![]() This logic guides the user to extract the FIRST resulted HWR-specific core clinical data elements for all Medicare Fee-For-Service encounters for patients age 65 or older (Initial Population) directly admitted to the hospital or admitted to the same facility after being treated in another area such as the emergency department or hospital outpatient location. The associated Hospital Specific Report (HSR) is anticipated to be released in Spring 2023. These specifications are for use for data with discharges that occur between Jand June 30, 2022. These core clinical data elements will be linked to administrative claims data and used by CMS to calculate results for the Hybrid HWR measure. Instead, hospitals will report the data values for each of the core clinical data elements for all encounters in the Initial Population. No actual measure score will be generated by hospitals. Instead hospitals will report the data values for each of the core clinical data elements for all encounters in the Initial Population. NOTE: All Medicare Fee-For-Service and Medicare Advantage encounters meeting the above criteria should be included, regardless of whether Medicare Fee-For-Service/Medicare Advantage is the primary, secondary, or tertiary payer.Ĭenters for Medicare & Medicaid Services (CMS) ![]() NOTE: All Medicare Fee-For-Service encounters meeting the above criteria should be included, regardless if Medicare Fee-For-Service is the primary, secondary, or tertiary payer.Īll Medicare Fee-For-Service and Medicare Advantage encounters for patients aged 65 and older at the start of an inpatient admission, who are discharged during the measurement period (length of stay <365 days). It is designed to extract the first resulted set of vital signs and basic laboratory results obtained from encounters for adult Medicare Fee-For-Service and Medicare Advantage patients admitted to acute care short stay hospitals.Īll Medicare Fee-For-Service encounters age 65 and older at the start of an inpatient admission, who are discharged during the measurement period (length of stay <365 days). Instead, it will produce a file containing the data that CMS will link with administrative claims to risk adjust the Hybrid HWR outcome measure. This is not an electronic clinical quality measure and this logic will not produce measure results. This logic is intended to extract electronic clinical data. It is designed to extract the first resulted set of vital signs and basic laboratory results obtained from encounters for adult Medicare Fee-For-Service patients admitted to acute care short stay hospitals. ![]() Core Clinical Data Elements for the Hybrid Hospital-Wide Readmission (HWR) Measure with Claims and Electronic Health Record Data ![]()
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