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  1. eCQM Issue Tracker
  2. CQM-6885

eSTK 3

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    • Icon: EH/CAH eCQMs EH/CAH eCQMs
    • Resolution: Answered
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      ​Thank you for your questions on CMS71v13/STK-3, Anticoagulation Therapy for Atrial Fibrillation/Flutter. A history of Atrial Fibrillation/Flutter documented on a previous visit is considered applicable to the visit in the scenario you described. The measure's logic checks whether the Atrial Fibrillation/Flutter diagnosis prevalence period start time occurred on or before the Ischemic Stroke relevant period. There is no time limit on the Atrial Fibrillation/Flutter diagnosis in STK-3. Clinically speaking, once patients have Atrial Fibrillation/Flutter, they are always at risk. Even with patients that have ablation procedures, it is not uncommon for the condition to return.

      Patients may be excluded from STK-3 due to the following:

      - Inpatient hospitalizations for patients admitted for elective carotid intervention are not included in this measure. This exclusion is implicitly modeled by only including non-elective hospitalizations.

      - Patients with a documented reason for not prescribing anticoagulation therapy at discharge including “Medical Reason” or “Patient Refusal”.

      We hope this helps.
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      ​Thank you for your questions on CMS71v13/STK-3, Anticoagulation Therapy for Atrial Fibrillation/Flutter. A history of Atrial Fibrillation/Flutter documented on a previous visit is considered applicable to the visit in the scenario you described. The measure's logic checks whether the Atrial Fibrillation/Flutter diagnosis prevalence period start time occurred on or before the Ischemic Stroke relevant period. There is no time limit on the Atrial Fibrillation/Flutter diagnosis in STK-3. Clinically speaking, once patients have Atrial Fibrillation/Flutter, they are always at risk. Even with patients that have ablation procedures, it is not uncommon for the condition to return. Patients may be excluded from STK-3 due to the following: - Inpatient hospitalizations for patients admitted for elective carotid intervention are not included in this measure. This exclusion is implicitly modeled by only including non-elective hospitalizations. - Patients with a documented reason for not prescribing anticoagulation therapy at discharge including “Medical Reason” or “Patient Refusal”. We hope this helps.
    • CMS0071v13

      Hello,

      We had an eSTK-3 fallout. When we reviewed the case in detail, we didn't find any AFib diagnosis in the final ICD-10 codes because the patient had not had any AFib for years. However, we noticed that there was AFib documentation in the problem list from 2022, which was not resolved and remained active. Why is the Problem List included in the data source of diagnosis for eCQM? Can it be excluded?

            JLeflore Mathematica EH eCQM Team
            hazel21 Hazel
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