The Joint Commission

Known Issues: eCQM

Also see General Known Issues

Also see Chart-Abstracted Known Issues

As of 9/27/2024:

The table below provides the latest issues associated with the most recent release.

DDSP eCQM Issues

Issue #

DDSP Issue

Date Opened

Work Around

Status

Issue #

DDSP Issue

Date Opened

Work Around

Status

4

“Purge selected” is not available

10/3/22

For CY2021, users are not able to “Purge selected” files, but must instead “Purge All”.

Resolved

6/26/2024

8

"QRDA I Errors and Warning" option in Source Viewer to debug issues does not go to the correct line with the issue in the document.

10/3/2022

None

Open

23

If an eCQM file upload using 7zip contains a folder, DDSP generates an error and rejects the file.

11/11/2022

Use Windows default zipper when a folder is included in the zip.

Open

30

The eCQM status on the Home page may show incorrect results

2/16/2023

None

Resolved

2/12/2024

31

The DDSP outcome for the Opioid measure has a mismatch with CMS when there are multiple episodes of care for the specific case. This is due to a known Denominator Exclusion logic issue that CQL does not align with the measure intent. Implementation based on CQL is generating a different measure outcome than the implementation based on the measure intent.

This issue has been brought to CMS and measure developers’ attention for potential correction in a future version of the Opioid measure.

This will impact both the 2022 and 2023 versions of the opioid measure definition and may impact ~3% of the Opioid cases. 

2/20/2023

None

Resolved

06/26/2024

Measure is corrected for CY2024

36

eOP-40 STEMI measure Issue:

For CY2023, some ED Encounters may be wrongfully excluded from the initial population if the ED encounter start and end datetime are falling in different quarters after the UTC normalization. This issue is due to the way measure IP logic is written where it requires both encounter start and end datetime to be in the measurement period (see below).  This logic issue will be corrected for CY2024.   

For the IP logics “ED Encounter with Diagnosis of STEMI” and “ED Encounter with Encounter Diagnosis of STEMI”,  

CY2023

…EDEncounter.relevantPeriod during "Measurement Period"

CY2024 (corrected):

…EDEncounter.relevantPeriod ends during day of "Measurement Period"

8/16/2023

None

Resolved

06/26/2024

Measure is corrected for CY2024

38

When performing the 'Purge’ and ‘Upload' actions in quick succession can lead to the generation of duplicate rows in the 'Result by Measure' table on the Quality Improvement page, as well as in the Submission Dashboard on the Submit Data page. These duplicates may display the same or varying results. 

Impact: If data submission is carried out while these duplicate rows exist, only the first row displayed in the table will be stored in the data warehouse. This may lead to inaccuracies, as the first row may not reflect the correct data. 

1/19/2024 

We advise hospitals that encounter duplicate rows to refrain from submitting data until this issue is fully resolved. 

Re-opened

2/26/2024

41

Timestamp error on Submit Data Page: On the Submit Data page, the timestamp displayed in the “Results generated on” field is incorrect. Users are observing that this field displays the date and time of an older file that was processed, rather than reflecting the timestamp of the latest file processed.

2/27/2024

Currently. there is no workaround to correct the displayed timestamp from the user's end. Our IT has been actively working on the fix.  Before the correction is in place, we recommend users verify the actual processing results by reviewing all pages to ensure all files have completed processing and records are captured for all uploads before Submit. 

Resolved

6/26/2024

42

Outcome mismatch with CMS’s for HH-02 when there are multiple episodes of care cases. Measure does not include logic that appropriately constrains the denominator exclusion to the specific qualifying encounter. Implementation based on CQL is generating a different outcome than the implementation based on the measure intent.  

This will impact 2023 versions of the HH-02 definition. 

2/27/2024

None

Resolved

06/26/2024

44

Incorrect Display of eCQM Status on Home Page: A few HCO’s show the incorrect status ‘eCQM Status: No Files Uploaded” on their Home Page when;  

-they already submitted data -or- 

-under the heading ‘eCQM Submission Status’ and they have counts listed for both “No Files Uploaded” and “Unsubmitted” 

3/1/2024

Currently, there is no direct workaround to the home page eCQM Status displaying issue. Our IT is actively working on the fix.  Before the correction is in place, we recommend users verify the status by reviewing the Upload Data and Submit Data pages.

Opened

3/1/2024

45

Incorrect eHH-02 Measure Outcome calculation due to UTC Offset handling. TJC DDSP processes files that contain data with varying time zones incorrectly. This issue specifically affects cases where timestamps for the start and end of an encounter have different UTC offsets due to daylight savings time changes, which leads to miscalculating the outcome as Numerator instead of Denominator.

3/12/2024

There is no workaround for CY2023. The issue is scheduled for correction in CY2024

Resolved

06/26/2024

46

eGMCS measure Issue:

For CY2024, some Inpatient Encounters may be inadvertently excluded from the eGMCS initial population if the encounter start and end datetime are falling in different quarters after the UTC normalization. This is due to the way measure IP logic is written where it requires both encounter start and end datetime to be in the measurement period (see below).

Global Malnutrition Encounter 

["Encounter, Performed": "Encounter Inpatient"] EncounterInpatient

where AgeInYearsAt(date from start of EncounterInpatient.relevantPeriod)>= 65

06/26/2024

None

Opened

06/26/2024

47

eOP-40 Multiple Episodes of Care Logic Explorer Issue: For the eOP-40 multiple episodes of care cases, the Logic Explorer is not displaying the individual episode of care result.  It always displays the results for All Episodes, even when you select individual episode from “Select an episode to display”.  

08/02/2024

None

Resolved

9/19/2024

 

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