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Specification:

US Quality Measures (FHIR)
Raised in Version:

5.0.0-ballot [deprecated]
Work Group:

Clinical Quality Information
Related URL:
https://hl7.org/fhir/us/cqfmeasures/2024Jan/measure-conformance.html#risk-adjustment
Related Page(s):

QMs
Related Section(s):
3.4.10
Grouping:
- UTG
Resolution Description:

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1. Recommended value set changes (will need UTG tracker)

Supplemental data - stays the same

Risk adjustment factor - Deprecate

NEW Risk adjustment data - individual patient information that provides input data for risk adjustment models

2. Review section https://hl7.org/fhir/us/cqfmeasures/2024Jan/measure-conformance.html#risk-adjustment and change all references to risk adjustment variable to risk adjustment data (including in measure examples)

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1. Recommended value set changes (will need UTG tracker) Supplemental data - stays the same Risk adjustment factor - Deprecate NEW Risk adjustment data - individual patient information that provides input data for risk adjustment models 2. Review section https://hl7.org/fhir/us/cqfmeasures/2024Jan/measure-conformance.html#risk-adjustment and change all references to risk adjustment variable to risk adjustment data (including in measure examples)
Resolution Vote:
Peter Muir/ Jen Seeman: 20-0-0
Change Category:
Clarification
Change Impact:
Non-compatible

Conformance Requirement 3.17 (Risk Adjustment Criteria)

Risk Adjustment Variables SHALL be included within the supplementalData element using a usage element of risk-adjustment-variable

Suggest to update the wording to "using a usage element with the code risk-adjustment-factor"

is voted on by

BALLOT-58091 Affirmative - Yan Heras : 2024-Jan-FHIR IG QM E1 STU

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