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  1. eCQM Issue Tracker
  2. CQM-6928

OP 40 STEMi metric

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    • Icon: OQR eCQMs OQR eCQMs
    • Resolution: Unresolved
    • Icon: Moderate Moderate
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    • Kathy Nunemacher
    • 610 844-3590
    • St. Luke's University Hospital, Bethlehem, PA
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      possibly extend voluntary period another year until developers are confident results are pulling correctly? Looking forward to your response. Per our clinical team - there are so many pitfalls with this new measure - how can you move forward with this?
      Show
      possibly extend voluntary period another year until developers are confident results are pulling correctly? Looking forward to your response. Per our clinical team - there are so many pitfalls with this new measure - how can you move forward with this?
    • CMS0996v4
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      We are having issues with old STEMI's pulling in d/t using problem list. Shouldn't the tech specs only require use of ED dx. current? Historical STEMI's can also show up on problem list. We did not submit during voluntary period as we not confident of accuracy of results using current tech. specs. We have also reached out to our EPIC consultants too. Looking for more guidance on this new measure.
      Show
      We are having issues with old STEMI's pulling in d/t using problem list. Shouldn't the tech specs only require use of ED dx. current? Historical STEMI's can also show up on problem list. We did not submit during voluntary period as we not confident of accuracy of results using current tech. specs. We have also reached out to our EPIC consultants too. Looking for more guidance on this new measure.

      Hx. of STEMI is still an active ICD code.  It will continue to pull as long as it remains on active problem list.  Should it pull from dx. in ED problem list?  A STEMI from years ago should not be included in this population.  Thank you.  

       

      Measuring time to treatment but not recognizing that STEMI may not qualify until after patient has arrived.  Not recognizing that there may be a delay in consent.  No mention of subacute being excluded.  

      Balloon time - one speaker on recent webinar said when wire crosses blockage. Not allowed in NCDR registry.  They did not mention thrombectomy as balloon timing

       

      Leave ED times do not always accurately document when patient leaves but rather only when patients are removed from system.  This measure would do better as manual abstraction or further refinement.  Thank you.

            cmaffry Cathy Maffry
            Kathy.Nunemacher@sluhn.org Kathy Nunemacher
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