[CQM-878] CMS61 under the denominator description references to subtract 1 from risk count when HDL-C is >= 60 but he logic does not specify in the count criteria Created: 10/17/13  Updated: 05/23/16  Resolved: 12/06/13

Status: Closed
Project: eCQM Issue Tracker
Component/s: Measure

Type: EC eCQMs - Eligible Clinicians Priority: Minor
Reporter: Jana Malinowski (Inactive) Assignee: Ramya Tallapragada (Inactive)
Resolution: Answered Votes: 0
Labels: None

Issue Links:
Relates
Solution: Please refer to this link to the posted FAQ [#9062] for CMS61v3:
https://questions.cms.gov/faq.php?faqId=9062&utm_medium=email&utm_source=govdelivery
Solution Posted On:
2015 Performance Period EP eCQMs :
CMS61v1/NQFna
Impact: Should logic be applied to subtract 1 from the risk count if HDL is >= 60, this has a major impact to the qualifications?
Comment Posted On:

 Description   

CMS61 under the denominator description references to subtract 1 from risk count when HDL-C is >= 60 but the logic does not specify in the count criteria. The logic shows the risks to "count", but does not show that the HDL-C >= 60 should be subtracted.

    • For Denominator 2 and Denominator 3, HDL-C > or equal to 60 mg/dL subtracts 1 risk from the above (This is a negative risk factor.)

Example from denominator 3:
AND: Count >= 3 of:
OR: FIRST:"Patient Characteristic: Current Cigarette Smoker" starts before or during "Measurement Period"
OR: FIRST:"Diagnosis, Family History: Family History CHD" starts before or during "Measurement Period"
OR: FIRST:"Laboratory Test, Result: High Density Lipoprotein (HDL) (result < 40 mg/dL)" during "Measurement Period"
OR: FIRST:
OR: "Diagnosis, Active: Diagnosis of hypertension grouped" starts before or during "Measurement Period"
OR: "Medication, Active: Anti-Hypertensive Pharmacologic Therapy" during "Measurement Period"



 Comments   
Comment by Miriam Cannon (Inactive) [ 12/04/13 ]

Yes, this is the same issue contained within the FAQ regarding miscount in the Denominator.

Comment by Ramya Tallapragada (Inactive) [ 10/18/13 ]

Thank you for your question. Could you provide us with more information in the "description" and "impact" fields so that we can address this issue appropriately?

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