Uploaded image for project: 'eCQM Issue Tracker'
  1. eCQM Issue Tracker
  2. CQM-6599

2024-CMS145v12- Not met patient issue

XMLWordPrintable

    • Icon: Other Other
    • Resolution: Answered
    • Icon: Moderate Moderate
    • None
    • None
    • Hide
      Hello. Thank you for reaching out with your question concerning CMS145v12: Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <=40%). Upon reviewing the data submitted in the ticket, we found the patient is correctly marked as not met. For a patient to meet the exception criteria for Population 1 of CMS145v12, they must have documentation of Atrioventricular Block without a Cardiac Pacer. The documentation of the cardiac pacer on 6/3/2024 for this patient invalidates the exception for Atrioventricular Block for the entire measurement period. In addition, since the patient does not have documentation of active or prescribed beta blocker therapy during any of the encounters, they are considered not met.

      Show
      Hello. Thank you for reaching out with your question concerning CMS145v12: Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <=40%). Upon reviewing the data submitted in the ticket, we found the patient is correctly marked as not met. For a patient to meet the exception criteria for Population 1 of CMS145v12, they must have documentation of Atrioventricular Block without a Cardiac Pacer. The documentation of the cardiac pacer on 6/3/2024 for this patient invalidates the exception for Atrioventricular Block for the entire measurement period. In addition, since the patient does not have documentation of active or prescribed beta blocker therapy during any of the encounters, they are considered not met.
    • CMS0145v12
    • Not measure related
    • Not measure related

      Hello 
       
      Year :2024
      Measure CMS145V12
      For CMS145 Population Criteria 1 - Product1 Patientname-Melanie Burns have below data at XML file-
       

      Elementname Element_date Element_stop_date
      Atrioventricular Block 2024-05-03 08:00:00.000000 UTC  
      Office Visit 2024-01-28 08:00:00.000000 UTC 2024-01-28 08:30:00.000000 UTC
      Office Visit 2024-05-03 08:00:00.000000 UTC 2024-05-03 08:30:00.000000 UTC
      Office Visit 2024-07-05 08:00:00.000000 UTC 2024-07-05 09:00:00.000000 UTC
      Cardiac Pacer 2024-06-03 08:00:00.000000 UTC  
      Moderate or Severe LVSD 2024-01-28 08:00:00.000000 UTC  
      Coronary Artery Disease No MI 2024-01-28 08:00:00.000000 UTC  

      Two IPP qualified visits are present for this patient. First visit i.e. '2024-05-03 08:00:00' qualifying exception bucket and second visit '2024-07-05 08:00:00' qualifying notmet bucket. There is no most recent condition for this measure else, ONC marked this patient for notmet bucket. Please clarify final result for this patient.
       

      Visitdate Figmd Result ONC Result
      2024-05-03 08:00:00.000000 UTC Exception Notmet
      2024-07-05 08:00:00.000000 UTC Notmet Notmet
           

      why cypress showing this patient in "Notmet"?

       

      Please find the attachments 

            edave Mathematica EC eCQM Team
            sagark Sagar
            Votes:
            0 Vote for this issue
            Watchers:
            2 Start watching this issue

              Created:
              Updated:
              Resolved:
              Solution Posted On: