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Contact Name:
Teresa Francis
Contact Email:
teresa.francis@integrishealth.org
Contact Phone:
(495)250-2528
Institution/Name:
Integris Health System
Solution:

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Thank you for your question regarding CMS506v6, Safe Use of Opioids - Concurrent Prescribing. Please clarify if you are referring to "Intervention, Order: Palliative or Hospice Care" using "Palliative or Hospice Care (2.16.840.1.113883.3.600.1.1579)."

If you are referring to "Intervention, Order: Palliative or Hospice Care," timing is defined by the time the order is signed. Therefore, the correct admission date/time would be 10/3/24 @ 10:05 (signed PA).

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Thank you for your question regarding CMS506v6, Safe Use of Opioids - Concurrent Prescribing. Please clarify if you are referring to "Intervention, Order: Palliative or Hospice Care" using "Palliative or Hospice Care (2.16.840.1.113883.3.600.1.1579)." If you are referring to "Intervention, Order: Palliative or Hospice Care," timing is defined by the time the order is signed. Therefore, the correct admission date/time would be 10/3/24 @ 10:05 (signed PA).
2024 Reporting Period EH/CAH eCQMs:

CMS0506v6
Impact:
Potential of incorrect mapping

QRDA CLINICAL DATA ELEMENT AS FOLLOWS:

The QRDA Clinical Data Elements Admission Date/Time - 10/3/24 @ 10:06 am (actually the release date/time from order-see below)

PHYSICIAN ADMISSION ORDER AS FOLLOWS:

(all one order)

Physician Patient Placement Order (admission order) Date/Time - 10/3/24 @ 10:05 (signed PA)

Physician Patient Placement Order (admission order) Date/Time - 10/3/24 @ 10:06 (release instance/released order PA)

Physician Patient Placement Order (admission order) Date/Time - 10/3/24 @ 10:06 (cosign DO)

Physician Patient Placement Order (admission order) Date/Time - 10/3/24 @ 14:45 (acknowledge new order RN)

Which of the above documentation is the correct Admission Date/Time?