CMS986v5- Encounter With Most Recent Nutrition Assessment

XMLWordPrintable

    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Blocker
    • Component/s: None
    • None
    • Hide
      Thank you for your inquiry regarding CMS986v5, the Malnutrition Care Score (MCS). In your example, for Query 1, if an invalid code is used for the Nutrition Assessment that assessment result will not be captured. However, the Nutritional Assessment with the valid code will be captured. Regarding Query 2, the logic is built to recognize the most recent nutrition assessment result based on the date the nutrition assessment was performed. Nutrition Assessments that do not share the date of the most recent Assessment, Performed where the result is not null, are not considered.
      Show
      Thank you for your inquiry regarding CMS986v5, the Malnutrition Care Score (MCS). In your example, for Query 1, if an invalid code is used for the Nutrition Assessment that assessment result will not be captured. However, the Nutritional Assessment with the valid code will be captured. Regarding Query 2, the logic is built to recognize the most recent nutrition assessment result based on the date the nutrition assessment was performed. Nutrition Assessments that do not share the date of the most recent Assessment, Performed where the result is not null, are not considered.
    • CMS0986v5

      Hi Team,

      Consider the below CQL statements from cms986v5 - Population Criteria 2:

      Sum (
      if ( "Encounter with Malnutrition Not at Risk Result and without Dietitian Referral" ) contains Encounter then 0
      else if ( "Encounter With Most Recent Nutrition Assessment And Identified Status" contains Encounter
      ) then 1
      else 0
      )

      "Encounter With Most Recent Nutrition Assessment And Identified Status":

      "Measure Population" QualifyingEncounter
      with "Nutrition Assessment Performed" NutritionAssessment such that Coalesce(start of Global."NormalizeInterval"(NutritionAssessment.relevantDatetime, NutritionAssessment.relevantPeriod), NutritionAssessment.authorDatetime) during Global."HospitalizationWithObservation" ( QualifyingEncounter ) and
      ( NutritionAssessment.result in "Nutrition Assessment Status Finding of Well Nourished or Not Malnourished or Mildly Malnourished"
      or ( NutritionAssessment.result in "Nutrition Assessment Status Finding of Moderately Malnourished" )
      or ( NutritionAssessment.result in "Nutrition Assessment Status Finding of Severely Malnourished" )) and ( exists ("Encounter with Malnutrition Screening At Risk Result")
      or exists ( "Encounter with Dietitian Referral" )) and ( ( Coalesce(start of Global."NormalizeInterval"(NutritionAssessment.relevantDatetime, NutritionAssessment.relevantPeriod), NutritionAssessment.authorDatetime) same day as "Most Recent Nutrition Assessment Day" ) or exists ( "Encounter with Dietitian Referral" )
      or exists ("Encounter with Malnutrition Screening At Risk Result"))

      Queries:

      Consider Patient ABC aged 20 years at the start of InpatientEncounter.relevantPeriod and has IPP qualifying data.
      Below mentioned patient has Nutrition Assessment code and data to satisfy either of the criteria's: Encounter with Dietitian Referral OR Encounter with Malnutrition Screening At Risk Result.

      Visit 1
      Nutrition Assessment.authordate :1/1/2026 09:00:00
      Nutrition Assessment code: 101819-1
      AND NutritionAssessment.result (Resultcode)= LA33701-6

      Nutrition Assessment.authordate :1/2/2026 09:00:00
      Nutrition Assessment code: 101819-1
      AND NutritionAssessment.result (Resultcode)= LA33701-66 (Invalid code)

      Query 1: The above patient has 2 Nutrition Assessments with Invalid result code on the Most recent Nutrition Assessment Day. Will this patient be considered for the above criteria?

      Query 2: Let us know in what scenario the patient will not be considered for ( ( Coalesce(start of Global."NormalizeInterval"(NutritionAssessment.relevantDatetime, NutritionAssessment.relevantPeriod), NutritionAssessment.authorDatetime) same day as "Most Recent Nutrition Assessment Day")

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Simran Motwani
            Votes:
            0 Vote for this issue
            Watchers:
            5 Start watching this issue

              Created:
              Updated:
              Resolved:
              Solution Posted On: