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Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

Compare Versions of: "Statin Therapy for the Prevention and Treatment of Cardiovascular Disease"

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 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
CMS eCQM ID CMS347v6
CBE ID* Not Applicable
MIPS Quality ID 438
Measure Steward Centers for Medicare & Medicaid Services (CMS)
Description

Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period:

*All patients with an active diagnosis of clinical atherosclerotic cardiovascular disease (ASCVD) or ever had an...

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Measure Scoring Proportion measure
Measure Type Process
Stratification *See CMS347v6.html
Risk Adjustment *See CMS347v6.html
Rationale *See CMS347v6.html
Clinical Recommendation Statement *See CMS347v6.html
Improvement Notation

Higher score indicates better quality

Definition *See CMS347v6.html
Guidance

Initial Population Guidance:

The initial population covers three distinct populations. Use the following process to prevent counting patients more than once.

Initial Population 1:

All patients who have an active diagnosis of clinical ASCVD anytime during the measurement period or ever had...

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Initial Population

Population 1:

All patients who have an active diagnosis of clinical ASCVD or ever had an ASCVD procedure.

Population 2:

Patients aged >= 20 years at the beginning of the measurement period who have ever had a laboratory result of LDL-C >=190 mg/dL or were previously diagnosed with or...

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Denominator

Equals Initial Population

Denominator Exclusions

Patients who are breastfeeding at any time during the measurement period.

Patients who have a diagnosis of rhabdomyolysis at any time during the measurement period.

Numerator

Patients who are actively using or who receive an order (prescription) for statin therapy at any time during the measurement period

Numerator Exclusions

Not Applicable

Denominator Exceptions

Patients with statin-associated muscle symptoms or an allergy to statin medication.

Patients who are receiving palliative or hospice care.

Patients with active liver disease or hepatic disease or insufficiency.

Patients with end-stage renal disease (ESRD).

Patients with documentation of a...

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Telehealth Eligible Yes
Next Version
Previous Version No Version Available

Header

  • Updated copyright.

    Measure Section: Copyright

    Source of Change: Annual Update

  • Updated references.

    Measure Section: Reference

    Source of Change: Measure Lead

  • Added Ezetimibe/Rosuvastatin (Roszet), a new fixed-dose combination statin, to the Statin Medication Therapy List to align with measure intent.

    Measure Section: Definition

    Source of Change: Measure Lead

  • Added guidance for conversion of LDL value to milligrams per deciliter (mg/dL) for consistency with numerator logic requirements.

    Measure Section: Guidance

    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

  • Removed diagnosis of pregnancy as a denominator exclusions to align with the new FDA recommendations.

    Measure Section: Denominator Exclusions

    Source of Change: Expert Work Group Review

  • Added exception for documentation of a medical reason for not being prescribed statin therapy to align with guidelines.

    Measure Section: Denominator Exceptions

    Source of Change: Expert Work Group Review

  • Updated grammar, wording, and formatting to improve readability and consistency.

    Measure Section: Multiple Sections

    Source of Change: Measure Lead

  • Updated narrative description, rate aggregation, and guidance to clarify the intent to look for only active diagnoses of atherosclerotic cardiovascular disease (ASCVD).

    Measure Section: Multiple Sections

    Source of Change: Expert Work Group Review

Logic

  • Removed 'Diagnosis': 'Pregnancy or Other Related Diagnoses' to align with the new FDA recommendations.

    Measure Section: Denominator Exclusions

    Source of Change: Expert Work Group Review

  • Replaced the 'Has Order for or Receiving Hospice Care or Palliative Care' definition with Hospice and Palliative Care shared libraries and QDM datatypes for consistency and to reduce clinician and implementer burden.

    Measure Section: Denominator Exclusions

    Source of Change: Measure Lead

  • Added 'Has Medical Reason for Not Ordering Statin Therapy' to align with guidelines and for consistency with other eCQMs.

    Measure Section: Denominator Exceptions

    Source of Change: Expert Work Group Review

  • Replaced value set Preventive Care Services Other (2.16.840.1.113883.3.464.1003.101.12.1030) with direct reference code CPT code (99429).

    Measure Section: Definitions

    Source of Change: Measure Lead

  • Replaced the 'Has Order for or Receiving Hospice Care or Palliative Care' definition with Hospice and Palliative Care libraries and QDM datatypes for consistency and to reduce clinician and implementer burden.

    Measure Section: Definitions

    Source of Change: Measure Lead

  • 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

  • Added Hospice Library v4.0.000.

    Measure Section: Multiple Sections

    Source of Change: Measure Lead

  • Added Palliative Care Exclusion Library v2.0.000.

    Measure Section: Multiple Sections

    Source of Change: Measure Lead

  • 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

  • Revised measure logic to look for only active diagnoses of atherosclerotic cardiovascular disease (ASCVD), as inactive diagnoses do not represent high-risk of cardiovascular event.

