eCQM Title | Median Time from ED Arrival to ED Departure for Discharged ED Patients |
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eCQM Identifier (Measure Authoring Tool) | 32 | eCQM Version number | 8.2.000 |
NQF Number | 0496 | GUID | 3fd13096-2c8f-40b5-9297-b714e8de9133 |
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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Disclaimer | |||
Measure Scoring | Continuous Variable | ||
Measure Type | Process | ||
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Definition | |||
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Transmission Format | |||
Initial Population | |||
Measure Population | |||
Measure Population Exclusions | |||
Measure Observations | |||
Supplemental Data Elements |
/*Emergency Department visit during the measurement period*/ ["Encounter, Performed": "Emergency Department Visit"] EDVisit where EDVisit.relevantPeriod during "Measurement Period"
/*Measure population does not include an ED visit where the date/times are null*/ "Initial Population" EDVisit where "Measure Observation"(EDVisit)is not null
/*ED visits where patient expired or the patient was admitted inpatient within an hour of the ED visit*/ ( "Emergency Department ED Visit" EDVisit where EDVisit.dischargeDisposition ~ "Patient deceased during stay (discharge status = dead) (finding)" ) union ( "Emergency Department ED Visit" EDVisit with ["Encounter, Performed": "Encounter Inpatient"] Encounter such that EDVisit.relevantPeriod ends 1 hour or less before or on start of Encounter.relevantPeriod )
Median ( /*Time from ED visit arrival to observation order or ED departure for patients not admitted to inpatient*/ "Arrival to Observation Order or Departure Time"(Encounter) )
/*Patients with a principal diagnosis that is in the "Psychiatric/Mental Health Diagnosis" value set*/ "Emergency Department ED Visit" EDVisit where EDVisit.principalDiagnosis in "Psychiatric/Mental Health Diagnosis"
/*Patients who are discharged to an acute care facility as detailed in the value set*/ "Emergency Department ED Visit" EDVisit where EDVisit.dischargeDisposition in "Discharge To Acute Care Facility"
/*Patients without a principal diagnosis in the "Psychiatric/Mental Health Diagnosis" value set and who are not discharged to an Acute Care Facility as detailed in the value set*/ "Emergency Department ED Visit" EDVisit where ( EDVisit.principalDiagnosis is null or not ( EDVisit.principalDiagnosis in "Psychiatric/Mental Health Diagnosis" ) ) and not ( EDVisit.dischargeDisposition in "Discharge To Acute Care Facility" )
/*Emergency Department visit during the measurement period*/ ["Encounter, Performed": "Emergency Department Visit"] EDVisit where EDVisit.relevantPeriod during "Measurement Period"
/*Emergency Department visit during the measurement period*/ ["Encounter, Performed": "Emergency Department Visit"] EDVisit where EDVisit.relevantPeriod during "Measurement Period"
/*Measure population does not include an ED visit where the date/times are null*/ "Initial Population" EDVisit where "Measure Observation"(EDVisit)is not null
/*ED visits where patient expired or the patient was admitted inpatient within an hour of the ED visit*/ ( "Emergency Department ED Visit" EDVisit where EDVisit.dischargeDisposition ~ "Patient deceased during stay (discharge status = dead) (finding)" ) union ( "Emergency Department ED Visit" EDVisit with ["Encounter, Performed": "Encounter Inpatient"] Encounter such that EDVisit.relevantPeriod ends 1 hour or less before or on start of Encounter.relevantPeriod )
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
/*Patients with a principal diagnosis that is in the "Psychiatric/Mental Health Diagnosis" value set*/ "Emergency Department ED Visit" EDVisit where EDVisit.principalDiagnosis in "Psychiatric/Mental Health Diagnosis"
/*Patients who are discharged to an acute care facility as detailed in the value set*/ "Emergency Department ED Visit" EDVisit where EDVisit.dischargeDisposition in "Discharge To Acute Care Facility"
/*Patients without a principal diagnosis in the "Psychiatric/Mental Health Diagnosis" value set and who are not discharged to an Acute Care Facility as detailed in the value set*/ "Emergency Department ED Visit" EDVisit where ( EDVisit.principalDiagnosis is null or not ( EDVisit.principalDiagnosis in "Psychiatric/Mental Health Diagnosis" ) ) and not ( EDVisit.dischargeDisposition in "Discharge To Acute Care Facility" )
First(Encounter.facilityLocations Location return start of Location.locationPeriod sort ascending )
duration in minutes of Interval ["Arrival Time"(Encounter), Coalesce("Observation Services Order"(Encounter).authorDatetime, "Departure Time"(Encounter))]
Last(Encounter.facilityLocations Location return end of Location.locationPeriod sort ascending )
/*Time from ED visit arrival to observation order or ED departure for patients not admitted to inpatient*/ "Arrival to Observation Order or Departure Time"(Encounter)
/*Order to place patient in observation services*/ Last(["Encounter, Order": "Observation Services"] ObservationOrder where ObservationOrder.authorDatetime during Encounter.relevantPeriod sort by authorDatetime )
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
Measure Set |