Modeling ACO 38, Admission for Patients with Multiple Chronic Conditions raised some tricky issues:

We would like to identify patients who have two or more chronic conditions. A chronic condition is identified via:
· An active diagnosis in the year before the Measurement Period
· At least 2 outpatient visits OR one inpatient visit related to this diagnosis

We are hitting a wall at being unable to use the Count operator in conjunction with AND/OR – we’ve tried substituting Satisfies Any, Union, etc but are in need of some assistance.

How would you model something like this? See below for our interpretation, which we know needs some refinement. [Image of measure example attached to this Jira ticket]