CMS 996 (STEMI-ED) Exception documentation timeframe

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    • Type: Hosp Outpt eCQMs - Hospital Outpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Rebecca Grigsby
    • 312-947-1849
    • Rush University Medical Center
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      Thank you for your feedback regarding CMS996v6: Appropriate Treatment for ST-Segment Elevation Myocardial Infarction (STEMI) Patients in the Emergency Department (ED). CMS and the measure developer will consider expanding the time frame for the documented reason for not performing a PCI within 90 minutes of ED arrival and documented reason for not administering fibrinolytic therapy within 30 minutes of ED arrival denominator exceptions in a future annual update.
      Show
      Thank you for your feedback regarding CMS996v6: Appropriate Treatment for ST-Segment Elevation Myocardial Infarction (STEMI) Patients in the Emergency Department (ED). CMS and the measure developer will consider expanding the time frame for the documented reason for not performing a PCI within 90 minutes of ED arrival and documented reason for not administering fibrinolytic therapy within 30 minutes of ED arrival denominator exceptions in a future annual update.
    • CMS1244v1
    • CMS0996v6
    • CMS0996v5
    • Hide
      Main priority for patient in the ED with STEMI is caring for the patient. Documentation of why a PCI was not performed may not be entered into the chart prior to the patient leaving the ED or cath lab during that ED encounter timeframe, as the patient may not require PCI, or has significant disease and requires Coronary Bypass.
      Show
      Main priority for patient in the ED with STEMI is caring for the patient. Documentation of why a PCI was not performed may not be entered into the chart prior to the patient leaving the ED or cath lab during that ED encounter timeframe, as the patient may not require PCI, or has significant disease and requires Coronary Bypass.

      This documentation may be entered after the patient is transferred out of the ED encounter, and does not give the providers much time to document the reason why the interventions were not performed, to meet the exception criteria.  Consider reviewing the timeframe the exceptions are documented, to expand past that ED encounter to allow providers time to enter orders, provide more detailed description of conversations had with patient/family, and/or findings of Cath that may not require PCI

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Rebecca Grigsby
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