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CMS816- HH-01- Severe Hypoglycemic Event- BG test within 5 mins

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    • Icon: EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
    • Resolution: Answered
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    • Cari Jones
    • 4054738842
    • INTEGRIS Healthcare
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      Thank you for your inquiry regarding CMS816v3, Hospital Harm – Severe Hypoglycemia. To meet the numerator a follow-up blood glucose test is not required within 5 minutes of the <40mg/dL reading. However, if a repeat blood glucose test is performed within the 5 minutes, and the result is >80mg/dL, then the encounter would not meet the numerator.

      The purpose of the repeat test within 5 minutes is to eliminate false positives that can occur in point of care testing. The 5-minute timeframe extends from the start of the severe hypoglycemic test to the time of the repeat hypoglycemic test.
       
      The first scenario of a blood glucose < 40mg/dL AND a hypoglycemic medication administered in the 24h prior, but no repeat blood glucose meets the numerator. In the second scenario you describe, with a blood glucose result <40mg/dL, a hypoglycemic medication within the prior 24 hours and a repeat test result of <80mg/dL within 13 minutes of the initial test, the encounter also meets the numerator.
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      Thank you for your inquiry regarding CMS816v3, Hospital Harm – Severe Hypoglycemia. To meet the numerator a follow-up blood glucose test is not required within 5 minutes of the <40mg/dL reading. However, if a repeat blood glucose test is performed within the 5 minutes, and the result is >80mg/dL, then the encounter would not meet the numerator. The purpose of the repeat test within 5 minutes is to eliminate false positives that can occur in point of care testing. The 5-minute timeframe extends from the start of the severe hypoglycemic test to the time of the repeat hypoglycemic test.   The first scenario of a blood glucose < 40mg/dL AND a hypoglycemic medication administered in the 24h prior, but no repeat blood glucose meets the numerator. In the second scenario you describe, with a blood glucose result <40mg/dL, a hypoglycemic medication within the prior 24 hours and a repeat test result of <80mg/dL within 13 minutes of the initial test, the encounter also meets the numerator.
    • CMS0816v3
    • better understanding of population criteria means better mapping validation

      Hello! 

      I am needing add'l clarification re: the definition of the Hypoglycemic event, specifically as it relates to the repeat BG in a 5 min window following the initial BG < 40mg/dL. 

      In order to meet the NUM is a repeat BG required in the 5mins after the initial BG <40mg/dL?

      Is a repeat BG required at all? 

      Can you please clarify for me that if you have a BG < 40mg/dL AND a hypoglycemic med administered in the 24h prior, but no repeat BG at all, this would meet the NUM category? 

      If I have a BG < 40mg/dL, hypoglycemic medication in the previous 24h, a repeat BG within 13m w a result < 80- this also meets NUM category? 

       

            aweber Mathematica EH eCQM Team
            shorca Cari Ann Jones
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