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EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
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Resolution: Answered
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Moderate
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None
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None
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Ryan Horton
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7273155298
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BayCare Health Systems
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CMS0108v10
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We are falling out of VTE 1 measure due to the fact that we mix our heparin in the hospital, we do not use pre-mixes. Several patients are missing the numerator even though they had heparin drips started within the allotted timeframe.
We have several patients missing the numerator, however they were on heparin drips within the allotted timeframe, but being we don't use pre-mix heparin drips, we feel that this is the reason we are falling out. I have worked with our vendor and my pharmacy team to attempt to identify which RXNorm we are using, no one was sure how to identify this, is there anyone that could assist in identifying the RXNorm we are using and then determine if we need to request our RXNorm to be added to the value set?