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OQR eCQMs - Outpatient Quality Reporting
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Resolution: Referred to External Party for Resolution
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Moderate
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None
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None
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Nicole Norcross
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508-862-5723
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Cape Cod Hospital
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CMS0996v5
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CMS0996v4
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Unable to submit data for 2024 OP-40 eCQM as required.
OP-40 STEMI: Currently, our hospital documents cath lab work using a third-party vendor tool, which cannot be integrated with the main hospital EHR system; as a result, certain required data elements (such as PCI time documentation) are missing in the EHR system.
A few questions: 1. If a clinician documents the PCI date/time in Xper, a third-party vendor tool, is it appropriate and acceptable for non-clinical staff to review the Xper tool and abstract the PCI date/time into the EHR record to ensure the documentation is captured for the eCQM? 2. If yes, can this data element be abstracted into the patient record retrospectively after the patient's discharge, or does it have to be documented before the discharge? Thank you so much!