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 CMS147v9 Version 9 NQF Number 0041e Measure Description Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization Initial Population All patients aged 6 months and older seen for a visit during the measurement period Denominator Statement Equals Initial Population and seen for a visit between October 1 and March 31 Denominator Exclusions None Numerator Statement Patients who received an influenza immunization OR who reported previous receipt of an influenza immunization Numerator Exclusions Not Applicable Denominator Exceptions Documentation of medical reason(s) for not receiving influenza immunization (e.g., patient allergy, other medical reasons). Documentation of patient reason(s) for not receiving influenza immunization (e.g., patient declined, other patient reasons). Documentation of system reason(s) for not receiving influenza immunization (e.g., vaccine not available, other system reasons). Measure Steward PCPI(R) Foundation (PCPI[R]) Domain Community/Population Health Previous Version CMS147v8 Measure Scoring Proportion Measure Type Process Improvement Notation Higher score indicates better quality Guidance The timeframe for the visit during the "Encounter, Performed": "Encounter-Influenza" or "Procedure, Performed": "Peritoneal Dialysis" or "Procedure, Performed": "Hemodialysis" in the Population Criteria-Denominator, refers to the influenza season defined by the measure: October through March (October 1 for the year prior to the start of the reporting period through March 31 during the reporting period). The "Encounter-Influenza" Grouping OID detailed in the data criteria section below is comprised of several individual OIDs of different encounter types. The individual OIDs are included in the value set and should be reviewed to determine that an applicable visit occurred during the timeframe for "Encounter, Performed": "Encounter-Influenza" as specified in the denominator. To enable reporting of this measure at the close of the reporting period, this measure will only assess the influenza season that ends in March of the reporting period. The subsequent influenza season (ending March of the following year) will be measured and reported in the following year. As a result of updated CDC/ACIP guidelines which include the interim recommendation that live attenuated influenza vaccine (LAIV) should not be used due to low effectiveness against influenza A(H1N1)pdm09 in the United States during the 2013-14 and 2015-16 seasons, the measure specifications have been updated and no longer include LAIV or intranasal flu vaccine as an option for numerator eligibility. Quality ID 110 Meaningful Measure Preventive Care Specifications Attachment Size CMS147v9.html 69.39 KB CMS147v9.zip 69.73 KB CMS147v9-TRN.xlsx 21.86 KB Data Element Repository Data Elements contained within CMS147v9 Release Notes 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 align with current guideline. 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 references. Measure Section: Reference Source of Change: Measure Lead Updated guidance statement to remove reference to leap years for alignment with other changes in measure. Measure Section: Guidance 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 Replaced Quality Data Model (QDM) category ‘Communication’ with ‘Assessment’ to better reflect how the clinical workflow assesses whether a patient previously received the influenza immunization. Measure Section: Numerator Source of Change: Standards Update Added ‘Influenza Vaccination Declined’ value set (2.16.840.1.113883.3.526.3.1255) as a negation rationale attribute in ‘Medical Patient or System Reason for Not Administering Influenza Vaccine’ and ‘Medical Patient or System Reason for Not Performing Influenza Vaccination’ definitions for consistency in capturing a patient reason denominator exception. Measure Section: Denominator Exceptions Source of Change: Standards Update Removed ‘Patient Declined Influenza Vaccination’ definition due to a change in how the value set is applied to the denominator exception. Measure Section: Definitions Source of Change: Standards Update 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 Modified logic to better account for leap years and improve alignment with measure intent. Measure Section: Multiple Sections Source of Change: Measure Lead 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 Patient Provider Interaction (2.16.840.1.113883.3.526.3.1012): Deleted 6 SNOMED CT codes (12843005, 18170008, 19681004, 4525004, 439708006, 207195004). Measure Section: Terminology Source of Change: Annual Update Value set Annual Wellness Visit (2.16.840.1.113883.3.526.3.1240): Added SNOMED CT extensional value set (2.16.840.1.113883.3.526.2.1772) including 2 codes. Measure Section: Terminology Source of Change: Annual Update Value set Influenza Vaccination (2.16.840.1.113883.3.526.3.402): Added 1 CPT code (90689). 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 External Resources United States Health Information Knowledgebase NLM Value Set Authority Center (VSAC)