While reviewing the QIP Medication Reconciliation Reporting Measure for CY2020 (see https://nwrnbulletins.wordpress.com/2019/12/02/1-1-medrec-qip-measure-in-eqrs-cw/), we’ve encountered some possible confusion about which patients to include, which we’d like to clarify. The the clearest definition we’ve found is in the CMS National Quality Forum document on the MedRec Measure, at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/Downloads/NQF-2988-Patients-Receiving-Care-at-Dialysis-Facilities.pdf, p.8:
- “DENOMINATOR STEP 1. Identify all in-center and home hemodialysis and peritoneal dialysis patients permanently assigned to the dialysis facility in the given calculation month.
- “DENOMINATOR STEP 2. For all patients included in the denominator in the given calculation month in ‘Denominator Step 1,’ identify and remove all in-center hemodialysis patients who received < 7 dialysis treatments in the calculation month.
- “DENOMINATOR STEP 3. Repeat ‘Denominator Step 1’ and ‘Denominator Step 2’ for each month of the one-year reporting period.”