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  1. QRDA Issue Tracker
  2. QRDA-658

Seeking clarification for cases where the Emergency Department visit does not have Emergency Location in QRDA-I

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    • Icon: Implementation Guidance Implementation Guidance
    • Resolution: Done
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      "For ED-1 and ED-2, if missing ED location, patient will be excluded from Measure Observation. CMS HQR receiving system will return error code 20160110. However, Initial Population, Measure Population and Measure Population Exclusions will still be evaluated.
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      "For ED-1 and ED-2, if missing ED location, patient will be excluded from Measure Observation. CMS HQR receiving system will return error code 20160110. However, Initial Population, Measure Population and Measure Population Exclusions will still be evaluated.

      Based on guidance provided on https://oncprojectracking.healthit.gov/support/browse/CQM-2693, the intent of the ED measures is to include in the population any ED patient from the facility's emergency location. When submitting the QRDA-I files to CMS in QualityNet, the visit is not included in the ED measure population when there is not ED location data (this seems to go in line with the intent of the measure). However, when submitting to The Joint Commission, the encounter is included in the measure population.

      Can we get clarification on how CMS would evaluate the ED cases with missing facility?

        1. TJC_cern_hcd_WAUPUN_11.xml
          31 kB

            yanheras Yan Heras
            isbelia Isbelia Briceno
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