It has come to our attention that the 2014 Meaningful Use requirements for “reasons for no VTE prophylaxis” contradict with the specification guidelines for Core Measure abstraction. Reason for no pharmacological VTE prophylaxis must be excplicitly documented, ie; severe anemia, active gi bleed in order to meet the core measure indicator. However there is a list of reasons that must be used in the EMR and cannot be added to or substituted for Meaningful use submission. This table includes:
drug allergy
Procedure contraindicated
Treatment not indicated
Drug treatment not indicated
Absent response to treatment (
Drug resistance)
Complication of medical care
Medical contraindication
Treatment not tolerated
Not needed
Not indicated
Contraindicated
Drug interaction
When abstracting VTE core measures how should we address documentation by the physician in response to this question?