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  2. CQM-5595

CMS156v11-v2_Numerator Query

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      ​Thank you for your inquiry regarding CMS156v11-v2 (2023 Performance Period), Use of High-Risk Medications in Older Adults . Both of your scenarios for "Two High Risk Medications with Prolonged Duration" would return 91 for "DaysSupply" and meet the criteria for Numerator. Please see examples below according to Bonnie v5.1.2 (https://bonnie.healthit.gov/). Additional examples can be verified in Bonnie v5.1.2 (https://bonnie.healthit.gov/).

      If Measurement Period is 2022, Patient A would return true for "Two High Risk Medications with Prolonged Duration":
      Order 1 with RXNorm code 1648755 with author dateTime on 9/21/2022 and days supplied as 1
      Order 2 with RXNorm code 1648755 with author dateTime on 9/22/2022 and days supplied as 90

      If Measurement Period is 2012, Patient B would return true for "Two High Risk Medications with Prolonged Duration":
      Order 1 with RXNorm code 1648755 with author dateTime on 9/21/2022 and days supplied as 1 and refills as 0
      Order 2 with RXNorm code 1648755 with author dateTime on 9/22/2022 and dosage as 1, frequency as once daily, supply as 30, and refills as 2
      Show
      ​Thank you for your inquiry regarding CMS156v11-v2 (2023 Performance Period), Use of High-Risk Medications in Older Adults . Both of your scenarios for "Two High Risk Medications with Prolonged Duration" would return 91 for "DaysSupply" and meet the criteria for Numerator. Please see examples below according to Bonnie v5.1.2 ( https://bonnie.healthit.gov/ ). Additional examples can be verified in Bonnie v5.1.2 ( https://bonnie.healthit.gov/ ). If Measurement Period is 2022, Patient A would return true for "Two High Risk Medications with Prolonged Duration": Order 1 with RXNorm code 1648755 with author dateTime on 9/21/2022 and days supplied as 1 Order 2 with RXNorm code 1648755 with author dateTime on 9/22/2022 and days supplied as 90 If Measurement Period is 2012, Patient B would return true for "Two High Risk Medications with Prolonged Duration": Order 1 with RXNorm code 1648755 with author dateTime on 9/21/2022 and days supplied as 1 and refills as 0 Order 2 with RXNorm code 1648755 with author dateTime on 9/22/2022 and dosage as 1, frequency as once daily, supply as 30, and refills as 2
    • CMS0156v11

      Hi Team,

      Consider the below statements :

      Two High Risk Medications with Prolonged Duration  

       Sum(("More Than One Order"(["Medication, Order": "Anti Infectives, other"]))AntiInfectives    let DaysSupply: Coalesce(AntiInfectives.daysSupplied, AntiInfectives.supply.value /(AntiInfectives.dosage.value * CMD.ToDaily(AntiInfectives.frequency)))*(1 + Coalesce(AntiInfectives.refills, 0))    return all DaysSupply )> 90

       

      #Query 1:

      Consider scenario 1:

      Patient A with two documented RXnorm codes on different authordatetime.

      Code1 (1648755) : Daysupplied as 1 and refills as 0

      Code2 (1648755): Daysupplied as 90 and refills as 0.

      What should be the value for DaysSupply for the patient?

      Will this patient qualify numerator?

       

      #Query 2:

      Consider scenario 2:

      Patient B with two documented RXnorm codes on different authordatetime.

      Code1 (1648755) : Daysupplied as 1 and refills as 0

      Code2 (1648755): Dosage as 1 ,frequency as 1d, supply as 30, and refills as 2

      What should be the value for DaysSupply for the patient?

      Will this patient qualify numerator?

       

      Request you to provide us with the resolution urgently as our client deliverables are dependent on it.

       

       

            edave Mathematica EC eCQM Team
            GayatriK4 gayatri kulkarni (Inactive)
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