Inpatient hospitalizations for patients 18 years of age or older at admission, who were administered at least one hypoglycemic medication during the encounter, who suffer the harm of a severe hypoglycemic event during the encounter
Inpatient hospitalizations where the patient is 18 years of age or older at the start of the encounter, and at least one hypoglycemic medication was administered during the encounter.
The measure includes instances of administration of hypoglycemic medications in the emergency department or in observation status at the start of an inpatient hospitalization when assessing inclusion of encounters in the measure denominator.
Equals Initial Population
None
Inpatient hospitalizations where a severe hypoglycemic event occurred during the encounter, which is:
1. A blood glucose result less than 40 mg/dL
AND
2. A hypoglycemic medication administered within 24 hours prior to the start of the severe hypoglycemic event (i.e., the glucose result less than 40 mg/dL)
3. No subsequent repeat test for blood glucose with a result greater than 80 mg/dL within five minutes of the start of the initial blood glucose test with result less than 40mg/dL
Only the first qualifying severe hypoglycemic event is counted in the numerator, and only one severe hypoglycemic event is counted per encounter. The 24-hour and 5-minute timeframes are based on the time the blood glucose was drawn, as this reflects the time the patient was experiencing that specific blood glucose level
Not Applicable
A lower proportion indicates better quality
Note the measure is currently confined to using mg/dL as the unit of measurement for glucose results.
To calculate the hospital-level measure result, divide the total numerator events by the total number of qualifying inpatient hospitalizations (denominator).
Only the first qualifying severe hypoglycemic event is counted in the numerator, and only one severe hypoglycemic event is counted per encounter.
This eCQM is an episode-based measure. An episode is defined as each inpatient hospitalization or encounter that ends during the measurement period.
This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM.
The Compare function compares two years of the measure specifications found in the header of the measure's HTML. It does not include a comparison of any information in the body of the HTML, e.g., population criteria, Clinical Quality Language, or value sets.
Strikethrough text highlighted in red indicates information changed from the previous version. Text highlighted in green indicates information updated in the new eCQM version.
Replaced 'Not Applicable' with '3503e'.
Measure Section: NQF Number
Source of Change: Measure Lead
Updated measure developer from 'IMPAQ International' to 'American Institutes for Research'.
Measure Section: Measure Developer
Replaced 'None' with 'National Quality Forum'.
Measure Section: Endorsed By
Removed duplicative information already referenced in the definition section for clarity.
Measure Section: Description
Updated copyright.
Measure Section: Copyright
Source of Change: Annual Update
Updated disclaimer.
Measure Section: Disclaimer
Source of Change: Standards/Technical Update
Updated to remove the word 'recent'.
Measure Section: Rationale
Updated to reflect more recent literature.
Measure Section: Clinical Recommendation Statement
Updated references.
Measure Section: Reference
Updated version number of the Quality Data Model (QDM) used in the measure specification to v5.6.
Measure Section: Guidance
Revised the numerator statement to be more concise.
Measure Section: Numerator
Replaced 'gender' with 'sex' to provide consistent language across eCQMs.
Measure Section: Supplemental Data Elements
Updated language for added clarity and to improve readability.
Measure Section: Multiple Sections
Added 'day of' timing to the Qualifying Encounter definition to clarify the timing precision level.
Measure Section: Initial Population
Replaced the Global.CalendarAgeInYearsAt function with the native CQL function AgeInYearsAt to take advantage of existing CQL features and increase human readability. As a result of this change, the LOINC code 21112-8 is no longer required and has been removed from the Terminology section of the human readable specification.
Updated the names of CQL definitions, functions, and/or aliases for clarification and to align with the CQL Style Guide.
Updated the version of the Quality Data Model (QDM) to 5.6 and Clinical Quality Language (CQL) to 1.5.
Updated the version number of the Measure Authoring Tool (MAT) Global Common Functions Library to v7.0.000.
The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets.
Replaced value set Glucose lab test (2.16.840.1.113762.1.4.1045.134) with value set Glucose Lab Test Mass Per Volume (2.16.840.1.113762.1.4.1248.34) based on review by technical experts, SMEs, and/or public feedback.
Measure Section: Terminology
Removed direct reference code LOINC code (21112-8) based on review by technical experts, SMEs, and/or public feedback.
Value set Hypoglycemics Severe Hypoglycemia (2.16.840.1.113762.1.4.1196.393): Added 26 RxNorm codes based on terminology update. Deleted 256 RxNorm codes based on terminology update.