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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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Jennifer Harlos
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907-729-2226
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Alaska Native Medical Center
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CMS1028v1
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Risk adjustment isn't considered for missing values.
On our business objects reports for the ePC-07 measure we are seeing 100% of our cases not pulling in white blood cell count. In speaking with our vendor, the rationale provided was that the documentation of WBC laboratory values did not occur in the 24 hours prior to the inpatient encounter. We have cases of WBC counts being obtained after admission AND before delivery yet it's still not captured. Our vendor states again that the labs must be obtained in the 24 hours prior to admission, even though labs are confirmed prior to delivery. Is this the way that it should be working? From a clinical perspective, our workflow is such that the patient is admitted, labs are obtained, and then the patient delivers and so these labs should pull in.
In this same measure, heart rate and systolic blood pressure are pulling into our reports appropriately. In these cases, heart rate and systolic blood pressure are generally obtained prior to admission while in OB Triage. Is it the intent of the measure that WBC should only be pulled in if drawn before the start of the inpatient admission? Please see the attached screenshot of specification.