[#CQM-6109] EH eCQMs History of Atrial Fibrillation - impact on current Stroke encounter (STK-3 Anticoagulation Therapy for Atrial Fibrillation/Flutter)

[CQM-6109] EH eCQMs History of Atrial Fibrillation - impact on current Stroke encounter (STK-3 Anticoagulation Therapy for Atrial Fibrillation/Flutter) Created: 05/22/23 Updated: 06/01/23 Resolved: 06/01/23
Status:	Closed
Project:	eCQM Issue Tracker
Component/s:	None

Type:

EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals

Priority:

Moderate

Reporter:

Isbelia Briceno

Assignee:

Joelencia Leflore

Resolution:

Answered

Votes:

Labels:

None

Solution:

Thank you for your question on CMS71 STK-3 Anticoagulation Therapy for Atrial Fibrillation /Flutter. The measure denominator population includes an "Encounter with a History of Atrial Fibrillation or Flutter".
The measure logic checks whether the Atrial Fibrillation/Flutter diagnosis occurred on or before the Ischemic Stroke encounter (snapshot of the measure logic below).
     Encounter with a History of Atrial Fibrillation or Flutter

           TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter
             with ["Diagnosis": "Atrial Fibrillation/Flutter"] AtrialFibrillationFlutter
                such that AtrialFibrillationFlutter.prevalencePeriod starts on or before
                end of IschemicStrokeEncounter.relevantPeriod

As the scenario you have cited has a history of Atrial Fibrillation the case should meet the criteria of the denominator even if it is not documented in the current encounter.

Solution Posted On:

06/01/23 2:03 PM

2024 Reporting Period EH/CAH eCQMs:

CMS0071v13

2023 Reporting Period EH/CAH eCQMs:

CMS0071v12

Description

Please provide guidance on how to evaluate the following scenario:

The patient was diagnosed with Atrial Fibrillation in the past (ex. a visit a year ago in the outpatient setting). The patient is seen in the hospital (current time), and the visit is coded with the principal diagnosis of Ischemic stroke. There is no documentation of Atrial Fibrillation in the current visit.

Should the current Ischemic Stroke hospitalization (without Atrial Fib documentation in the current visit) be included in the STK-3 denominator? Thank you for your guidance.

Comments

Comment by Joelencia Leflore [ 05/31/23 ]

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 Joelencia Leflore [ 05/30/23 ]

We recognize the importance of a timely resolution and apologize for the inconvenience. All responses follow a specified review and approval process which cannot be forgone. The response will be posted as soon as possible.

Comment by Isbelia Briceno [ 05/26/23 ]

sgearhart

Can an update be provided for this question? Thanks

Comment by Joelencia Leflore [ 05/23/23 ]

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

Comment by Isbelia Briceno [ 05/23/23 ]

sgearhart A similar question was asked ~~CQM-5453~~ Questions on history of Afib and anticoag orders for STK 3 - Office of the National Coordinator for Health Information Technology (healthit.gov)

We are looking for confirmation of the guidance. Thanks

Generated at Tue Jan 21 19:25:27 EST 2025 using Jira 9.12.16#9120016-sha1:6bee0863f3e6dbb91e4be2d992a3b6761c21c9e0.

[CQM-6109] EH eCQMs History of Atrial Fibrillation - impact on current Stroke encounter (STK-3 Anticoagulation Therapy for Atrial Fibrillation/Flutter) Created: 05/22/23 Updated: 06/01/23 Resolved: 06/01/23