Uploaded image for project: 'eCQM Issue Tracker'
  1. eCQM Issue Tracker
  2. CQM-7409

Hospital Harm Lab results

XMLWordPrintable

    • Icon: Other Other
    • Resolution: Answered
    • Icon: Moderate Moderate
    • None
    • None
    • Hide
      Thank you for your inquiry regarding CMS816v3, Hospital Harm – Severe Hypoglycemia. Per the measure definition section, “The measure does not count a severe hypoglycemic event (harm) in the numerator if there is a repeat test for glucose with a result greater than 80 mg/dL within five minutes of this initial low glucose test. The purpose of the repeat test within 5 minutes is to eliminate false positives that can occur in POC testing. The 5-minute timeframe extends from the start of the severe hypoglycemic test to the time of the repeat hypoglycemic test.”

      The 5-minute timeframe is to verify POC testing not to confirm laboratory blood glucose testing. The example you provide would be included in the numerator because at the time this patient had the hypoglycemic event, no repeat blood glucose was performed to confirm the results.
      Show
      Thank you for your inquiry regarding CMS816v3, Hospital Harm – Severe Hypoglycemia. Per the measure definition section, “The measure does not count a severe hypoglycemic event (harm) in the numerator if there is a repeat test for glucose with a result greater than 80 mg/dL within five minutes of this initial low glucose test. The purpose of the repeat test within 5 minutes is to eliminate false positives that can occur in POC testing. The 5-minute timeframe extends from the start of the severe hypoglycemic test to the time of the repeat hypoglycemic test.” The 5-minute timeframe is to verify POC testing not to confirm laboratory blood glucose testing. The example you provide would be included in the numerator because at the time this patient had the hypoglycemic event, no repeat blood glucose was performed to confirm the results.
    • CMS0816v3
    • Affecting scoring by being included in the numerator

      This scenario is regarding severe hypoglycemia. Glucose on blood results are not reported to the nurse/staff at the actual time it results for a repeat point of care glucose test to be obtained within 5 min.  As an example, a blood glucose of 39 results @ 0632 but called into nursing staff @ 0725. The nurse has to recheck this with a Glucose point of care, testing twice for confirmation and then treatment. Is this something that can be looked into further as an exception to the rule? Please advise.

            aweber Mathematica EH eCQM Team
            rupinderg Rupinder Gill
            Votes:
            0 Vote for this issue
            Watchers:
            2 Start watching this issue

              Created:
              Updated:
              Resolved:
              Solution Posted On: