Stream: cql
Topic: Risk adjustments in eCQMs
Tien Thai (Jan 23 2020 at 17:15):
I have been trying to understand how risk adjustment variable works as well as how to capture and express them in an eCQM but have not found any good source for this topic. Can you please point me to any sources you might have in regarding to this topic? Your help is appreciated.
Bryn Rhodes (Jan 24 2020 at 20:15):
The current Quality Measure IG has guidance related to capturing Risk Adjustment Variables as part of quality measure specifications here: http://hl7.org/fhir/us/cqfmeasures/measure-conformance.html#risk-adjustment
Bryn Rhodes (Jan 24 2020 at 20:15):
Basically, they are captured in the same way as any other supplemental data, which end up as additional outputs in the measure report, usually Observations, but potentially any resource.
Tien Thai (Jan 27 2020 at 21:28):
Thank you very much for your quick response, Bryn. Most of the links to the sample CQL files in the link above are broken, do you know any valid links to those sample CQL? Also,is it possible to capture and express some risk adjustment variables like Language or ZIPCode in eCQM? Do these risk adjustment variables need to be tied to IPP, DENOM or NUMER populations before being added to the "Risk Adjustment Variables" section? Your help is very much appreciated.
Regards,
Tien Thai
Bryn Rhodes (Jan 28 2020 at 03:30):
Hi Tien,
Bryn Rhodes (Jan 28 2020 at 03:30):
Here's a link directly to the library for that measure: http://hl7.org/fhir/us/cqfmeasures/2020Feb/Library-library-risk-adjustment-FHIR2.html
Bryn Rhodes (Jan 28 2020 at 03:30):
Apologies for the dead links there, will fix in an upcoming release of that material.
Tien Thai (Jan 29 2020 at 15:39):
Bryn,
Thank you very much for the link to the sample risk adjustments variables CQL file. This is how I understand about capturing and expressing risk adjustment variables in an eCQM in this sample CQL file, please correct me if I am wrong. Thank you very much for your help in advance.
is this true that the "Hepatic Fail" definition containing all risk adjustment variables for this eCQM and it will be added to the Risk Adjustment Variables list for this measure.
Also, is it technically feasible to express and capture ZIPCODE and LANGUAGE as Risk Adjustment Variable in an eCQM?
Many thanks for your help.
Regards,
Tien Thai
Bryn Rhodes (Jan 29 2020 at 16:12):
From the perspective of CQL and the measure specifications, yes, you can capture whatever you can express. Whether capturing ZIPCODE and LANGUAGE in any given environment is more a question of measure feasibility that would require investigation of the intended reporting systems.
Paul Denning (Jan 31 2020 at 17:13):
Also see http://hl7.org/fhir/us/cqfmeasures/2020Feb/Measure-measure-risk-adjustment-FHIR2.html and look for code: risk-adjustment-factor in supplemental data http://hl7.org/fhir/us/cqfmeasures/2020Feb/StructureDefinition-proportion-measure-cqfm-definitions.html#Measure.supplementalData
Last updated: Apr 12 2022 at 19:14 UTC
