© Copyright, The Joint Commission Clarification of IP for CMS113v4 (PC-01) Change Review Process Meeting 9.17.15.

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Presentation transcript:

© Copyright, The Joint Commission Clarification of IP for CMS113v4 (PC-01) Change Review Process Meeting

© Copyright, The Joint Commission CQM-1621, CQM-1633  Issue Reported: The IP contains several value sets represented in only ICD9CM. Won’t this be an issue when we go live with ICD-10 on October 1 st, 2015?  Short Answer: No. The ICD-10 representation of delivery is already included in the measure.

© Copyright, The Joint Commission PC-01 Initial Population = AND: Age >= 8 year(s) at: Occurrence A of $EncounterInpatient AND: Age < 65 year(s) at: Occurrence A of $EncounterInpatient AND: Union of: "Procedure, Performed: Delivery Procedures" "Diagnosis, Active: Normal Delivery and Other Indications for Care" "Diagnosis, Active: Complication Mainly Related to Pregnancy" "Diagnosis, Active: Complication Mainly in the Course of Labor and Delivery" "Diagnosis, Active: Complication of the Puerperium" starts during Occurrence A of $EncounterInpatient ICD9 CM Only

© Copyright, The Joint Commission CQM-1621, CQM-1633  Depending on the code system, the concept of delivery is represented as either a diagnosis or a procedure. –In ICD9CM: Delivery is a diagnosis –In SNOMEDCT: Delivery is a procedure –In ICD10PCS: Delivery is a procedure  The IP includes both delivery diagnosis and procedure value sets.  Solution: We will revise the guidance in the next annual update to explain the IP logic.