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  1. eCQM Issue Tracker
  2. CQM-582

Clarity needed for Encounter interpretation

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    • Icon: Intent/Governance affecting more than 1 eCQM Intent/Governance affecting more than 1 eCQM
    • Resolution: Answered
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      As mentioned in the comments below, any provider's encounter satisfies the intent of the measure. The intent is that there is follow up for the patient, not that the specific provider in the denominator was the one who provided care at both times. As with many quality measures, this measure looks to see that appropriate care is provided to patients by care teams and not that individual providers are responsible for all care.
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      As mentioned in the comments below, any provider's encounter satisfies the intent of the measure. The intent is that there is follow up for the patient, not that the specific provider in the denominator was the one who provided care at both times. As with many quality measures, this measure looks to see that appropriate care is provided to patients by care teams and not that individual providers are responsible for all care.

      Almost all EP measure definitions require certain types of encounter with the reporting EP. These are specified as "Encounter, Performed" during the measurement period. When written in this way. all EHRs assume the encounter provider must be the EP. However, in this measure, the numerator definition uses the same terminology. To be consistent, we must also require the follow-up encounters to be with the EP. But the measure guidance suggests that the follow-up visits may be with any provider with prescribing authority and does not have to be the EP. This should be clarified. Also, if indeed these encounters do not have to be with the EP, do they really satisfy the need of the measure for follow-up care for the ADHD medications? These follow-up visits could easily have nothing to do with ADHD. It's not clear that this measure as specificied really matches the original measure intent.

            julia.skapik Julia Skapik (Inactive)
            hbregman Howard Bregman
            Cindy Cullen, Maria Michaels (Inactive), Minet Javellana (Inactive), Ramya Tallapragada (Inactive), Saul Kravitz (Inactive)
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