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CMS0816v3
[CQM-6651] HH-01: DNR, Comfort Measures, Palliative Care or Hospice Exclusions Created: 12/19/23 Updated: 12/28/23 Resolved: 12/28/23 |
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| Status: | Closed |
| Project: | eCQM Issue Tracker |
| Component/s: | None |
| Type: | EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals | Priority: | Moderate |
| Reporter: | Elizabeth D Ballard | Assignee: | Joelencia Leflore |
| Resolution: | Answered | Votes: | 0 |
| Labels: | None | ||
| Attachments: |
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| Contact Name: | Elizabeth Ballard |
| Contact Email: | elizabeth.ballard@medstar.net |
| Contact Phone: | 16678955398 |
| Institution/Name: | MedStar Health |
| Solution: | Thank you for your inquiry about CMS816v3 the Hospital Harm – Severe Hypoglycemia eCQM. We have considered whether terminally ill and critically ill patients should be included in the measure. We understand that for these patients the glucose level can become very low for reasons not related to medication. However, in order for the hypoglycemic event to be considered a harm event, the measure specification requires the administration of an antihyperglycemic medication 24 hours prior to the event. It may be difficult to see a reason that such patients will need antihyperglycemic medications at this stage of life, but if they are given medications to control for high glucose, proper monitoring and appropriate dosing should be continued to prevent severe hypoglycemia. |
| Solution Posted On: | |
| 2024 Reporting Period EH/CAH eCQMs: |
CMS0816v3
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| Impact: | Patients are being included in the eCQM population when the patient and/or family has requested no further medical treatment be provided. |
| Description |
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Terminally ill and extremely critical patients when able to verbalize their wishes, and family (or medical proxies) who seek to comply with the patient's wishes, often express the desire to stop medical treatments during the inpatient encounter. Why are end of life decisions and changes in orders not considered when evaluating the denominator population for this measure? Has consideration been given to have an exclusion for the HH-01 measure when a patient and/or their significant other or medical proxy determines that the patient is to have their code status be changed to a DNR/Comfort measures status or receive palliative or hospice care orders and/or interventions? |
| Comments |
| Comment by Joelencia Leflore [ 12/28/23 ] |
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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 [ 12/20/23 ] |
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Thank you for submitting your question. We will review your ticket and provide a response as soon as possible. |