eCQM Title | Diabetes: Medical Attention for Nephropathy |
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eCQM Identifier (Measure Authoring Tool) | 134 | eCQM Version number | 8.4.000 |
NQF Number | Not Applicable | GUID | 7b2a9277-43da-4d99-9bee-6ac271a07747 |
Measurement Period | January 1, 20XX through December 31, 20XX | ||
Measure Steward | National Committee for Quality Assurance | ||
Measure Developer | National Committee for Quality Assurance | ||
Endorsed By | None | ||
Description | |||
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Measure Scoring | Proportion | ||
Measure Type | Process | ||
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Definition | |||
Guidance | |||
Transmission Format | |||
Initial Population | |||
Denominator | |||
Denominator Exclusions | |||
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Denominator Exceptions | |||
Supplemental Data Elements |
exists ( ["Patient Characteristic Birthdate": "Birth date"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")in Interval[18, 75 ) ) and exists ( AdultOutpatientEncounters."Qualifying Encounters" ) and exists ( ["Diagnosis": "Diabetes"] Diabetes where Diabetes.prevalencePeriod overlaps "Measurement Period" )
"Initial Population"
exists ( ["Patient Characteristic Birthdate": "Birth date"] BirthDate where ( Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 65 ) and FrailtyLTI."Has Spent More Than 90 Days in Long Term Care" ) or FrailtyLTI."Advanced Illness and Frailty Exclusion Including Under Age 80" or Hospice."Has Hospice"
exists ( "Active ACE or ARB Medications" ) or exists ( "Nephropathy Diagnoses" ) or exists ( "Nephropathy Screenings" )
["Medication, Active": "ACE Inhibitor or ARB"] ACEorARBMedication where ACEorARBMedication.relevantPeriod overlaps "Measurement Period"
( ["Encounter, Performed": "Office Visit"] union ["Encounter, Performed": "Annual Wellness Visit"] union ["Encounter, Performed": "Preventive Care Services - Established Office Visit, 18 and Up"] union ["Encounter, Performed": "Preventive Care Services-Initial Office Visit, 18 and Up"] union ["Encounter, Performed": "Home Healthcare Services"] ) ValidEncounter where ValidEncounter.relevantPeriod during "Measurement Period"
//If the measure does NOT include populations age 80 and older, then use this logic: exists ( ["Patient Characteristic Birthdate": "Birth date"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 65 and "Has Criteria Indicating Frailty" and ( Count("Outpatient Encounters with Advanced Illness")>= 2 or exists ( "Inpatient Encounter with Advanced Illness" ) or exists "Dementia Medications In Year Before or During Measurement Period" ) )
"CumulativeDays"("Long Term Care Periods During Measurement Period")
["Medication, Active": "Dementia Medications"] DementiaMed where DementiaMed.relevantPeriod overlaps Interval[( start of "Measurement Period" - 1 year ), end of "Measurement Period"]
exists ( ["Device, Order": "Frailty Device"] FrailtyDeviceOrder where FrailtyDeviceOrder.authorDatetime during "Measurement Period" ) or exists ( ["Device, Applied": "Frailty Device"] FrailtyDeviceApplied where FrailtyDeviceApplied.relevantPeriod overlaps "Measurement Period" ) or exists ( ["Diagnosis": "Frailty Diagnosis"] FrailtyDiagnosis where FrailtyDiagnosis.prevalencePeriod overlaps "Measurement Period" ) or exists ( ["Encounter, Performed": "Frailty Encounter"] FrailtyEncounter where FrailtyEncounter.relevantPeriod overlaps "Measurement Period" ) or exists ( ["Symptom": "Frailty Symptom"] FrailtySymptom where FrailtySymptom.prevalencePeriod overlaps "Measurement Period" )
"Days Spent in Long Term Care During Measurement Period" > 90
