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Type: EH/CAH eCQMs
Resolution: Answered
Priority: Moderate
Component/s: None
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Thank you for your question on CMS71 Anticoagulation Therapy for Atrial Fibrillation/Flutter. The changes we did for CMS71v13 in PY 2024 is to re-organize the conditions with additional assessment performed for history of Atrial Ablation. See the details below:

For PY 2023

Denominator
"Encounter with Atrial Ablation Procedure"
  union "Encounter with a History of Atrial Fibrillation or Flutter"
  union "Encounter with Current Diagnosis Code of Atrial Fibrillation or Flutter"
       Encounter with Atrial Ablation Procedure
TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter
  with ["Procedure, Performed": "Atrial Ablation"] AtrialAblation
    such that Global."NormalizeInterval" ( AtrialAblation.relevantDatetime, AtrialAblation.relevantPeriod ) starts before start of IschemicStrokeEncounter.relevantPeriod
Encounter with a History of Atrial Fibrillation or Flutter
TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter
  with ["Diagnosis": "Atrial Fibrillation/Flutter"] AtrialFibrillationFlutter
    such that AtrialFibrillationFlutter.prevalencePeriod starts on or before
    end of IschemicStrokeEncounter.relevantPeriod
        Encounter with Current Diagnosis Code of Atrial Fibrillation or Flutter
TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter
  where exists ( IschemicStrokeEncounter.diagnoses Diagnosis
      where ( Diagnosis.code in "Atrial Fibrillation/Flutter" )
  )

PY 2024

Denominator
"Encounter with a History of Atrial Ablation"
  union "Encounter with Prior or Present Diagnosis of Atrial Fibrillation or Flutter"

Encounter with a History of Atrial Ablation
( TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter
    with ["Procedure, Performed": "Atrial Ablation"] AtrialAblationProcedure
      such that Global."NormalizeInterval" ( AtrialAblationProcedure.relevantDatetime, AtrialAblationProcedure.relevantPeriod ) starts before start of IschemicStrokeEncounter.relevantPeriod
)
  union ( TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter
      with ["Diagnosis": "History of Atrial Ablation"] AtrialAblationDiagnosis
        such that AtrialAblationDiagnosis.prevalencePeriod starts before start of IschemicStrokeEncounter.relevantPeriod
  )
  union ( TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter
      with ["Assessment, Performed": "History of Atrial Ablation"] AtrialAblationAssessment
        such that Global."EarliestOf" ( AtrialAblationAssessment.relevantDatetime, AtrialAblationAssessment.relevantPeriod ) on or before
        end of IschemicStrokeEncounter.relevantPeriod
  )

Encounter with Prior or Present Diagnosis of Atrial Fibrillation or Flutter
( TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter
    with ["Diagnosis": "Atrial Fibrillation or Flutter"] AtrialFibrillationFlutter
      such that AtrialFibrillationFlutter.prevalencePeriod starts on or before
      end of IschemicStrokeEncounter.relevantPeriod
)
  union ( TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter
      where exists ( IschemicStrokeEncounter.diagnoses Diagnosis
          where Diagnosis.code in "Atrial Fibrillation or Flutter"
      )
  )

Show
Thank you for your question on CMS71 Anticoagulation Therapy for Atrial Fibrillation/Flutter. The changes we did for CMS71v13 in PY 2024 is to re-organize the conditions with additional assessment performed for history of Atrial Ablation. See the details below: For PY 2023 Denominator "Encounter with Atrial Ablation Procedure"   union "Encounter with a History of Atrial Fibrillation or Flutter"   union "Encounter with Current Diagnosis Code of Atrial Fibrillation or Flutter"        Encounter with Atrial Ablation Procedure TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter   with ["Procedure, Performed": "Atrial Ablation"] AtrialAblation     such that Global."NormalizeInterval" ( AtrialAblation.relevantDatetime, AtrialAblation.relevantPeriod ) starts before start of IschemicStrokeEncounter.relevantPeriod Encounter with a History of Atrial Fibrillation or Flutter TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter   with ["Diagnosis": "Atrial Fibrillation/Flutter"] AtrialFibrillationFlutter     such that AtrialFibrillationFlutter.prevalencePeriod starts on or before     end of IschemicStrokeEncounter.relevantPeriod         Encounter with Current Diagnosis Code of Atrial Fibrillation or Flutter TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter   where exists ( IschemicStrokeEncounter.diagnoses Diagnosis       where ( Diagnosis.code in "Atrial Fibrillation/Flutter" )   ) PY 2024 Denominator "Encounter with a History of Atrial Ablation"   union "Encounter with Prior or Present Diagnosis of Atrial Fibrillation or Flutter" Encounter with a History of Atrial Ablation ( TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter     with ["Procedure, Performed": "Atrial Ablation"] AtrialAblationProcedure       such that Global."NormalizeInterval" ( AtrialAblationProcedure.relevantDatetime, AtrialAblationProcedure.relevantPeriod ) starts before start of IschemicStrokeEncounter.relevantPeriod )   union ( TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter       with ["Diagnosis": "History of Atrial Ablation"] AtrialAblationDiagnosis         such that AtrialAblationDiagnosis.prevalencePeriod starts before start of IschemicStrokeEncounter.relevantPeriod   )   union ( TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter       with ["Assessment, Performed": "History of Atrial Ablation"] AtrialAblationAssessment         such that Global."EarliestOf" ( AtrialAblationAssessment.relevantDatetime, AtrialAblationAssessment.relevantPeriod ) on or before         end of IschemicStrokeEncounter.relevantPeriod   ) Encounter with Prior or Present Diagnosis of Atrial Fibrillation or Flutter ( TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter     with ["Diagnosis": "Atrial Fibrillation or Flutter"] AtrialFibrillationFlutter       such that AtrialFibrillationFlutter.prevalencePeriod starts on or before       end of IschemicStrokeEncounter.relevantPeriod )   union ( TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter       where exists ( IschemicStrokeEncounter.diagnoses Diagnosis           where Diagnosis.code in "Atrial Fibrillation or Flutter"       )   )
2024 Reporting Period EH/CAH eCQMs:

CMS0071v13
Impact:
Can't find change in Measure Logic

Technical Relase Notes reference a new Assessment, Performed and Diagnosis for History of Atrial Ablation, but I cannot find this in the Measure Logic. Please advise how we are to handle this. Thanks

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