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  2. CQM-6543

VTE- 1 documentation requirements

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      Thank you for your question about CMS108v12.

      Documentation of ’No VTE Prophylaxis Due to Patient Refusal’ within the qualifying time frame will satisfy the numerator criteria. Specifically, in the case you provided, nursing documentation of patient "refused" SCDs order will meet the numerator condition of "No Mechanical VTE Prophylaxis Performed or Ordered", providing the reason is mapped to an appropriate code listed in the Patient Refusal value set (OID: 2.16.840.1.113883.3.117.1.7.1.93).(i,e.,443390004 (Refused (qualifier value)). You can reference the applicable codes containing these value sets on the Value Set Authority Center (VSAC) at https://vsac.nlm.nih.gov/. Click on the “Search Value Sets” tab and enter the value set ID to review codes included in the respective value set.
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      Thank you for your question about CMS108v12. Documentation of ’No VTE Prophylaxis Due to Patient Refusal’ within the qualifying time frame will satisfy the numerator criteria. Specifically, in the case you provided, nursing documentation of patient "refused" SCDs order will meet the numerator condition of "No Mechanical VTE Prophylaxis Performed or Ordered", providing the reason is mapped to an appropriate code listed in the Patient Refusal value set (OID: 2.16.840.1.113883.3.117.1.7.1.93).(i,e.,443390004 (Refused (qualifier value)). You can reference the applicable codes containing these value sets on the Value Set Authority Center (VSAC) at https://vsac.nlm.nih.gov/ . Click on the “Search Value Sets” tab and enter the value set ID to review codes included in the respective value set.
    • CMS0108v12
    • Minimal documentation requirements necessary to meet the measure- spec manual clarification

      For patients with orders for SCDs (intermittent pneumatic compression devices); if the patient refuses - will the facility receive credit for this? What are the required elements that are to be pulled from the EMR ? Currently our system has an area labeled "antiembolism activity" - the nurse documents "refused". Is the requirement that the type - is this case intermittent pneumatic compression device be documented as well to meet this measure? This is for patients with no risk assessment documented by the physician in the EMR

            JLeflore Mathematica EH eCQM Team
            glenda.johnson@lwrmc.com Glenda Johnson
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