[CQM-1493] Need clarification on Numerator condition Created: 03/09/15  Updated: 10/05/17  Resolved: 10/22/15

Status: Closed
Project: eCQM Issue Tracker
Component/s: Measure

Type: EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals Priority: Minor
Reporter: Sandeep Kaur (Inactive) Assignee: Joelencia Leflore
Resolution: Answered Votes: 0
Labels: None

Attachments: HTML File CMS109v3.html    
Issue Links:
Relates
Solution: Timing relationships that appear as the last "bullet" in a logic block apply to the left-hand side of the immediately preceeding logic criteria. In this case, "Procedure, Performed: Treatment Adjustment by Protocol" and "Procedure, Performed: Clinical Pathway Protocol" are constrained to occur both after the unfractionated heparin medication order AND during the inpatient encounter. Please note, however, that "Occurrence A of Medication, Order: Unfractionated Heparin (route: 'Intravenous Route')" is not constrained by the last timing relationship in the logic block.
Solution Posted On:
2015 Reporting Period EH eCQMs:
CMS109v3/NQFna
Impact: High
Comment Posted On:

 Description   

The numerator states:

AND:
OR: "Procedure, Performed: Treatment Adjusted by Protocol"
OR: "Procedure, Performed: Clinical Pathway Protocol"
AND: "Laboratory Test, Performed: Platelet Count"
starts after start of "Occurrence A of Medication, Order: Unfractionated Heparin (route: 'Intravenous route')"
during "Occurrence A of Encounter, Performed: Encounter Inpatient"
How to interpret or read the above conditions block ie during "Occurrence A of Encounter, Performed: Encounter Inpatient validation belongs to entire block?

attaching HTML document

 Comments   
Comment by Sandeep Kaur (Inactive) [ 05/06/15 ]

◾AND:
◾AND: ◾OR: "Procedure, Performed: Treatment Adjusted by Protocol"
◾OR: "Procedure, Performed: Clinical Pathway Protocol"

◾AND: "Laboratory Test, Performed: Platelet Count"
◾ starts after start of "Occurrence A of Medication, Order: Unfractionated Heparin (route: 'Intravenous route')"

◾ during "Occurrence A of Encounter, Performed: Encounter Inpatient"

As per above during should be applicable for Procedures as well as Medication, Order: Unfractionated Heparin (route: 'Intravenous route') as its fall under
◾ during "Occurrence A of Encounter, Performed: Encounter Inpatient"

Kindly suggest

Generated at Tue Mar 18 19:53:57 EDT 2025 using Jira 9.12.16#9120016-sha1:6bee0863f3e6dbb91e4be2d992a3b6761c21c9e0.