual update cycle to determine any additional updates to the logic to comply with measure intent (e.g., adding "day of" when checking the assessment to the interval of the index event).
      Show
      ​Thank you for your comment on CMS159, Depression Remission at Twelve Months. We are aware that a small portion of edge cases occurring during off peak times may be impacted by this change in logic. For example, if a patient who was screened with the PHQ-9 or PHQ-9M 7 days prior to the index event/encounter, but the encounter took place after hours on the 7th day, the encounter may be recorded as occurring on the 8th day following the PHQ-9 screen. Given the small impact of the change, we will review changes to the logic during the next annual update cycle to determine any additional updates to the logic to comply with measure intent (e.g., adding "day of" when checking the assessment to the interval of the index event).
    • Assessments 7 days prior to the encounter day no longer count.

      The 2023 draft specs for CMS 159 (version 10.0.014) changed when creating the interval to check against the depression assessment from Global.ToDate to ToDate:

      First("Depression Assessments Greater than 9" DepressionAssessment
      with "Depression Encounter" DepressionEncounter
      such that Global."NormalizeInterval"(DepressionAssessment.relevantDatetime, DepressionAssessment.relevantPeriod)is not null
      and Global."NormalizeInterval"(DepressionAssessment.relevantDatetime, DepressionAssessment.relevantPeriod)during Interval[ToDate((start of DepressionEncounter.relevantPeriod)- 7 days),
      end of DepressionEncounter.relevantPeriod]
      sort by start of Global."NormalizeInterval"(relevantDatetime, relevantPeriod)
      )

      Based on CQM-5150 - ToDate with a Date object returns precision of Day. The assessment can in precision of seconds.

      This means that assessments that occurred 7 days prior to the encounter are no longer counted.

      "day of" should be added when checking the assessment to the interval of [start of encounter - 7 days, end of encounter] to include assessments that occurred 7 days prior.

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            Assignee:
            Mathematica EC eCQM Team (Inactive)
            Reporter:
            Lucas Rodriguez (Inactive)
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              Created:
              Updated:
              Resolved:
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