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  1. eCQM Issue Tracker
  2. CQM-7568

Observation Discharges Included in Measure

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    • Icon: EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
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    • Good Shepherd Medical Center
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      Thank you for your question regarding CMS506v6 Safe Use of Opioids - Concurrent Prescribing. The intent of the measure is to not include observation status discharges as part of the initial patient population (IPP). The measure identifies an inpatient hospitalization by the value set "Encounter Inpatient" (2.16.840.1.113883.3.666.5.307) which includes Emergency hospital admission (procedure) (183452005), Hospital admission (procedure) (32485007), and Hospital admission elective (procedure) (8715000). The measure does not intend to capture discharges other than inpatient discharges, therefore, we encourage you to work with your EHR vendor to ensure observation and other outpatient encounters are not inappropriately captured by the measure.
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      Thank you for your question regarding CMS506v6 Safe Use of Opioids - Concurrent Prescribing. The intent of the measure is to not include observation status discharges as part of the initial patient population (IPP). The measure identifies an inpatient hospitalization by the value set "Encounter Inpatient" (2.16.840.1.113883.3.666.5.307) which includes Emergency hospital admission (procedure) (183452005), Hospital admission (procedure) (32485007), and Hospital admission elective (procedure) (8715000). The measure does not intend to capture discharges other than inpatient discharges, therefore, we encourage you to work with your EHR vendor to ensure observation and other outpatient encounters are not inappropriately captured by the measure.
    • CMS0506v6
    • Our Epic Connect Partner is including observation status discharges in our Inpatient measures.

      Our QRDA file that is generated for us by our Epic Connect Partner is including patients who are discharged in an observation status. Does the measure specification include or exclude observation status discharges? 

      What is the definition of "inpatient hospitalization"? Do "inpatient hospitalizations" include observation status?

      If a patient is "admitted" to observation status with an observation order, and then discharged while in observation status, are they included in the population for the measure?

            aweber Mathematica EH eCQM Team
            degoldman8 Devin Goldman (Inactive)
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