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Proposed solution
CURRENT HEADER:
Denominator Exclusions:
Inpatient hospitalizations where patients have cancer that begins prior to or during the encounter or are receiving palliative or hospice care (including comfort measures, terminal care, and dying care) during the encounter, patients discharged to another inpatient care facility, and patients who expire during the inpatient stay.
CURRENT LOGIC:
Denominator Exclusion
/*Excludes encounters of patients with cancer or who are receiving palliative or hospice care at the time of the encounter*/
"Inpatient Encounters with an Opioid or Benzodiazepine at Discharge" InpatientEncounter
where exists [...]
or exists ( "Inpatient Encounters with an Opioid or Benzodiazepine at Discharge" InpatientEncounter
where InpatientEncounter.dischargeDisposition in "Discharge To Acute Care Facility" or InpatientEncounter.dischargeDisposition in "Hospice Care Referral or Admission" or InpatientEncounter.dischargeDisposition in "Patient Expired" )
PROPOSED HEADER:
Denominator Exclusions:
Inpatient hospitalizations where patients have cancer that begins prior to or during the encounter or are receiving palliative or hospice care (including comfort measures, terminal care, and dying care) during the encounter, patients discharged to another inpatient care facility or discharged AMA, and patients who expire during the inpatient stay.
PROPOSED LOGIC:
Denominator Exclusion
/*Excludes encounters of patients with cancer or who are receiving palliative or hospice care at the time of the encounter*/
"Inpatient Encounters with an Opioid or Benzodiazepine at Discharge" InpatientEncounter
where exists [...]
or exists ( "Inpatient Encounters with an Opioid or Benzodiazepine at Discharge" InpatientEncounter
where InpatientEncounter.dischargeDisposition in "Discharge To Acute Care Facility"
or InpatientEncounter.dischargeDisposition in "Hospice Care Referral or Admission" or InpatientEncounter.dischargeDisposition in "Left Against Medical Advice" (2.16.840.1.113883.3.117.1.7.1.308)or InpatientEncounter.dischargeDisposition in "Patient Expired" )
Rationale for change
Excluding patients who are discharged AMA would avoid penalizing clinicians for being unable to reconcile medications for these patients.
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Proposed solution
CURRENT HEADER:
Denominator Exclusions:
Inpatient hospitalizations where patients have cancer that begins prior to or during the encounter or are receiving palliative or hospice care (including comfort measures, terminal care, and dying care) during the encounter, patients discharged to another inpatient care facility, and patients who expire during the inpatient stay.
CURRENT LOGIC:
Denominator Exclusion
/*Excludes encounters of patients with cancer or who are receiving palliative or hospice care at the time of the encounter*/
"Inpatient Encounters with an Opioid or Benzodiazepine at Discharge" InpatientEncounter
where exists [...]
or exists ( "Inpatient Encounters with an Opioid or Benzodiazepine at Discharge" InpatientEncounter
where InpatientEncounter.dischargeDisposition in "Discharge To Acute Care Facility" or InpatientEncounter.dischargeDisposition in "Hospice Care Referral or Admission" or InpatientEncounter.dischargeDisposition in "Patient Expired" )
PROPOSED HEADER:
Denominator Exclusions:
Inpatient hospitalizations where patients have cancer that begins prior to or during the encounter or are receiving palliative or hospice care (including comfort measures, terminal care, and dying care) during the encounter, patients discharged to another inpatient care facility or discharged AMA, and patients who expire during the inpatient stay.
PROPOSED LOGIC:
Denominator Exclusion
/*Excludes encounters of patients with cancer or who are receiving palliative or hospice care at the time of the encounter*/
"Inpatient Encounters with an Opioid or Benzodiazepine at Discharge" InpatientEncounter
where exists [...]
or exists ( "Inpatient Encounters with an Opioid or Benzodiazepine at Discharge" InpatientEncounter
where InpatientEncounter.dischargeDisposition in "Discharge To Acute Care Facility"
or InpatientEncounter.dischargeDisposition in "Hospice Care Referral or Admission" or InpatientEncounter.dischargeDisposition in "Left Against Medical Advice" (2.16.840.1.113883.3.117.1.7.1.308)or InpatientEncounter.dischargeDisposition in "Patient Expired" )
Rationale for change
Excluding patients who are discharged AMA would avoid penalizing clinicians for being unable to reconcile medications for these patients.