CMS871v2 exclusion criteria ignores testing device constraints

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
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      Thank you for your inquiry specific to CMS871v2 Hospital Harm – Severe Hyperglycemia. The intent of the measure is to only evaluate actual glucose levels to determine if it meets criteria. In addition to POC tests, glucose levels can be obtained by laboratory draw tests which would provide the actual glucose level. To meet the exclusion an initial result of >=1000 mg/dL must be captured in the specified timeframe, therefore if the initial glucose test result is >600 mg/dL by POC (or any other method), this would not meet the exclusion criteria. The result of >600 mg/dL does not presume that the level is high enough or accurate enough to meet the exclusion criteria. We hope this helps.
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      Thank you for your inquiry specific to CMS871v2 Hospital Harm – Severe Hyperglycemia. The intent of the measure is to only evaluate actual glucose levels to determine if it meets criteria. In addition to POC tests, glucose levels can be obtained by laboratory draw tests which would provide the actual glucose level. To meet the exclusion an initial result of >=1000 mg/dL must be captured in the specified timeframe, therefore if the initial glucose test result is >600 mg/dL by POC (or any other method), this would not meet the exclusion criteria. The result of >600 mg/dL does not presume that the level is high enough or accurate enough to meet the exclusion criteria. We hope this helps.
    • CMS0871v3
    • CMS0871v2
    • Patients are incorrectly identified as not having glucose of >1000 present as admission.

      Point of Care meters often used when patient first presents to ED or for hospital admission do not have the specificity of a serum glucose.  A POC meter may read out to a limit of >600 where the serum glucose will report out the actual value above 600.   

            Assignee:
            Joelencia Leflore
            Reporter:
            Linda Drummond (Inactive)
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