eCQM Title | Global Malnutrition Composite Score |
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eCQM Identifier (Measure Authoring Tool) | 986 | eCQM Version Number | 0.0.006 |
NQF Number | Not Applicable | GUID | bff5e631-bcd1-4e4b-af54-9d93cd19c835 |
Measurement Period | January 1, 20XX through December 31, 20XX | ||
Measure Steward | |||
Measure Developer | Academy of Nutrition and Dietetics | ||
Endorsed By | None | ||
Description |
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Copyright |
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Disclaimer |
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Measure Scoring | Proportion | ||
Measure Type | Process | ||
Stratification |
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Risk Adjustment |
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Rate Aggregation |
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Rationale |
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Clinical Recommendation Statement |
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Improvement Notation |
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Reference | |||
Definition |
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Guidance |
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Transmission Format |
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Initial Population |
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Denominator |
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Denominator Exclusions |
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Numerator |
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Numerator Exclusions |
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Denominator Exceptions |
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Supplemental Data Elements |
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"Valid Encounter" Encounter with ["Patient Characteristic Birthdate": "Birth date"] BirthDate such that Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) >= 65
"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
None
"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)" )
None
None
None
"Valid Encounter" Encounter with ["Patient Characteristic Birthdate": "Birth date"] BirthDate such that Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) >= 65
"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)" )
None
"Valid Encounter" Encounter with ["Assessment, Performed": "Malnutrition Assessment"] Assessment such that Assessment.authorDatetime during Encounter.relevantPeriod
None
None
None
"Valid Encounter" Encounter with ["Patient Characteristic Birthdate": "Birth date"] BirthDate such that Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) >= 65
"Valid Encounter" Encounter with "Nutrition Assessment Result" Result such that Result.relevantDatetime during Encounter.relevantPeriod
"Valid Encounter" Discharge where Discharge.dischargeDisposition in "Left Against Medical Advice" or Discharge.dischargeDisposition in "Discharged to Health Care Facility for Hospice Care"
"Valid Encounter" Encounter with ["Diagnosis": "Malnutrition Diagnosis"] Diagnosis such that Diagnosis.prevalencePeriod starts before end of "Measurement Period"
None
None
None
"Valid Encounter" Encounter with ["Patient Characteristic Birthdate": "Birth date"] BirthDate such that Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) >= 65
"Valid Encounter" Encounter with ["Diagnosis": "Malnutrition Diagnosis"] Diagnosis such that Diagnosis.prevalencePeriod starts before end of "Measurement Period"
"Valid Encounter" Discharge where Discharge.dischargeDisposition in "Left Against Medical Advice" or Discharge.dischargeDisposition in "Discharged to Health Care Facility for Hospice Care"
"Valid Encounter" ValidEncounter with ["Intervention, Order": "Nutrition Care Plan"] CarePlan such that CarePlan.authorDatetime during ValidEncounter.relevantPeriod
None
None
None
( Count("Encounter with Nutrition Care Plan")) / ( Count("Encounter with Malnutrition Diagnosis")- "Count Denominator Exclusions" )
Count("Encounter with Malnutrition At-Risk Screening Result")/ Count("Encounter with Malnutrition Risk Screening")
( Count("Encounter with Malnutrition Diagnosis")) / ( Count("Encounter with Nutrition Assessment Result")- "Count Denominator Exclusions" )
Count("Encounter with Nutrition Assessment")/ Count("Encounter with Malnutrition At-Risk Screening Result")
Count("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"
"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)" )
"Valid Encounter" Encounter with ["Diagnosis": "Malnutrition Diagnosis"] Diagnosis such that Diagnosis.prevalencePeriod starts before end of "Measurement Period"
"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
"Valid Encounter" Encounter with ["Assessment, Performed": "Malnutrition Assessment"] Assessment such that Assessment.authorDatetime during Encounter.relevantPeriod
"Valid Encounter" Encounter with "Nutrition Assessment Result" Result such that Result.relevantDatetime during Encounter.relevantPeriod
"Valid Encounter" ValidEncounter with ["Intervention, Order": "Nutrition Care Plan"] CarePlan such that CarePlan.authorDatetime during ValidEncounter.relevantPeriod
"Valid Encounter" Encounter with ["Patient Characteristic Birthdate": "Birth date"] BirthDate such that Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) >= 65
["Assessment, Performed": "Malnutrition Assessment"] Assessment where ( Assessment.result in "Nutritional Status Moderately Malnourished" or Assessment.result in "Nutritional Status Severely Malnourished" )
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
( "Composite Measure One" + "Composite Measure Two" + "Composite Measure Three" + "Composite Measure Four" ) / 4
/*Inpatient stay during the measurement period*/ ["Encounter, Performed": "Encounter Inpatient"] Encounter where Encounter.relevantPeriod during "Measurement Period" and Encounter.lengthOfStay >= 24 hours
years between ToDate(BirthDateTime)and ToDate(AsOf)
DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezoneoffset from Value)
( Count("Encounter with Nutrition Care Plan")) / ( Count("Encounter with Malnutrition Diagnosis")- "Count Denominator Exclusions" )
Count("Encounter with Malnutrition At-Risk Screening Result")/ Count("Encounter with Malnutrition Risk Screening")
( Count("Encounter with Malnutrition Diagnosis")) / ( Count("Encounter with Nutrition Assessment Result")- "Count Denominator Exclusions" )
Count("Encounter with Nutrition Assessment")/ Count("Encounter with Malnutrition At-Risk Screening Result")
Count("Denominator Exclusions")
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
( "Composite Measure One" + "Composite Measure Two" + "Composite Measure Three" + "Composite Measure Four" ) / 4
Measure Set |
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