CMS144v13-> Timing of numerator

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
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      Thank you for your interest in CMS0144v13 (Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)). The numerator can be achieved by either a. an ordered beta-blocker therapy during an eligible encounter or b. actively taking beta-blocker therapy during an eligible encounter.
      This measure flow maybe a helpful resource to visualize the steps to calculation. The logic for locating a beta blocker is as follows.
       
      Has Beta Blocker Therapy for LVSD Ordered
      exists ["Medication, Order": "Beta Blocker Therapy for LVSD"] BetaBlockerOrdered
      with HeartFailure."Heart Failure Outpatient Encounter with History of Moderate or Severe LVSD" ModerateOrSevereLVSDHFOutpatientEncounter
          such that BetaBlockerOrdered.authorDatetime during day of ModerateOrSevereLVSDHFOutpatientEncounter.relevantPeriod
       
      Is Currently Taking Beta Blocker Therapy for LVSD
      exists ["Medication, Active": "Beta Blocker Therapy for LVSD"] ActiveBetaBlocker
        with HeartFailure."Heart Failure Outpatient Encounter with History of Moderate or Severe LVSD"
        ModerateOrSevereLVSDHFOutpatientEncounter
      such that ActiveBetaBlocker.relevantPeriod overlaps after day of ModerateOrSevereLVSDHFOutpatientEncounter.relevantPeriod
       
      Show
      Thank you for your interest in CMS0144v13 (Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)). The numerator can be achieved by either a. an ordered beta-blocker therapy during an eligible encounter or b. actively taking beta-blocker therapy during an eligible encounter. This measure flow maybe a helpful resource to visualize the steps to calculation. The logic for locating a beta blocker is as follows.   Has Beta Blocker Therapy for LVSD Ordered exists ["Medication, Order": "Beta Blocker Therapy for LVSD"] BetaBlockerOrdered with HeartFailure."Heart Failure Outpatient Encounter with History of Moderate or Severe LVSD" ModerateOrSevereLVSDHFOutpatientEncounter     such that BetaBlockerOrdered.authorDatetime during day of ModerateOrSevereLVSDHFOutpatientEncounter.relevantPeriod   Is Currently Taking Beta Blocker Therapy for LVSD exists ["Medication, Active": "Beta Blocker Therapy for LVSD"] ActiveBetaBlocker   with HeartFailure."Heart Failure Outpatient Encounter with History of Moderate or Severe LVSD"   ModerateOrSevereLVSDHFOutpatientEncounter such that ActiveBetaBlocker.relevantPeriod overlaps after day of ModerateOrSevereLVSDHFOutpatientEncounter.relevantPeriod  
    • CMS0144v13

      Hello, 

      For CMS144v13 should we only be looking for the numerator on or after the Heart Failure Outpatient encounter per the CQL of 
      xists ["Medication, Active": "Beta Blocker Therapy for LVSD"] ActiveBetaBlocker
      with HeartFailure."Heart Failure Outpatient Encounter with History of Moderate or Severe LVSD" ModerateOrSevereLVSDHFOutpatientEncounter
      such that ActiveBetaBlocker.relevantPeriod overlaps after day of ModerateOrSevereLVSDHFOutpatientEncounter.relevantPeriod

      Since the valueset of 'Beta Blocker Therapy for LVSD" is only RxNORMs, my question is why would we not be interested if the Beta Blocker is found prior to the encounter?  Why are we only looking on or after?  For example, what if the code is found a week before the encounter? 

            Assignee:
            AIR EC eCQM Team
            Reporter:
            Tara
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              Created:
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