eCQM Title | Closing the Referral Loop: Receipt of Specialist Report |
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eCQM Identifier (Measure Authoring Tool) | 50 | eCQM Version number | 8.0.000 |
NQF Number | Not Applicable | GUID | f58fc0d6-edf5-416a-8d29-79afbfd24dea |
Measurement Period | January 1, 20XX through December 31, 20XX | ||
Measure Steward | Centers for Medicare & Medicaid Services (CMS) | ||
Measure Developer | National Committee for Quality Assurance | ||
Endorsed By | None | ||
Description | |||
Copyright | |||
Disclaimer | |||
Measure Scoring | Proportion | ||
Measure Type | Process | ||
Stratification | |||
Risk Adjustment | |||
Rate Aggregation | |||
Rationale | |||
Clinical Recommendation Statement | |||
Improvement Notation | |||
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Definition | |||
Guidance | |||
Transmission Format | |||
Initial Population | |||
Denominator | |||
Denominator Exclusions | |||
Numerator | |||
Numerator Exclusions | |||
Denominator Exceptions | |||
Supplemental Data Elements |
exists "Face to Face Encounter During Measurement Period" and "First Referral During Measurement Period" is not null
"Initial Population"
exists "Referring Provider Communicated Consultant Report to Close Referral Loop"
"Initial Population"
( ["Encounter, Performed": "Office Visit"] union ["Encounter, Performed": "Ophthalmological Services"] union ["Encounter, Performed": "Preventive Care Services - Established Office Visit, 18 and Up"] union ["Encounter, Performed": "Preventive Care Services, Initial Office Visit, 0 to 17"] union ["Encounter, Performed": "Preventive Care Services-Initial Office Visit, 18 and Up"] union ["Encounter, Performed": "Preventive Care, Established Office Visit, 0 to 17"] ) FaceToFaceEncounter where FaceToFaceEncounter.relevantPeriod during "Measurement Period"
First(["Intervention, Performed": "Referral"] ReferralPerformed where ReferralPerformed.relevantPeriod starts during "Measurement Period" sort by authorDatetime )
exists "Face to Face Encounter During Measurement Period" and "First Referral During Measurement Period" is not null
exists "Referring Provider Communicated Consultant Report to Close Referral Loop"
["Communication, Performed": "Consultant Report"] ConsultantReportCommunicated with "First Referral During Measurement Period" FirstReferralPerformed such that FirstReferralPerformed.id in ConsultantReportCommunicated.relatedTo and ConsultantReportCommunicated.authorDatetime after start of FirstReferralPerformed.relevantPeriod
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
Measure Set |