CMS871v3: Clarification about Timing of Glucose test in exclusion

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Priority: Major
    • Component/s: None
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      Thank you for your inquiry specific to CMS871v3 Hospital Harm – Severe Hyperglycemia. The scenario you provided does not qualify for the denominator exclusion. Assuming the glucose test with value 1200 mg/dL is 10:30 AM, and the inpatient encounter starts at 4:00 PM and ends at 7:00 PM, the exclusion is not met because the glucose of >=1000 mg/dL does not occur between 1 hour prior to the start of the encounter to 6 hours after the start of the encounter. Please let us know if our assumptions regarding AM / PM for the encounter and glucose test times are incorrect. We hope this helps.
      Show
      Thank you for your inquiry specific to CMS871v3 Hospital Harm – Severe Hyperglycemia. The scenario you provided does not qualify for the denominator exclusion. Assuming the glucose test with value 1200 mg/dL is 10:30 AM, and the inpatient encounter starts at 4:00 PM and ends at 7:00 PM, the exclusion is not met because the glucose of >=1000 mg/dL does not occur between 1 hour prior to the start of the encounter to 6 hours after the start of the encounter. Please let us know if our assumptions regarding AM / PM for the encounter and glucose test times are incorrect. We hope this helps.
    • CMS0871v3

      Hi Team,

      We have a query regarding denominator exclusion criteria wrt to the CMS871v3 measure :

       

      Consider the below section:

       

      1. Glucose Greater Than or Equal to 1000 within 1 Hour Prior To and 6 Hours After Encounter Start :

      from

        "Initial Population" InpatientHospitalization,

        ["Laboratory Test, Performed": "Glucose Lab Test Mass Per Volume"] GlucoseTest

        let HospitalizationInterval: Global."HospitalizationWithObservation" ( InpatientHospitalization ),

        GlucoseTestTime: Global."EarliestOf" ( GlucoseTest.relevantDatetime, GlucoseTest.relevantPeriod )

        where GlucoseTest.result >= 1000 'mg/dL'

          and GlucoseTest.result is not null

          and GlucoseTestTime during Interval[( start of HospitalizationInterval - 1 hour ), ( start of HospitalizationInterval + 6 hours )]

        return GlucoseTest

       

      Scenario 1: 

       

      Patient A aged 21 years with

      Start of InpatientEncounter.relevantPeriod = 11/12/2024 4:00

      End of InpatientEncounter.relevantPeriod = 11/12/2024 7:00

      having first Glucose Lab Test Mass Per Volume documented on 11/12/2024 10:30 with value 1200 mg/dL.

      #Query :

      Will the above patient qualify for exclusion?

       

      Request you to provide us with the resolution urgently as our client deliverables are dependent on it.

            Assignee:
            Joelencia Leflore
            Reporter:
            Akash Pawar (Inactive)
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              Created:
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