-
Type:
Hosp Outpt eCQMs - Hospital Outpatient eCQMs
-
Resolution: Answered
-
Priority:
Moderate
-
Component/s: None
-
None
-
Heather Homampour, MSN, RN
-
-
CMS0996v5
-
CMS0996v4
-
Patients not meeting Denominator Exclusion due to timeframe.
We have found an instance where a patient presented with an ischemic stroke. During work up, an EKG was performed and STEMI was identified and diagnosis was added despite no symptoms. We believe this case should be excluded as the STEMI was not the most pressing medical condition for the patient during the ED Encounter.
Regarding the exclusion of Ischemic Stroke "Within 90 days before start of or at start of ED Encounter" we propose that we change the end of this timeframe to "or during ED Encounter." Unfortunately "severe neurological impairment" codes does not include ischemic stroke or stroke-like symptoms.