["Encounter, Performed": "Acute Inpatient"] InpatientEncounter where exists ( InpatientEncounter.diagnoses Diagnosis where Diagnosis in "Advanced Illness" ) and InpatientEncounter.relevantPeriod starts 2 years or less before end of "Measurement Period"
( ["Encounter, Performed": "Care Services in Long-Term Residential Facility"] union ["Encounter, Performed": "Nursing Facility Visit"] ) LongTermFacilityEncounter where LongTermFacilityEncounter.relevantPeriod overlaps "Measurement Period" return LongTermFacilityEncounter.relevantPeriod intersect "Measurement Period"
( ["Encounter, Performed": "Outpatient"] union ["Encounter, Performed": "Observation"] union ["Encounter, Performed": "ED"] union ["Encounter, Performed": "Nonacute Inpatient"] ) OutpatientEncounter where exists ( OutpatientEncounter.diagnoses Diagnosis where Diagnosis in "Advanced Illness" ) and OutpatientEncounter.relevantPeriod starts 2 years or less before end of "Measurement Period"
"Initial Population"
exists ( ["Patient Characteristic Birthdate": "Birth date"] BirthDate where ( Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 65 ) and FrailtyLTI."Has Spent More Than 90 Days in Long Term Care" ) or FrailtyLTI."Advanced Illness and Frailty Exclusion Including Under Age 80" or Hospice."Has Hospice"
["Encounter, Performed": "ESRD Monthly Outpatient Services"]
exists ( ["Encounter, Performed": "Encounter Inpatient"] DischargeHospice where ( DischargeHospice.dischargeDisposition as Code ~ "Discharge to home for hospice care (procedure)" or DischargeHospice.dischargeDisposition as Code ~ "Discharge to healthcare facility for hospice care (procedure)" ) and DischargeHospice.relevantPeriod ends during "Measurement Period" ) or exists ( ["Intervention, Order": "Hospice care ambulatory"] HospiceOrder where HospiceOrder.authorDatetime during "Measurement Period" ) or exists ( ["Intervention, Performed": "Hospice care ambulatory"] HospicePerformed where HospicePerformed.relevantPeriod overlaps "Measurement Period" )
exists ( ["Patient Characteristic Birthdate": "Birth date"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")in Interval[18, 75 ) ) and exists ( AdultOutpatientEncounters."Qualifying Encounters" ) and exists ( ["Diagnosis": "Diabetes"] Diabetes where Diabetes.prevalencePeriod overlaps "Measurement Period" )
( ["Diagnosis": "Hypertensive Chronic Kidney Disease"] union ["Diagnosis": "Kidney Failure"] union ["Diagnosis": "Glomerulonephritis and Nephrotic Syndrome"] union ["Diagnosis": "Diabetic Nephropathy"] union ["Diagnosis": "Proteinuria"] ) NephropathyDiagnoses where NephropathyDiagnoses.prevalencePeriod overlaps "Measurement Period"
( "Renal Procedures" union "Renal Interventions" union "End Stage Renal Disease Encounter" union "Protein Urea Lab Test" ) ScreeningNephropathy where ScreeningNephropathy.relevantPeriod during "Measurement Period"
exists ( "Active ACE or ARB Medications" ) or exists ( "Nephropathy Diagnoses" ) or exists ( "Nephropathy Screenings" )
["Laboratory Test, Performed": "Urine Protein Tests"] ProteinUreaResult where ProteinUreaResult.result is not null
["Intervention, Performed": "Other Services Related to Dialysis"] union ["Intervention, Performed": "Dialysis Education"]
( ["Procedure, Performed": "Kidney Transplant"] union ["Procedure, Performed": "Vascular Access for Dialysis"] union ["Procedure, Performed": "Dialysis Services"] )
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
Sum((collapse Intervals)CollapsedInterval return all duration in days of CollapsedInterval )
years between ToDate(BirthDateTime)and ToDate(AsOf)
DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezone from Value)
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
Measure Set |