CMS1218v2-Encounter with Tracheostomy Same Day of First OR Procedure

XMLWordPrintable

    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Blocker
    • Component/s: None
    • None
    • Hide
      Thank you for your question regarding CMS1218v2, Hospital Harm - Postoperative Respiratory Failure. The “Encounter with Tracheostomy Same Day of First OR Procedure” definition uses the “FirstProcedure” function to identify the first procedure of a hospitalization period and to determine whether a patient’s tracheostomy procedure, if one is performed, starts on the same day when the patient’s first procedure takes place. If a patient has a tracheostomy performed on the same day when the patient’s first procedure takes place, then the inpatient hospitalization for that patient meets the measure’s denominator exclusion criteria. For more information on how the global shared library’s “NormalizeInterval” function works to identify the timing of procedures in the “FirstProcedure” function and “Encounter with Tracheostomy Same Day of First OR Procedure” definition, please reference the Teach Me CQL: Normalize Interval tutorial (https://www.youtube.com/watch?v=PKKta_fKKh8).
      Show
      Thank you for your question regarding CMS1218v2, Hospital Harm - Postoperative Respiratory Failure. The “Encounter with Tracheostomy Same Day of First OR Procedure” definition uses the “FirstProcedure” function to identify the first procedure of a hospitalization period and to determine whether a patient’s tracheostomy procedure, if one is performed, starts on the same day when the patient’s first procedure takes place. If a patient has a tracheostomy performed on the same day when the patient’s first procedure takes place, then the inpatient hospitalization for that patient meets the measure’s denominator exclusion criteria. For more information on how the global shared library’s “NormalizeInterval” function works to identify the timing of procedures in the “FirstProcedure” function and “Encounter with Tracheostomy Same Day of First OR Procedure” definition, please reference the Teach Me CQL: Normalize Interval tutorial ( https://www.youtube.com/watch?v=PKKta_fKKh8 ).
    • CMS1218v2

      Hi Team,

      Consider below criteria for denominator exclusion:

      Encounter with Tracheostomy Same Day of First OR Procedure
        "Elective Inpatient Encounter with OR Procedure within 3 Days" EncounterWithSurgery
          with ["Procedure, Performed": "Tracheostomy Procedures"] TracheostomySurgery
            such that Global."NormalizeInterval" ( TracheostomySurgery.relevantDatetime, TracheostomySurgery.relevantPeriod ) starts during Global."HospitalizationWithObservationAndOutpatientSurgeryService" ( EncounterWithSurgery )
              and Global."NormalizeInterval" ( TracheostomySurgery.relevantDatetime, TracheostomySurgery.relevantPeriod ) starts during day of Global."NormalizeInterval" ( "FirstProcedure"(EncounterWithSurgery).relevantDatetime, "FirstProcedure"(EncounterWithSurgery).relevantPeriod )
              and Global."NormalizeInterval" ( "FirstProcedure"(EncounterWithSurgery).relevantDatetime, "FirstProcedure"(EncounterWithSurgery).relevantPeriod ) starts during Global."HospitalizationWithObservationAndOutpatientSurgeryService" ( EncounterWithSurgery )
       

      Query:

      The criteria states Tracheostomy Same Day of First OR Procedure.

      Kindly help us understand, do we need to check for end date of First procedure while validating TracheostomySurgery.relevantDatetime ? 

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

       

            Assignee:
            Augustine Weber
            Reporter:
            Prajakta Ghadigaonkar
            Votes:
            0 Vote for this issue
            Watchers:
            3 Start watching this issue

              Created:
              Updated:
              Resolved:
              Solution Posted On: