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  2. CQM-6521

Denominator exclusion clarification

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    • Icon: EH/CAH eCQMs EH/CAH eCQMs
    • Resolution: Answered
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    • Meghan Hocks
    • 2516895308
    • USA Health
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      ​Thank you for your question on CMS106v11: Discharged on Statin Medication. ​Only patients discharged to other acute inpatient facilities, as defined in the value set "Discharge To Acute Care Facility" (2.16.840.1.113883.3.117.1.7.1.87), are excluded. This value set includes community hospitals, tertiary referral hospitals, and acute care hospitals This value set does not include other facilities such as SNF or rehab facility.
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      ​Thank you for your question on CMS106v11: Discharged on Statin Medication. ​Only patients discharged to other acute inpatient facilities, as defined in the value set "Discharge To Acute Care Facility" (2.16.840.1.113883.3.117.1.7.1.87), are excluded. This value set includes community hospitals, tertiary referral hospitals, and acute care hospitals This value set does not include other facilities such as SNF or rehab facility.
    • CMS0105v11
    • Moderate

      When looking at Denominator Exclusions for STK measures, one of the exclusions is "discharged to another acute hospital." Our EHR system has the mapping for this measure named "Discharged to acute care facility" instead of hospital leading to some confusion as to what should and should not be included. Do ONLY acute hospitals count towards this exclusion, or would other facilities (such as SNF, rehab facility, etc) count as well?

            JLeflore Mathematica EH eCQM Team
            mhocks Meghan Hocks
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