Palliative Care Consult

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Amanda Babin
    • 3096807628
    • Heartland Health Services
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      Thank you for inquiring about the Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan eCQM. The measure requires either a palliative care encounter, a functional assessment, a diagnosis, or an intervention (e.g., medication action plan, care treatment, etc.). An order for a palliative care consultation alone would not satisfy the measure requirements for a denominator exclusion. However, if the consultation occurred or patient attended the initial palliative care consultation appointment during the measurement period, then the SNOMED CT code 713281006 (Consultation for palliative care) could apply to meet the denominator exclusions, regardless of the outcome of the consultation.
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      Thank you for inquiring about the Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan eCQM. The measure requires either a palliative care encounter, a functional assessment, a diagnosis, or an intervention (e.g., medication action plan, care treatment, etc.). An order for a palliative care consultation alone would not satisfy the measure requirements for a denominator exclusion. However, if the consultation occurred or patient attended the initial palliative care consultation appointment during the measurement period, then the SNOMED CT code 713281006 (Consultation for palliative care) could apply to meet the denominator exclusions, regardless of the outcome of the consultation.
    • CMS0069v13
    • Accuracy of exclusion count due to ambiguity of measure specification

      If Palliative Care in consulted but the patient decides not to move forward with going on Palliative Care, does this count as an exclusion? 

            Assignee:
            AIR EC eCQM Team
            Reporter:
            Amanda Babin
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              Updated:
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