Denominator clarification for measure CMS334v6

XMLWordPrintable

    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Hide
      Thank you for your question regarding CMS334v6/PC-02 Cesarean Birth. For your reference, please see the logic for the definition, "Singleton Delivery Encounters At 37 Plus Weeks Gravida 1 Parity 0, No Previous Births." The logic looks for one (1) of the following conditions to be true:

      Gravida is 1, or
      Parity is 0, or
      (both) History of Preterm Births is 0 and History of Term Births is 0.
       
      In the example given, although Gravida is 2, Parity is 0, therefore the patient would be included in denominator, not excluded. We hope that helps.

      Singleton Delivery Encounters At 37 Plus Weeks Gravida 1 Parity 0, No Previous Births
        ( "Delivery Encounter With Gestational Age Greater Than Or Equal To 37 Weeks"
          intersect "Encounter With Singleton Delivery" ) SingletonEncounterGE37Weeks
          where ( ( "LastGravida"(SingletonEncounterGE37Weeks) = 1 )
              or ( "LastParity"(SingletonEncounterGE37Weeks) = 0 )
              or ( ( "LastHistoryPretermBirth"(SingletonEncounterGE37Weeks) = 0 )
                  and ( "LastHistoryTermBirth"(SingletonEncounterGE37Weeks) = 0 )
              )
          )
      Show
      Thank you for your question regarding CMS334v6/PC-02 Cesarean Birth. For your reference, please see the logic for the definition, "Singleton Delivery Encounters At 37 Plus Weeks Gravida 1 Parity 0, No Previous Births." The logic looks for one (1) of the following conditions to be true: Gravida is 1, or Parity is 0, or (both) History of Preterm Births is 0 and History of Term Births is 0.   In the example given, although Gravida is 2, Parity is 0, therefore the patient would be included in denominator, not excluded. We hope that helps. Singleton Delivery Encounters At 37 Plus Weeks Gravida 1 Parity 0, No Previous Births   ( "Delivery Encounter With Gestational Age Greater Than Or Equal To 37 Weeks"     intersect "Encounter With Singleton Delivery" ) SingletonEncounterGE37Weeks     where ( ( "LastGravida"(SingletonEncounterGE37Weeks) = 1 )         or ( "LastParity"(SingletonEncounterGE37Weeks) = 0 )         or ( ( "LastHistoryPretermBirth"(SingletonEncounterGE37Weeks) = 0 )             and ( "LastHistoryTermBirth"(SingletonEncounterGE37Weeks) = 0 )         )     )
    • CMS0334v6
    • Accurate validation of CMS334v6

      I would like to clarify the following:

      According to the Measure Specifications for CMS334v6, the logic for the denominator states:

      "Singleton Delivery Encounters at 37 Plus Weeks Gravida 1 Parity 0, No Previous Births."

      I would like to confirm whether only patients with exactly Gravida = 1 and Parity = 0 are included in the denominator for this measure.

      For example, would a patient with Gravida = 2 and Parity = 0 be excluded from the denominator?

      I appreciate your assistance in advance.

      Best regards,
      Emanuel Romero
      Mayagüez Medical Center

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Emanuel
            Votes:
            0 Vote for this issue
            Watchers:
            4 Start watching this issue

              Created:
              Updated:
              Resolved:
              Solution Posted On: