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  2. CQM-7141

CMS986v4-Total Malnutrition Composite Score Eligible Occurrences

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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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      Thank you for your inquiry regarding CMS986, Global Malnutrition Composite Score (GMCS).

      The referenced function is to determine the eligible occurrence – mathematical denominator score. The “or not” statement in the logic refers to assigning an eligible occurrence value of 2 to those encounters that have a malnutrition risk screening result of ‘At Risk’ OR have a ‘Hospital Dietitian Referral’, but do not have a completed nutrition assessment and the associated result. The eligible occurrence is also 2 in the setting of a malnutrition risk screening result of ‘At Risk’ OR a ‘Hospital Dietitian Referral’ with a completed nutrition assessment, with a result of ‘Well Nourished’ or ‘Not Malnourished’ or ‘Mildly Malnourished’. In these clinical scenarios, the eligible occurrence (mathematical denominator) is 2, and the performance of Measure Observation 3 and Measure Observation 4 is not counted.
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      Thank you for your inquiry regarding CMS986, Global Malnutrition Composite Score (GMCS). The referenced function is to determine the eligible occurrence – mathematical denominator score. The “or not” statement in the logic refers to assigning an eligible occurrence value of 2 to those encounters that have a malnutrition risk screening result of ‘At Risk’ OR have a ‘Hospital Dietitian Referral’, but do not have a completed nutrition assessment and the associated result. The eligible occurrence is also 2 in the setting of a malnutrition risk screening result of ‘At Risk’ OR a ‘Hospital Dietitian Referral’ with a completed nutrition assessment, with a result of ‘Well Nourished’ or ‘Not Malnourished’ or ‘Mildly Malnourished’. In these clinical scenarios, the eligible occurrence (mathematical denominator) is 2, and the performance of Measure Observation 3 and Measure Observation 4 is not counted.
    • CMS0986v4

      Hi Team,

      Consider below statements from CMS986v4:

      Total Malnutrition Composite Score Eligible Occurrences(Encounter "Encounter, Performed")
      if ( "Encounter with Malnutrition Screening Not At Risk Result" contains Encounter
          and not ( "Encounter with Hospital Dietitian Referral" contains Encounter )
      ) then 1 
        else if ( ( "Encounter with Malnutrition Screening At Risk Result" contains Encounter
            or ( "Encounter with Hospital Dietitian Referral" contains Encounter )
        )
          and "Encounter with Nutrition Assessment Status Not or Mildly Malnourished" contains Encounter
      )
        or not ( "Encounter with Nutrition Assessment and Identified Status" contains Encounter ) then 2 
        else 4

      Query:

      Kindly help us on understanding the or not logic present in above statement. Also, help us to interpret/read the above function, overall.

      Request you to assist us on the above query as our client deliverables are dependent on it.
       

       

            JLeflore Joelencia Leflore
            Prajakta Prajakta Ghadigaonkar
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