Hospital Harm - Falls with Injury (CMS ID 1017v2.1) Diagnosis Evaluation

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Unresolved
    • Priority: Moderate
    • Component/s: None
    • None
    • CMS1017v2
    • Appropriately identifying patients for logic/outcomes.

      When evaluating diagnosis documentation for Inpatient Falls, I have the following questions as to how these should qualify in the following scenarios:

      1. If a diagnosis is documented as a "working" diagnosis, meaning that the diagnosis is not finalized just a diagnosis that has potential relevance to a patient not yet confirmed, should that be considered as a valid diagnosis for logic analysis?
      2. If a diagnosis is documented in an application or system that does not allow POA to also be documented, should that application be a valid system to be used in diagnosis evaluation of the measure logic?

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Becky Crellin
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              Created:
              Updated: