HH-Hyperglycemia

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
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      Thank you for your question regarding CMS871v4, Hospital Harm - Severe Hyperglycemia. For this measure, the inpatient hospitalization period includes time in emergency department (ED) and/or observation status when the transition between discharge from these encounters and admission to the inpatient encounter is one hour or less. If there is more than one hour between the discharge from the observation encounter and admission to the inpatient encounter at 13:58 on January 2, then the inpatient hospitalization period assessed by this measure would begin at the start of the inpatient encounter at 13:58 on January 2, not at the start of the ED encounter at 12:41 on January 1.

      Therefore, the measure would use the inpatient encounter start time, not the ED encounter start time, to determine the start of the inpatient hospitalization period assessed by the measure. This means that the seven-hour window for the first part of the exclusion criteria would be determined using the inpatient encounter start time as an anchor. This also means that day index 2/eligible hospital day 1 of the inpatient hospitalization period would start at 13:58 on January 3 and would go through 13:57 on January 4.
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      Thank you for your question regarding CMS871v4, Hospital Harm - Severe Hyperglycemia. For this measure, the inpatient hospitalization period includes time in emergency department (ED) and/or observation status when the transition between discharge from these encounters and admission to the inpatient encounter is one hour or less. If there is more than one hour between the discharge from the observation encounter and admission to the inpatient encounter at 13:58 on January 2, then the inpatient hospitalization period assessed by this measure would begin at the start of the inpatient encounter at 13:58 on January 2, not at the start of the ED encounter at 12:41 on January 1. Therefore, the measure would use the inpatient encounter start time, not the ED encounter start time, to determine the start of the inpatient hospitalization period assessed by the measure. This means that the seven-hour window for the first part of the exclusion criteria would be determined using the inpatient encounter start time as an anchor. This also means that day index 2/eligible hospital day 1 of the inpatient hospitalization period would start at 13:58 on January 3 and would go through 13:57 on January 4.
    • CMS0871v4
    • Outcome Status and Denominator Observations and Numerator Observations

      Hello,

      Patient arrived in ED on 1/1/25 at 1241. Patient was admitted to OBS on 1/1/25 at 1619. Patient was admitted to Inpatient on 1/2/25 at 1358 (>1 hour transition).

      When looking for a possible exclusion with glucose of 1000mg/dL 1 hour before and 6 hours after arrival to the ED do we start with the time of 1241on 1/1/25?

      Since the patient was admitted to IP on 1/2/25 at 1358, does day 2 for observing a severe glucose >300mg/dL (not using the first 24 hours from 1/2/25 @ 1358 to 1/3/25 @ 1357) start on 1/3/25 at 1358 to 1/4/25 at 1357?    Thank you. 

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Diane
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