Visit Num. Visit Date 12 Month Count - PowerPoint Presentation

1. Visit Num.Visit Date12 Month CountQualified Denom.Qualified Num.111/07/20151NN212/15/20152NN302/14/20153NN407/23/20154NN510/18/20165YN612/28/20164NN703/25/20164NN804/18/20165YN905/07/20166NY1008/30/20166NNThe following interactive figure illustrates how an individual can have two qualifying denominator events in the same performance period. In this example the patient has four visits leading up to the start of the performance period. In the first month of the performance period the patient has visit 5 which is a fifth visit in a twelve month period causing that visit to be counted as an denominator event. The visit 6 happens about nine weeks later. However, by this time, visits 1 and 2 no longer apply toward the twelve month count leaving the patient with only four visits in a twelve month period. This same scenario plays out for the visit 7. When visit 8 occurs the patient once again has met the fifth visit in a twelve month period qualification and the visit is counted toward the denominator. Visit 9 happens within thirty days of visit 8 qualifying it as a numerator visit. Visit 10 occurs near the end of the performance period but does not qualify for a denominator event because it is the sixth, not fifth, visit in a twelve month period.ED visitQualified Denominator ED visitQualified Numerator ED visitPatient Encounter TimelinePerformance Period30 Day readmit windowKey1234543434565612 month window (performance period)(arrow left-right)Number of ED visits in the last 12 months