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Children Who Have Dental Decay or Cavities

Measure Information 2021 Performance Period
CMS eCQM ID CMS75v9
NQF Number Not Applicable
MIPS Quality ID 378
Description

Percentage of children, 6 months - 20 years of age, who have had tooth decay or cavities during the measurement period

Initial Population

Children, 6 months - 20 years of age, with a clinical oral evaluation during the measurement period

Numerator

Children who had a diagnosis of cavities or decayed teeth overlapping the measurement period

Numerator Exclusions

Not applicable

Denominator

Equals Initial Population

Denominator Exclusions

Exclude patients whose hospice care overlaps the measurement period

Denominator Exceptions

None

Steward Centers for Medicare & Medicaid Services (CMS)
Measure Scoring Proportion measure
Measure Type Outcome measure
Improvement Notation

A lower score indicates better quality

Guidance

This eCQM is a patient-based measure.

This version of the eCQM uses QDM version 5.5. Please refer to the eCQI resource center for more information on the QDM.

Telehealth Eligible No
Next Version
Previous Version No Version Available

Compare eCQM Versions

The Compare function compares two years of the measure specifications found in the header of the measure's HTML. It does not include a comparison of any information in the body of the HTML, e.g., population criteria, Clinical Quality Language, or value sets.

Strikethrough text highlighted in red indicates information changed from the previous version. Text highlighted in green indicates information updated in the new eCQM version.

Filter Measure By
Measure Information 2021 Performance Period 2022 Performance Period 2023 Performance Period 2024 Performance Period
Title Children Who Have Dental Decay or Cavities Children Who Have Dental Decay or Cavities Children Who Have Dental Decay or Cavities Children Who Have Dental Decay or Cavities
CMS eCQM ID CMS75v9 CMS75v10 CMS75v11 CMS75v12
NQF Number Not Applicable Not Applicable Not Applicable Not Applicable
Description

Percentage of children, 6 months - 20 years of age, who have had tooth decay or cavities during the measurement period

Percentage of children, 6 months - 20 years of age at the start of the measurement period, who have had tooth decay or cavities during the measurement period

Percentage of children, 6 months - 20 years of age at the start of the measurement period, who have had tooth decay or cavities during the measurement period as determined by a dentist

Percentage of children, 1 - 20 years of age at the start of the measurement period, who have had tooth decay or cavities during the measurement period as determined by a dentist

Initial Population

Children, 6 months - 20 years of age, with a clinical oral evaluation during the measurement period

Children, 6 months - 20 years of age, with a clinical oral evaluation during the measurement period

Children, 6 months - 20 years of age at the start of the measurement period, with a clinical oral evaluation by a dentist during the measurement period

Children, 1 - 20 years of age at the start of the measurement period, with a clinical oral evaluation by a dentist during the measurement period

Denominator

Equals Initial Population

Equals Initial Population

Equals Initial Population

Equals Initial Population

Denominator Exclusions Exclude patients whose hospice care overlaps the measurement period Exclude patients who are in hospice care for any part of the measurement period. Exclude patients who are in hospice care for any part of the measurement period Exclude patients who are in hospice care for any part of the measurement period
Numerator

Children who had a diagnosis of cavities or decayed teeth overlapping the measurement period

Children who had a diagnosis of cavities or decayed teeth in any part of the measurement period

Children who had a diagnosis of cavities or decayed teeth in any part of the measurement period

Children who had a diagnosis of cavities or decayed teeth in any part of the measurement period

Numerator Exclusions

Not applicable

Not applicable

Not Applicable

Not Applicable

Denominator Exceptions

None

None

None

None

Measure Steward Centers for Medicare & Medicaid Services (CMS) Centers for Medicare & Medicaid Services (CMS) Centers for Medicare & Medicaid Services (CMS) Centers for Medicare & Medicaid Services (CMS)
Measure Scoring Proportion measure Proportion measure Proportion measure Proportion measure
Measure Type Outcome measure Outcome measure Outcome measure Outcome measure
Improvement Notation

A lower score indicates better quality

A lower score indicates better quality

A lower score indicates better quality

A lower score indicates better quality

Guidance

This eCQM is a patient-based measure.

This version of the eCQM uses QDM version 5.5. Please refer to the eCQI resource center for more information on the QDM.

This eCQM is a patient-based measure.

Telehealth encounters are not eligible for this measure because the measure does not contain telehealth-eligible codes and requires a clinical action that cannot be conducted via telehealth.

This version of the eCQM uses QDM version 5.5. Please refer to the eCQI resource center for more information on the QDM.

This eCQM is a patient-based measure.

Telehealth encounters are not eligible for this measure because the measure does not contain telehealth-eligible codes and requires a clinical action that cannot be conducted via telehealth.

This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM.

This eCQM is a patient-based measure.

Telehealth encounters are not eligible for this measure because the measure does not contain telehealth-eligible codes and requires a clinical action that cannot be conducted via telehealth.

This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM.

