CMS 68 - Measure Specifications.docx
CMS0068v14
[CQM-7678] Clarifying questions for definition of Eligible Provider and requirement for ED providers to document review and or rationale not to include in the measure. Created: 02/14/25 Updated: 03/05/25 Resolved: 02/18/25 |
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| Status: | Closed |
| Project: | eCQM Issue Tracker |
| Component/s: | None |
| Type: | EC eCQMs - Eligible Clinicians | Priority: | Moderate |
| Reporter: | Mary Enid Drottz (Inactive) | Assignee: | AIR EC eCQM Team |
| Resolution: | Answered | Votes: | 0 |
| Labels: | None | ||
| Attachments: |
CMS 68 - Measure Specifications.docx
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| Contact Name: | Mary Enid Drottz |
| Contact Email: | mary.drottz@hhs.sccgov.org |
| Contact Phone: | 4083968321 |
| Institution/Name: | Santa Clara Valley Medical Center |
| Solution: | Thank you for inquiring about the Documentation of Current Medications in the Medical Record eCQM. Note that the eCQM is not prescriptive regarding which eligible clinician providers must report on performance. However, should emergency medicine providers report on this measure, they must document a denominator exception when emergent care necessitates. In this measure, it explicitly indicates the denominator exception “Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient’s current medications list (e.g., patient is in an urgent or emergent medical situation where time is of the essence and to delay treatment would jeopardize the patient's health status)”. While not all cases that present to the ED qualify for the trauma exception, it should be appropriately documented in the EHRs for vendor extraction when relevant. |
| Solution Posted On: | |
| 2025 Performance Period EC eCQMs: |
CMS0068v14
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| Impact: | this is affecting our MIPS scores for eCQM CMS 68 measure for Documentation of Medication History in the Medical Record. |
| Last Commented Date: |
| Description |
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Trying to ensure that we are mapping our medica record reports appropriately in our electronic healthcare record (EHR-Epic). Emergency providers are telling me they are not required to "review medications" on patients presenting in the Emergency Department because all Emergency patients are considered to be needing urgent or emergent care, and may not be able to provide medication history. |
| Comments |
| Comment by Mary Enid Drottz (Inactive) [ 03/05/25 ] |
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Thank you for your assistance. |
| Comment by AIR EC eCQM Team [ 02/14/25 ] |
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Thank you for submitting your question. We will review your ticket and provide a response as soon as possible. |