[CQM-5442] CMS50v11 - First Referral during First 10 Months of Measurement Period Calculation Logic Created: 07/15/22  Updated: 02/06/24  Resolved: 08/01/22

Status: Closed
Project: eCQM Issue Tracker
Component/s: None

Type: EC eCQMs - Eligible Clinicians Priority: Moderate
Reporter: Ashish Trivedy (Inactive) Assignee: Mathematica EC eCQM Team (Inactive)
Resolution: Answered Votes: 0
Labels: None

Attachments: PNG File Intervention Order.png     PNG File Intervention Performed .png    
Contact Name: Ashish Trivedy
Contact Email: ashish.trivedy@eclinicalworks.com
Solution: ​Thank you for bringing this logic concern regarding the reporting period for CMS50v11: Closing the Referral Loop: Receipt of Specialist Report to our attention. As a reminder, when evaluating the logic for electronic measures, please make sure you are using CQL logic. The measure is only meant to capture first referrals between 12:00am on January 1 - 11:59pm on October 31 as stated in the measure guidance. We will review to ensure that the measure logic matches the guidance narrative during this update cycle.
Solution Posted On:
2023 Performance Period EC eCQMs:
CMS0050v11

 Description   

For 2023 CMS50v11 in measure guidance it states to consider "the first referral made between January 1 – October 31 of the measurement period". So based on that statement only referrals made between 1/1/22 12am - 10/31/2022 11:59pm should be valid, and any referrals made on or after 11/01/2022 12am till end of measurement period will not be considered for IPP. 

But based on "First Referral during First 10 Months of Measurement Period" definition when calculating start of measurement period + 10 months it includes referral made between 1/1/22 12am - 11/01/2022 12am valid for IPP. Have verified this in bonnie and IPP is met if referral is made on 11/01/2022 12am. So can I get clarification on whether to include referral made on 11/1/22 12am or should it be valid only until 10/31/22 11:59 pm. 

First(((["Intervention, Performed": "Referral"] ReferralPerform
      where Global."NormalizeInterval"(ReferralPerform.relevantDatetime, ReferralPerform.relevantPeriod)ends during Interval[start of "Measurement Period", start of "Measurement Period" + 10 months]
      return

{         identification: ReferralPerform.id,         dateIntervention:          end of Global."NormalizeInterval"(ReferralPerform.relevantDatetime, ReferralPerform.relevantPeriod)       }

  )
    union(["Intervention, Order": "Referral"] ReferralOrder
        where ReferralOrder.authorDatetime during Interval[start of "Measurement Period", start of "Measurement Period" + 10 months]
        return

{           identification: ReferralOrder.id,           dateIntervention: ReferralOrder.authorDatetime         }

    ))ReferralInterventions
    sort by dateIntervention ascending
)

 

 Comments   
Comment by Mathematica EC eCQM Team (Inactive) [ 08/01/22 ]

We apologize for the delay in providing a response for your question. We continue to investigate the issue noted in your ticket and will provide a response as soon as we are able. Thank you for your continued patience.

Comment by Mathematica EC eCQM Team (Inactive) [ 07/25/22 ]

We continue to investigate the issue noted in your ticket and will provide a response as soon as we are able. Thank you for your patience.

Comment by Mathematica EC eCQM Team (Inactive) [ 07/18/22 ]

Thank you for submitting your question. We will review your ticket and provide a response as soon as possible.

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