VTE 1 and VTE 2- Risk Assessment Tool documentation

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Cari Jones
    • 4054738842
    • INTEGRIS Healthcare
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      Thank you for your question regarding CMS108v13, Venous Thromboembolism Prophylaxis; and CMS190v13, Intensive Care Unit Venous Thromboembolism Prophylaxis.

      If a physician assesses and documents that the patient is “low risk for VTE” within the qualifying timeline, then the case will satisfy the numerator condition. The measure developer updated the guidance in AU2025 (https://ecqi.healthit.gov/sites/default/files/ecqm/measures/CMS108-v14.2.000-QDM.html), to indicate that CMS108v14 does not require the use of a special risk assessment model or tool to determine VTE risk (e.g., Caprini, Padua, and IMPROVE). While this guidance text is not included in the 2025 measure specification (CMS108v13), this version also does not require a special risk assessment model or tool.
      Show
      Thank you for your question regarding CMS108v13, Venous Thromboembolism Prophylaxis; and CMS190v13, Intensive Care Unit Venous Thromboembolism Prophylaxis. If a physician assesses and documents that the patient is “low risk for VTE” within the qualifying timeline, then the case will satisfy the numerator condition. The measure developer updated the guidance in AU2025 ( https://ecqi.healthit.gov/sites/default/files/ecqm/measures/CMS108-v14.2.000-QDM.html), to indicate that CMS108v14 does not require the use of a special risk assessment model or tool to determine VTE risk (e.g., Caprini, Padua, and IMPROVE). While this guidance text is not included in the 2025 measure specification (CMS108v13), this version also does not require a special risk assessment model or tool.
    • CMS0108v13
    • Understanding who can document the "low" risk result from a VTE Risk Assessment Screening and have it count as a "reason for no vte prophylaxis"

      Hello!  if a healthcare facility has a VTE Risk Assessment Tool and nursing completes the screening, would a "low" risk score count as a reason for no VTE prophylaxis?  Or does the screening have to be performed by a physician/APN/PA? 

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Cari Ann Jones
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