chorio as a risk factor?

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
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    • Jennifer L Harlos
    • Alaska Native Medical Center
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      Thank you for your question regarding CMS1028v3/PC-07, Severe Obstetric Complications. Risk-adjustment for this measure does not include chorioamnionitis, but it does include white blood cell count. If the patient has chorioamnionitis, the white blood cell count would likely be elevated which would be captured for risk-adjustment.

      Lab and Physical Exam Results:
      Report the first resulted value 24 hours prior to start of encounter and before time of delivery in UCUM units specified:
      - Heart rate: {beats}/min
      - Systolic blood pressure: mm[Hg]
      - Hematocrit: %
      - White blood cell count: 10*3/uL
      Show
      Thank you for your question regarding CMS1028v3/PC-07, Severe Obstetric Complications. Risk-adjustment for this measure does not include chorioamnionitis, but it does include white blood cell count. If the patient has chorioamnionitis, the white blood cell count would likely be elevated which would be captured for risk-adjustment. Lab and Physical Exam Results: Report the first resulted value 24 hours prior to start of encounter and before time of delivery in UCUM units specified: - Heart rate: {beats}/min - Systolic blood pressure: mm[Hg] - Hematocrit: % - White blood cell count: 10*3/uL
    • CMS1028v3
    • Patients with chorio are more likely to have a postpartum hemorrhage and need a blood transfusion or to develop sepsis.

      O41.1230 Chorioamnionitis, third trimester, not applicable or unspecified as well as other chorio dx codes are not risk factors when POA. I think given the increased risk for complicatons, they should be. 

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Jennifer Harlos
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