General eCQM Information
CMS Measure ID | CMS143v8 |
---|---|
NQF Number | 0086e |
Measure Description |
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months |
Initial Population | All patients aged 18 years and older with a diagnosis of primary open-angle glaucoma |
Denominator Statement |
Equals Initial Population |
Denominator Exclusions |
None |
Numerator Statement |
Patients who have an optic nerve head evaluation during one or more office visits within 12 months |
Numerator Exclusions |
Not Applicable |
Denominator Exceptions |
Documentation of medical reason(s) for not performing an optic nerve head evaluation |
Measure Steward | PCPI(R) Foundation (PCPI[R]) |
Domain | Effective Clinical Care |
Measure Scoring | Proportion measure |
Measure Type | Process measure |
Improvement Notation |
Higher score indicates better quality |
Guidance |
Optic nerve head evaluation includes examination of the cup to disc ratio and identification of optic disc or retinal nerve abnormalities. Both of these components of the optic nerve head evaluation are examined using ophthalmoscopy. The measure, as written, does not specifically require documentation of laterality. Coding limitations in particular clinical terminologies do not currently allow for that level of specificity (ICD-10-CM includes laterality, but ICD-9-CM and SNOMED-CT do not uniformly include this distinction). Therefore, at this time, it is not a requirement of this measure to indicate laterality of the diagnoses, findings or procedures. Available coding to capture the data elements specified in this measure has been provided. It is assumed that the eligible professional or eligible clinician will record laterality in the patient medical record, as quality care and clinical documentation should include laterality. |
Quality ID | 12 |
Meaningful Measure | Management of Chronic Conditions |
Telehealth Eligible | Yes |
Next Version | |
Previous Version |
Data Element Repository
Header
-
Updated eCQM version number.
Measure Section: eCQM Version number
Source of Change: Measure Lead
-
Added 'e' to NQF number.
Measure Section: NQF Number
Source of Change: Standards Update
-
Updated copyright.
Measure Section: Copyright
Source of Change: Annual Update
-
Updated disclaimer.
Measure Section: Disclaimer
Source of Change: Measure Lead
-
Updated clinical recommendation statement to support measure intent.
Measure Section: Clinical Recommendation Statement
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 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
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 Ophthalmological Services (2.16.840.1.113883.3.526.3.1285): Added SNOMED CT extensional value set (2.16.840.1.113883.3.526.2.1771) including 4 codes.
Measure Section: Terminology
Source of Change: Annual Update
-
Value set Primary Open-Angle Glaucoma (2.16.840.1.113883.3.526.3.326): Added 4 SNOMED CT codes (15633281000119103, 15633321000119108, 15640441000119104, 50485007).
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
-
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