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OQR eCQMs - Outpatient Quality Reporting
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Resolution: Unresolved
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Moderate
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None
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None
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Dalana Ostlie
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5093892719
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Providence Health System
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Clarify whether other procedures (particularly stenting) is considered an exclusion when they occur during the patient's current STEMI ED encounter.
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CMS0996v5
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Patients being excluded when shouldn't be.
Our facility has two patients excluded from the denominator related to "Major surgical procedure 21 days or less before start of or starts during ED encounter." Neither patient had surgery within 21 days of presentation to ED. Both received stent(s) during their PCIs. Does PCI with stenting during the current encounter meet the exclusion criteria of "major surgical procedure?"