eCQM Title | Anticoagulation Therapy for Atrial Fibrillation/Flutter |
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eCQM Identifier (Measure Authoring Tool) | 71 | eCQM Version number | 8.1.000 |
NQF Number | Not Applicable | GUID | 03876d69-085b-415c-ae9d-9924171040c2 |
Measurement Period | January 1, 20XX through December 31, 20XX | ||
Measure Steward | The Joint Commission | ||
Measure Developer | The Joint Commission | ||
Endorsed By | None | ||
Description | |||
Copyright | |||
Disclaimer | |||
Measure Scoring | Proportion | ||
Measure Type | Process | ||
Stratification | |||
Risk Adjustment | |||
Rate Aggregation | |||
Rationale | |||
Clinical Recommendation Statement | |||
Improvement Notation | |||
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Definition | |||
Guidance | |||
Transmission Format | |||
Initial Population | |||
Denominator | |||
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Denominator Exceptions | |||
Supplemental Data Elements |
TJC."Encounter with Principal Diagnosis and Age"
"Encounter with Atrial Ablation Procedure" union "History of Atrial Fibrillation or Flutter" union "Current Diagnosis Atrial Fibrillation or Flutter"
( "Denominator" Encounter where Encounter.dischargeDisposition in "Discharge To Acute Care Facility" or Encounter.dischargeDisposition in "Left Against Medical Advice" or Encounter.dischargeDisposition in "Patient Expired" or Encounter.dischargeDisposition in "Discharged to Home for Hospice Care" or Encounter.dischargeDisposition in "Discharged to Health Care Facility for Hospice Care" ) union "Comfort Measures during Hospitalization"
"Denominator" Encounter with "Anticoagulant Therapy at Discharge" DischargeAnticoagulant such that DischargeAnticoagulant.authorDatetime during Encounter.relevantPeriod
"Denominator" Encounter with "Reason for Not Giving Anticoagulant at Discharge" NoDischargeAnticoagulant such that NoDischargeAnticoagulant.authorDatetime during Encounter.relevantPeriod
["Medication, Discharge": "Anticoagulant Therapy"]
"Denominator" Encounter with TJC."Intervention Comfort Measures" ComfortMeasure such that Coalesce(start of ComfortMeasure.relevantPeriod, ComfortMeasure.authorDatetime)during Global."Hospitalization"(Encounter)
TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter where exists ( IschemicStrokeEncounter.diagnoses Diagnosis where Diagnosis in "Atrial Fibrillation/Flutter" )
"Encounter with Atrial Ablation Procedure" union "History of Atrial Fibrillation or Flutter" union "Current Diagnosis Atrial Fibrillation or Flutter"
"Denominator" Encounter with "Reason for Not Giving Anticoagulant at Discharge" NoDischargeAnticoagulant such that NoDischargeAnticoagulant.authorDatetime during Encounter.relevantPeriod
( "Denominator" Encounter where Encounter.dischargeDisposition in "Discharge To Acute Care Facility" or Encounter.dischargeDisposition in "Left Against Medical Advice" or Encounter.dischargeDisposition in "Patient Expired" or Encounter.dischargeDisposition in "Discharged to Home for Hospice Care" or Encounter.dischargeDisposition in "Discharged to Health Care Facility for Hospice Care" ) union "Comfort Measures during Hospitalization"
TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter with ["Procedure, Performed": "Atrial Ablation"] AtrialAblation such that AtrialAblation.relevantPeriod starts before start of IschemicStrokeEncounter.relevantPeriod
TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter with ["Diagnosis": "Atrial Fibrillation/Flutter"] AtrialFibrillationFlutter such that AtrialFibrillationFlutter.prevalencePeriod starts on or before end of IschemicStrokeEncounter.relevantPeriod
TJC."Encounter with Principal Diagnosis and Age"
"Denominator" Encounter with "Anticoagulant Therapy at Discharge" DischargeAnticoagulant such that DischargeAnticoagulant.authorDatetime during Encounter.relevantPeriod
["Medication, Not Discharged": "Anticoagulant Therapy"] NoAnticoagulant where NoAnticoagulant.negationRationale in "Medical Reason" or NoAnticoagulant.negationRationale in "Patient Refusal"
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
"Non Elective Inpatient Encounter" NonElectiveEncounter where NonElectiveEncounter.principalDiagnosis in "Hemorrhagic Stroke" or NonElectiveEncounter.principalDiagnosis in "Ischemic Stroke"
"All Stroke Encounter" AllStrokeEncounter with ["Patient Characteristic Birthdate"] BirthDate such that Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of AllStrokeEncounter.relevantPeriod)>= 18
["Intervention, Order": "Comfort Measures"] union ["Intervention, Performed": "Comfort Measures"]
"Encounter with Principal Diagnosis and Age" EncounterWithAge where EncounterWithAge.principalDiagnosis in "Ischemic Stroke"
["Encounter, Performed": "Non-Elective Inpatient Encounter"] NonElectiveEncounter where Global."LengthInDays"(NonElectiveEncounter.relevantPeriod)<= 120 and NonElectiveEncounter.relevantPeriod ends during "Measurement Period"
years between ToDate(BirthDateTime)and ToDate(AsOf)
( singleton from ( ["Encounter, Performed": "Emergency Department Visit"] EDVisit where EDVisit.relevantPeriod ends 1 hour or less on or before start of Encounter.relevantPeriod ) ) X return if X is null then Encounter.relevantPeriod else Interval[start of X.relevantPeriod, end of Encounter.relevantPeriod]
difference in days between start of Value and end of Value
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 |