Uploaded image for project: 'eCQM Issue Tracker'
  1. eCQM Issue Tracker
  2. CQM-5708

CRP: Add 'date from' or 'day of' specificity to timing

    XMLWordPrintable

Details

    • Other
    • Resolution: Resolved
    • Moderate
    • None
    • Hide
      Brief description of measures
      CMS56: Functional Status Assessment for Total Hip Replacement:
      Percentage of patients 19 years of age and older who received an elective primary total hip arthroplasty (THA) and completed a functional status assessment within 90 days prior to the surgery and in the 270 - 365 days after the surgery.

      CMS66: Functional Status Assessment for Total Knee Replacement:
      Percentage of patients 19 years of age and older who received an elective primary total knee arthroplasty (TKA) and completed a functional status assessment within 90 days prior to the surgery and in the 270-365 days after the surgery.

      CMS90: Functional Status Assessments for Heart Failure:
      Percentage of patients 18 years of age and older with heart failure who completed initial and follow-up patient-reported functional status assessments.

      Description of issue
      ​The measure developer would like to add 'date from' and/or 'day of' in the logic to align timing specificity and patterns across similar measures: CMS56, CMS66, and CMS90.

      Goal of review
      Obtain technical feedback
      Show
      Brief description of measures CMS56: Functional Status Assessment for Total Hip Replacement: Percentage of patients 19 years of age and older who received an elective primary total hip arthroplasty (THA) and completed a functional status assessment within 90 days prior to the surgery and in the 270 - 365 days after the surgery. CMS66: Functional Status Assessment for Total Knee Replacement: Percentage of patients 19 years of age and older who received an elective primary total knee arthroplasty (TKA) and completed a functional status assessment within 90 days prior to the surgery and in the 270-365 days after the surgery. CMS90: Functional Status Assessments for Heart Failure: Percentage of patients 18 years of age and older with heart failure who completed initial and follow-up patient-reported functional status assessments. Description of issue ​The measure developer would like to add 'date from' and/or 'day of' in the logic to align timing specificity and patterns across similar measures: CMS56, CMS66, and CMS90. Goal of review Obtain technical feedback
    • Hide
      Proposed solution
      ​This change will also apply to CMS66 and CMS90 as appropriate.

      CMS56//
      CURRENT LOGIC:
      define "Has THA with Initial and Follow Up HOOS Assessments"
      exists ( ( "Total Hip Arthroplasty Procedure" THAProcedure
          return Global."NormalizeInterval" ( THAProcedure.relevantDatetime, THAProcedure.relevantPeriod ) ) TotalHip
          with "Time HOOS Total Assessment Completed" InitialHipAssessmentHOOS
            such that TotalHip starts 90 days or less on or after InitialHipAssessmentHOOS
          with "Time HOOS Total Assessment Completed" FollowUpHipAssessmentHOOS
            such that FollowUpHipAssessmentHOOS during day of Interval[end of TotalHip + ... days, end of TotalHip + ... days])
       
      define "Time HOOS Total Assessment Completed"
      from
        ["Assessment, Performed": "Quality of life score [HOOS]"] HOOSLifeQuality,
        ["Assessment, Performed": "Sport-recreation score [HOOS]"] HOOSSport,
        ["Assessment, Performed": "Activities of daily living score [HOOS]"] HOOSActivityScore,
        ["Assessment, Performed": "Symptoms score [HOOS]"] HOOSSymptoms,
        ["Assessment, Performed": "Pain score [HOOS]"] HOOSPain
        let HOOSLifeQualityTime: start of Global."NormalizeInterval" ( HOOSLifeQuality.relevantDatetime, HOOSLifeQuality.relevantPeriod ),
        HOOSSportTime: start of Global."NormalizeInterval" ( HOOSSport.relevantDatetime, HOOSSport.relevantPeriod ),
        HOOSActivityScoreTime: start of Global."NormalizeInterval" ( HOOSActivityScore.relevantDatetime, HOOSActivityScore.relevantPeriod ),
        HOOSSymptomsTime: start of Global."NormalizeInterval" ( HOOSSymptoms.relevantDatetime, HOOSSymptoms.relevantPeriod ),
        HOOSPainTime: start of Global."NormalizeInterval" ( HOOSPain.relevantDatetime, HOOSPain.relevantPeriod )
        where HOOSLifeQualityTime same day as HOOSSportTime
          and HOOSSport.result is not null
          and HOOSLifeQualityTime same day as HOOSActivityScoreTime
          and HOOSActivityScore.result is not null
          and HOOSLifeQualityTime same day as HOOSSymptomsTime
          and HOOSSymptoms.result is not null
          and HOOSLifeQualityTime same day as HOOSPainTime
          and HOOSPain.result is not null
          and HOOSLifeQuality.result is not null
        return Max({ HOOSLifeQualityTime, HOOSSportTime, HOOSActivityScoreTime, HOOSSymptomsTime, HOOSPainTime })


