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Type:
Hosp Inpt eCQMs - Hospital Inpatient eCQMs
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Resolution: Answered
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Priority:
Moderate
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Component/s: None
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None
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Rupinder Gill
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South Miami Hospital
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CMS0104v13
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Medications on the discharge list but ordered during observation period is resulting in fallouts and lower performance rates for eStroke-2 measure.
Aspirin and Plavix is on the discharge list under inpatient status but ordered during the observation time period for discharge, resulting in fallouts. Preparing the patients for discharge begins on admission. Providers are ordering the medications for discharge. All cases should pass if the medication is on the discharge list and the patient is inpatient status. The timing of the ordering of medication should not be the only factor being looked at when assessing this measure. Quality care is being provided. The method of capturing the information needs to be revisited and revised. This is not a change in practice that physicians should undertake to meet this measure. It should be that they continue to order medications when needed and the discharge reconciliation list is captured under inpatient status, not the time the medications were ordered. Please consider looking into this measure and thank you.