Use of Appropriate Medications for Asthma

Last updated: January 31, 2017

CMS Measure ID: CMS126v5
Version: 5
NQF Number: None
Measure Description:

Percentage of patients 5-64 years of age who were identified as having persistent asthma and were appropriately ordered 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 a diagnosis of emphysema, COPD, obstructive chronic bronchitis, cystic fibrosis or acute respiratory failure that overlaps the measurement period

Numerator Statement:

Patients who were ordered 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
Previous Version: Use of Appropriate Medications for Asthma
Improvement Notation:

Higher score indicates better quality

Guidance:

None

Specifications

Release Notes

Header

  • Updated Clinical Recommendation Statement.

    Section: Clinical Recommendation Statement

    Source: Measure Lead

  • ‚ÄčUpdated Copyright.

    Section: Copyright

    Source: Annual Update

  • Updated exclusion logic to include Obstructive Chronic Bronchitis as a denominator exclusion to ensure all exclusions were captured in the measure logic.

    Section: Denominator Exclusions

    Source: JIRA (CQM-1671)

  • Updated language for the Denominator Exclusions description to match the logic.

    Section: Denominator Exclusions

    Source: Measure Lead

  • Updated Medication Dispensed to Medication Order.

    Section: Description

    Source: JIRA (CQM-1488)

  • Incremented eMeasure Version number.

    Section: eMeasure Version number

    Source: Annual Update

  • Removed Endorsement.

    Section: Endorsed By

    Source: Measure Lead

  • Removed Endorsement Number.

    Section: NQF Number

    Source: Measure Lead

  • Updated References.

    Section: Reference

    Source: Measure Lead

Logic

  • Replaced datatypes 'Diagnosis, Active; Diagnosis, Inactive; Diagnosis, Resolved' with the re-specified 'Diagnosis' datatype to conform to QDM 4.2 changes.

    Section: Denominator Exclusions

    Source: QDM Standards

  • Value set Obstructive Chronic Bronchitis (2.16.840.1.113883.3.464.1003.102.12.1024): Added Obstructive Chronic Bronchitis.

    Section: Denominator Exclusions

    Source: JIRA (CQM-1671)

  • Value set Obstructive Chronic Bronchitis (2.16.840.1.113883.3.464.1003.102.12.1024): Added Obstructive Chronic Bronchitis.

    Section: Denominator Exclusions

    Source: None

  • Replaced datatypes 'Diagnosis, Active; Diagnosis, Inactive; Diagnosis, Resolved' with the re-specified 'Diagnosis' datatype to conform to QDM 4.2 changes.

    Section: Initial Population

    Source: QDM Standards

  • Updated Medication Dispensed to Medication Order.

    Section: Numerator

    Source: JIRA (CQM-1488)

  • Replaced datatypes 'Diagnosis, Active; Diagnosis, Inactive; Diagnosis, Resolved' with the re-specified 'Diagnosis' datatype to conform to QDM 4.2 changes.

    Section: QDM Data Elements

    Source: QDM Standards

  • Updated Medication Dispensed to Medication Order.

    Section: QDM Data Elements

    Source: JIRA (CQM-1488)

  • Value set Obstructive Chronic Bronchitis (2.16.840.1.113883.3.464.1003.102.12.1024): Added Obstructive Chronic Bronchitis.

    Section: QDM Data Elements

    Source: None

Value Set

  • Value set Obstructive Chronic Bronchitis (2.16.840.1.113883.3.464.1003.102.12.1024): Added Obstructive Chronic Bronchitis.

    Section: None

    Source: None

  • Value set Preferred Asthma Therapy (2.16.840.1.113883.3.464.1003.196.12.1212): Deleted 22 RXNORM codes.

    Section: None

    Source: None

External Resources