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Short Demo for eCQM Quality Improvement on the DDSP & Logic Explorer (duration: 913:14 20 minutes)click
Select the embedded link:https://player.vimeo.com/video/1032442632?h=5f49cfaf6d&badge=0&autopause=0&player_id=0&app_id=58479 or copy/paste the following URL text in into your web browser:
https://attendeeplayer.gotowebinarvimeo.com/recording/1216788166928826880video/1032442632?h=5f49cfaf6d&badge=0&autopause=0&player_id=0&app_id=58479

Purpose: 

When selecting 'eCQM Submission' from the menu, the 'Quality Improvement' page becomes available.  

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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.

Image of Quality Improvement Page with notes describing Labels, text, drop down boxes, and action buttons that will allow for measure, quarter selection and display counts, each individual QRDA-I file and the observed rates. Image Modified

Definitions for the Waterfall Chart Population Breakdown for the Selected Measure:

Page Element

eCQM processed against

Episodes of Care

Count of all Active episodes of care evaluated by the eCQM. 

Info

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.

Not in Initial Population

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]

Initial Population

Count of episodes of care evaluated which meet the Initial Population as documented in the specification

Does Not Meet

Count of episodes of care in the Initial Population that does not meet the measure population criteria for the measure

Measure Population

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]

Exclusions

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

Exceptions

  • 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

Denominator / Population

  • "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]

Cases Failing the Measure

  • Proportion measures:  Count of Denominator episodes of care which do not meet the Numerator criteria

  • Continuous Variable measures: not applicable

Numerator

  • 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

How each element of the page affects the other page elements:

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