[CQM-1559] Discrepancy in measure document for Numerator section Created: 05/14/15 Updated: 09/14/15 Resolved: 09/14/15 |
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| 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: | 1 |
| Labels: | Measure | ||
| Attachments: |
EH_CMS73v3_NQF0373_VTE3.zip
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| Issue Links: |
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| Contact Name: | Sandeep Kaur | ||||||||
| Contact Email: | sandeep.kaur@citiustech.com | ||||||||
| Solution: | This question is addressed in the linked ticket. | ||||||||
| Solution Posted On: | |||||||||
| 2015 Reporting Period EH eCQMs: |
CMS73v3/NQF0373
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| Impact: | High | ||||||||
| Description |
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Guidance states" Patients who received overlap therapy (warfarin and parenteral anticoagulation): • Five or more days, with an INR greater than or equal to 2 prior to discontinuation of parenteral therapy OR But Numerator section under Population criteria states: Difference between dates>= 4 days ◾AND: FIRST: ◾OR: "Medication, Administered: Parenteral Anticoagulant" < 1 day(s) starts after start of ("Medication, Administered: Warfarin" during "Occurrence A of Encounter, Performed: Encounter Inpatient") ◾AND: MOST RECENT: ◾OR: "Occurrence A of Medication, Administered: Parenteral Anticoagulant" during "Occurrence A of Encounter, Performed: Encounter Inpatient" OR Difference between dates< 4 days ◾AND: FIRST: ◾OR: "Medication, Administered: Parenteral Anticoagulant" < 1 day(s) starts after start of ("Medication, Administered: Warfarin" during "Occurrence A of Encounter, Performed: Encounter Inpatient") ◾AND: MOST RECENT: ◾OR: "Occurrence A of Medication, Administered: Parenteral Anticoagulant" during "Occurrence A of Encounter, Performed: Encounter Inpatient" Kindly suggest what needs to be considered ie Do we need to consider 5 or more day difference or 4 or more day difference? |