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Intent/Governance affecting more than 1 eCQM
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Resolution: Answered
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Minor
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None
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Thank you for the suggestions. We will take these into consideration during the next annual update phase.
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1) Inconsistency with definition of (a) encounters used to specify an encounter that qualifies a patient for a measure denominator is exclusively one preventive care visit in some measures and either one preventive care visit or two "non-preventive" care visits in other measures. The SMEs (CDC) question why there is no standard method across all eCQMs
2) Inconsistent definition of data elements with competing value sets (see attached Excel Spreadsheet for a listing of value sets with competing and at least non-harmonized content. The spreadsheet was developed as part of a new eCQM and HeD development project for ONC:
(a) Definition of an ambulatory encounter (value sets) differ among measures - NCQA and AMA-PCPI are often similar but have identical value sets with different OIDS. QIP and Behavioral Health measure steward use their own value sets which are different from the first two stewards.
(b) HIV tests - one value set is HIV load only, one include many SNOMED-CT and a few LOINC codes, LOINC has many codes that apply and is the preferred terminology for lab testing. SNOMED-CT is not preferred to describe the observable entity, but only the result.
(c) STI - sexually transmitted infection value sets are incomplete or conflicting