Venous Thromboembolism Prophylaxis-Both mechanical and pharmacological

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Ashley Daye
    • 386-425-4511
    • Halifax Health
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      Thank you for your inquiry regarding CMS108v14/VTE-1: Venous Thromboembolism Prophylaxis. If the pharmacological VTE prophylaxis was administered within the qualifying timeframe, the patient will satisfy the numerator condition of "Pharmacological Or Mechanical VTE Prophylaxis Received" and no other requirement is needed. When No VTE Prophylaxis Medication Administered or No mechanical VTE Prophylaxis received, per the VTE-1 measure’s numerator conditions, patients that satisfy either one of the following conditions will meet the numerator.

      "Encounter with No VTE Prophylaxis Due to Medical Reason" OR "Encounter with No VTE Prophylaxis Due to Patient Refusal".

      To meet "Encounter with No VTE Prophylaxis Due to Medical Reason", documentation is required for both No pharmacological VTE prophylaxis AND no mechanical VTE prophylaxis. However, for "Encounter with No VTE Prophylaxis Due to Patient Refusal", documentation for either No pharmacological VTE prophylaxis OR no mechanical VTE prophylaxis will satisfy the numerator.

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      Thank you for your inquiry regarding CMS108v14/VTE-1: Venous Thromboembolism Prophylaxis. If the pharmacological VTE prophylaxis was administered within the qualifying timeframe, the patient will satisfy the numerator condition of "Pharmacological Or Mechanical VTE Prophylaxis Received" and no other requirement is needed. When No VTE Prophylaxis Medication Administered or No mechanical VTE Prophylaxis received, per the VTE-1 measure’s numerator conditions, patients that satisfy either one of the following conditions will meet the numerator. "Encounter with No VTE Prophylaxis Due to Medical Reason" OR "Encounter with No VTE Prophylaxis Due to Patient Refusal". To meet "Encounter with No VTE Prophylaxis Due to Medical Reason", documentation is required for both No pharmacological VTE prophylaxis AND no mechanical VTE prophylaxis. However, for "Encounter with No VTE Prophylaxis Due to Patient Refusal", documentation for either No pharmacological VTE prophylaxis OR no mechanical VTE prophylaxis will satisfy the numerator.
    • CMS0108v14
    • CMS0108v13
    • CMS0108v12
    • Need clarification for building and tracking with new EMR system.

      It is clear to me that if NO VTE prophylaxis is established, we need to document why there is a contraindication to BOTH mechanical AND pharmacological.
      It is also clear to me that ambulation alone is not a reason not to administer. 
       
      What is not clear to me is that if we document and administer pharmacological prophylaxis, do we need to also document and administer mechanical prophylaxis in high-risk patients? Is one method sufficient to be included in the numerator for this measure?

      If we are ordering one method, does there need to be documentation as to why we are not using both? 

      For example: Patient is getting a pharmacological prophylaxis but there is no mechanical prophylaxis ordered or documented reason why there is no mechanical prophylaxis ordered. Does this count toward numerator and not considered a fall out? 

      If this is considered a fall out, what would need to be documented to suffice? 

      Thank you in advance. 
       
       
       

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Ashley Daye
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