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  2. CQM-691

CMS31v2\NQF1354 When looking for Patient Characteristic Expired "during" encounter, is it examining the Patient Characteristic "Start Date Time" and "Stop Date Time" or the Patient Characteristic Expired "Date" and "Time" attributes?

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    • Icon: EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
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    • Tamara Bailey
    • 520.750.4324
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      In QDM v4.1 to be released in July, 2014, the 'Patient Characteristic Expired' attributes 'Date' and 'Time' are going away. So, the surest way to ensure that the logic works for the 2015 Annual update would be to write AND: "Patient Characteristic Expired: Patient Expired" STARTS during "Occurrence A of Encounter, Performed: Inpatient Encounter". That would unequivocally capture it.

      Please note that the new QDM will not be implemented until the next measure update, expected in 2015 if this measure will be retained in the program.
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      In QDM v4.1 to be released in July, 2014, the 'Patient Characteristic Expired' attributes 'Date' and 'Time' are going away. So, the surest way to ensure that the logic works for the 2015 Annual update would be to write AND: "Patient Characteristic Expired: Patient Expired" STARTS during "Occurrence A of Encounter, Performed: Inpatient Encounter". That would unequivocally capture it. Please note that the new QDM will not be implemented until the next measure update, expected in 2015 if this measure will be retained in the program.
    • CMS31v1/NQF1354

      In the EHDI (Hearing Screening) measure there exists the following logic:

      AND: "Patient Characteristic Expired: Patient Expired" during "Occurrence A of Encounter, Performed: Inpatient Encounter"

      According to the QDM the Patient Characteristic datatype has an attribute of "Start DateTime" and an attribute for "Stop DateTime", HOWEVER, the Patient Characteristic Expired datatype only has individual "Date" and "Time" attributes.

      According to the measure logic guidance PDF, "Note that for “A during B” to be true, A must have specified start and end times. Some data elements in medical records, for example diagnoses of chronic conditions, can be open-ended. Such an event can neither contain another event temporally, or be contained. In other words if a chronic condition, represented without a stop date is event A, there is no event B such that ‘A During B’, or ‘B During A’ is true."

      Since there is no "Start" and "End" time on the "Patient Characteristic Expired" datatype, you cannot check for it occuring "During" the encounter.

      Should this line be re-written as:

      AND: "Patient Characteristic Expired: Patient Expired" (Date, Time) STARTS during "Occurrence A of Encounter, Performed: Inpatient Encounter"

            balu Balu Balasubramanyam (Inactive)
            tamarabailey Tamara Bailey (Inactive)
            Abt Associate (Inactive), Minet Javellana (Inactive), Robert Dingwell (Inactive)
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