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  1. eCQM Issue Tracker
  2. CQM-6185

Allow EGA at Delivery to be captured anytime during encounter

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    • Icon: EH/CAH eCQMs EH/CAH eCQMs
    • Resolution: Answered
    • Icon: Moderate Moderate
    • None
    • None
    • Elizabeth Butler
    • 816-668-1260
    • Oracle Health on behalf of Pomona Valley Health
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      Thank you for inquiry on CMS334v5: Cesarean Birth and CMS1028v2: Severe Obstetric Complications. Estimated gestational age (EGA) advances as each day passes. EGA is often reported as weeks and days. For this reason, the logic requires that the EGA be assessed in the 24 hour period prior to delivery to capture the most accurate EGA. If a patient is seen in the doctor’s office one week prior to delivery, the EGA in the documentation from that visit will be out of date at the time of delivery. Also note that the logic requires the relevant date/time/period of when the assessment of EGA was done and not when EGA was documented. The EGA can be documented after delivery. The assessment time and documentation time can be different times.
      Show
      Thank you for inquiry on CMS334v5: Cesarean Birth and CMS1028v2: Severe Obstetric Complications. Estimated gestational age (EGA) advances as each day passes. EGA is often reported as weeks and days. For this reason, the logic requires that the EGA be assessed in the 24 hour period prior to delivery to capture the most accurate EGA. If a patient is seen in the doctor’s office one week prior to delivery, the EGA in the documentation from that visit will be out of date at the time of delivery. Also note that the logic requires the relevant date/time/period of when the assessment of EGA was done and not when EGA was documented. The EGA can be documented after delivery. The assessment time and documentation time can be different times.
    • CMS0334v5, CMS1028v2
    • CMS0334v4, CMS1028v1
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      Healthcare organizations are having to build clunky and time consuming workflow to accomodate eCQM specification limitations.

      This has been identified as a limitation of the eCQM specifications across multiple healthcare organizations.
      Show
      Healthcare organizations are having to build clunky and time consuming workflow to accomodate eCQM specification limitations. This has been identified as a limitation of the eCQM specifications across multiple healthcare organizations.

      Currently Perinatal Care eCQMs only allow for the capture of EGA at Delivery to be captured prior to the Delivery Date/Time.  In a clinical setting when babies are being delivered, documentation may not occur until after the fact due to the immediate need to care for the patient(s) especially in emergency situations.  

      To make the eCQM specifications more clinically relevant, we recommend allowing the EGA at Delivery to be documented at any time during the encounter. The EGA at Delivery would of course be calculated based off of the delivery date/time, but the actual timing of that the EHR documentation is done should not be relevant.

            JLeflore Mathematica EH eCQM Team
            EP019624 Elizabeth Polenz
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