Details
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Change Request
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Resolution: Persuasive
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Medium
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US Quality Measures (FHIR)
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4.0.0
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Clinical Quality Information
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CQFM Measure [deprecated]
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improvementNotation element
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Jen Seeman/ Juliet Rubini: 18-0-0
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Clarification
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Non-substantive
Description
Does the improvementNotation field need to also allow a string (or another field) to capture narrative descriptions that explain the "within optimal range" as seen in the https://ecqi.healthit.gov/ecqm/eh/2024/cms0334v5 example
Within Optimal Range. The Joint Commission does not want to encourage inappropriately low Cesarean rates that may be unsafe to patients. Acceptable PC-02 rates are 30% or lower, however there is not an established threshold for what rate may be too low. PC-06 serves as a balancing measure for PC-02 to guard against any unanticipated or unintended consequences and to identify unforeseen complications that might arise as a result of quality improvement activities and efforts for this measure. In order to identify areas for improvement, hospitals may want to review results based on specific ICD-10 codes or patient populations. Data could then be analyzed further determine specific patterns or trends to help reduce cesarean births.