Use of Appropriate Medications for Asthma

Last updated: May 17, 2016

CMS Measure ID: CMS126v4
Version: 4
NQF Number: 0036
Measure Description:

Percentage of patients 5-64 years of age who were identified as having persistent asthma and were appropriately prescribed medication during the measurement period.

Initial Patient Population:

Patients 5-64 years of age with persistent asthma and a visit during the measurement period

Denominator Statement:

Equals Initial Population

Denominator Exclusions:

Patients with emphysema, COPD, cystic fibrosis or acute respiratory failure during or prior to the measurement period

Numerator Statement:

Patients who were dispensed at least one prescription for a preferred therapy during the measurement period

Numerator Exclusions:

Not Applicable

Denominator Exceptions:

None

Measure Steward: National Committee for Quality Assurance
Domain: Effective Clinical Care
Next Version: Use of Appropriate Medications for Asthma
Previous Version: Use of Appropriate Medications for Asthma
Measure Score: Proportion
Improvement Notation:

Higher score indicates better quality

Guidance:

None

Specifications

Release Notes

Header

  • Copyright updated.
  • Disclaimer updated.
  • eMeasure version number incremented.

Logic

  • Introduced the new timing operator 'overlaps' to replace two lines of logic (AND/AND NOT) or to enforce when an event or set of events occur to meet the measure intent.
  • Replaced 'ORs' with 'Union of' operator.
  • Replaced 'Patient Characteristic Birthdate' with 'Age at' operator.
  • The top level logical operator for the Numerator Exclusions, Denominator Exclusions, Denominator Exceptions, and Measure Population Exclusions defaults to 'OR'.

Value Sets

  • Value set Emphysema (OID 2.16.840.1.113883.3.464.1003.102.12.1004): Added 1 SNOMED code (16838000).
  • Value set Persistent Asthma (OID 2.16.840.1.113883.3.464.1003.102.12.1023): Added 2 SNOMED codes (427354000, 901000119100).
  • Value set Preferred Asthma Therapy (OID 2.16.840.1.113883.3.464.1003.196.12.1212): Deleted 31 RXNORM codes to remove nasal inhaler and injection codes; added 18 RXNORM codes.

External Resources