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  1. eCQM Issue Tracker
  2. CQM-592

CMS109v2/NQF0374 VTE4 and CMS110v2/NQF0375 VTE5 - Redundant logic in check for VTE Confirmed w/ED encounter

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    • Icon: Annual Update Annual Update
    • Resolution: Fixed
    • Icon: Minor Minor
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    • Tamara Bailey
    • 520.750.4324
    • Midas+
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      Thank you for noting this concern. The current logic is modeled to represent the events around patient arrival. As the admission scenarios are not mutually exclusive in the logic, the measure was revised during the April 2014 annual measure update.
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      Thank you for noting this concern. The current logic is modeled to represent the events around patient arrival. As the admission scenarios are not mutually exclusive in the logic, the measure was revised during the April 2014 annual measure update.

      In VTE4 and VTE5 the following logic exists in the denominator:

      AND:
      OR: "Diagnostic Study, Result: VTE Diagnostic Test (result: 'VTE Confirmed')" <= 2 day(s) starts before start of "Occurrence A of Encounter, Performed: Inpatient Encounter"
      OR: "Diagnostic Study, Result: VTE Diagnostic Test (result: 'VTE Confirmed')" during "Occurrence A of Encounter, Performed: Inpatient Encounter"
      OR:
      AND: "Occurrence A of Encounter, Performed: Inpatient Encounter (admission datetime)" <= 1 hour(s) starts after end of "Occurrence A of Encounter, Performed: Emergency Department Visit (facility location departure datetime)"
      AND:
      OR: "Diagnostic Study, Result: VTE Diagnostic Test (result: 'VTE Confirmed')" <= 2 day(s) starts before start of "Occurrence A of Encounter, Performed: Emergency Department Visit (facility location arrival datetime)"
      OR: "Diagnostic Study, Result: VTE Diagnostic Test (result: 'VTE Confirmed')" during "Occurrence A of Encounter, Performed: Emergency Department Visit"
      OR: "Diagnostic Study, Result: VTE Diagnostic Test (result: 'VTE Confirmed')" during "Occurrence A of Encounter, Performed: Inpatient Encounter"

      The last line in this section of logic is redundant, since it is only looking for the VTE Diagnostic Test result, regardless of if there was a preceding ED encounter, they would already be included due to having a VTE Confirmed during the inpatient encounter.

      (NOTE, the same extra logic in VTE3 is necessary due to the addition of the Warfarin check, so it should not be removed there.)

            abt.associate Abt Associate (Inactive)
            tamarabailey Tamara Bailey (Inactive)
            Deborah Krauss (Inactive), Saul Kravitz (Inactive)
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