Global Malnutrition Composite Score

• Population Criteria 1

  • • Initial Population

      • • "Valid Encounter" Encounter
            with ["Patient Characteristic Birthdate": "Birth date"] BirthDate
              such that Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) >= 65

         
  • • Denominator

      • • "Valid Encounter" Encounter
            with ["Assessment, Performed": "Malnutrition Risk Screening"] MalnutritionScreen
              such that MalnutritionScreen.authorDatetime 2 days or less before or on day of start of Encounter.relevantPeriod

         
  • • Denominator Exclusions

      • • None

         
  • • Numerator

      • • "Valid Encounter" Encounter
            with ["Assessment, Performed": "Malnutrition Risk Screening"] Screening
              such that ( Screening.result as Code ~ "Nutritionally compromised (finding)" )
                or ( Screening.result as Code ~ "At risk of nutritional deficit (finding)" )
                or ( Screening.result as Code ~ "At risk for nutritional problem (finding)" )

         
  • • Numerator Exclusions

      • • None

         
  • • Denominator Exceptions

      • • None

         
  • • Stratification

      • • None

         
• Population Criteria 2

  • • Initial Population

      • • "Valid Encounter" Encounter
            with ["Patient Characteristic Birthdate": "Birth date"] BirthDate
              such that Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) >= 65

         
  • • Denominator

      • • "Valid Encounter" Encounter
            with ["Assessment, Performed": "Malnutrition Risk Screening"] Screening
              such that ( Screening.result as Code ~ "Nutritionally compromised (finding)" )
                or ( Screening.result as Code ~ "At risk of nutritional deficit (finding)" )
                or ( Screening.result as Code ~ "At risk for nutritional problem (finding)" )

         
  • • Denominator Exclusions

      • • None

         
  • • Numerator

      • • "Valid Encounter" Encounter
            with ["Assessment, Performed": "Malnutrition Assessment"] Assessment
              such that Assessment.authorDatetime during Encounter.relevantPeriod

         
  • • Numerator Exclusions

      • • None

         
  • • Denominator Exceptions

      • • None

         
  • • Stratification

      • • None

         
• Population Criteria 3

  • • Initial Population

      • • "Valid Encounter" Encounter
            with ["Patient Characteristic Birthdate": "Birth date"] BirthDate
              such that Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) >= 65

         
  • • Denominator

      • • "Valid Encounter" Encounter
            with "Nutrition Assessment Result" Result
              such that Result.relevantDatetime during Encounter.relevantPeriod

         
  • • Denominator Exclusions

      • • "Valid Encounter" Discharge
            where Discharge.dischargeDisposition in "Left Against Medical Advice"
              or Discharge.dischargeDisposition in "Discharged to Health Care Facility for Hospice Care"

         
  • • Numerator

      • • "Valid Encounter" Encounter
            with ["Diagnosis": "Malnutrition Diagnosis"] Diagnosis
              such that Diagnosis.prevalencePeriod starts before 
              end of "Measurement Period"

         
  • • Numerator Exclusions

      • • None

         
  • • Denominator Exceptions

      • • None

         
  • • Stratification

      • • None

         
• Population Criteria 4

  • • Initial Population

      • • "Valid Encounter" Encounter
            with ["Patient Characteristic Birthdate": "Birth date"] BirthDate
              such that Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) >= 65

         
  • • Denominator

      • • "Valid Encounter" Encounter
            with ["Diagnosis": "Malnutrition Diagnosis"] Diagnosis
              such that Diagnosis.prevalencePeriod starts before 
              end of "Measurement Period"

         
  • • Denominator Exclusions

      • • "Valid Encounter" Discharge
            where Discharge.dischargeDisposition in "Left Against Medical Advice"
              or Discharge.dischargeDisposition in "Discharged to Health Care Facility for Hospice Care"

         
  • • Numerator

      • • "Valid Encounter" ValidEncounter
            with ["Intervention, Order": "Nutrition Care Plan"] CarePlan
              such that CarePlan.authorDatetime during ValidEncounter.relevantPeriod

         
  • • Numerator Exclusions

      • • None

         
  • • Denominator Exceptions

      • • None

         
  • • Stratification

      • • None

         

