CMS 506v7 - Hospice Care and Palliative Care Referrals to Outpatient clinicians

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Unresolved
    • Priority: Moderate
    • Component/s: None
    • None
    • Bethany A. Castagna
    • Cheshire Medical Center
    • CMS0506v8
    • CMS0506v7
    • CMS0506v6
    • Patients qualifying for measure Numerator, potentially inflating rate.

      It's important for us to recognize that this measure won’t reach a zero rate, which brings up a key question: should inpatients discharged with an "Outpatient" referral to Palliative Care or Hospice be excluded from the denominator? Additionally, accurately mapping these outpatient orders to the relevant SNOMED CT codes is crucial for effectively tracking patient care pathways. Your insights on this will play a significant role in enhancing our practices and ensuring we achieve the best possible patient outcomes. Thank you for your engagement on this important topic! 

      These are the codes we are questioning should be mapped to the corresponding outpatient referral.  

      • "Referral to palliative care service (procedure) 306237005 SNOMEDCT [2.16.840.1.113883.6.96]"
      • "Referral to hospice (procedure) 306205009 SNOMEDCT [2.16.840.1.113883.6.96]"

      Thank you!  

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Bethany Castagna
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              Created:
              Updated: