[CQM-6057] CMS122 Diabetes A1C Poor Control Lives in Nursing Home finding Created: 04/25/23  Updated: 06/14/24  Resolved: 05/24/23

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

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

Attachments: PNG File image001.png     JPEG File ~WRD0000.jpg    
Solution: Thank you for your inquiry about the advanced illness and frailty exclusion in CMS122v11. A swing bed does not meet the intent of this exclusion. While we understand the importance of swing beds for care, especially in rural areas, the intent of this exclusion is to identify individuals who are likely to be living in a nursing home any time on or before the end of the measurement period. and receiving institutionalized long-term care services.
Solution Posted On:
2023 Performance Period EC eCQMs:
CMS0122v11
Impact: Guidance needed
Last Commented Date:

 Description   

CMS 122 Diabetes A1C Poor Control has an exclusion for a "Lives in a nursing home (finding). If these are identified using CPT codes, we find that sometimes swing bed encounters would be included in our measures. Does the measure intend to exclude patients staying in a swing bed as part of the exclusion for the Lives in a nursing home (finding) exclusions?

 Comments   
Comment by Jill (Inactive) [ 06/14/24 ]

Good afternoon,

I am wondering if you can provide an update on a timeline that this question will be answered as I will need to report out on the discovery with my leadership team on Monday.

Thank you,

Jill Klesmith, BSN, RN, RRT
Quality Improvement Coordinator
Aspirus Medical Group

ph 715.254.7316

824 Illinois Avenue
Stevens Point, WI 54481
aspirus.org<https://www.aspirus.org/>

[1638990015945]

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Subject: [ONC-JIRA] (CQM-6057) CMS122 Diabetes A1C Poor Control Lives in Nursing Home finding

Message Title Mathematica EC eCQM Team commented on CQM-6057 Re: CMS122 Diabetes A1C Poor Control Lives in Nursing Home finding Thank you for submitting your question. We will review your ticket and provide a response as soon as possible. Add
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Comment by Mathematica EC eCQM Team (Inactive) [ 05/03/23 ]

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 Jill (Inactive) [ 05/02/23 ]

I am wondering if you can provide an update on a timeline that this question will be answered as I will need to report out on the discovery with my leadership team on Monday. Thank you.

Comment by Mathematica EC eCQM Team (Inactive) [ 04/26/23 ]

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

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