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  1. eCQM Issue Tracker
  2. CQM-6921

CMS137v12: Discrepancy in measure logic HTML and CQL code file for Long Acting Medication

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
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    • Nisarg Khandekar
    • athenahealth
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      Thank you for your inquiry for CMS137v12 Initiation and Engagement of Substance Use Disorder Treatment. Numerator 2 criteria requires that the engagement treatment occurred within 34 days after the day of the initiation treatment. It cannot occur on the same day as the initiation treatment. If you have additional information to provide for our further review, such as the specific patient scenario you are concerned with, please submit follow-up comments. We hope this helps.
      Show
      Thank you for your inquiry for CMS137v12 Initiation and Engagement of Substance Use Disorder Treatment. Numerator 2 criteria requires that the engagement treatment occurred within 34 days after the day of the initiation treatment. It cannot occur on the same day as the initiation treatment. If you have additional information to provide for our further review, such as the specific patient scenario you are concerned with, please submit follow-up comments. We hope this helps.
    • CMS0137v12
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      As per the the current CQL logic if Numerator-1 passes because of a Long Acting Medication, Numerator-2 shall also automatically pass for that patient for the Long Acting Medication condition. 

      This is because the same med which was used for Num-1 would apply for Num-2 condition, even if the authordatetime were the same, as the CQL code is using an 'IN' operator for comparing dates in authordatetime.

      Is this accurate?
      Show
      As per the the current CQL logic if Numerator-1 passes because of a Long Acting Medication, Numerator-2 shall also automatically pass for that patient for the Long Acting Medication condition.  This is because the same med which was used for Num-1 would apply for Num-2 condition, even if the authordatetime were the same, as the CQL code is using an 'IN' operator for comparing dates in authordatetime. Is this accurate?

      Has Treatment Engagement With Long Acting Medication

      • exists ( ( ["Medication, Order": "Substance Use Disorder Long Acting Medication"] LongActingMedOrder
              with ( Min("Treatment Initiation With Non Medication Intervention Dates"
                  union "Treatment Initiation With Medication Order Dates"
              )) InitiationTreatmentDate
                such that date from LongActingMedOrder.authorDatetime 34 days or less after InitiationTreatmentDate
          )
      • For the above CQL criteria, the requirement is that the LongActingMedORder should be placed AFTER the InitiationTreatmentDate, whereas in the CQL Code file recevied from CMS, we are not getting an AFTER statement, instead we are getting an IN statement for this criteria
      • As per IN statement, the LongActingMedORder.authordate time can be on the same date as InitiationTreatmentDate

       

      As per the the current CQL logic if Numerator-1 passes because of a Long Acting Medication, Numerator-2 shall also automatically pass for that patient for the Long Acting Medication condition. 

      This is because the same med which was used for Num-1 would apply for Num-2 condition, even if the authordatetime were the same, as the CQL code is using an 'IN' operator for comparing dates in authordatetime.

            edave Mathematica EC eCQM Team
            knisarg Nisarg Khandekar
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