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  2. CQM-6548

CMS996v3 PCI performed in a different facility clarification

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    • Icon: OQR eCQMs - Outpatient Quality Reporting OQR eCQMs - Outpatient Quality Reporting
    • Resolution: Answered
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    • CMS0996v3

      Measure CMS996 evaluates ED visits with STEMI diagnosis that receive the appropriate treatment. Based on the measure CQL logic, the proper treatment does not necessarily need to occur in the Emergency department.

      In the scenario below, should the patient's ED visit meet the numerator criteria?
      1.- Patient presented in the ED, diagnosed with STEMI
           ED times 1/27 12:18 - 1/27 13:09
      2.- Patient is discharged from the ED and admitted as Inpatient in a different facility (discharge happened more than 45 min after ED arrival)
           Inpatient times 1/27 13:32 - 1/29 13:18
      3.- PCI performed in the Inpatient facility within 90 minutes of ED visit arrival time
      1/27 13:42 (within 90 mins of ED arrival (12:18 + 90 min = 13:48))

      Based on the CQL logic, patient's ED visit should  meet the Numerator criteria, please confirm if that is correct

      • ["Procedure, Performed": "Percutaneous Coronary Intervention"] PCI
        such that Global."NormalizeInterval" ( PCI.relevantDatetime, PCI.relevantPeriod ) starts 90 minutes or less after Global."EmergencyDepartmentArrivalTime" ( EDwSTEMI )

       

       

            cmaffry Cathy Maffry
            isbelia Isbelia Briceno
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              Created:
              Updated:
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