VTE 1 and VTE 2 eCQM Question for Ortho Patients

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • 9167336242
    • Mercy General Hospital
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      Thank you for your inquiry regarding CMS108v12: Venous Thromboembolism Prophylaxis (VTE-1) and CMS190v12: Intensive Care Unit Venous Thromboembolism Prophylaxis (VTE-2). A patient who has prior or present Procedure of Hip or Knee Replacement Surgery and given an Oral Factor Xa Inhibitor on the Day of or the Day After Admission or Procedure will satisfy the numerator. Aspirin does not qualify for VTE prophylaxis, as it has not been recognized as an FDA-approved medication for VTE prophylaxis since 2016. Yes, patients with a principal procedure of hip or knee replacement surgery will be excluded from the VTE eCQM measures.
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      Thank you for your inquiry regarding CMS108v12: Venous Thromboembolism Prophylaxis (VTE-1) and CMS190v12: Intensive Care Unit Venous Thromboembolism Prophylaxis (VTE-2). A patient who has prior or present Procedure of Hip or Knee Replacement Surgery and given an Oral Factor Xa Inhibitor on the Day of or the Day After Admission or Procedure will satisfy the numerator. Aspirin does not qualify for VTE prophylaxis, as it has not been recognized as an FDA-approved medication for VTE prophylaxis since 2016. Yes, patients with a principal procedure of hip or knee replacement surgery will be excluded from the VTE eCQM measures.
    • CMS0986v3
    • CMS0871v4
    • CMS0071v13
    • We are unsure of what medications qualify as adequate VTE prophylaxis for ortho patients.

      Hello,

      I am trying to figure out if aspirin qualifies as adequate VTE prophylaxis for ortho/hip replacement/knee replacement surgery patients. I believe factor xa inhibitors qualify as adequate VTE prophylaxis, but there is no mention of aspirin in the VTE validation tool. In addition, are patients with a principal diagnosis of hip or knee replacement surgery excluded from the VTE eCQM measure? Thank you. 

            Assignee:
            Augustine Weber
            Reporter:
            Esther Bozhko (Inactive)
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              Created:
              Updated:
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