CMS1218v1- LatestGeneralAnesthesiaOrMAC(Event "Procedure, Performed")

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Blocker
    • Component/s: None
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      Thank you for your question regarding CMS1218v1, Hospital Harm - Postoperative Respiratory Failure. The “Event” in (Event.relevantDatetime, Event.relevantPeriod) included in the LatestGeneralAnesthesiaOrMac function is a placeholder for the data element alias that is used in this function in each of the four Numerator definitions that you listed.
      In the first definition, the EndotrachealTubeIn alias (used for the “Procedure, Performed: Intubation” data element) is used in the function.
      In the second definition, the Ventilation alias (used for the “Procedure, Performed: Mechanical Ventilation” data element) is used in the function.
      In the third definition, the Extubation alias (used for the “Procedure, Performed: Removal of endotracheal tube (procedure)” data element) is used in the function.
      In the fourth definition, the Ventilation alias (used for the “Procedure, Performed: Mechanical Ventilation” data element) is used in the function.
      The LatestGeneralAnesthesiaOrMac function is used to identify procedures of anesthesia requiring monitored care or general and neuraxial anesthesia performed at a point in time or over a time interval that end before the start of the time that the “event” (i.e., endotracheal tube in, ventilation, or extubation) occurs. The function then sorts by time of “event” to determine the last “event” of an encounter.
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      Thank you for your question regarding CMS1218v1, Hospital Harm - Postoperative Respiratory Failure. The “Event” in (Event.relevantDatetime, Event.relevantPeriod) included in the LatestGeneralAnesthesiaOrMac function is a placeholder for the data element alias that is used in this function in each of the four Numerator definitions that you listed. In the first definition, the EndotrachealTubeIn alias (used for the “Procedure, Performed: Intubation” data element) is used in the function. In the second definition, the Ventilation alias (used for the “Procedure, Performed: Mechanical Ventilation” data element) is used in the function. In the third definition, the Extubation alias (used for the “Procedure, Performed: Removal of endotracheal tube (procedure)” data element) is used in the function. In the fourth definition, the Ventilation alias (used for the “Procedure, Performed: Mechanical Ventilation” data element) is used in the function. The LatestGeneralAnesthesiaOrMac function is used to identify procedures of anesthesia requiring monitored care or general and neuraxial anesthesia performed at a point in time or over a time interval that end before the start of the time that the “event” (i.e., endotracheal tube in, ventilation, or extubation) occurs. The function then sorts by time of “event” to determine the last “event” of an encounter.
    • CMS1218v1

      Hi Team,

       Consider the below definition:

      LatestGeneralAnesthesiaOrMAC(Event "Procedure, Performed")
      Last("General Anesthesia and MAC" ProcedureList
          where Global."NormalizeInterval"(ProcedureList.relevantDatetime, ProcedureList.relevantPeriod) ends before start of Global."NormalizeInterval"(Event.relevantDatetime, Event.relevantPeriod)
          sort by start of Global."NormalizeInterval"(relevantDatetime, relevantPeriod)
      )

      Query:

      The definition of LatestGeneralAnesthesiaOrMAC(Event "Procedure, Performed") is part of every Numerator statement/criteria as listed below:

      1. "Encounter with Intubation Outside of Procedural Area within 30 Days of End of First OR Procedure"
        2. "Encounter with Mechanical Ventilation Outside of Procedural Area within 30 Days of End of First OR Procedure and Preceded by Non Invasive Oxygen Therapy"
        3. "Encounter with Extubation Outside of Procedural Area within 30 Days of End of First OR Procedure More Than 48 Hours After End of Anesthesia"
        4. "Encounter with Mechanical Ventilation within 30 Days of End of First OR Procedure and Between 48 and 72 Hours After End of OR Procedure and not Preceded  by Non Invasive Oxygen Therapy or Anesthesia"

      Could you help us understand what is Event.relevantDatetime, Event.relevantPeriod with respect to every criteria?

      Request you to respond at the earliest as our client deliverables are dependent on it.

            Assignee:
            Augustine Weber
            Reporter:
            Prajakta Ghadigaonkar
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