      PROPOSED LOGIC:
      define "Has THA with Initial and Follow Up HOOS Assessments":
        exists ( ( "Total Hip Arthroplasty Procedure" THAProcedure
            return Global."NormalizeInterval" ( THAProcedure.relevantDatetime, THAProcedure.relevantPeriod ) ) TotalHip
            with "Time HOOS Total Assessment Completed" InitialHipAssessmentHOOS
              such that TotalHip starts 90 days or less on or after day of InitialHipAssessmentHOOS
            with "Time HOOS Total Assessment Completed" FollowUpHipAssessmentHOOS
              such that date from FollowUpHipAssessmentHOOS during day of Interval[date from end of TotalHip + ... days, date from end of TotalHip + ... days]  )

      define "Time HOOS Total Assessment Completed"
      from
        ["Assessment, Performed": "Quality of life score [HOOS]"] HOOSLifeQuality,
        ["Assessment, Performed": "Sport-recreation score [HOOS]"] HOOSSport,
        ["Assessment, Performed": "Activities of daily living score [HOOS]"] HOOSActivityScore,
        ["Assessment, Performed": "Symptoms score [HOOS]"] HOOSSymptoms,
        ["Assessment, Performed": "Pain score [HOOS]"] HOOSPain
        let HOOSLifeQualityTime: date from start of Global."NormalizeInterval" ( HOOSLifeQuality.relevantDatetime, HOOSLifeQuality.relevantPeriod ),
        HOOSSportTime: date from start of Global."NormalizeInterval" ( HOOSSport.relevantDatetime, HOOSSport.relevantPeriod ),
        HOOSActivityScoreTime: date from start of Global."NormalizeInterval" ( HOOSActivityScore.relevantDatetime, HOOSActivityScore.relevantPeriod ),
        HOOSSymptomsTime: date from start of Global."NormalizeInterval" ( HOOSSymptoms.relevantDatetime, HOOSSymptoms.relevantPeriod ),
        HOOSPainTime: date from start of Global."NormalizeInterval" ( HOOSPain.relevantDatetime, HOOSPain.relevantPeriod )
        where HOOSLifeQualityTime same day as HOOSSportTime
          and HOOSSport.result is not null
          and HOOSLifeQualityTime same day as HOOSActivityScoreTime
          and HOOSActivityScore.result is not null
          and HOOSLifeQualityTime same day as HOOSSymptomsTime
          and HOOSSymptoms.result is not null
          and HOOSLifeQualityTime same day as HOOSPainTime
          and HOOSPain.result is not null
          and HOOSLifeQuality.result is not null
        return Max({ HOOSLifeQualityTime, HOOSSportTime, HOOSActivityScoreTime, HOOSSymptomsTime, HOOSPainTime })


      List of definitions also impacted:
      - Has THA with Initial and Follow Up HOOSJr Assessments
      - Has THA with Initial and Follow Up PROMIS10 Assessments
      - Has THA with Initial and Follow Up VR12 Oblique Assessments
      - Has THA with Initial and Follow Up VR12 Orthogonal Assessments
      - Time HOOSJr Total Assessment Completed
      - Time PROMIS10 Total Assessment Completed
      - Time VR12 Oblique Total Assessment Completed
      - Time VR12 Orthogonal Total Assessment Completed

