eCQM Title | Discharged on Statin Medication |
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eCQM Identifier (Measure Authoring Tool) | 105 | eCQM Version number | 7.1.000 |
NQF Number | Not Applicable | GUID | 1f503318-bb8d-4b91-af63-223ae0a2328e |
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 | |||
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Definition | |||
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Supplemental Data Elements |
TJC."Encounter with Principal Diagnosis and Age"
TJC."Ischemic Stroke Encounter"
TJC."Ischemic Stroke Encounters with Discharge Status" union TJC."Comfort Measures during Hospitalization"
TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter with "Statin at Discharge" DischargeStatin such that DischargeStatin.authorDatetime during IschemicStrokeEncounter.relevantPeriod
( TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter with "Statin Not Given at Discharge" NoDischargeStatin such that NoDischargeStatin.authorDatetime during IschemicStrokeEncounter.relevantPeriod ) union ( TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter with "Statin Allergy" StatinAllergy such that StatinAllergy.prevalencePeriod starts on or before end of IschemicStrokeEncounter.relevantPeriod ) union "Encounter with Max LDL less than 70 mg per dL"
TJC."Ischemic Stroke Encounter"
( TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter with "Statin Not Given at Discharge" NoDischargeStatin such that NoDischargeStatin.authorDatetime during IschemicStrokeEncounter.relevantPeriod ) union ( TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter with "Statin Allergy" StatinAllergy such that StatinAllergy.prevalencePeriod starts on or before end of IschemicStrokeEncounter.relevantPeriod ) union "Encounter with Max LDL less than 70 mg per dL"
TJC."Ischemic Stroke Encounters with Discharge Status" union TJC."Comfort Measures during Hospitalization"
TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter where Max(["Laboratory Test, Performed": "LDL-c"] Ldl where Ldl.resultDatetime during Interval[Global."ToDate"(start of IschemicStrokeEncounter.relevantPeriod - 30 days), end of IschemicStrokeEncounter.relevantPeriod] return Ldl.result as Quantity )< 70 'mg/dL'
TJC."Encounter with Principal Diagnosis and Age"
TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter with "Statin at Discharge" DischargeStatin such that DischargeStatin.authorDatetime during IschemicStrokeEncounter.relevantPeriod
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
["Allergy/Intolerance": "Statin Allergen"]
["Medication, Discharge": "Statin Grouper"]
["Medication, Not Discharged": "Statin Grouper"] NoStatinDischarge where NoStatinDischarge.negationRationale in "Medical Reason" or NoStatinDischarge.negationRationale in "Patient Refusal"
"Non Elective Inpatient Encounter" NonElectiveEncounter where NonElectiveEncounter.principalDiagnosis in "Hemorrhagic Stroke" or NonElectiveEncounter.principalDiagnosis in "Ischemic Stroke"
"Ischemic Stroke Encounter" IschemicStrokeEncounter with "Intervention Comfort Measures" ComfortMeasure such that Coalesce(start of ComfortMeasure.relevantPeriod, ComfortMeasure.authorDatetime)during Global."Hospitalization"(IschemicStrokeEncounter)
"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"
( ( "Ischemic Stroke Encounter" IschemicStrokeEncounter where IschemicStrokeEncounter.dischargeDisposition in "Discharge To Acute Care Facility" or IschemicStrokeEncounter.dischargeDisposition in "Left Against Medical Advice" or IschemicStrokeEncounter.dischargeDisposition in "Patient Expired" or IschemicStrokeEncounter.dischargeDisposition in "Discharged to Home for Hospice Care" or IschemicStrokeEncounter.dischargeDisposition in "Discharged to Health Care Facility for Hospice Care" ) )
["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 |