eCQM Title | Assessed for Rehabilitation |
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eCQM Identifier (Measure Authoring Tool) | 102 | eCQM Version number | 7.1.000 |
NQF Number | Not Applicable | GUID | 7dc26160-e615-4cc2-879c-75985189ec1a |
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 | |||
Reference | |||
Reference | |||
Reference | |||
Reference | |||
Reference | |||
Definition | |||
Guidance | |||
Transmission Format | |||
Initial Population | |||
Denominator | |||
Denominator Exclusions | |||
Numerator | |||
Numerator Exclusions | |||
Denominator Exceptions | |||
Supplemental Data Elements |
TJC."Encounter with Principal Diagnosis and Age"
"Initial Population"
( TJC."Encounter with Principal Diagnosis and Age" EncounterWithAge where EncounterWithAge.dischargeDisposition in "Discharge To Acute Care Facility" or EncounterWithAge.dischargeDisposition in "Left Against Medical Advice" or EncounterWithAge.dischargeDisposition in "Discharged to Home for Hospice Care" or EncounterWithAge.dischargeDisposition in "Patient Expired" or EncounterWithAge.dischargeDisposition in "Discharged to Health Care Facility for Hospice Care" ) union "Discharge Status With Comfort Measures During Hospitalization"
( TJC."Encounter with Principal Diagnosis and Age" EncounterWithAge with "No Rehabilitation Assessment or Therapy" NoRehabProcedure such that NoRehabProcedure.authorDatetime during EncounterWithAge.relevantPeriod ) union ( TJC."Encounter with Principal Diagnosis and Age" EncounterWithAge with "Rehabilitation Assessment or Therapy" RehabAssessment such that RehabAssessment.relevantPeriod starts during EncounterWithAge.relevantPeriod ) union "Encounter with Discharge to Rehabilitation Facility"
"Initial Population"
( TJC."Encounter with Principal Diagnosis and Age" EncounterWithAge where EncounterWithAge.dischargeDisposition in "Discharge To Acute Care Facility" or EncounterWithAge.dischargeDisposition in "Left Against Medical Advice" or EncounterWithAge.dischargeDisposition in "Discharged to Home for Hospice Care" or EncounterWithAge.dischargeDisposition in "Patient Expired" or EncounterWithAge.dischargeDisposition in "Discharged to Health Care Facility for Hospice Care" ) union "Discharge Status With Comfort Measures During Hospitalization"
TJC."Encounter with Principal Diagnosis and Age" EncounterWithAge with TJC."Intervention Comfort Measures" ComfortMeasures such that Coalesce(start of ComfortMeasures.relevantPeriod, ComfortMeasures.authorDatetime)during Global."Hospitalization"(EncounterWithAge)
TJC."Encounter with Principal Diagnosis and Age" EncounterWithAge where EncounterWithAge.dischargeDisposition in "Discharged to Rehabilitation Facility"
TJC."Encounter with Principal Diagnosis and Age"
( ["Procedure, Not Performed": "Rehabilitation Assessment"] union ["Procedure, Not Performed": "Rehabilitation Therapy"] ) NoRehabProcedure where NoRehabProcedure.negationRationale in "Medical Reason" or NoRehabProcedure.negationRationale in "Patient Refusal"
( TJC."Encounter with Principal Diagnosis and Age" EncounterWithAge with "No Rehabilitation Assessment or Therapy" NoRehabProcedure such that NoRehabProcedure.authorDatetime during EncounterWithAge.relevantPeriod ) union ( TJC."Encounter with Principal Diagnosis and Age" EncounterWithAge with "Rehabilitation Assessment or Therapy" RehabAssessment such that RehabAssessment.relevantPeriod starts during EncounterWithAge.relevantPeriod ) union "Encounter with Discharge to Rehabilitation Facility"
["Procedure, Performed": "Rehabilitation Assessment"] union ["Procedure, Performed": "Rehabilitation Therapy"]
["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, 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 |