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    • Icon: EC eCQMs EC eCQMs
    • Resolution: Answered
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    • Sherryl Amoyal
    • 443-462-3692.
    • University of Maryland Medical System
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      ​​Thank you for your question. The patient is not qualifying Denominator Exclusion because patient was admit to ICU 5/11 and Comfort Measure was ordered at 5/13, which CMO is 2 after ICU admission date. The denominator exclusion condition related to CMO requires "comfort measures documented anytime between the day of arrival and the day after ICU admission or transfer
      transfer".
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      ​​Thank you for your question. The patient is not qualifying Denominator Exclusion because patient was admit to ICU 5/11 and Comfort Measure was ordered at 5/13, which CMO is 2 after ICU admission date. The denominator exclusion condition related to CMO requires "comfort measures documented anytime between the day of arrival and the day after ICU admission or transfer transfer".
    • CMS0190v10
    • Patient did not pass VTE-2 Measure

      A patient in the IPP for VTE-2, admitted on 5/11/2022, was in the denominator for VTE-2. Patient was discharge (expired) on 5/19, had a mapped mechanical reason for No VTE prophylaxes ordered on 05/11/2022, had a mapped pharmacological reason for No VTE prophylaxes ordered on 05/11/2022 (but was cancelled on 05/13/2022) after being discharged from the ICU to Med Surg floor BUT was put on Comfort Measures on 05/13/2022. We are puzzled why this patient was not excluded and marked as a fall-out. Did the patient need a diagnosis for Comfort Measures, too? Or was it the timing of the comfort measure order? Thank you. Sherryl Amoyal UMMS 443-462-3692.

            JLeflore Mathematica EH eCQM Team
            sherryl.amoyal@umm.edu Sherryl Amoyal
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