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NQF 0712 not producing correct result #112

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srinathr99 opened this issue Feb 12, 2014 · 0 comments
Open

NQF 0712 not producing correct result #112

srinathr99 opened this issue Feb 12, 2014 · 0 comments

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@srinathr99
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The other NQF we had an issue with was 0712. This measure is asking about the depression tool PHQ-9 and has three populations based on month ranges. We had the following data:

Jan-April
Allison, Terrance
Depression + 2 Office Visits (99201)
Based on the above information, this consumer is in correct Population + IPP only
Roy, Bobby
Depression (2012/03/01) + 2 Office Visits (99201-- 2012/03/01, 2012/07/01)
Based on the above information, this consumer is in correct Population + IPP only

May-Aug
Allison, Terrance
Dx= Depression + 2 Office Visits (99201)
Based on the above information, this consumer is in correct Population + IPP only
Foster, Freddie
Depression (2011) + 2 Office Visits (99201-- 2012/06/16, 2011) + PHQ-9 (2011/09/03)
This consumer is in correct Population + IPP only w/ initial information
We changed the date on PHQ-9 from 2011/09/03 to 2012/06/16 and consumer did NOT appear in the Numerator. This is not correct
Roy, Bobby
Depression (2012/03/01) + 2 Office Visits (99201-- 2012/03/01, 2012/07/01)
Based on the above information, this consumer is in correct Population + IPP only
Stewart, Terrance
Depression (2012/09/03) + 2 Office Visits (99201-- 2012/09/03, 2012/10/31)
This consumer should be in the Sept-Dec population only. This is not correct
Stokes, Leonard
Depression (2011/10/01) + 2 Offive Visits (99201-- 2011/10/01, 2012/06/17) + PHQ-9 (2011/10/01)
Based on the above information, this consumer is in correct Population + IPP only

Sept-Dec
Cooper, Darren
PHQ-9 (2011/09/24, 2012/11/01)
This consumer only appeared in the IPP but because of the PHQ-9 on 2012/11/01, the consumer should be in the Numerator. The PHQ-9 is going under procedure and instead needs to be under result because of the LOINC code. This is not correct.
Gilbert, Louis
Depression (2012/10/01) + 2 Office Visits (99201-- 2011/11/01, 2012/10/01) + PHQ-9 (2012/11/01)
This consumer should appear in the Numerator and IPP but is only showing in the IPP. This is not correct.
Price, Leonard
Depression (2012/10/01) + 2 Office Visits (99201-- 2012/10/01, 2012/11/01)
Based on the above information, this consumer is in correct Population + IPP only
Steward, Terrence
Depression (2012/09/03) + 2 Office Visits (99201-- 2012/09/03, 2012/10/31)
Based on the above information, this consumer is in correct Population + IPP only


QRDA cat1 used was generated in Cypress.. I can paste them here if required.

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