Insulin administrations via patients own insulin pump

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      Thank you for your question specific to CMS0816v4. Patients aged 18 and older qualify for the measure if they have at least one hypoglycemic medication administration that starts during the encounter. A patient’s own pump that administers insulin during the hospitalization would qualify for the initial patient population and denominator. If insulin is delivered via a pump, it qualifies only when the administered medication is in the "Hypoglycemics Severe Hypoglycemia" (2.16.840.1.113762.1.4.1196.393) value set.
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      Thank you for your question specific to CMS0816v4. Patients aged 18 and older qualify for the measure if they have at least one hypoglycemic medication administration that starts during the encounter. A patient’s own pump that administers insulin during the hospitalization would qualify for the initial patient population and denominator. If insulin is delivered via a pump, it qualifies only when the administered medication is in the "Hypoglycemics Severe Hypoglycemia" (2.16.840.1.113762.1.4.1196.393) value set.
    • CMS0816v4
    • Seeking clarification on whether or not insulin administrations from a patients existing insulin pump should qualify the patient for the IPP/Denominator in CMS816

      Can you please clarify if a patient that is admitted for an inpatient encounter with an existing insulin pump and continues to receive administrations during treatment via that pump if they should qualify for the IPP/Denominator of CMS816?

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Stephanie D Leep
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