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Solution:

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Switching to

"Intubation or Mechanical Circulatory Assist Procedure During ED Encounter or Within 24 Hours Before ED Encounter Start"

would be clearer.

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Switching to "Intubation or Mechanical Circulatory Assist Procedure During ED Encounter or Within 24 Hours Before ED Encounter Start" would be clearer.
2024 Reporting Period OQR eCQMs:

CMS0996v4
Impact:
Analyst confusion when analyzing patients for the Denominator Exclusion of STEMI-ED (CMS 996v4).

The language

"Intubation or Mechanical Circulatory Assist Procedure During ED Encounter or Within 24 Hours of ED Encounter Start"

can be interpreted as within 24 hours to either side of the start of the ED encounter.

From the denominator exclusion's description, it's clear that it's referring to the 24 hours before the start of the ED encounter.