Dosage changes for enoxaparin - Antithrombotic Therapy for Ischemic STKs

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Rebecca Ann Panruk
    • rapanruk
    • 907-729-4549
    • Alaska Native Medical Center
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      Thank you for your question regarding CMS72: Antithrombotic Therapy by End of Hospital Day 2. The exclusion criteria for value set Antithrombotic Therapy for Ischemic Stroke (2.16.840.1.113762.1.4.1110.62) entails "exclud[ing] concepts that represent enoxaparin and heparin generally given for VTE prophylaxis."

      Enoxaparin at lower dosages used for VTE prophylaxis are not sufficient for early antithrombotic therapy and will not meet the eSTK-5 criteria, as seen in the measure specifications: "Anticoagulants at doses to prevent VTE are insufficient antithrombotic therapy to prevent recurrent ischemic stroke or TIA." However, another form of antithrombotic therapy, such as aspirin, can be administered.
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      Thank you for your question regarding CMS72: Antithrombotic Therapy by End of Hospital Day 2. The exclusion criteria for value set Antithrombotic Therapy for Ischemic Stroke (2.16.840.1.113762.1.4.1110.62) entails "exclud[ing] concepts that represent enoxaparin and heparin generally given for VTE prophylaxis." Enoxaparin at lower dosages used for VTE prophylaxis are not sufficient for early antithrombotic therapy and will not meet the eSTK-5 criteria, as seen in the measure specifications: "Anticoagulants at doses to prevent VTE are insufficient antithrombotic therapy to prevent recurrent ischemic stroke or TIA." However, another form of antithrombotic therapy, such as aspirin, can be administered.
    • CMS0072v13
    • Our providers have ordered 40mg of enoxaparin to suffice both for VTE prophylaxis and the eSTK-5 measure, now patients could be getting more therapy than needed just to meet the eSTK-5 measure.

      Was it an accident to delete the enoxaparin 30mg and 40mg dosages from the Antithrombotic Therapy for Ischemic Stroke value set? If it was not an accident, what was the justification for doing so?

            Assignee:
            Augustine Weber
            Reporter:
            Rebecca A John
            Votes:
            6 Vote for this issue
            Watchers:
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              Created:
              Updated:
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