Last updated: June 9, 2017
| CMS Measure ID: | CMS32v7 |
|---|---|
| Version: | 7 |
| NQF Number: | 0496 |
| Measure Description: |
Median elapsed time from emergency department arrival to emergency room departure for patients discharged from the emergency department |
| Initial Patient Population: |
Emergency department encounters during the measurement period |
| Measure Population: |
Equals initial population |
| Measure Observations: |
Median elapsed time (in minutes) from emergency department arrival to emergency room departure for patients discharged from the emergency department |
| Measure Steward: | Centers for Medicare & Medicaid Services (CMS) |
| Short Name: | ED3 |
| Previous Version: | Median Time from ED Arrival to ED Departure for Discharged ED Patients |
| Improvement Notation: |
Improvement noted as a decrease in the median value |
| Guidance: |
This measure uses a continuous variable. The specification provides elements from the clinical electronic record required to calculate for each ED encounter, i.e., the length of time the patient was in the Emergency Department, also stated as: the Emergency Department departure time minus the Emergency Department arrival time. The calculation requires the median of all ED encounter durations. This measure specification defines how to determine an individual Emergency Department stay. Reporting requires the median of all patient stays ([Encounter: encounter ED].facility location departure date and time minus [Encounter: encounter ED].facility location arrival date and time). For each population, results should be reported without stratification and then with each stratum applied. For this measure, the number of encounters that fall into the Initial Population are reported without stratification, then reported according to the defined stratification. The number of encounters that fall into the Measure Population are reported without stratification, then reported according to the defined stratification. The computed continuous variable defined by the Measure Observation is reported for the Measure Population also, then reported according to the defined stratification. |
Specifications
CMS32v7.html
CMS32v7.xml
CMS32v7_SimpleXML.xml
EH_CAH_CMS32v7_NQF0496_ED3_MedianTime.zip
CMS32v7_TRN_05.05.17.xlsx
Release Notes
Header
Incremented eMeasure Version number.
Section: eMeasure Version number
Source: Measure Lead
Updated Copyright.
Section: Copyright
Source: Annual Update
Removed statement related to reporting period as this information is maintained elsewhere.
Section: Guidance
Source: JIRA (CQM-1917)
Logic
Replaced 'Transfer To <= 6 hours starts after or concurrent with end of' to 'discharge status: Discharge to Acute Care Facility' in stratification 2 and 3 to harmonize with other measures.
Section: Stratification
Source: JIRA (CQM-1917)
Value Set
The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets.
Value set Psychiatric/Mental Health Patient (2.16.840.1.113883.3.117.1.7.1.299): Added 5 SNOMEDCT codes (247444006, 288511000119108, 596004, 715924009, 72366004) to align with the ICD10CM codes and deleted 2 SNOMEDCT codes (229714007, 88339003).
Section: None
Source: None
Replaced 'Acute care hospital' value set (2.16.840.1.113883.3.666.5.684) with 'Discharge to Acute Care Facility' (2.16.840.1.113883.3.117.1.7.1.87) to align with logic change in stratification and with other measures.
Section: None
Source: JIRA (CQM-1917)

