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Brief description of measure:
CMS142: Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus regarding the findings of the macular or fundus exam at least once within 12 months
Description of issue:
The description states "at least once within 12 months". There is no logic to look at when the last communicated exam results occurred to verify an interval of 12 months (December to December, etc.).
The Numerator also indicates at least once within 12 months but the logic assesses for a macular exam during the EncounterDiabeticRetinopathy that is during the measurement period. The description/narrative and logic should be in alignment.
The numerator reads "Patients with documentation, at least once within 12 months, of the findings of the dilated macular or fundus exam via communication to the physician who manages the patient's diabetic care". However, the logic does not constrain 'Communication' to within 12 months or the measurement period, of passing tests with communication 2 years after the encounter/exam.
Goal of review:
Obtain clinical and technical feedback
Show
Brief description of measure:
CMS142: Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus regarding the findings of the macular or fundus exam at least once within 12 months
Description of issue:
The description states "at least once within 12 months". There is no logic to look at when the last communicated exam results occurred to verify an interval of 12 months (December to December, etc.).
The Numerator also indicates at least once within 12 months but the logic assesses for a macular exam during the EncounterDiabeticRetinopathy that is during the measurement period. The description/narrative and logic should be in alignment.
The numerator reads "Patients with documentation, at least once within 12 months, of the findings of the dilated macular or fundus exam via communication to the physician who manages the patient's diabetic care". However, the logic does not constrain 'Communication' to within 12 months or the measurement period, of passing tests with communication 2 years after the encounter/exam.
Goal of review:
Obtain clinical and technical feedback