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  2. CQM-6231

CMS871v3: Clarification about Timing of Glucose test in exclusion

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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.
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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.
    • 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.

            JLeflore Joelencia Leflore
            AkashP Akash Pawar (Inactive)
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