eCQM Title | Functional Status Assessments for Congestive Heart Failure |
||
eCQM Identifier (Measure Authoring Tool) | 90 | eCQM Version number | 8.3.000 |
NQF Number | Not Applicable | GUID | bb9b8ef7-0354-40e0-bec7-d6891b7df519 |
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 | |||
Reference | |||
Reference | |||
Reference | |||
Reference | |||
Definition | |||
Guidance | |||
Transmission Format | |||
Initial Population | |||
Denominator | |||
Denominator Exclusions | |||
Numerator | |||
Numerator Exclusions | |||
Denominator Exceptions | |||
Supplemental Data Elements |
exists ( ["Patient Characteristic Birthdate"] Birthdate where Global."CalendarAgeInYearsAt"(Birthdate.birthDatetime, start of "Measurement Period")>= 18 ) and exists ( ["Diagnosis": "Heart Failure"] HeartFailure where HeartFailure.prevalencePeriod overlaps "Measurement Period" ) and exists ( "Congestive Heart Failure Followup Encounter" )
"Initial Population"
Hospice."Has Hospice" or exists ( ["Diagnosis": "Severe Dementia"] Dementia where Dementia.prevalencePeriod overlaps "Measurement Period" )
exists ( "Initial Congestive Heart Failure Functional Assessment" ) and exists ( "Follow-up Congestive Heart Failure Functional Assessment" )
"PROMIS29 Total Assessment" union "KCCQ Total Assessment" union "VR12 Total Assessment" union "VR36 Total Assessment" union "PROMIS10 Total Assessment"
"Qualifying Encounters" OfficeVisit with "Initial Encounter" CHFInitial such that OfficeVisit.relevantPeriod starts 30 days or more after day of end of CHFInitial.relevantPeriod and OfficeVisit.relevantPeriod starts 180 days or less after day of end of CHFInitial.relevantPeriod
"Initial Population"
Hospice."Has Hospice" or exists ( ["Diagnosis": "Severe Dementia"] Dementia where Dementia.prevalencePeriod overlaps "Measurement Period" )
"Complete Assessment" FollowupHeartFailureFSA with "Initial Congestive Heart Failure Functional Assessment" InitialHeartFailureFSA such that FollowupHeartFailureFSA.authorDatetime 30 days or more after day of InitialHeartFailureFSA.authorDatetime and FollowupHeartFailureFSA.authorDatetime 180 days or less after day of InitialHeartFailureFSA.authorDatetime and FollowupHeartFailureFSA.result is not null
exists ( ["Encounter, Performed": "Encounter Inpatient"] DischargeHospice where ( DischargeHospice.dischargeDisposition as Code ~ "Discharge to home for hospice care (procedure)" or DischargeHospice.dischargeDisposition as Code ~ "Discharge to healthcare facility for hospice care (procedure)" ) and DischargeHospice.relevantPeriod ends during "Measurement Period" ) or exists ( ["Intervention, Order": "Hospice care ambulatory"] HospiceOrder where HospiceOrder.authorDatetime during "Measurement Period" ) or exists ( ["Intervention, Performed": "Hospice care ambulatory"] HospicePerformed where HospicePerformed.relevantPeriod overlaps "Measurement Period" )
"Complete Assessment" HeartFailureFSA with "Initial Encounter" CHFInitial such that ( HeartFailureFSA.authorDatetime 14 days or less on or before day of end of CHFInitial.relevantPeriod ) and HeartFailureFSA.result is not null
First("Qualifying Encounters" QualifyingEncounter where QualifyingEncounter.relevantPeriod ends 185 days or less after start of "Measurement Period" sort by start of relevantPeriod )
exists ( ["Patient Characteristic Birthdate"] Birthdate where Global."CalendarAgeInYearsAt"(Birthdate.birthDatetime, start of "Measurement Period")>= 18 ) and exists ( ["Diagnosis": "Heart Failure"] HeartFailure where HeartFailure.prevalencePeriod overlaps "Measurement Period" ) and exists ( "Congestive Heart Failure Followup Encounter" )