• • Composite Measure Four

    • • ( Count("Encounter with Nutrition Care Plan")) / ( Count("Encounter with Malnutrition Diagnosis")- "Count Denominator Exclusions" )

       

  • Composite Measure One

    • • Count("Encounter with Malnutrition At-Risk Screening Result")/ Count("Encounter with Malnutrition Risk Screening")

       

  • Composite Measure Three

    • • ( Count("Encounter with Malnutrition Diagnosis")) / ( Count("Encounter with Nutrition Assessment Result")- "Count Denominator Exclusions" )

       

  • Composite Measure Two

    • • Count("Encounter with Nutrition Assessment")/ Count("Encounter with Malnutrition At-Risk Screening Result")

       

  • Count Denominator Exclusions

    • • Count("Denominator Exclusions")

       

  • Denominator Exclusions

    • • "Valid Encounter" Discharge
          where Discharge.dischargeDisposition in "Left Against Medical Advice"
            or Discharge.dischargeDisposition in "Discharged to Health Care Facility for Hospice Care"

       

  • Encounter with Malnutrition At-Risk Screening Result

    • • "Valid Encounter" Encounter
          with ["Assessment, Performed": "Malnutrition Risk Screening"] Screening
            such that ( Screening.result as Code ~ "Nutritionally compromised (finding)" )
              or ( Screening.result as Code ~ "At risk of nutritional deficit (finding)" )
              or ( Screening.result as Code ~ "At risk for nutritional problem (finding)" )

       

  • Encounter with Malnutrition Diagnosis

    • • "Valid Encounter" Encounter
          with ["Diagnosis": "Malnutrition Diagnosis"] Diagnosis
            such that Diagnosis.prevalencePeriod starts before 
            end of "Measurement Period"

       

  • Encounter with Malnutrition Risk Screening

    • • "Valid Encounter" Encounter
          with ["Assessment, Performed": "Malnutrition Risk Screening"] MalnutritionScreen
            such that MalnutritionScreen.authorDatetime 2 days or less before or on day of start of Encounter.relevantPeriod

       

  • Encounter with Nutrition Assessment

    • • "Valid Encounter" Encounter
          with ["Assessment, Performed": "Malnutrition Assessment"] Assessment
            such that Assessment.authorDatetime during Encounter.relevantPeriod

       

  • Encounter with Nutrition Assessment Result

    • • "Valid Encounter" Encounter
          with "Nutrition Assessment Result" Result
            such that Result.relevantDatetime during Encounter.relevantPeriod

       

  • Encounter with Nutrition Care Plan

    • • "Valid Encounter" ValidEncounter
          with ["Intervention, Order": "Nutrition Care Plan"] CarePlan
            such that CarePlan.authorDatetime during ValidEncounter.relevantPeriod

       

  • Initial Population

    • • "Valid Encounter" Encounter
          with ["Patient Characteristic Birthdate": "Birth date"] BirthDate
            such that Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) >= 65

       

  • Nutrition Assessment Result

    • • ["Assessment, Performed": "Malnutrition Assessment"] Assessment
          where ( Assessment.result in "Nutritional Status Moderately Malnourished"
              or Assessment.result in "Nutritional Status Severely Malnourished"
          )

       

  • SDE Ethnicity

    • • ["Patient Characteristic Ethnicity": "Ethnicity"]

       

  • SDE Payer

    • • ["Patient Characteristic Payer": "Payer"]

       

  • SDE Race

    • • ["Patient Characteristic Race": "Race"]

       

  • SDE Sex

    • • ["Patient Characteristic Sex": "ONC Administrative Sex"]

       

  • Total Composite Measure Score

    • • ( "Composite Measure One" + "Composite Measure Two" + "Composite Measure Three" + "Composite Measure Four" ) / 4

       

  • Valid Encounter

    • • /*Inpatient stay during the measurement period*/
        ["Encounter, Performed": "Encounter Inpatient"] Encounter
          where Encounter.relevantPeriod during "Measurement Period"
            and Encounter.lengthOfStay >= 24 hours

       

Functions