Uploaded image for project: 'eCQM Issue Tracker'
  1. eCQM Issue Tracker
  2. CQM-589

CMS171v3/NQF0527 And CMS172v3/NQF0528 SCIPInf1 and 2, Other surgeries logic in SCIPInf2 looks for Occurance B, SCIPInf1 does not

XMLWordPrintable

    • Icon: EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
    • Resolution: Answered
    • Icon: Minor Minor
    • Measure
    • None
    • Tamara Bailey
    • 520.750.4324
    • Midas+
    • Hide
      Thank you for your question. In SCIPInf2 there are several instances of logic referring to the entire surgical episode which includes the principal procedure. That instance of the surgical episode is Occurrence A. The logic referred to in your question, which is referring to a separate surgical episode, must then be Occurrence B. In SCIPInf1 there is no logic which refers to the entire surgical episode surrounding the principal procedure, so there was no need to add an Occurrence to the logic referring to other surgeries, because it is the only instance of that data element.
      Show
      Thank you for your question. In SCIPInf2 there are several instances of logic referring to the entire surgical episode which includes the principal procedure. That instance of the surgical episode is Occurrence A. The logic referred to in your question, which is referring to a separate surgical episode, must then be Occurrence B. In SCIPInf1 there is no logic which refers to the entire surgical episode surrounding the principal procedure, so there was no need to add an Occurrence to the logic referring to other surgeries, because it is the only instance of that data element.
    • CMS171v1/NQF0527, CMS172v1/NQF0528

      In the Other Surgeries logic in SCIPInf2, it has the following logic statements:

      OR: "Occurrence B of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" <= 4 day(s) ends before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (ordinality: 'Hospital Measures - Principal')"
      OR: "Occurrence B of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" <= 4 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-CABG (ordinality: 'Hospital Measures - Principal')"

      In SCIPInf1 the similar lines read:
      OR: "Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" <= 4 day(s) ends before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (ordinality: 'Hospital Measures - Principal')"
      OR: "Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" <= 4 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-CABG (ordinality: 'Hospital Measures - Principal')"

      Note that SCIPInf2 mentions "Occurrence B of" where SCIPInf1 does not

            abt.associate Abt Associate (Inactive)
            tamarabailey Tamara Bailey (Inactive)
            Deborah Krauss (Inactive), Saul Kravitz (Inactive)
            Votes:
            0 Vote for this issue
            Watchers:
            2 Start watching this issue

              Created:
              Updated:
              Resolved: