CMS71 Technical Specification Mentions Assessment and Diagnosis for Atrial Ablation

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
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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"       )   )
    • CMS0071v13
    • 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

            Assignee:
            Joelencia Leflore
            Reporter:
            Margaret Butler
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