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  1. eCQM Issue Tracker
  2. CQM-6256

Present on Admission Value Sets do not align

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    • Icon: EH/CAH eCQMs EH/CAH eCQMs
    • Resolution: Answered
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      Thank you for your inquiry about CMS1028v2 Severe Obstetric Complications, CMS826v1 Hospital Harm – Pressure Injury, and CMS832v1 Hospital Harm – Acute Kidney Injury. CMS1028 was developed by The Joint Commission and CMS826 and CMS832 were developed by American Institutes for Research. The two measure developers met this month to discuss your concerns regarding Present on Admission value set harmonization. Both developers are committed to harmonizing value sets if appropriate based on the individual measure's clinical intent. If deemed appropriate, changes will be considered during the next annual update cycle. We hope this helps.
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      Thank you for your inquiry about CMS1028v2 Severe Obstetric Complications, CMS826v1 Hospital Harm – Pressure Injury, and CMS832v1 Hospital Harm – Acute Kidney Injury. CMS1028 was developed by The Joint Commission and CMS826 and CMS832 were developed by American Institutes for Research. The two measure developers met this month to discuss your concerns regarding Present on Admission value set harmonization. Both developers are committed to harmonizing value sets if appropriate based on the individual measure's clinical intent. If deemed appropriate, changes will be considered during the next annual update cycle. We hope this helps.
    • CMS1028v2
    • Different mapping / code requirements will cause inaccuracies/incomplete results and/or additional burden on hospitals.

      CMS1028 has the following POA value sets:

      • valueset "Present on Admission is No or Unable To Determine" (2.16.840.1.113762.1.4.1029.370)
      • valueset "Present On Admission is Yes or Exempt" (2.16.840.1.113762.1.4.1110.63)

      CMS826 uses

      • valueset "Present on Admission or Clinically Undetermined" (2.16.840.1.113762.1.4.1147.197)
      • valueset "Not Present On Admission or Documentation Insufficient to Determine" (2.16.840.1.113762.1.4.1147.198)

      CMS832 uses

      • valueset "Present on Admission or Clinically Undetermined" (2.16.840.1.113762.1.4.1147.197)

      The following code is in value set 2.16.840.1.113762.1.4.1110.63 for CMS1028 but is not found in value sets for 826 or 832. Can the value sets be reviewed and aligned in future iterations of the specification?

               
      1 Unreported/Not used. Exempt from POA reporting

            JLeflore Mathematica EH eCQM Team
            kbeatson123 Kristen Beatson
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