["Assessment, Performed": "Quality of life score [KCCQ]"] KCCQLifeQuality with ["Assessment, Performed": "Clinical summary score [KCCQ]"] KCCQClinical such that KCCQLifeQuality.authorDatetime same day as KCCQClinical.authorDatetime and KCCQClinical.result is not null with ["Assessment, Performed": "KCCQ Self Efficacy Score"] KCCQSelfEfficacy such that KCCQLifeQuality.authorDatetime same day as KCCQSelfEfficacy.authorDatetime and KCCQSelfEfficacy.result is not null with ["Assessment, Performed": "KCCQ Total Symptom Score"] KCCQSymptoms such that KCCQLifeQuality.authorDatetime same day as KCCQSymptoms.authorDatetime and KCCQSymptoms.result is not null with ["Assessment, Performed": "KCCQ Physical Limitation Score"] KCCQPhysicalLimits such that KCCQLifeQuality.authorDatetime same day as KCCQPhysicalLimits.authorDatetime and KCCQPhysicalLimits.result is not null with ["Assessment, Performed": "KCCQ Social Limitation Score"] KCCQSocialLimits such that KCCQLifeQuality.authorDatetime same day as KCCQSocialLimits.authorDatetime and KCCQSocialLimits.result is not null where KCCQLifeQuality.result is not null
exists ( "Initial Congestive Heart Failure Functional Assessment" ) and exists ( "Follow-up Congestive Heart Failure Functional Assessment" )
["Assessment, Performed": "PROMIS 10 Global Mental Health Score"] PROMIS10MentalScore with ["Assessment, Performed": "PROMIS 10 Global Physical Health Score"] PROMIS10PhysicalScore such that PROMIS10MentalScore.authorDatetime same day as PROMIS10PhysicalScore.authorDatetime and PROMIS10PhysicalScore.result is not null where PROMIS10MentalScore.result is not null
["Assessment, Performed": "PROMIS 29 Sleep Disturbance Score"] Promis29Sleep with ["Assessment, Performed": "PROMIS 29 Social Roles Score"] Promis29SocialRoles such that Promis29Sleep.authorDatetime same day as Promis29SocialRoles.authorDatetime and Promis29SocialRoles.result is not null with ["Assessment, Performed": "PROMIS 29 Physical Function Score"] Promis29Physical such that Promis29Sleep.authorDatetime same day as Promis29Physical.authorDatetime and Promis29Physical.result is not null with ["Assessment, Performed": "PROMIS 29 Pain Interference Score"] Promis29Pain such that Promis29Sleep.authorDatetime same day as Promis29Pain.authorDatetime and Promis29Pain.result is not null with ["Assessment, Performed": "PROMIS 29 Fatigue Score"] Promis29Fatigue such that Promis29Sleep.authorDatetime same day as Promis29Fatigue.authorDatetime and Promis29Fatigue.result is not null with ["Assessment, Performed": "PROMIS 29 Depression Score"] Promis29Depression such that Promis29Sleep.authorDatetime same day as Promis29Depression.authorDatetime and Promis29Depression.result is not null with ["Assessment, Performed": "PROMIS 29 Anxiety Score"] Promis29Anxiety such that Promis29Sleep.authorDatetime same day as Promis29Anxiety.authorDatetime and Promis29Anxiety.result is not null where Promis29Sleep.result is not null
["Encounter, Performed": "Office Visit"] ValidEncounter where ValidEncounter.relevantPeriod during "Measurement Period"
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
["Assessment, Performed": "VR12 Mental Component T Score"] VR12MentalScore with ["Assessment, Performed": "VR12 Physical Component T Score"] VR12PhysicalScore such that VR12MentalScore.authorDatetime same day as VR12PhysicalScore.authorDatetime and VR12PhysicalScore.result is not null where VR12MentalScore.result is not null
["Assessment, Performed": "VR 36 Mental Component Summary (MCS) Score"] VR36MentalScore with ["Assessment, Performed": "VR 36 Physical Component Summary (PCS) Score"] VR36PhysicalScore such that VR36MentalScore.authorDatetime same day as VR36PhysicalScore.authorDatetime and VR36PhysicalScore.result is not null where VR36MentalScore.result is not null
years between ToDate(BirthDateTime)and ToDate(AsOf)
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 |