      Rationale for change
      This change would improve consistency of timing specificity across similar measures.
      Show
      Proposed solution ​This change will also apply to CMS66 and CMS90 as appropriate. CMS56// CURRENT LOGIC: define "Has THA with Initial and Follow Up HOOS Assessments" exists ( ( "Total Hip Arthroplasty Procedure" THAProcedure     return Global."NormalizeInterval" ( THAProcedure.relevantDatetime, THAProcedure.relevantPeriod ) ) TotalHip     with "Time HOOS Total Assessment Completed" InitialHipAssessmentHOOS       such that TotalHip starts 90 days or less on or after InitialHipAssessmentHOOS     with "Time HOOS Total Assessment Completed" FollowUpHipAssessmentHOOS       such that FollowUpHipAssessmentHOOS during day of Interval[end of TotalHip + ... days, end of TotalHip + ... days])   define "Time HOOS Total Assessment Completed" from   ["Assessment, Performed": "Quality of life score [HOOS]"] HOOSLifeQuality,   ["Assessment, Performed": "Sport-recreation score [HOOS]"] HOOSSport,   ["Assessment, Performed": "Activities of daily living score [HOOS]"] HOOSActivityScore,   ["Assessment, Performed": "Symptoms score [HOOS]"] HOOSSymptoms,   ["Assessment, Performed": "Pain score [HOOS]"] HOOSPain   let HOOSLifeQualityTime: start of Global."NormalizeInterval" ( HOOSLifeQuality.relevantDatetime, HOOSLifeQuality.relevantPeriod ),   HOOSSportTime: start of Global."NormalizeInterval" ( HOOSSport.relevantDatetime, HOOSSport.relevantPeriod ),   HOOSActivityScoreTime: start of Global."NormalizeInterval" ( HOOSActivityScore.relevantDatetime, HOOSActivityScore.relevantPeriod ),   HOOSSymptomsTime: start of Global."NormalizeInterval" ( HOOSSymptoms.relevantDatetime, HOOSSymptoms.relevantPeriod ),   HOOSPainTime: start of Global."NormalizeInterval" ( HOOSPain.relevantDatetime, HOOSPain.relevantPeriod )   where HOOSLifeQualityTime same day as HOOSSportTime     and HOOSSport.result is not null     and HOOSLifeQualityTime same day as HOOSActivityScoreTime     and HOOSActivityScore.result is not null     and HOOSLifeQualityTime same day as HOOSSymptomsTime     and HOOSSymptoms.result is not null     and HOOSLifeQualityTime same day as HOOSPainTime     and HOOSPain.result is not null     and HOOSLifeQuality.result is not null   return Max({ HOOSLifeQualityTime, HOOSSportTime, HOOSActivityScoreTime, HOOSSymptomsTime, HOOSPainTime }) PROPOSED LOGIC: define "Has THA with Initial and Follow Up HOOS Assessments":   exists ( ( "Total Hip Arthroplasty Procedure" THAProcedure       return Global."NormalizeInterval" ( THAProcedure.relevantDatetime, THAProcedure.relevantPeriod ) ) TotalHip       with "Time HOOS Total Assessment Completed" InitialHipAssessmentHOOS         such that TotalHip starts 90 days or less on or after day of InitialHipAssessmentHOOS       with "Time HOOS Total Assessment Completed" FollowUpHipAssessmentHOOS         such that date from FollowUpHipAssessmentHOOS during day of Interval[date from end of TotalHip + ... days, date from end of TotalHip + ... days]  ) define "Time HOOS Total Assessment Completed" from   ["Assessment, Performed": "Quality of life score [HOOS]"] HOOSLifeQuality,   ["Assessment, Performed": "Sport-recreation score [HOOS]"] HOOSSport,   ["Assessment, Performed": "Activities of daily living score [HOOS]"] HOOSActivityScore,   ["Assessment, Performed": "Symptoms score [HOOS]"] HOOSSymptoms,   ["Assessment, Performed": "Pain score [HOOS]"] HOOSPain   let HOOSLifeQualityTime: date from start of Global."NormalizeInterval" ( HOOSLifeQuality.relevantDatetime, HOOSLifeQuality.relevantPeriod ),   HOOSSportTime: date from start of Global."NormalizeInterval" ( HOOSSport.relevantDatetime, HOOSSport.relevantPeriod ),   HOOSActivityScoreTime: date from start of Global."NormalizeInterval" ( HOOSActivityScore.relevantDatetime, HOOSActivityScore.relevantPeriod ),   HOOSSymptomsTime: date from start of Global."NormalizeInterval" ( HOOSSymptoms.relevantDatetime, HOOSSymptoms.relevantPeriod ),   HOOSPainTime: date from start of Global."NormalizeInterval" ( HOOSPain.relevantDatetime, HOOSPain.relevantPeriod )   where HOOSLifeQualityTime same day as HOOSSportTime     and HOOSSport.result is not null     and HOOSLifeQualityTime same day as HOOSActivityScoreTime     and HOOSActivityScore.result is not null     and HOOSLifeQualityTime same day as HOOSSymptomsTime     and HOOSSymptoms.result is not null     and HOOSLifeQualityTime same day as HOOSPainTime     and HOOSPain.result is not null     and HOOSLifeQuality.result is not null   return Max({ HOOSLifeQualityTime, HOOSSportTime, HOOSActivityScoreTime, HOOSSymptomsTime, HOOSPainTime }) List of definitions also impacted: - Has THA with Initial and Follow Up HOOSJr Assessments - Has THA with Initial and Follow Up PROMIS10 Assessments - Has THA with Initial and Follow Up VR12 Oblique Assessments - Has THA with Initial and Follow Up VR12 Orthogonal Assessments - Time HOOSJr Total Assessment Completed - Time PROMIS10 Total Assessment Completed - Time VR12 Oblique Total Assessment Completed - Time VR12 Orthogonal Total Assessment Completed Rationale for change This change would improve consistency of timing specificity across similar measures.

    Attachments

      Activity

        People

          edave Mathematica EC eCQM Team
          edave Mathematica EC eCQM Team
          Votes:
          0 Vote for this issue
          Watchers:
          3 Start watching this issue

          Dates

            Created:
            Updated:
            Resolved: