Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Patients 50-75 years of age with a visit during the measurement period
Equals Initial Population
Exclude patients whose hospice care overlaps the measurement period.
Exclude patients with a diagnosis or past history of total colectomy or colorectal cancer.
Exclude patients 66 and older who are living long term in an institution for more than 90 consecutive days during the measurement period.
Exclude patients 66 and older with advanced illness and frailty because it is unlikely that patients will benefit from the services being measured.
Patients with one or more screenings for colorectal cancer. Appropriate screenings are defined by any one of the following criteria:
- Fecal occult blood test (FOBT) during the measurement period
- Flexible sigmoidoscopy during the measurement period or the four years prior to the measurement period
- Colonoscopy during the measurement period or the nine years prior to the measurement period
- FIT-DNA during the measurement period or the two years prior to the measurement period
- CT Colonography during the measurement period or the four years prior to the measurement period
Not Applicable
None
Higher score indicates better quality
Patient self-report for procedures as well as diagnostic studies should be recorded in "Procedure, Performed" template or "Diagnostic Study, Performed" template in QRDA-1.
Do not count digital rectal exams (DRE), fecal occult blood tests (FOBTs) performed in an office setting or performed on a sample collected via DRE.
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.
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.
Percentage of adults 45-75 years of age who had appropriate screening for colorectal cancer
Patients 46-75 years of age by the end of the measurement period with a visit during the measurement period
This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM.
Updated eCQM Version Number.
Measure Section: eCQM Version Number
Source of Change: Standards Update
Updated copyright.
Measure Section: Copyright
Source of Change: Annual Update
Updated the rationale to remove outdated references and content and to update references.
Measure Section: Rationale
Source of Change: Measure Lead
Updated references.
Measure Section: Reference
Added text to identify the Quality Data Model (QDM) version used in the measure specification.
Measure Section: Guidance
Added text to indicate whether the measure is patient-based or episode-based.
Updated guidance to spell out digital rectal exam (DRE) and fecal occult blood test (FOBT) to improve clarity.
Added 'Exclude' to denominator exclusions to improve clarity.
Measure Section: Denominator Exclusions
Updated denominator exclusions to add the word 'consecutive' to clarify that the Long-Term Illness (LTI) exclusion should be for 90 consecutive days.
Updated denominator exclusion logic for frailty and clarified that the long-term illness exclusion should be for 90 'consecutive' days to reduce ambiguity.
Updated Clinical Quality Language (CQL) expression to conform with the HL7 Standard: Clinical Quality Language Specification, Release 1 STU 4 (CQL 1.4).
Measure Section: Multiple Sections
Updated the names of CQL definitions, functions, and/or aliases for clarification and to align with the CQL Style Guide.
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.
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.
CQL Library version update: Updated version number of the Hospice Library (Hospice-2.2.000).
CQL Library version update: Updated version number of the Adult_Outpatient_Encounters Library (Adult_Outpatient_Encounters-1.3.000).
Updated CQL Library version number of the advanced illness and frailty exclusion library (AdvancedIllnessandFrailtyExclusionECQM-5.5.000).
The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets.
Value set Frailty Symptom (2.16.840.1.113883.3.464.1003.113.12.1075): Deleted 4 SNOMED CT codes (267031002, 272060000, 272062008, 314109004) based on terminology update.
Measure Section: Terminology
Value set Nursing Facility Visit (2.16.840.1.113883.3.464.1003.101.12.1012): Added 3 CPT codes (99315, 99316, 99318) based on updated evidence in published guidelines, published literature, or from published specialty medical society or group recommendations, to capture additional nursing facility visit encounter types.
Value set Acute Inpatient (2.16.840.1.113883.3.464.1003.101.12.1083): Deleted 1 SNOMED CT code (2876009) based on terminology update.
Value set Frailty Device (2.16.840.1.113883.3.464.1003.118.12.1300): Removed extensional value set Frailty Device (2.16.840.1.113883.3.464.1003.118.11.1114) with HCPCS codes from the grouping and added Frailty Device SNOMED (2.16.840.1.113883.3.464.1003.118.11.1220) with SNOMED CT codes to the grouping to align with recommended terminology.
Value set Colonoscopy (2.16.840.1.113883.3.464.1003.108.12.1020): Deleted 5 CPT codes (44393, 44397, 45355, 45383, 45387) based on terminology update.
Value set Malignant Neoplasm of Colon (2.16.840.1.113883.3.464.1003.108.12.1001): Deleted 1 SNOMED CT code (187758006) based on terminology update.
Value set Total Colectomy (2.16.840.1.113883.3.464.1003.198.12.1019): Deleted 2 CPT codes (44152, 44153) based on terminology update.