CMS 826 - Pressure Injury: First PI is POA, Develops new PI Later in Stay

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Unresolved
    • Priority: Moderate
    • Component/s: None
    • None
    • Maria Clause
    • Medisolv, Inc
    • CMS0826v3
    • CMS0826v1
    • Accurate Data/Results

      Does the Pressure Injury Measure Logic account for Injury #2 that happens later in the stay when there is an Injury #1 that is POA?  Or does the encounter get Excluded based on the POA injury and the Injury #2 doesn't get evaluated for Numerator?

       

      Ex: 
      Patient has Stage 2 PI on Right Heel that is POA (Coding)
      5 Days later, there is documentation of a new Stage 2 PI on the sacrum not POA (Coding)

      1. Based on the Logic, is the encounter Excluded or In Numerator? 
      2. Is there any difference in the result if this is captured via Coding ICD10 or via Nursing Documentation SNOMED?  Ex: PI#1 via Coding POA, then PI#2 via Documentation SNOMED.

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Maria Clause
            Votes:
            1 Vote for this issue
            Watchers:
            3 Start watching this issue

              Created:
              Updated: