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Type:
Hosp Inpt eCQMs - Hospital Inpatient eCQMs
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Resolution: Unresolved
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Priority:
Moderate
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Component/s: None
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None
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Maya N Frankenstein
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208-381-4528
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St. Luke's Health System
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Expand falls value set to include all possible fall ICD10 codes so POA can be captured or remove SNOMED 161898004: Falls (finding) from Numerator criteria.
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CMS1017v2
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Numerator exclusion is not being applied to patients that have POA ICD10 codes capturing falls outside of the hospital while skiing or in snow, skewing rate of falls
Patients are pulled into the numerator due to SNOMED 161898004: Falls (finding), but the fall ICD10 that is being marked POA (or exempt) is not captured, because it is not included in falls value sets.
Examples:
V00.321A Fall from snow-skis, initial encounter Exempt from POA reporting
W00.0XXA Fall on same level due to ice and snow, initial encounter