Need for exception for watchman procedure for eSTK-3

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Angela Plaisance
    • 985-493-4715
    • Thibodaux Regional Health System
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      Thank you for your question regarding CMS71 STK-3: Anticoagulation Therapy for Atrial Fibrillation/Flutter. The patient having the Watchman procedure completed can be tied to the denominator exception if there is documentation authored during the encounter that the Watchman procedure is the reason for not prescribing anticoagulation therapy at discharge, (value set "Medical Reason for Not Providing Treatment" 2.16.840.1.113883.3.117.1.7.1.473).
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      Thank you for your question regarding CMS71 STK-3: Anticoagulation Therapy for Atrial Fibrillation/Flutter. The patient having the Watchman procedure completed can be tied to the denominator exception if there is documentation authored during the encounter that the Watchman procedure is the reason for not prescribing anticoagulation therapy at discharge, (value set "Medical Reason for Not Providing Treatment" 2.16.840.1.113883.3.117.1.7.1.473).
    • CMS0071v14
    • The purpose of this procedure is to eliminate the need for anticoagulation since the atrial fibrillation is being corrected. Therefore, an exception needs to be added for patients who undergo this procedure and have it on their medical/surgical history

      Adding the exception reduces the burden on the provider of unnecessary documentation as they would not consider anticoagulation in the setting of treating a patient with a history of atrial fibrillation with a watchman device implanted.  But because the patient once had a history of atrial fibrillation, it does not exclude patient and the measure fails if the provider does not document an Anticoagulation Declination.

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Angela Mary Plaisance
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