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Closing the Referral Loop: Receipt of Specialist Report

Compare Versions of: "Closing the Referral Loop: Receipt of Specialist Report"

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.

Compare 2023 version to

Table Options
Measure Information 2023 Performance Period
Title Closing the Referral Loop: Receipt of Specialist Report
CMS eCQM ID CMS50v11
CBE ID* Not Applicable
MIPS Quality ID 374
Measure Steward Centers for Medicare & Medicaid Services (CMS)
Description

Percentage of patients with referrals, regardless of age, for which the referring clinician receives a report from the clinician to whom the patient was referred

Measure Scoring Proportion measure
Measure Type Process
Stratification *See CMS50v11.html
Risk Adjustment *See CMS50v11.html
Rationale *See CMS50v11.html
Clinical Recommendation Statement *See CMS50v11.html
Improvement Notation

A higher score indicates better quality

Definition *See CMS50v11.html
Guidance

The clinician who refers the patient to another clinician is the clinician who should be held accountable for the performance of this measure.

Only the first referral made between January 1 – October 31 of the measurement period will be considered for this measure to allow adequate time...

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Initial Population

Number of patients, regardless of age, who had an encounter during the measurement period and were referred by one clinician to another clinician on or before October 31

Denominator

Equals Initial Population

Denominator Exclusions

None

Numerator

Number of patients with a referral on or before October 31, for which the referring clinician received a report from the clinician to whom the patient was referred

Numerator Exclusions

Not Applicable

Denominator Exceptions

None

Telehealth Eligible Yes
Next Version
Previous Version No Version Available

Header

  • Updated copyright.

    Measure Section: Copyright

    Source of Change: Annual Update

  • Made minor updates to grammar, wording, and formatting to improve readability and consistency.

    Measure Section: Rationale

    Source of Change: Measure Lead

  • Updated references.

    Measure Section: Reference

    Source of Change: Measure Lead

  • Updated version number of the Quality Data Model (QDM) used in the measure specification to v5.6.

    Measure Section: Guidance

    Source of Change: Standards/Technical Update

  • Standardized language to reference 'clinicians' throughout the specification rather than 'provider' or 'practitioner'.

    Measure Section: Multiple Sections

    Source of Change: Measure Lead

  • Shortened the measurement period to 10 months to allow for a 2-month period to close the referral loop.

    Measure Section: Multiple Sections

    Source of Change: Expert Work Group Review

Logic

  • Shortened the measurement period to 10 months to allow for a 2-month period to close the referral loop.

    Measure Section: Multiple Sections

    Source of Change: Expert Work Group Review

  • 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/Technical Update

  • Updated the version number of the Measure Authoring Tool (MAT) Global Common Functions Library to v7.0.000.

    Measure Section: Multiple Sections

    Source of Change: Standards/Technical Update

  • Updated the version of the Quality Data Model (QDM) to 5.6 and Clinical Quality Language (CQL) to 1.5.

    Measure Section: Multiple Sections

    Source of Change: Standards/Technical Update

  • Removed references to 'face to face' in logic definition titles and aliases to signal certain virtual visits may be considered as eligible encounters.

    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.

  • Value set Consultant Report (2.16.840.1.113883.3.464.1003.121.12.1006): Added 2 SNOMED CT codes (721916007, 721927009) based on review by technical experts, SMEs, and/or public feedback.

    Measure Section: Terminology

    Source of Change: Measure Lead

Last Updated: Sep 23, 2024