| Measure Information | 2022 Performance Period |
|---|---|
| CMS eCQM ID | CMS127v10 |
| NQF Number | Not Applicable |
| MIPS Quality ID | 111 |
| Description |
Percentage of patients 66 years of age and older who have ever received a pneumococcal vaccine |
| Initial Population |
Patients 66 years of age and older with a visit during the measurement period |
| Numerator |
Patients who received a pneumococcal vaccination on or after their 60th birthday and before the end of the measurement period; or ever had an adverse reaction to the vaccine before the end of the measurement period |
| Numerator Exclusions |
Not Applicable |
| Denominator |
Equals Initial Population |
| Denominator Exclusions |
Exclude patients who are in hospice care for any part of the measurement period. |
| Denominator Exceptions |
None |
| Steward | National Committee for Quality Assurance |
| Measure Scoring | Proportion measure |
| Measure Type | Process measure |
| Improvement Notation |
Higher score indicates better quality |
| Guidance |
Patient self-report for procedures as well as immunizations should be recorded in 'Procedure, Performed' template or 'Immunization, Administered' template in QRDA-1. 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 | Yes |
| Next Version | |
| Previous Version |
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.
| Measure Information | 2021 Performance Period | 2022 Performance Period | 2023 Performance Period | 2024 Performance Period |
|---|---|---|---|---|
| Title | Pneumococcal Vaccination Status for Older Adults | Pneumococcal Vaccination Status for Older Adults | Pneumococcal Vaccination Status for Older Adults | Pneumococcal Vaccination Status for Older Adults |
| CMS eCQM ID | CMS127v9 | CMS127v10 | CMS127v11 | CMS127v12 |
| NQF Number | Not Applicable | Not Applicable | Not Applicable | Not Applicable |
| Description |
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine |
Percentage of patients 66 years of age and older who have ever received a pneumococcal vaccine |
Percentage of patients 66 years of age and older who have received a pneumococcal vaccine |
Percentage of patients 65 years of age and older who have received a pneumococcal vaccine |
| Initial Population |
Patients 65 years of age and older with a visit during the measurement period |
Patients 66 years of age and older with a visit during the measurement period |
Patients 66 years of age and older at the start of the measurement period with a visit during the measurement period |
Patients 65 years of age and older at the start of the measurement period with a visit 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 Exclude patients with anaphylaxis due to the pneumococcal conjugate vaccine or polysaccharide vaccine any time before the end of the measurement period |
| Numerator |
Patients who have ever received a pneumococcal vaccination before the end of the measurement period |
Patients who received a pneumococcal vaccination on or after their 60th birthday and before the end of the measurement period; or ever had an adverse reaction to the vaccine before the end of the measurement period |
Patients who received a pneumococcal vaccination on or after their 60th birthday and before the end of the measurement period |
Patients who received a pneumococcal conjugate vaccine or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
| Numerator Exclusions |
Not Applicable |
Not Applicable |
Not Applicable |
Not Applicable |
| Denominator Exceptions |
None |
None |
None |
None |
| Measure Steward | National Committee for Quality Assurance | National Committee for Quality Assurance | National Committee for Quality Assurance | National Committee for Quality Assurance |
| Measure Scoring | Proportion measure | Proportion measure | Proportion measure | Proportion measure |
| Measure Type | Process measure | Process measure | Process measure | Process measure |
| Improvement Notation |
Higher score indicates better quality |
Higher score indicates better quality |
Higher score indicates better quality |
Higher score indicates better quality |
| Guidance |
Patient self-report for procedures as well as immunization s should be recorded in 'Procedure, Performed' template or 'Immunization, Administered' template in QRDA-1. ACIP (Kobayashi, 2015) provides guidance about the proper interval and relative timing for the administration of two pneumococcal vaccines; this measure assesses whether patients have received at least one of either vaccine. 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. |
Patient self-report for procedures as well as immunizations should be recorded in 'Procedure, Performed' template or 'Immunization, Administered' template in QRDA-1. 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. 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. 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 | 111 | 111 | 111 | 111 |
| Telehealth Eligible | Yes | Yes | Yes | Yes |
| Next Version | CMS127v10 | CMS127v11 | CMS127v12 | No Version Available |
| Previous Version | No Version Available |
*Note: There is a known issue on CMS127v10. See issue EKI-14 on the ONC eCQM Known Issues Dashboard for details.
