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  2. CQM-7219

CMS 986 (GMCS)

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    • Icon: EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
    • Resolution: Answered
    • Icon: Moderate Moderate
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    • Jennifer Mull
    • 7046927589
    • CaroMont Health
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      Thank you for your inquiry regarding CMS986v2, the Global Malnutrition Composite Score (GMCS). To help eliminate any potential erroneous overlap, the QMS team recommends utilizing discrete fields for each of the data elements for code extractions. Therefore, though the same code may be the result for either/both the malnutrition risk screening and/or nutrition assessment, the field assigned to pull the code from will correspond to the completion of each measure observation. Additionally, the updated reporting period 2025 specifications (CMS986v4) have removed this overlap to reduce confusion and the potential for erroneous calculations.
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      Thank you for your inquiry regarding CMS986v2, the Global Malnutrition Composite Score (GMCS). To help eliminate any potential erroneous overlap, the QMS team recommends utilizing discrete fields for each of the data elements for code extractions. Therefore, though the same code may be the result for either/both the malnutrition risk screening and/or nutrition assessment, the field assigned to pull the code from will correspond to the completion of each measure observation. Additionally, the updated reporting period 2025 specifications (CMS986v4) have removed this overlap to reduce confusion and the potential for erroneous calculations.
    • CMS0986v2

      Our EMR is working with the VSAC version from 5/4/2023. Under these value set options, the only SNOMED code for the Malnutrition Screening Not At Risk Result is SNOMED # 36823005. This SNOMED code overlaps with the Nutrition Assessment Status Not or Mildly Malnourished SNOMED codes, as SNOMED # 26823005 is also available there. Could this overlap interfere with our report's ability to differentiate between the two and not be able to pull for Measure Observation 2. Our facility's workflow is that a RN completes the screening upon admission and a RD sees the patient for as assessment if the screening shows at risk. 

            JLeflore Joelencia Leflore
            jbmull90 Jennifer Mull
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