STK-2/STK-3: anticoagulant / antithrombotic refusal during encounter

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
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      Thank you for your question regarding CMS104v13, Discharged on Antithrombotic Therapy (STK-2) and CMS71v14, Anticoagulation Therapy for Atrial Fibrillation/Flutter (STK-3). Documentation of patient refusal will meet the denominator exception if the documentation occurs during the encounter. We placed the logic below for reference.

      CMS104v13:

      Encounter with Documented Reason for No Antithrombotic At Discharge
      TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter
        with "Reason for Not Giving Antithrombotic at Discharge" NoDischargeAntithrombotic
          such that NoDischargeAntithrombotic.authorDatetime during IschemicStrokeEncounter.relevantPeriod


      CMS71v14:

      Denominator Exceptions
      "Denominator" Encounter
        with "Documented Reason for Not Giving Anticoagulant at Discharge" NoDischargeAnticoagulant
          such that NoDischargeAnticoagulant.authorDatetime during Encounter.relevantPeriod
      Show
      Thank you for your question regarding CMS104v13, Discharged on Antithrombotic Therapy (STK-2) and CMS71v14, Anticoagulation Therapy for Atrial Fibrillation/Flutter (STK-3). Documentation of patient refusal will meet the denominator exception if the documentation occurs during the encounter. We placed the logic below for reference. CMS104v13: Encounter with Documented Reason for No Antithrombotic At Discharge TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter   with "Reason for Not Giving Antithrombotic at Discharge" NoDischargeAntithrombotic     such that NoDischargeAntithrombotic.authorDatetime during IschemicStrokeEncounter.relevantPeriod CMS71v14: Denominator Exceptions "Denominator" Encounter   with "Documented Reason for Not Giving Anticoagulant at Discharge" NoDischargeAnticoagulant     such that NoDischargeAnticoagulant.authorDatetime during Encounter.relevantPeriod
    • CMS0071v15
    • CMS0071v14

      Hello,

       

      I need clarification on how patient refusal impacts the STK-2 and STK-3 eCQMs.

       

      Specifically:

      If a patient refuses anticoagulant/antithrombotic therapy during the encounter, does that refusal satisfy the measure requirement for discharge? In other words, does the physician still need to prescribe the therapy at discharge, or does the documented refusal during the encounter count toward measure compliance for the discharge order?

       

      Please advise on how this scenario should be handled for both STK-2 and STK-3.

            Assignee:
            Augustine Weber
            Reporter:
            Denise Whittaker (Inactive)
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              Created:
              Updated:
              Resolved:
              Solution Posted On: