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  2. CQM-6388

VTE-1 measure specifications.

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    • Resolution: Answered
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    • Courtney Chandel
    • 2124236242
    • Meroplitan Hospital NYC
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      Thank you for your questions for CMS108v11: Venous Thromboembolism Prophylaxis. Here are the answers.

      1. If a mechanical VTE device ONLY (without pharmacological prophylaxis) is applied in the proper measure time frame, this case will meet the numerator, as the condition looks for either Pharmacological OR Mechanical VTE Prophylaxis Received below.
      2. Yes, Graduated Compression Stockings are acceptable for mechanical VTE prophylaxis, as "Application of Graduated Compression Stockings" is one of the conditions listed in the following.

      Pharmacological or Mechanical VTE Prophylaxis Received

      ( ["Medication, Administered": "Low Dose Unfractionated Heparin for VTE Prophylaxis"] VTEMedication
          where VTEMedication.route in "Subcutaneous route")
      union ["Medication, Administered": "Low Molecular Weight Heparin for VTE Prophylaxis"]
      union ["Medication, Administered": "Injectable Factor Xa Inhibitor for VTE Prophylaxis"]
      union ["Medication, Administered": "Warfarin"]
      union ["Medication, Administered": "Rivaroxaban for VTE Prophylaxis"]
      union ["Procedure, Performed": "Application of Intermittent Pneumatic Compression Devices"]
      union ["Procedure, Performed": "Application of Venous Foot Pumps"]
      union ["Procedure, Performed": "Application of Graduated Compression Stockings"]

      Show
      Thank you for your questions for CMS108v11: Venous Thromboembolism Prophylaxis. Here are the answers. 1. If a mechanical VTE device ONLY (without pharmacological prophylaxis) is applied in the proper measure time frame, this case will meet the numerator, as the condition looks for either Pharmacological OR Mechanical VTE Prophylaxis Received below. 2. Yes, Graduated Compression Stockings are acceptable for mechanical VTE prophylaxis, as "Application of Graduated Compression Stockings" is one of the conditions listed in the following. Pharmacological or Mechanical VTE Prophylaxis Received ( ["Medication, Administered": "Low Dose Unfractionated Heparin for VTE Prophylaxis"] VTEMedication     where VTEMedication.route in "Subcutaneous route") union ["Medication, Administered": "Low Molecular Weight Heparin for VTE Prophylaxis"] union ["Medication, Administered": "Injectable Factor Xa Inhibitor for VTE Prophylaxis"] union ["Medication, Administered": "Warfarin"] union ["Medication, Administered": "Rivaroxaban for VTE Prophylaxis"] union ["Procedure, Performed": "Application of Intermittent Pneumatic Compression Devices"] union ["Procedure, Performed": "Application of Venous Foot Pumps"] union ["Procedure, Performed": "Application of Graduated Compression Stockings"]
    • CMS0108v11
    • Assurance VTE-1 cases are being pulled appropriately for numerator and denominator.

      Hi,

      This is a very simple question; however it has been difficult to get a straight confirmation regarding the reliability of information from the regulatory sites, articles, etc.

      1) I simply need to know if a mechanical VTE device ONLY (without pharmacological prophylaxis) is applied in the proper measure time frame, places the case for that measure in the numerator (eg, "not a fallout")- if there is no "reason for no pharmacological prophylaxis" also documented.{}

      2) As a follow-up to that, can it be confirmed that Graduated Compression Stockings are acceptable for mechanical VTE prophylaxis? I ask this because there seems to be a difference between the requirements for chart-abstracted cases and for ECQMs. Which is all fine and good, however I simply want to make sure I'm understanding the requirement correctly.

       

       

            JLeflore Mathematica EH eCQM Team
            CC Courtney Chandel
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