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  1. eCQM Issue Tracker
  2. CQM-7486

Are Inpatient Psychiatric Hospitals an Acute Care Hospital when calculating CMS eCQM outcomes?

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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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    • Peggy Venditti
    • 586-431-8687
    • Corewell Health
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      Thank you for your question regarding CMS104: Discharged on Antithrombotic Therapy (STK-2) and CMS506: Safe Use of Opioids – Concurrent Prescribing. ​Only patients discharged to other acute inpatient facilities, as defined in the value set "Discharge To Acute Care Facility" (2.16.840.1.113883.3.117.1.7.1.87), are excluded. This value set includes community hospitals, tertiary referral hospitals, and acute care hospitals. Patients transferred to other facility types such as long-term care facilities, rehab facilities, psych facilities, etc. are included in the measure.
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      Thank you for your question regarding CMS104: Discharged on Antithrombotic Therapy (STK-2) and CMS506: Safe Use of Opioids – Concurrent Prescribing. ​Only patients discharged to other acute inpatient facilities, as defined in the value set "Discharge To Acute Care Facility" (2.16.840.1.113883.3.117.1.7.1.87), are excluded. This value set includes community hospitals, tertiary referral hospitals, and acute care hospitals. Patients transferred to other facility types such as long-term care facilities, rehab facilities, psych facilities, etc. are included in the measure.
    • CMS0506v6
    • STK-2 CMS104 and Safe Use of Opioids CMS506 results for encounters where the patient was discharged to an inpatient psych facility may not be accurate.

      We do not have the discharge disposition "Psych Hospital" mapped to the value set for Discharge to Acute Care Facility OID 2.16.840.1.113883.3.117.1.7.1.87 to qualify for STK-2 and Safe Use of Opioids denominator exclusion populations.  Is a psych hospital considered an acute care facility that would qualify an encounter for the measures' denominator exclusion?  

            aweber Mathematica EH eCQM Team
            margaret.venditti@corewellhealth.org Margaret Venditti
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