Hospital Dietitian Referral

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Mayo Clinic
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      Thank you for your inquiry regarding CMS986v4, the Global Malnutrition Composite Score (now known as Malnutrition Care Score). The specifications do not elaborate on a solution for this scenario because how it is addressed will depend on facility workflows, templates, and resources, as well as local and state regulations. While the measure developer is not opposed to this approach, we are unable to provide specific guidance related to the mapping of codes. We recommend you consult with your EHR vendor and clinical partners. If mapping is conducted, you should maintain documentation in case of a CMS audit.
      Show
      Thank you for your inquiry regarding CMS986v4, the Global Malnutrition Composite Score (now known as Malnutrition Care Score). The specifications do not elaborate on a solution for this scenario because how it is addressed will depend on facility workflows, templates, and resources, as well as local and state regulations. While the measure developer is not opposed to this approach, we are unable to provide specific guidance related to the mapping of codes. We recommend you consult with your EHR vendor and clinical partners. If mapping is conducted, you should maintain documentation in case of a CMS audit.
    • CMS0986v4
    • Dietitian orders placed for Non-Malnutrition reasons are causing fallouts for the GMCS. We want to map Hospital Dietitian Referral to specific dietitian order indications (reason for consult)

      We have run into an issue with our GMCS patients in this scenario:

      Patient is screened as 'not at risk' at admission - they should score 1/1 and end there.

      Later in the hospitalization, a dietitian consult is placed for something completely unrelated to malnutrition - (pressure injury, education, etc) - this is currently picked up in the eCQM logic and causes the malnutrition assessment to be required. The dietitian is not seeing the patient for malnutrition so they do not complete a malnutrition assessment, and therefore fallout with a 1/2 score.

      We'd like to map the Hospital Dietitian Referral SNOMED code to our discrete "order indication" field (Reason for consult) that specifically says Malnutrition Assessment. This way, other dietitian referrals won't be picked up in the eCQM logic. The specifications do not elaborate on this type of approach so we wanted to check - Do you see any problem with this approach?

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Tyler Greguson
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              Created:
              Updated:
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