MIPS Quality ID 378 378 378 378
Telehealth Eligible No No No No
Next Version CMS75v10 CMS75v11 CMS75v12 No Version Available
Previous Version No Version Available

Release Notes

Header

  • Updated eCQM Version Number.

    Measure Section: eCQM Version Number

    Source of Change: Standards Update

  • Raised the minimum age from 0 years to 6 months, to increase the probability that children have teeth when assessed against the numerator criteria.

    Measure Section: Description

    Source of Change: ONC Project Tracking System (Jira): CQM-3805

  • Updated copyright.

    Measure Section: Copyright

    Source of Change: Annual Update

  • Raised the minimum age from 0 years to 6 months, to increase the probability that children have teeth when assessed against the numerator criteria.

    Measure Section: Stratification

    Source of Change: ONC Project Tracking System (Jira): CQM-3805

  • ​Updated the rationale to remove outdated references and content and to update references.

    Measure Section: Rationale

    Source of Change: Measure Lead

  • Updated the clinical recommendation statement to remove outdated references and update with the most recent clinical recommendations.

    Measure Section: Clinical Recommendation Statement

    Source of Change: Measure Lead

  • Updated references.

    Measure Section: Reference

    Source of Change: Standards Update

  • Added text to identify the Quality Data Model (QDM) version used in the measure specification.

    Measure Section: Guidance

    Source of Change: Standards Update

  • Added text to indicate whether the measure is patient-based or episode-based.

    Measure Section: Guidance

    Source of Change: Standards Update

  • Raised the minimum age from 0 years to 6 months, to increase the probability that children have teeth when assessed against the numerator criteria.

    Measure Section: Initial Population

    Source of Change: ONC Project Tracking System (Jira): CQM-3805

  • Revised the denominator to include patients with a clinical oral evaluation to ensure the measure is reported by clinicians who provide oral health care.

    Measure Section: Initial Population

    Source of Change: ONC Project Tracking System (Jira): CQM-3812

  • Revised the denominator to include patients with a clinical oral evaluation to ensure the measure is reported by clinicians who provide oral health care.

    Measure Section: Denominator

    Source of Change: ONC Project Tracking System (Jira): CQM-3812

Logic

  • Raised the minimum age from 0 years to 6 months, to increase the probability that children have teeth when assessed against the numerator criteria.

    Measure Section: Initial Population

    Source of Change: ONC Project Tracking System (Jira): CQM-3805

  • Revised the denominator to include patients with a clinical oral evaluation to ensure the measure is reported by clinicians who provide oral health care.

    Measure Section: Initial Population

    Source of Change: ONC Project Tracking System (Jira): CQM-3812

  • Revised the denominator to include patients with a clinical oral evaluation to ensure the measure is reported by clinicians who provide oral health care.

    Measure Section: Denominator

    Source of Change: ONC Project Tracking System (Jira): CQM-3812

  • Raised the minimum age from 0 years to 6 months, to increase the probability that children have teeth when assessed against the numerator criteria.

    Measure Section: Stratification

    Source of Change: ONC Project Tracking System (Jira): CQM-3805

  • Clinical Quality Language (CQL) Library version update: Updated version number of the Hospice Library (Hospice-2.2.000).

    Measure Section: Multiple Sections

    Source of Change: Measure Lead

  • QDM v5.5 standards update: Added 'relevantDatetime' attribute to QDM datatypes. 'RelevantDatetime' indicates when the action occurred whereas 'authorDatetime' indicates when the action was recorded.

    Measure Section: Multiple Sections

    Source of Change: Standards Update

  • Updated CQL expression to conform with the HL7 Standard: Clinical Quality Language Specification, Release 1 STU 4 (CQL 1.4).

    Measure Section: Multiple Sections

    Source of Change: Standards Update

  • Updated the names of CQL definitions, functions, and/or aliases for clarification and to align with the CQL Style Guide.

    Measure Section: Multiple Sections

    Source of Change: Standards Update

  • Updated version number of the Measure Authoring Tool (MAT) Global Common Functions Library (MATGlobalCommonFunctions-5.0.000). Updated definitions and functions in the MAT Global Common Functions Library to align with standards changes, CQL Style Guide, and to include one new function related to calculating length of hospital stays with observation stays.

    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.

  • Removed the following value sets from the measure: Office Visit (2.16.840.1.113883.3.464.1003.101.12.1001), Preventive Care Services - Established Office Visit, 18 and Up (2.16.840.1.113883.3.464.1003.101.12.1025), Preventive Care Services, Initial Office Visit, 0 to 17 (2.16.840.1.113883.3.464.1003.101.12.1022), Preventive Care Services-Initial Office Visit, 18 and Up (2.16.840.1.113883.3.464.1003.101.12.1023), and Preventive Care, Established Office Visit, 0 to 17 (2.16.840.1.113883.3.464.1003.101.12.1024) to align with logic changes based on changes in measure requirements/measure specification.

    Measure Section: Terminology

    Source of Change: Measure Lead

Last Updated: Apr 24, 2023