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  2. CQM-7148

CMS986v4- Measure Observations 1 and 2

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      Thank you for your inquiry regarding CMS986v4, Global Malnutrition Composite Score (GMCS). As stated in the measure header:

      "Measure Observation 1" identifies hospital encounters where a "Malnutrition Risk Screening" was performed with a current identified "Malnutrition Screening Finding of Not At Risk Result" or current identified "Malnutrition Screening Finding of At Risk Result" documented. It also identifies a hospital encounter where there is a Hospital Dietitian Referral, whether there is a "Malnutrition Risk Screening" performed or not.
       
      "Measure Observation 2" identifies hospital encounters where a "Nutrition Assessment" was performed with a current identified "Nutrition Assessment Status Finding of Well Nourished or Not Malnourished or Mildly Malnourished", "Nutrition Assessment Status Finding of Moderately Malnourished" OR "Nutrition Assessment Status Finding of Severely Malnourished" documented. Note that performance for this Measure Observation is only measured in the setting of a completed Malnutrition Risk Screening with a Malnutrition Screening Finding of At Risk Result OR a Hospital Dietitian Referral Order.

      Each measure observation is assigned a score of 1 if it is completed and a score of 0 if it is not completed.
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      Thank you for your inquiry regarding CMS986v4, Global Malnutrition Composite Score (GMCS). As stated in the measure header: "Measure Observation 1" identifies hospital encounters where a "Malnutrition Risk Screening" was performed with a current identified "Malnutrition Screening Finding of Not At Risk Result" or current identified "Malnutrition Screening Finding of At Risk Result" documented. It also identifies a hospital encounter where there is a Hospital Dietitian Referral, whether there is a "Malnutrition Risk Screening" performed or not.   "Measure Observation 2" identifies hospital encounters where a "Nutrition Assessment" was performed with a current identified "Nutrition Assessment Status Finding of Well Nourished or Not Malnourished or Mildly Malnourished", "Nutrition Assessment Status Finding of Moderately Malnourished" OR "Nutrition Assessment Status Finding of Severely Malnourished" documented. Note that performance for this Measure Observation is only measured in the setting of a completed Malnutrition Risk Screening with a Malnutrition Screening Finding of At Risk Result OR a Hospital Dietitian Referral Order. Each measure observation is assigned a score of 1 if it is completed and a score of 0 if it is not completed.
    • CMS0986v4

      Hi Team,

      Below mentioned are Measure observations 1 and 2. Kindly help us on how to interpret the statements and the score assignment. 

      Request you to assist on our query urgently as our client deliverables are dependent on it.

      Measure Observation 1:

      Sum (
        if ( "Encounter with Malnutrition Risk Screening and Identified Result or with Hospital Dietitian Referral" contains Encounter
          and ( "Encounter with Malnutrition Screening Not At Risk Result" contains Encounter
              or ( "Encounter with Malnutrition Screening At Risk Result" contains Encounter )
          )
          or exists ( "Encounter with Hospital Dietitian Referral" )
      ) then 1 
        else 0
      )

      Measure Observation 2:

      Sum (
        if ( "Encounter with Malnutrition Not at Risk Result and without Hospital Dietitian Referral" ) contains Encounter then 0 
        else if ( "Encounter with Nutrition Assessment and Identified Status" contains Encounter
          and ( ( "Encounter with Nutrition Assessment Status Not or Mildly Malnourished" contains Encounter
                or "Encounter with Nutrition Assessment Status Finding of Moderately Malnourished" contains Encounter
                or "Encounter with Nutrition Assessment Status Finding of Severely Malnourished" contains Encounter
            )
              and ( ( "Encounter with Malnutrition Risk Screening and Identified Result or with Hospital Dietitian Referral" contains Encounter
                    and "Encounter with Malnutrition Screening At Risk Result" contains Encounter
                )
                  or ( "Encounter with Hospital Dietitian Referral" ) contains Encounter
              )
          )
      ) then 1 
        else 0
      )
       

            JLeflore Joelencia Leflore
            Prajakta Prajakta Ghadigaonkar
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