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Clicking this button will take you to a new page that will display how each patient's episode of care processed against the measure.
Definitions for the Waterfall Chart Population Breakdown for the Selected Measure:
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Page Element
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eCQM processed against
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Episodes of Care
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Count of all Active episodes of care evaluated by the eCQM.
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Note: QRDA I documents are evaluated by an eCQM if the Measure Section within the document states that the measure should be processed. In this manner, hospitals can add or remove measures from those they wish to evaluate or submit. |
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Not in Initial Population
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Count of episodes of care which did not pass the Initial Population logic.
The Not in Initial Population is calculated as the [Episodes of Care - Initial Population]
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Initial Population
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Count of episodes of care evaluated which meet the Initial Population as documented in the specification
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Does Not Meet
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Count of episodes of care in the Initial Population that does not meet the measure population criteria for the measure
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Measure Population
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Count of episodes of care that meet the population criteria for the measure
Depending on the measure, it can be the same count as the Initial Population or a subset of the Initial Population if the measure further constrains the Initial Population (e.g., Ischemic and Hemorrhagic stroke patients)
The Measure Population is calculated as the [Initial Population minus Does Not Meet]
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Exclusions
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Count of episodes of care that are removed from the Measure Population because they meet specific criteria that made it clinically unnecessary for the patient to receive the numerator clinical action.
In proportion measures, these episodes of care are removed before determining if the Numerator criteria are met
In continuous variable measures, these episodes of care are removed before calculating the measure’s Observation value
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Exceptions
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Proportion measures: Count of episodes of care removed from the Measure Population because the Numerator criteria were not met
Exceptions are generally provider or patient determined reasons for refusing certain clinical actions
Continuous Variable measures: not applicable
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Denominator / Population
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"Denominator" for Proportion eCQMs: Count of episodes of care for which the measure applies after removing those episodes of care that were either excluded or had exceptions
The Denominator value is used when calculating the Observed Rate
Denominator = [Measure Population minus (Exclusions plus Exceptions)]
"Population" for Continuous Variable eCQMs: Count of episodes of care used to calculate the Observation Value
Population = [Measure Population minus Exclusions]
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Cases Failing the Measure
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Proportion measures: Count of Denominator episodes of care which do not meet the Numerator criteria
Continuous Variable measures: not applicable
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Numerator
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Proportion measures: Count of episodes of care which meet the processes or outcomes evaluated by the measure
Numerator = [Denominator minus Cases Failing the Measure]
Continuous Variable measures: not applicable
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