Global Malnutrition Composite Score

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Measure Information	2023 Reporting Period
Title	Global Malnutrition Composite Score
CMS eCQM ID	CMS986v1
Short Name	GMCS
NQF Number	3592e
Description	This measure assesses the percentage of hospitalizations for adults aged 65 years and older prior to the start of the measurement period with a length of stay equal to or greater than 24 hours who received optimal malnutrition care during the current inpatient hospitalizations where care performed was appropriate to the patient's level of malnutrition risk and severity. Malnutrition care best practices recommend that for each hospitalization, adult inpatients are screened for malnutrition risk, assessed to confirm findings of malnutrition risk, and if identified with a "moderate" or "severe" malnutrition status in the current performed malnutrition assessment, receive a current "moderate" or "severe" malnutrition diagnosis and have a current nutrition care plan performed.
Initial Population	Valid Encounter: Inpatient hospitalizations during the measurement period with length of stay of 24 hours or more among individuals 65 years of age and older at the start of the measurement period.
Measure Steward	Academy of Nutrition and Dietetics
Measure Scoring	Continuous Variable measure
Measure Type	Intermediate Clinical Outcome measure
Improvement Notation	Higher score indicates better quality of care.
Guidance	The measure is constructed as an arithmetic average of four equally weighted component measures expressed as a percentage. The four measure populations used to calculate the Total Components Measure Score may differ. Component Measure 1: Inpatient hospitalizations for patients with a current screening for malnutrition risk performed at the time of admission. Component Measure 2: Inpatient hospitalizations for patients with a current assessment for malnutrition performed from an "at risk" finding in a current malnutrition screening. Component Measure 3: Inpatient hospitalizations for patients with a current malnutrition diagnosed as a result of a "moderate" or "severe" malnutrition status from a current malnutrition assessment. Component Measure 4: Inpatient hospitalizations for patients with a current nutrition care plan performed as a result of a "moderate" or "severe" malnutrition status from a current malnutrition assessment. The activities of the four component numerators do not need to be performed sequentially. This eCQM is an episode-based measure. An episode is defined as each inpatient hospitalization or encounter with a length of stay of greater than or equal to 24 hours 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.
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Measure Information
CMS eCQM ID	CMS986v1
Short Name	GMCS
NQF Number	3592e
Description	This measure assesses the percentage of hospitalizations for adults aged 65 years and older prior to the start of the measurement period with a length of stay equal to or greater than 24 hours who received optimal malnutrition care during the current inpatient hospitalizations where care performed was appropriate to the patient's level of malnutrition risk and severity. Malnutrition care best practices recommend that for each hospitalization, adult inpatients are screened for malnutrition risk, assessed to confirm findings of malnutrition risk, and if identified with a "moderate" or "severe" malnutrition status in the current performed malnutrition assessment, receive a current "moderate" or "severe" malnutrition diagnosis and have a current nutrition care plan performed.
Initial Population	Valid Encounter: Inpatient hospitalizations during the measurement period with length of stay of 24 hours or more among individuals 65 years of age and older at the start of the measurement period.
Measure Steward	Academy of Nutrition and Dietetics
Measure Scoring	Continuous Variable measure
Measure Type	Intermediate Clinical Outcome measure
Improvement Notation	Higher score indicates better quality of care.
Guidance	The measure is constructed as an arithmetic average of four equally weighted component measures expressed as a percentage. The four measure populations used to calculate the Total Components Measure Score may differ. Component Measure 1: Inpatient hospitalizations for patients with a current screening for malnutrition risk performed at the time of admission. Component Measure 2: Inpatient hospitalizations for patients with a current assessment for malnutrition performed from an "at risk" finding in a current malnutrition screening. Component Measure 3: Inpatient hospitalizations for patients with a current malnutrition diagnosed as a result of a "moderate" or "severe" malnutrition status from a current malnutrition assessment. Component Measure 4: Inpatient hospitalizations for patients with a current nutrition care plan performed as a result of a "moderate" or "severe" malnutrition status from a current malnutrition assessment. The activities of the four component numerators do not need to be performed sequentially. This eCQM is an episode-based measure. An episode is defined as each inpatient hospitalization or encounter with a length of stay of greater than or equal to 24 hours 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.

Specifications

Attachment	Size
CMS986v1.html	104.33 KB
CMS986v1.zip	39.85 KB

Value Sets

Value Sets to be used with CMS986v1