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  1. CYPRESS Issue Tracker
  2. CYPRESS-231

Test patient imposes time precision requirement not found elswehere

    Details

    • Type: Other
    • Status: Resolved
    • Priority: Blocker
    • Resolution: Reopen
    • Labels:
    • Institution/Name:
      Epic
    • Solution:
      Hide
      This patient is built to exercise the denominator exclusion logic for measure CMS2/NQF0418. This requires a diagnosis of depression to occur before the depression screening. Therefore, the depression screening will be moved to 7/1 @ 2pm for the next bundle release (during the encounter that occurs on 7/1). This change will provide a 4 month time span between diagnosis and screening.
      We apologize for not addressing the timing concerns in this patient during the most recent release. The ATLs will be provided guidance to continue to accept both outcomes for the patient – the patient can be included in the denominator or excluded from the denominator - until the next bundle is released.
      Show
      This patient is built to exercise the denominator exclusion logic for measure CMS2/NQF0418. This requires a diagnosis of depression to occur before the depression screening. Therefore, the depression screening will be moved to 7/1 @ 2pm for the next bundle release (during the encounter that occurs on 7/1). This change will provide a 4 month time span between diagnosis and screening. We apologize for not addressing the timing concerns in this patient during the most recent release. The ATLs will be provided guidance to continue to accept both outcomes for the patient – the patient can be included in the denominator or excluded from the denominator - until the next bundle is released.
    • 2015 Performance Period EP eCQMs :
      CMS2v4/NQF0418
    • Impact:
      Cannot certify

      Description

      The attached patient includes a diagnosis of depression that begins at 3/1/12 at 10 AM. A screening for depression is then recorded at 11 AM, 60 minutes later. Because the screening happened after the diagnosis, Cypress expects the patient to be excluded.

      However, this patient assumes and requires that the diagnosis start date and the screening documentation be recorded to a precision of minutes. But this level of precision is almost never available in real-world scenarios and is not required by the HQMF standard.

      If the precision recorded is to the hour or minute, this patient is excluded from the measure because they have a pre-existing diagnosis of depression. If the precision is day, then the patient is not excluded because “Occurrence A of Diagnosis, Active: Depression diagnosis" starts before start of "Occurrence A of Risk Category Assessment: Adult Depression Screening” evaluates to false.

      Cypress requires that the patient be excluded. This test patient is invalid and should be replaced.

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              • Assignee:
                ssayer Samuel Sayer
                Reporter:
                hbregman Howard Bregman
              • Votes:
                2 Vote for this issue
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                • Created:
                  Updated:
                  Resolved:
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