General eCQM Information
| CMS Measure ID | CMS157v8 |
|---|---|
| NQF Number | 0384e |
| Measure Description |
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified |
| Initial Population | All patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy |
| Denominator Statement |
Equals Initial Population |
| Denominator Exclusions |
None |
| Numerator Statement |
Patient visits in which pain intensity is quantified |
| Numerator Exclusions |
Not Applicable |
| Denominator Exceptions |
None |
| Measure Steward | PCPI(R) Foundation (PCPI[R]) |
| Domain | Person and Caregiver-Centered Experience and Outcomes |
| Measure Scoring | Proportion measure |
| Measure Type | Process measure |
| Improvement Notation |
Higher score indicates better quality |
| Guidance |
This measure is an episode-of-care measure; the level of analysis for this measure is every visit for patients with a diagnosis of cancer who are also currently receiving chemotherapy or radiation therapy during the measurement period. For patients receiving radiation therapy, pain intensity should be quantified at each radiation treatment management encounter where the patient and physician have a face-to-face interaction. Due to the nature of some applicable coding related to radiation therapy (e.g., delivered in multiple fractions), the billing date for certain codes may or may not be the same as the face-to-face encounter date. In this instance, for the reporting purposes of this measure, the billing date should be used to pull the appropriate patients into the initial population. It is expected, though, that the numerator criteria would be performed at the time of the actual face-to-face encounter during the series of treatments. For patients receiving chemotherapy, pain intensity should be quantified at each face-to-face encounter with the physician while the patient is currently receiving chemotherapy. For purposes of identifying eligible encounters, patients "currently receiving chemotherapy" refers to patients administered chemotherapy within 30 days prior to the encounter AND administered chemotherapy within 30 days after the date of the encounter. Pain intensity should be quantified using a standard instrument, such as a 0-10 numerical rating scale, visual analog scale, a categorical scale, or pictorial scale. Examples include the Faces Pain Rating Scale and the Brief Pain Inventory (BPI). |
| Quality ID | 143 |
| Meaningful Measure | Management of Chronic Conditions |
| Telehealth Eligible | No |
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Data Element Repository
Header
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Updated eCQM version number.
Measure Section: eCQM Version number
Source of Change: Measure Lead
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Added 'e' to NQF number.
Measure Section: NQF Number
Source of Change: Standards Update
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Updated copyright.
Measure Section: Copyright
Source of Change: Annual Update
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Updated disclaimer.
Measure Section: Disclaimer
Source of Change: Measure Lead
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Updated rationale statement in-text citation date for updated reference.
Measure Section: Rationale
Source of Change: Measure Lead
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Updated clinical recommendation statement to align with current guideline.
Measure Section: Clinical Recommendation Statement
Source of Change: Measure Lead
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Updated references to align with American Psychological Association (APA) style.
Measure Section: Reference
Source of Change: Measure Lead
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Updated references.
Measure Section: Reference
Source of Change: Measure Lead
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Updated guidance statement related to radiation treatment management CPT code (77427).
Measure Section: Guidance
Source of Change: Measure Lead
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Updated parenthetical citations to align with American Psychological Association (APA) style.
Measure Section: Multiple Sections
Source of Change: Measure Lead
Logic
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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
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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
Value Set
The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets.
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Value set Chemotherapy Administration (2.16.840.1.113883.3.526.3.1027): Deleted 4 CPT codes (96411, 96415, 96417, 96423).
Measure Section: Terminology
Source of Change: Annual Update
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Value set Cancer (2.16.840.1.113883.3.526.3.1010): Added 4 SNOMED CT codes (702391001, 763131005, 764791008, 767448007) and deleted 3 SNOMED CT codes (186709004, 186723002, 186725009). Added 29 ICD-10-CM codes.
Measure Section: Terminology
Source of Change: Annual Update
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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