Data Element Repository
Header
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Updated the eCQM version number.
Measure Section: eCQM Version Number
Source of Change: Annual Update
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Revised the age in the description to align with updates limiting the numerator to the PPSV23 vaccine.
Measure Section: Description
Source of Change: Measure Lead
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Updated copyright.
Measure Section: Copyright
Source of Change: Annual Update
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Updated the rationale to align with current evidence.
Measure Section: Rationale
Source of Change: Measure Lead
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Updated the clinical recommendation statement to align with current clinical recommendations.
Measure Section: Clinical Recommendation Statement
Source of Change: Measure Lead
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Updated references.
Measure Section: Reference
Source of Change: Annual Update
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Updated the guidance to clarify the measure intent and support implementation.
Measure Section: Guidance
Source of Change: Measure Lead
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Revised the age in the initial population to align with updates limiting the numerator to the PPSV23 vaccine.
Measure Section: Initial Population
Source of Change: Measure Lead
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Replaced 'overlaps' or 'overlapping' in the denominator exclusions with plain language to clarify the measure intent.
Measure Section: Denominator Exclusions
Source of Change: Measure Lead
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Revised the numerator statement to align with the clinical recommendations related to age and adverse reactions.
Measure Section: Numerator
Source of Change: Measure Lead
Logic
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Added online assessments and telephone visits as appropriate encounters based on the increased use of telehealth services.
Measure Section: Initial Population
Source of Change: Measure Lead
-
Revised the age in the Initial Population definition to align with updates limiting the numerator to the PPSV23 vaccine.
Measure Section: Initial Population
Source of Change: Measure Lead
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Revised the Numerator definition and added two definitions, Has Pneumococcal Polysaccharide Vaccine 23 Administered and Has Pneumococcal Vaccine Adverse Reaction, to align with the clinical recommendations related to age and adverse reactions.
Measure Section: Numerator
Source of Change: Measure Lead
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Updated the version number of the Measure Authoring Tool (MAT) Global Common Functions Library (MATGlobalCommonFunctions-6.2.000). Updated the 'Inpatient Encounter' definition to include a 'day of' timing clarification. Added the following timing functions: Normalize Interval, Has Start, Has End, Latest, Latest Of, Earliest, and Earliest Of. Please see individual measure details for application of specific timing functions.
Measure Section: Multiple Sections
Source of Change: Standards Update
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Added new NormalizeInterval function to timing attributes to decrease implementation burden due to variable use of timing attributes for select QDM data types. The NormalizeInterval function was applied, where applicable, for the following data elements: Assessment, Performed; Device, Applied; Diagnostic Study, Performed; Intervention, Performed; Laboratory Test, Performed; Medication, Administered; Medication, Dispensed; Physical Exam, Performed; Procedure, Performed; Substance, Administered.
Measure Section: Multiple Sections
Source of Change: Standards Update
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Updated Hospice CQL Library to version 3.0.000.
Measure Section: Multiple Sections
Source of Change: Measure Lead
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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Added value set Telephone Visits (2.16.840.1.113883.3.464.1003.101.12.1080) based on review by technical experts, SMEs, and/or public feedback.
Measure Section: Terminology
Source of Change: Measure Lead
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Added value set Online Assessment (2.16.840.1.113883.3.464.1003.101.12.1089) based on change in measure requirements/measure specification.
Measure Section: Terminology
Source of Change: Measure Lead
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Added direct reference codes CPT codes (90732, 99211) based on change in measure requirements/measure specification.
Measure Section: Terminology
Source of Change: Measure Lead
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Added direct reference code SNOMED CT code (293116002) based on change in measure requirements/measure specification.
Measure Section: Terminology
Source of Change: Measure Lead
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Replaced value set Pneumococcal Vaccine Administered (2.16.840.1.113883.3.464.1003.110.12.1034) with value set Pneumococcal Polysaccharide 23 Vaccine (2.16.840.1.113883.3.464.1003.110.12.1089) based on change in measure requirements/measure specification.
Measure Section: Terminology
Source of Change: Measure Lead