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  2. CQM-5862

CMS159V11 Valueset: Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal

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      ​​​Thank you for your question on CMS159, Depression Remission at Twelve Months. We think your question is about use of the FACIT-Pal and determining if the denominator exclusion for palliative care is met. We expect that a palliative care assessment that occurred on the last day of the measurement period would satisfy the denominator exclusion criteria, regardless of the time of day it was performed, even if performed after the time of day the PHQ-9 result > 9 was recorded 425 days prior (i.e., 12 months + 60 days). Please let us know if this does not answer your intended question.
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      ​​​Thank you for your question on CMS159, Depression Remission at Twelve Months. We think your question is about use of the FACIT-Pal and determining if the denominator exclusion for palliative care is met. We expect that a palliative care assessment that occurred on the last day of the measurement period would satisfy the denominator exclusion criteria, regardless of the time of day it was performed, even if performed after the time of day the PHQ-9 result > 9 was recorded 425 days prior (i.e., 12 months + 60 days). Please let us know if this does not answer your intended question.
    • CMS0159v11

      For2023  CMS159V11, when Valueset: Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal) is being tested.

      Measure Assessment Period

      • "Index Depression Assessment" FirstIndexAssessment
        let YearAfterIndexAssessment: date from start of Global."NormalizeInterval" ( FirstIndexAssessment.relevantDatetime, FirstIndexAssessment.relevantPeriod ) + 12 months
        return Interval[YearAfterIndexAssessment - 60 days, YearAfterIndexAssessment + 60 days]

      PHQ 9 and PHQ 9M Tool with a Result >9 is documented on 11/20/2021 at 7:00 AM.

      Considering the Measure Assessment Period ends (Initial PHQ9 Assessment of greater than 9 + 12 months+ 60 days)

      • That would be 11/20/2021 7:00 AM+ 12months = 11/20/2022 7:00 AM.
      • Then +60days would be 01/19/2023 7:00 AM. 

      So  when PHQ 9 and PHQ 9M Tool with a Result >9 is documented on 11/20/2021 at 7:00 AM, FACIT-Pal has to be within 01/19/2023 7:00 AM. is this the right understanding? 

      or should it consider the full day of 01/19/2023 11:59PM?

            edave Mathematica EC eCQM Team
            priyankamurthy Priyanka Murthy
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