eCQM Title | Median Admit Decision Time to ED Departure Time for Admitted Patients |
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eCQM Identifier (Measure Authoring Tool) | 111 | eCQM Version number | 7.3.000 |
NQF Number | 0497 | GUID | 979f21bd-3f93-4cdd-8273-b23dfe9c0513 |
Measurement Period | January 1, 20XX through December 31, 20XX | ||
Measure Steward | Centers for Medicare & Medicaid Services (CMS) | ||
Measure Developer | Oklahoma Foundation for Medical Quality | ||
Endorsed By | National Quality Forum | ||
Description | |||
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Measure Scoring | Continuous Variable | ||
Measure Type | Process | ||
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Definition | |||
Guidance | |||
Transmission Format | |||
Initial Population | |||
Measure Population | |||
Measure Population Exclusions | |||
Measure Observations | |||
Supplemental Data Elements |
/*Emergency Department visit with a Decision to Admit inpatient followed by an Inpatient encounter within or at an hour of the ED Visit*/ "Inpatient Encounter" Encounter with "ED Visit with Admit Order" EDAdmitOrder such that EDAdmitOrder.relevantPeriod ends 1 hour or less before or on start of Encounter.relevantPeriod
"Initial Population"
/* Exclude ED encounters with an admission source in "Hospital Setting" (any different facility, even if part of the same hospital system) resulting in an inpatient stay */ "Inpatient Encounter" Encounter with ["Encounter, Performed": "Emergency Department Visit"] EDVisit such that EDVisit.relevantPeriod ends 1 hour or less before or on start of Encounter.relevantPeriod and EDVisit.admissionSource in "Hospital Settings"
Median ( /* the duration from the Decision to Admit to the departure from the Emergency Department*/ duration in minutes of Interval["Admit Decision"(Encounter).authorDatetime, "Departure Time"("Related ED Visit"(Encounter))] )
/*Patients without a principal diagnosis in the "Psychiatric/Mental Health Diagnosis" value set*/ "Inpatient Encounter" Encounter where Encounter.principalDiagnosis is null or not ( Encounter.principalDiagnosis in "Psychiatric/Mental Health Diagnosis" )
/*Patients with a principal diagnosis that is in the "Psychiatric/Mental Health Diagnosis" value set*/ "Inpatient Encounter" Encounter where Encounter.principalDiagnosis in "Psychiatric/Mental Health Diagnosis"
/*ED visit during the specified period with a Decision to admit order also during that specified period*/ ["Encounter, Performed": "Emergency Department Visit"] EDVisit with ["Encounter, Order": "Decision to Admit to Hospital Inpatient"] AdmitOrder such that AdmitOrder.authorDatetime during EDVisit.relevantPeriod and AdmitOrder.authorDatetime before or on "Departure Time"(EDVisit)
/*Emergency Department visit with a Decision to Admit inpatient followed by an Inpatient encounter within or at an hour of the ED Visit*/ "Inpatient Encounter" Encounter with "ED Visit with Admit Order" EDAdmitOrder such that EDAdmitOrder.relevantPeriod ends 1 hour or less before or on start of Encounter.relevantPeriod
/*Inpatient encounter less than or equal to 120 days during the measurement period*/ ["Encounter, Performed": "Encounter Inpatient"] Encounter where Global."LengthInDays"(Encounter.relevantPeriod)<= 120 and Encounter.relevantPeriod ends during "Measurement Period"
"Initial Population"
/* Exclude ED encounters with an admission source in "Hospital Setting" (any different facility, even if part of the same hospital system) resulting in an inpatient stay */ "Inpatient Encounter" Encounter with ["Encounter, Performed": "Emergency Department Visit"] EDVisit such that EDVisit.relevantPeriod ends 1 hour or less before or on start of Encounter.relevantPeriod and EDVisit.admissionSource in "Hospital Settings"
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
/*Patients without a principal diagnosis in the "Psychiatric/Mental Health Diagnosis" value set*/ "Inpatient Encounter" Encounter where Encounter.principalDiagnosis is null or not ( Encounter.principalDiagnosis in "Psychiatric/Mental Health Diagnosis" )
/*Patients with a principal diagnosis that is in the "Psychiatric/Mental Health Diagnosis" value set*/ "Inpatient Encounter" Encounter where Encounter.principalDiagnosis in "Psychiatric/Mental Health Diagnosis"
/*Decision to admit order that was during the ED visit that is being referenced*/ Last(["Encounter, Order": "Decision to Admit to Hospital Inpatient"] AdmitOrder where AdmitOrder.authorDatetime during "Related ED Visit"(Encounter).relevantPeriod sort by authorDatetime )
/* The time the patient physically departed the Emergency Department*/ Last(Encounter.facilityLocations Location return end of Location.locationPeriod sort ascending )
difference in days between start of Value and end of Value
/* the duration from the Decision to Admit to the departure from the Emergency Department*/ duration in minutes of Interval["Admit Decision"(Encounter).authorDatetime, "Departure Time"("Related ED Visit"(Encounter))]
/*ED visit with a Decision to admit order that preceded an inpatient encounter*/ Last(["Encounter, Performed": "Emergency Department Visit"] EDVisit with ["Encounter, Order": "Decision to Admit to Hospital Inpatient"] AdmitOrder such that AdmitOrder.authorDatetime during EDVisit.relevantPeriod where EDVisit.relevantPeriod ends 1 hour or less before or on start of Encounter.relevantPeriod sort by start of relevantPeriod )
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
Measure Set |