Brief Description of Measure: CMS871/HH-Hyper: Hospital Harm - Severe Hyperglycemia This measure assesses the number of inpatient hospital days for patients age 18 and older with a hyperglycemic event (harm) per the total qualifying inpatient hospital days for that encounter Description of Issue: Due to issues calculating the measure in the Bonnie tool, the measure steward proposes updating the measure logic as a workaround to the tooling issue logged at https://oncprojectracking.healthit.gov/support/browse/BONNIEMAT-1534 .

Proposed Solution: The measure steward proposes updating the numerator to prevent it from calculating in cases where the denominator exclusion is met. CURRENT: Numerator "Encounter with Hyperglycemic Events" PROPOSED: Numerator "Encounter with Hyperglycemic Events" QualifyingEncounter   where not exists ( "Denominator Exclusions" Exclude       where Exclude.relevantPeriod during Global."HospitalizationWithObservation" ( QualifyingEncounter )   ) Rationale for Change: The proposed revisions to the Numerator logic will result in Bonnie test cases to pass as expected.