Uploaded image for project: 'eCQM Issue Tracker'
  1. eCQM Issue Tracker
  2. CQM-7494

VTE-1 qualifying comfort care orders for exclusion

XMLWordPrintable

    • Icon: EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
    • Resolution: Answered
    • Icon: Moderate Moderate
    • None
    • None
    • Sonja Livingston
    • 530-225-6161
    • Mercy Medical Center Redding
    • Hide
      Thank you for your inquiry. Based on the question title, I assume you are referring to CMS108v13: Venous Thromboembolism Prophylaxis/VTE-1 (not CMS71v13, as marked above).

      Yes, you are correct. If an intervention order was placed any time from arrival through the end of day after admission, this would satisfy the VTE-1 denominator exclusion condition of "Encounter with Intervention Comfort Measures From Day of Start of Hospitalization To Day After Admission." However, please note that the qualifying outpatient must end within 1 hour before inpatient admission time.
      Show
      Thank you for your inquiry. Based on the question title, I assume you are referring to CMS108v13: Venous Thromboembolism Prophylaxis/VTE-1 (not CMS71v13, as marked above). Yes, you are correct. If an intervention order was placed any time from arrival through the end of day after admission, this would satisfy the VTE-1 denominator exclusion condition of "Encounter with Intervention Comfort Measures From Day of Start of Hospitalization To Day After Admission." However, please note that the qualifying outpatient must end within 1 hour before inpatient admission time.
    • CMS0071v13
    • Hide
      clarify if ANY orders placed during acceptable time frame of arrival through end of day after admission should be mapped for the VTE-1 measure. Hospital vendor states "The specifications https://ecqi.healthit.gov/sites/default/files/ecqm/measures/CMS108v12.html state that the initial population, which equals the denominator, looks at the inpatient population. "Outpatient in a Bed" is not inpatient, therefore any documentation done when the patient's status = "Outpatient in a Bed" would not be evaluated. If you have questions regarding the "Outpatient in a Bed" status being included in this measure, please submit a question to CMS via the JIRA website."
      Show
      clarify if ANY orders placed during acceptable time frame of arrival through end of day after admission should be mapped for the VTE-1 measure. Hospital vendor states "The specifications https://ecqi.healthit.gov/sites/default/files/ecqm/measures/CMS108v12.html state that the initial population, which equals the denominator, looks at the inpatient population. "Outpatient in a Bed" is not inpatient, therefore any documentation done when the patient's status = "Outpatient in a Bed" would not be evaluated. If you have questions regarding the "Outpatient in a Bed" status being included in this measure, please submit a question to CMS via the JIRA website."

      I have several patients who were admitted to "outpatient in a bed" for comfort care and later converted to inpatient status prior to death. I believe they should be excluded from VTE-1 based on comfort care order during the acceptable time frame of arrival through day after admission.  My vendor states that the patient is part of the denominator population because the comfort care order was placed during the "outpatient in a bed" status rather than the inpatient stay, but the measure specifications state that "comfort care" anytime from arrival through day after admission qualifies for exclusion.  I was directed to obtain clarification here.

            aweber Mathematica EH eCQM Team
            SLivingston1 Sonja Livingston (Inactive)
            Votes:
            0 Vote for this issue
            Watchers:
            4 Start watching this issue

              Created:
              Updated:
              Resolved:
              Solution Posted On: