eCQMs for 2020 Performance Period CMS2v9 CMS22v8 CMS50v8 CMS56v8 CMS66v8 CMS68v9 CMS69v8 CMS74v9 CMS75v8 CMS90v9 CMS117v8 CMS122v8 CMS124v8 CMS125v8 CMS127v8 CMS128v8 CMS129v9 CMS130v8 CMS131v8 CMS133v8 CMS134v8 CMS135v8 CMS136v9 CMS137v8 CMS138v8 CMS139v8 CMS142v8 CMS143v8 CMS144v8 CMS145v8 CMS146v8 CMS147v9 CMS149v8 CMS153v8 CMS154v8 CMS155v8 CMS156v8 CMS157v8 CMS159v8 CMS161v8 CMS165v8 CMS177v8 CMS249v2 CMS347v3 CMS349v2 CMS645v3 CMS771v1 CMS Measure ID CMS124v8 Version 8 NQF Number Not Applicable Measure Description Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: * Women age 21-64 who had cervical cytology performed every 3 years * Women age 30-64 who had cervical cytology/human papillomavirus (HPV) co-testing performed every 5 years Initial Population Women 23-64 years of age with a visit during the measurement period Denominator Statement Equals Initial Population Denominator Exclusions Women who had a hysterectomy with no residual cervix or a congenital absence of cervix. Exclude patients whose hospice care overlaps the measurement period. Numerator Statement Women with one or more screenings for cervical cancer. Appropriate screenings are defined by any one of the following criteria: - Cervical cytology performed during the measurement period or the two years prior to the measurement period for women who are at least 21 years old at the time of the test - Cervical cytology/human papillomavirus (HPV) co-testing performed during the measurement period or the four years prior to the measurement period for women who are at least 30 years old at the time of the test Numerator Exclusions Not Applicable Denominator Exceptions None Measure Steward National Committee for Quality Assurance Domain Effective Clinical Care Previous Version CMS124v7 Measure Scoring Proportion Measure Type Process Improvement Notation Higher score equals better quality Guidance To ensure the measure is only looking for a cervical cytology test only after a woman turns 21 years of age, the youngest age in the initial population is 23. Patient self-report for procedures as well as diagnostic studies should be recorded in 'Procedure, Performed' template or 'Diagnostic Study, Performed' template in QRDA-1. Include only cytology and HPV "co-testing"; in co-testing, both cytology and HPV tests are performed (i.e., the samples are collected and both tests are ordered, regardless of the cytology result) on the same date of service. Do not include reflex testing. In addition, if the medical record indicates the HPV test was performed only after determining the cytology result, this is considered reflex testing and does not meet criteria for the measure. Quality ID 309 Meaningful Measure Preventive Care Specifications Attachment Size CMS124v8.html 52.12 KB CMS124v8.zip 63.29 KB CMS124v8-TRN.xlsx 21.83 KB Data Element Repository Data Elements contained within CMS124v8 Release Notes Header Updated eCQM version number. Measure Section: eCQM Version number Source of Change: Measure Lead Updated NQF number to 'Not Applicable.' Measure Section: NQF Number Source of Change: Standards Update Updated endorsed by field to 'None.' Measure Section: Endorsed By Source of Change: Standards Update Updated copyright. Measure Section: Copyright Source of Change: Annual Update Updated rationale. Measure Section: Rationale Source of Change: Measure Lead Updated references. Measure Section: Reference Source of Change: Measure Lead Updated references to align with American Psychological Association (APA) style. Measure Section: Reference Source of Change: Measure Lead Updated parenthetical citations to align with American Psychological Association (APA) style. Measure Section: Multiple Sections Source of Change: Measure Lead Logic Updated HPV test timing in definition 'Pap Test With HPV Co Test Within 5 Years': changed from 'HPVTest.relevantPeriod starts 1 day or less before or on day of start of PapTestOver30YearsOld.relevantPeriod' to 'HPVTest.relevantPeriod starts within 1 day of start of PapTestOver30YearsOld.relevantPeriod.' Measure Section: Definitions Source of Change: ONC Project Tracking System (JIRA): CQM-3423 Updated the names of Clinical Quality Language (CQL) definitions, functions, and/or aliases for clarification and to align with CQL Style Guide. Measure Section: Definitions and Functions Source of Change: Standards Update Updated Clinical Quality Language (CQL) expression to conform with the HL7 Standard: Clinical Quality Language Specification, Release 1 STU 3 (CQL 1.3). Measure Section: Multiple Sections Source of Change: Standards Update Updated definitions and functions in the Measure Authoring Tool (MAT) Global Common Functions Library to align with standards changes, Clinical Quality Language (CQL) Style Guide, and to include two new functions related to calculating hospital stays. Measure Section: Multiple Sections Source of Change: Standards Update Updated version number of the Measure Authoring Tool (MAT) Global Common Functions Library (MATGlobalCommonFunctions-4.0.000). Measure Section: Multiple Sections Source of Change: Standards Update Updated version number of the Hospice Library (Hospice-2.0.000). Measure Section: Multiple Sections Source of Change: Measure Lead Value Set The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets. Value set Hysterectomy with No Residual Cervix (2.16.840.1.113883.3.464.1003.198.12.1014): Added 15 SNOMED CT codes and deleted 18 SNOMED CT codes. Added 1 CPT code (58575). Added ICD-9-CM extensional value set (2.16.840.1.113883.3.464.1003.198.11.1134) including 13 codes. Added ICD-10-PCS extensional value set (2.16.840.1.113883.3.464.1003.198.11.1135) including 13 codes. Measure Section: Terminology Source of Change: Annual Update Direct reference code for Birth date (LOINC Code (21112-8)) now displayed in Human Readable. Measure Section: Terminology Source of Change: Annual Update Removed code system versions from direct reference codes. Please refer to Appendix A of the Electronic Clinical Quality Measure Logic and Implementation Guidance document for a list of code system versions used in the eCQM specifications for 2020 reporting/performance. Measure Section: Terminology Source of Change: Standards Update Standardized purpose statement language in value sets across eCQMs. Value set purpose statements are visible in the Value Set Authority Center (VSAC) as well as the downloadable eCQM value set files. Measure Section: Terminology Source of Change: Measure Lead External Resources United States Health Information Knowledgebase NLM Value Set Authority Center (VSAC)