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Proposed solution
DESCRIPTION:
Before:
All patients with an active diagnosis of clinical atherosclerotic cardiovascular disease (ASCVD) or ever had an ASCVD procedure; [...]
After:
All patients who were previously diagnosed with or currently have a diagnosis of clinical atherosclerotic cardiovascular disease (ASCVD), including an ASCVD procedure; [...]
RATE AGGREGATION:
Before:
Population 1: All patients who have an active diagnosis of clinical ASCVD or ever had an ASCVD procedure.
After:
Population 1: All patients who were previously diagnosed with or currently have a diagnosis of clinical atherosclerotic cardiovascular disease (ASCVD), including an ASCVD procedure.
GUIDANCE:
Before:
Initial Population 1:
All patients who have an active diagnosis of clinical ASCVD anytime during the measurement period or ever had an ASCVD procedure.
-If YES, meets Initial Population 1 risk category
-If NO, screen for next risk category
After:
Initial Population 1:
All patients who were previously diagnosed with or currently have a diagnosis of clinical ASCVD, including an ASCVD procedure before the end of the measurement period
-If YES, meets Initial Population 1 risk category
-If NO, screen for next risk category
INITIAL POPULATION:
Before:
Population 1:All patients who have an active diagnosis of clinical ASCVD or ever had an ASCVD procedure.
After:
Population 1:
All patients who were previously diagnosed with or currently have a diagnosis of clinical atherosclerotic cardiovascular disease (ASCVD), including an ASCVD procedure.
LOGIC:
Before:
Define: "Initial Population"
exists "Active ASVCD Diagnosis or Any Prior ASCVD Procedure"
and exists "Qualifying Encounter during Measurement Period"
Define: "Active ASVCD Diagnosis or Any Prior ASCVD Procedure"
( ( ["Diagnosis": "Myocardial Infarction"]
union ["Diagnosis": "Cerebrovascular Disease Stroke or TIA"]
union ["Diagnosis": "Atherosclerosis and Peripheral Arterial Disease"]
union ["Diagnosis": "Ischemic Heart Disease or Other Related Diagnoses"]
union ["Diagnosis": "Stable and Unstable Angina"] ) ASCVDDiagnosis
where ASCVDDiagnosis.prevalencePeriod overlaps "Measurement Period")
union [...]
After (Note: same logic as CMS347v5):
Define: "Initial Population"
exists "ASVCD Diagnosis or Procedure before End of Measurement Period"
and exists "Qualifying Encounter during Measurement Period
Define "ASCVD Diagnosis or Procedure before End of Measurement Period"
( ( ["Diagnosis": "Myocardial Infarction"]
union ["Diagnosis": "Cerebrovascular Disease Stroke or TIA"]
union ["Diagnosis": "Atherosclerosis and Peripheral Arterial Disease"]
union ["Diagnosis": "Ischemic Heart Disease or Other Related Diagnoses"]
union ["Diagnosis": "Stable and Unstable Angina"] ) ASCVDDiagnosis
where ASCVDDiagnosis.prevalencePeriod starts before
end of "Measurement Period")
union [...]
Rationale for change
This change aligns the representation of the first population of the eCQM with the other 2 submission methods (CQM and WI measures).
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Proposed solution
DESCRIPTION:
Before:
All patients with an active diagnosis of clinical atherosclerotic cardiovascular disease (ASCVD) or ever had an ASCVD procedure; [...]
After:
All patients who were previously diagnosed with or currently have a diagnosis of clinical atherosclerotic cardiovascular disease (ASCVD), including an ASCVD procedure; [...]
RATE AGGREGATION:
Before:
Population 1: All patients who have an active diagnosis of clinical ASCVD or ever had an ASCVD procedure.
After:
Population 1: All patients who were previously diagnosed with or currently have a diagnosis of clinical atherosclerotic cardiovascular disease (ASCVD), including an ASCVD procedure.
GUIDANCE:
Before:
Initial Population 1:
All patients who have an active diagnosis of clinical ASCVD anytime during the measurement period or ever had an ASCVD procedure.
-If YES, meets Initial Population 1 risk category
-If NO, screen for next risk category
After:
Initial Population 1:
All patients who were previously diagnosed with or currently have a diagnosis of clinical ASCVD, including an ASCVD procedure before the end of the measurement period
-If YES, meets Initial Population 1 risk category
-If NO, screen for next risk category
INITIAL POPULATION:
Before:
Population 1:All patients who have an active diagnosis of clinical ASCVD or ever had an ASCVD procedure.
After:
Population 1:
All patients who were previously diagnosed with or currently have a diagnosis of clinical atherosclerotic cardiovascular disease (ASCVD), including an ASCVD procedure.
LOGIC:
Before:
Define: "Initial Population"
exists "Active ASVCD Diagnosis or Any Prior ASCVD Procedure"
and exists "Qualifying Encounter during Measurement Period"
Define: "Active ASVCD Diagnosis or Any Prior ASCVD Procedure"
( ( ["Diagnosis": "Myocardial Infarction"]
union ["Diagnosis": "Cerebrovascular Disease Stroke or TIA"]
union ["Diagnosis": "Atherosclerosis and Peripheral Arterial Disease"]
union ["Diagnosis": "Ischemic Heart Disease or Other Related Diagnoses"]
union ["Diagnosis": "Stable and Unstable Angina"] ) ASCVDDiagnosis
where ASCVDDiagnosis.prevalencePeriod overlaps "Measurement Period")
union [...]
After (Note: same logic as CMS347v5):
Define: "Initial Population"
exists "ASVCD Diagnosis or Procedure before End of Measurement Period"
and exists "Qualifying Encounter during Measurement Period
Define "ASCVD Diagnosis or Procedure before End of Measurement Period"
( ( ["Diagnosis": "Myocardial Infarction"]
union ["Diagnosis": "Cerebrovascular Disease Stroke or TIA"]
union ["Diagnosis": "Atherosclerosis and Peripheral Arterial Disease"]
union ["Diagnosis": "Ischemic Heart Disease or Other Related Diagnoses"]
union ["Diagnosis": "Stable and Unstable Angina"] ) ASCVDDiagnosis
where ASCVDDiagnosis.prevalencePeriod starts before
end of "Measurement Period")
union [...]
Rationale for change
This change aligns the representation of the first population of the eCQM with the other 2 submission methods (CQM and WI measures).