ePC-07 Vital Sign risk factors from other CCNs

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Jennifer L Harlos
    • 907-748-6070
    • Alaska Native Medical Center
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      Thank you for your question regarding CMS1028v3/ePC-07, Severe Obstetric Complications. Lab and physical exam results collected in an outpatient setting within 24 hours prior to hospital admission for the delivery encounter could be evaluated for the measure as long as the outpatient encounter is electronically accessible and/or can be linked to the inpatient encounter by the EMR. As long as the results are discrete data, not scanned images, they may be evaluated. The measure specifications do not limit data capture to one CCN. We recommend checking with your IT department and EHR vendor to validate the capabilities of your system.
      Show
      Thank you for your question regarding CMS1028v3/ePC-07, Severe Obstetric Complications. Lab and physical exam results collected in an outpatient setting within 24 hours prior to hospital admission for the delivery encounter could be evaluated for the measure as long as the outpatient encounter is electronically accessible and/or can be linked to the inpatient encounter by the EMR. As long as the results are discrete data, not scanned images, they may be evaluated. The measure specifications do not limit data capture to one CCN. We recommend checking with your IT department and EHR vendor to validate the capabilities of your system.
    • CMS1028v3
    • Which vital signs from the period 24 hours before the encounter starts should be pulling in as risk adjustment factors.

      This year our vendor is saying that the lab and physical exam results (heart rate, systolic blood pressure, Hematocrit, WBC count) risk variable adjustment factors need to be from the same CCN to count. So they can be resulted 24 hours prior to the start of the encounter, but they need to be from our OB Triage or labor and delivery unit, instead of one of the outpatient clinics, or one of our critical access hospitals in our system when we are accepting the transport. It was my understanding that if the values are resulted and viewable in our EHR, then the first resulted value in the 24 hours prior to the start of the encounter and before the delivery should be used for the risk variable adjustment, regardless of what CCN the information came from. Can you provide clarification? Thank you.

            Assignee:
            Augustine Weber
            Reporter:
            Jennifer Harlos
            Votes:
            5 Vote for this issue
            Watchers:
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              Created:
              Updated:
              Resolved:
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