[QRDA-1295] OP 40 STEMI QRDA Files Created: 04/28/25  Updated: 05/02/25  Resolved: 05/02/25

Status: Resolved
Project: QRDA Issue Tracker
Component/s: None

Type: Question/Guidance Priority: Moderate
Reporter: Raffy Syegco Assignee: Yan Heras
Resolution: Resolved Votes: 0
Labels: None

2025 Reporting Period Hosp Outpt eCQMs:
CMS0996v5
2024 Reporting Period Hosp Outpt eCQMs:
CMS0996v4
Impact: Cases are counted twice
Institution/Name: Northwestern Memorial Hospital
Contact Name: Raffy Syegco
Contact Email: rsyegco@nm.org
Contact Phone: 3129266337

 Description   

I submitted CY 2024 one self-selected quarter (3Q CY2024) in the HQR portal.  The QRDA files were accepted (no rejected files), however upon review of the files accuracy/outcome, I noticed that cases were counted twice per encounter (i.e. encounter from arrival to inpatient admission then inpatient admission to discharge).  Our performance score based on our EHR (EPIC) is not the same as CMS performance score due to double counting.

Would you please review CCN 140281 QRDA files submission for OP 40 STEMI to assists us in trouble shooting the issue.

Thank you

 

 Comments   
Comment by Yan Heras [ 05/01/25 ]

Hi Raffy,

Please submit a ticket to QualityNet Support (https://qualitynet.cms.gov/support): 

QNetSupport@cms.hhs.gov

Tel: 866-288-8912

https://cmsqualitysupport.servicenowservices.com/qnet_qa?id=ask_a_question

So they can get all the details for which batch and file names that are affected and investigate. 

Thank you. 

 

Comment by QRDA-ICF [ 04/30/25 ]

Thank you for submitting a ticket to the QRDA JIRA Issue Tracker. Our experts are reviewing your ticket and will provide feedback as soon as possible. Thank you for your patience.

Comment by Augustine Weber [ 04/29/25 ]

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

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