VTE-1 logic for ICU exclusion

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • amanda enerson
    • Memorial Hermann Health System
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      Thank you for your inquiry regarding CMS108v12: Venous Thromboembolism Prophylaxis. Patients who are direct admits to the intensive care unit (ICU) or who are transferred to the ICU the day of or day after hospital admission and stay in the ICU for one or more days will be excluded from the denominator. The patient in this provided scenario would NOT be excluded because they were admitted to inpatient on 4/25 and admitted to ICU on 5/2. Qualification for this denominator exclusion would occur if ICU admission was on 4/25 or 4/26 (day of or day after hospital admission), which did not happen in this scenario.
      Show
      Thank you for your inquiry regarding CMS108v12: Venous Thromboembolism Prophylaxis. Patients who are direct admits to the intensive care unit (ICU) or who are transferred to the ICU the day of or day after hospital admission and stay in the ICU for one or more days will be excluded from the denominator. The patient in this provided scenario would NOT be excluded because they were admitted to inpatient on 4/25 and admitted to ICU on 5/2. Qualification for this denominator exclusion would occur if ICU admission was on 4/25 or 4/26 (day of or day after hospital admission), which did not happen in this scenario.
    • CMS0108v12
    • Need to understand logic for exclusion

      Please help me understand the ICU exclusion.  Does the ICU stay have to occur the day of or the day after admission to be a factor or can it occur the day of admission or ANYTIME during the hospital stay to be a factor? EX: pt arries to ED 4/19, admitted to inpt IMU 4/25, then ICU stay on 5/2 - 5/5 all during same visit.  Would this ICU stay > 2 days now exclude the pt even though it did not occur the day of or the day after admission?

      Thank you,

      Amanda

            Assignee:
            Augustine Weber
            Reporter:
            amanda enerson
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