eCQM Title | Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care |
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eCQM Identifier (Measure Authoring Tool) | 142 | eCQM Version number | 7.1.000 |
NQF Number | 0089 | GUID | 53d6d7c3-43fb-4d24-8099-17e74c022c05 |
Measurement Period | January 1, 20XX through December 31, 20XX | ||
Measure Steward | PCPI(R) Foundation (PCPI[R]) | ||
Measure Developer | American Medical Association (AMA) | ||
Measure Developer | PCPI(R) Foundation (PCPI[R]) | ||
Endorsed By | National Quality Forum | ||
Description | |||
Copyright | |||
Disclaimer | |||
Measure Scoring | Proportion | ||
Measure Type | Process | ||
Stratification | |||
Risk Adjustment | |||
Rate Aggregation | |||
Rationale | |||
Clinical Recommendation Statement | |||
Improvement Notation | |||
Reference | |||
Definition | |||
Guidance | |||
Transmission Format | |||
Initial Population | |||
Denominator | |||
Denominator Exclusions | |||
Numerator | |||
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Denominator Exceptions | |||
Supplemental Data Elements |
exists ( ["Patient Characteristic Birthdate"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 18 ) and exists "Diabetic Retinopathy Encounter"
"Initial Population" and exists "Macular Exam Performed"
"Communication of Results of Dilated Macular or Fundus Exam"
exists "Retinopathy Level of Severity Not Communicated for Medical or Patient Reason" or exists "Macular Edema Absent Not Communicated for Medical or Patient Reason" or exists "Macular Edema Present Not Communicated for Medical or Patient Reason"
["Communication: From Provider To Provider": "Level of Severity of Retinopathy Findings"] CommunicationLevelOfSeverity with "Diabetic Retinopathy Encounter" EncounterDiabeticRetinopathy such that CommunicationLevelOfSeverity.authorDatetime after start of EncounterDiabeticRetinopathy.relevantPeriod
["Communication: From Provider To Provider": "Macular Edema Findings Absent"] CommunicationMacularEdemaAbsent with "Diabetic Retinopathy Encounter" EncounterDiabeticRetinopathy such that CommunicationMacularEdemaAbsent.authorDatetime after start of EncounterDiabeticRetinopathy.relevantPeriod
["Communication: From Provider To Provider": "Macular Edema Findings Present"] CommunicationMacularEdemaPresent with "Diabetic Retinopathy Encounter" EncounterDiabeticRetinopathy such that CommunicationMacularEdemaPresent.authorDatetime after start of EncounterDiabeticRetinopathy.relevantPeriod
exists "Communicate Level of Severity of Retinopathy Findings" and ( exists "Communicate Macular Edema Absent" or exists "Communicate Macular Edema Present" )
"Initial Population" and exists "Macular Exam Performed"
exists "Retinopathy Level of Severity Not Communicated for Medical or Patient Reason" or exists "Macular Edema Absent Not Communicated for Medical or Patient Reason" or exists "Macular Edema Present Not Communicated for Medical or Patient Reason"
"Face to Face Encounter During Measurement Period" FaceToFaceEncounter with ["Diagnosis": "Diabetic Retinopathy"] DiabeticRetinopathy such that DiabeticRetinopathy.prevalencePeriod overlaps FaceToFaceEncounter.relevantPeriod
( ["Encounter, Performed": "Office Visit"] union ["Encounter, Performed": "Ophthalmological Services"] union ["Encounter, Performed": "Outpatient Consultation"] union ["Encounter, Performed": "Care Services in Long-Term Residential Facility"] union ["Encounter, Performed": "Nursing Facility Visit"] ) FaceToFaceEncounter where FaceToFaceEncounter.relevantPeriod during "Measurement Period"
exists ( ["Patient Characteristic Birthdate"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 18 ) and exists "Diabetic Retinopathy Encounter"
["Communication: From Provider To Provider, Not Done": "Macular Edema Findings Absent"] NoCommunicationMacularEdemaAbsent with "Diabetic Retinopathy Encounter" EncounterDiabeticRetinopathy such that NoCommunicationMacularEdemaAbsent.authorDatetime during EncounterDiabeticRetinopathy.relevantPeriod and ( NoCommunicationMacularEdemaAbsent.negationRationale in "Medical Reason" or NoCommunicationMacularEdemaAbsent.negationRationale in "Patient Reason" )
["Communication: From Provider To Provider, Not Done": "Macular Edema Findings Present"] NoCommunicationMacularEdemaPresent with "Diabetic Retinopathy Encounter" EncounterDiabeticRetinopathy such that NoCommunicationMacularEdemaPresent.authorDatetime during EncounterDiabeticRetinopathy.relevantPeriod and ( NoCommunicationMacularEdemaPresent.negationRationale in "Medical Reason" or NoCommunicationMacularEdemaPresent.negationRationale in "Patient Reason" )
["Diagnostic Study, Performed": "Macular Exam"] MacularExam with "Diabetic Retinopathy Encounter" EncounterDiabeticRetinopathy such that MacularExam.relevantPeriod during EncounterDiabeticRetinopathy.relevantPeriod where MacularExam.result is not null
"Communication of Results of Dilated Macular or Fundus Exam"
["Communication: From Provider To Provider, Not Done": "Level of Severity of Retinopathy Findings"] NoCommunicationLevelOfSeverity with "Diabetic Retinopathy Encounter" EncounterDiabeticRetinopathy such that NoCommunicationLevelOfSeverity.authorDatetime during EncounterDiabeticRetinopathy.relevantPeriod and ( NoCommunicationLevelOfSeverity.negationRationale in "Medical Reason" or NoCommunicationLevelOfSeverity.negationRationale in "Patient Reason" )
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
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 |