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  1. eCQM Issue Tracker
  2. CQM-7325

Question regarding ePC-07 measure

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    • Icon: EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
    • Resolution: Referred to External Party for Resolution
    • Icon: Moderate Moderate
    • None
    • None
    • Alison Graham
    • 321-841-2898
    • Orlando Health
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      Hello and thank you for your inquiry. Unfortunately, this ticket is out of scope for the eCQM Issue Tracker. Your question has been redirected to the CCSQ Service Desk, and the following ticket has been opened for you:

      [CS2329382]

      You will be contacted by their team and assigned a customer service representative who will work to resolve your inquiry. We are closing this ticket now. Please let us know if you have any additional questions about eCQM logic or specifications.
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      Hello and thank you for your inquiry. Unfortunately, this ticket is out of scope for the eCQM Issue Tracker. Your question has been redirected to the CCSQ Service Desk, and the following ticket has been opened for you: [CS2329382] You will be contacted by their team and assigned a customer service representative who will work to resolve your inquiry. We are closing this ticket now. Please let us know if you have any additional questions about eCQM logic or specifications.
    • CMS0071v13

      We have been working on analysis of our ePC07 report in the October preview. There are some peculiarities about the data that we do not understand.

      First, the denominator for the state of Florida is 20,218 and the denominator for Orlando Health (CCN 100006) is 14,252 - 70.49% of the entire state. That in itself appears suspect, but because reporting for the CY 2023 performance period is voluntary it could be that very few other hospitals in Florida reported.

       ** 

      Our facility numerator was 300, leaving only 36 maternal complications reported outside of Orlando Health in the state of Florida. Is it possible to share how many other hospitals reported the ePC-07 measure for the 2023 performance period in Florida and nationally? It seems unrealistic that maternal complications at Orlando Health are such a large percentage of the whole for the state. As such, the comparisons provided in Care Compare would be misleading for this voluntary reporting year.

            aweber Mathematica EH eCQM Team
            Debora Hall Debora Hall
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