Severe hypoglycemia and Severe hyperglycemia

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Rebecca Rosario-Dure
    • 8452488352
    • Montefiore St. Luke's Cornwall
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      ​​Thank you for your inquiry regarding our glycemia measures, CMS816 and CMS871. Yes, encounters with patients in the ICU patients may be included in the measure, as encounters are not excluded from the measure based on the patient’s location in the hospital. The only denominator exclusion we have pertains to the CMS871 Hyperglycemia measure, where we exclude encounters for patients who are in severe hyperglycemic crisis on admission: Exclude inpatient hospitalizations for patients with an initial glucose result of >=1000 mg/dL anytime between 1 hour prior to the start of the encounter to 6 hours after the start of the encounter.
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      ​​Thank you for your inquiry regarding our glycemia measures, CMS816 and CMS871. Yes, encounters with patients in the ICU patients may be included in the measure, as encounters are not excluded from the measure based on the patient’s location in the hospital. The only denominator exclusion we have pertains to the CMS871 Hyperglycemia measure, where we exclude encounters for patients who are in severe hyperglycemic crisis on admission: Exclude inpatient hospitalizations for patients with an initial glucose result of >=1000 mg/dL anytime between 1 hour prior to the start of the encounter to 6 hours after the start of the encounter.
    • CMS0816v2
    • Inpatients in critical care

      Will the severe hypoglycemia and hyperglycemia eCQM include ICU patients in the measure population?  Because we have a separate policy and managed ICU patients differently.  ICU patients have different criteria for blood sugar less than 70 and less than 50 and greater than 350.  These eCQMs use less than 40 and greater than 200.  Can you please clarify.  Any assistance would be appreciated

            Assignee:
            Joelencia Leflore
            Reporter:
            Rebecca Rosario-Dure
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