We have a critical access hospital that has a procedure (hysterectomy) that is being counted as a complication at that hospital, even though the procedure occurred at the hospital the patient was transferred to on the same day of transfer.  Our EHR analyst noted this complication is being attributed to the transferring hospital due to the wording of "starts during day of" and nothing specific to the procedure having to occur during the actual encounter. Is this something that can be taken to CMS to address in future measure updates? For a small critical access hospital to be attributed a complication that occurred at another hospital is difficult for stakeholders to understand and with low volumes it makes their complication rate much higher than it should be. Thanks!