This impacts a proposed MU-3 measure (currently captured in MUCD-24: Functional Status Assessment and Goal Achievement for Patients with Congestive Heart Failure).

eMeasure specification standards do not provide a method of representing the goal setting or goal achievement components of this measure.

Goal setting and achievement requires the following:
1. A patient-reported value at Time 1
2. A patient-provider determined goal value documented at Time 1 and linked to the Time 1 observed/reported value
3. A new patient-reported value at Time 2
4. The mathematic difference between the Time 2 value and goal value, so long as there is a minimum amount of time that has passed between the Time 1 and Time 2 value
5. The rule/logic to interpret the mathematic difference between the Time 1 value and the goal value