Percentage of adult inpatient hospital discharges to home for which the individual was on warfarin and discharged with a non-therapeutic International Normalized Ratio (INR) who had an INR test within 14 days of hospital discharge
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1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.8 Level Of Analysis1.9 Care Setting1.20 Testing Data Sources
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1.14 Numerator
Individuals in the denominator who had an INR test within 14 days of discharge
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1.15 Denominator
Adult inpatient discharges to home for which the individual had active warfarin therapy within 1 day prior to discharge and the last monitored INR within 7 days of discharge was <=1.5 or >= 4
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Exclusions
The following inpatient discharges are excluded from the denominator.
The following exclusion is identified from the Medication Administration Record (MAR) within the patient’s EHR.
1) Inpatient discharges for which the individuals received dabigatran, rivaroxaban, or apixaban within one day prior to discharge
The following exclusions are identified from Part A and Part B Medicare Administrative Claims.
2) Inpatient discharges for which the individuals are monitoring INR at home
3) Inpatient discharges for which the individuals expired within 14 days post-discharge
4) Inpatient discharges for which the individuals received hospice care within 14 days post-discharge
5) Inpatient discharges for which the individuals had a hospital inpatient admission within 14 days post-discharge
6) Inpatient discharges for which the individuals were admitted to a skilled nursing facility (SNF) within 14 days post-discharge
7) Inpatient discharges for which the end date of the 14-day follow-up period occurs after the end of the measurement period
8) Inpatient discharges for which the individual is not enrolled in Medicare Part A and Part B at the time of discharge and during the 14-day follow-up period post discharge.
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Most Recent Endorsement ActivityMeasure Retired and Endorsement Removed Patient Safety Spring Cycle 2020Initial EndorsementLast UpdatedRemoval Date
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Risk Adjustment
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6.1.2 Current or Planned Use(s)
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