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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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Rebecca Panruk
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907-729-4548
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Alaska Native Medical Center
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CMS0819v3
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Has the potential for an incorrect measure build for this eCQM based on the mismatches in the specifications.
There is some confusion between the measure numerator, opioid administration section, and what is in VSAC for the following value sets: Route of Administration; Opioids All
The eORAE measure numerator section states: "The route of administration of the opioid antagonist must be by intranasal spray, inhalation, intramuscular, subcutaneous, or intravenous injection.
Under the definitions, then the opioid administration section, it states, "["Medication, Administered": "Opioids, All"]".
In VSAC, under the value set "Opioids All" section it has both IV and oral opioids.
In VSAC, under the value set, "Route of Administration," it does not mention oral or by mouth at all. It states the following:
- subcutaneous route (qualifier value)
- Intravenous central route (qualifier value)
- Intravenous peripheral route (qualifier value)
- Respiratory tract route (qualifier value)
- Nasal route (qualifier value)
- Intravenous route (qualifier value)
- Intramuscular route (qualifier value)
So, which is it? Should we include only the routes above, or should we also include the oral (PO) route? If we include the PO route, then the value set of "Route of Administration" should be updated to include it.
Thanks!