    Measure Section: Multiple Sections

    Source of Change: Expert Work Group Review

  • Replaced the Global.CalendarAgeInYearsAt function with the native CQL function AgeInYearsAt to take advantage of existing CQL features and increase human readability. As a result of this change, the LOINC code 21112-8 is no longer required and has been removed from the Terminology section of the human readable specification.

    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 Diabetes (2.16.840.1.113883.3.464.1003.103.12.1001): Deleted 24 ICD-10-CM codes based on validity of code during timing of look back period.

    Measure Section: Terminology

    Source of Change: Measure Lead

  • Value set Cerebrovascular Disease, Stroke, TIA (2.16.840.1.113762.1.4.1047.44): Deleted 1 SNOMED CT code (288723005) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Liver Disease (2.16.840.1.113762.1.4.1047.42): Deleted 1 SNOMED CT code (197279005) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Added direct reference code SNOMED CT code (428361000124107) based on review by technical experts, SMEs, and/or public feedback.

    Measure Section: Terminology

    Source of Change: Measure Lead

  • Added direct reference code SNOMED CT code (428371000124100) based on change in measure requirements/measure specification.

    Measure Section: Terminology

    Source of Change: Measure Lead

  • Value set Moderate Intensity Statin Therapy (2.16.840.1.113883.3.526.3.1575): Added 2 RxNorm codes (2535747, 2535750) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Added direct reference code LOINC code (71007-9) based on review by technical experts, SMEs, and/or public feedback.

    Measure Section: Terminology

    Source of Change: Measure Lead

  • Added direct reference code LOINC code (45755-6) based on change in measure requirements/measure specification.

    Measure Section: Terminology

    Source of Change: Measure Lead

  • Removed direct reference code LOINC code (21112-8) based on review by technical experts, SMEs, and/or public feedback.

    Measure Section: Terminology

    Source of Change: Measure Lead

  • Value set Hospice Care Ambulatory (2.16.840.1.113883.3.526.3.1584): Added 3 SNOMED CT codes (170935008, 170936009, 305911006) based on review by technical experts, SMEs, and/or public feedback. Added 2 CPT codes (99377, 99378) based on review by technical experts, SMEs, and/or public feedback. Added 1 HCPCS code (G0182) based on review by technical experts, SMEs, and/or public feedback.

    Measure Section: Terminology

    Source of Change: Measure Lead

  • Value set Statin Allergen (2.16.840.1.113762.1.4.1110.42): Added 1 SNOMED CT code (96302009) based on review by technical experts, SMEs, and/or public feedback.

    Measure Section: Terminology

    Source of Change: Measure Lead

  • Value set CABG Surgeries (2.16.840.1.113883.3.666.5.694): Added 17 ICD-10-PCS codes based on review by technical experts, SMEs, and/or public feedback. Deleted 1 SNOMED CT code (309814006) based on terminology update.

    Measure Section: Terminology

    Source of Change: Measure Lead

  • Value set Myocardial Infarction (2.16.840.1.113883.3.526.3.403): Added 23 SNOMED CT codes based on terminology update. Deleted 1 SNOMED CT code (371068009) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Removed value set Pregnancy or Other Related Diagnoses (2.16.840.1.113883.3.600.1.1623) based on change in measure requirements/measure specification.

    Measure Section: Terminology

    Source of Change: Measure Lead

  • Removed value set Palliative or Hospice Care (2.16.840.1.113883.3.600.1.1579) based on change in measure requirements/measure specification.

    Measure Section: Terminology

    Source of Change: Measure Lead

  • Added value set Medical Reason (2.16.840.1.113883.3.526.3.1007) based on change in measure requirements/measure specification.

    Measure Section: Terminology

    Source of Change: Measure Lead

  • Added value set Encounter Inpatient (2.16.840.1.113883.3.666.5.307) based on change in measure requirements/measure specification.

    Measure Section: Terminology

    Source of Change: Measure Lead

  • Added value set Palliative Care Encounter (2.16.840.1.113883.3.464.1003.101.12.1090) based on change in measure requirements/measure specification.

    Measure Section: Terminology

    Source of Change: Measure Lead

  • Added value set Hospice Encounter (2.16.840.1.113883.3.464.1003.1003) based on change in measure requirements/measure specification.

    Measure Section: Terminology

    Source of Change: Measure Lead

  • Added value set Palliative Care Intervention (2.16.840.1.113883.3.464.1003.198.12.1135) based on change in measure requirements/measure specification.

    Measure Section: Terminology

    Source of Change: Measure Lead

  • Added direct reference code SNOMED CT code (373066001) based on change in measure requirements/measure specification.

    Measure Section: Terminology

    Source of Change: Measure Lead

  • Value set High Intensity Statin Therapy (2.16.840.1.113883.3.526.3.1572): Added 2 RxNorm codes (2535745, 2535749) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Replaced value set Preventive Care Services - Other (2.16.840.1.113883.3.464.1003.101.12.1030) with direct reference code CPT code (99429) based on review by technical experts, SMEs, and/or public feedback.

    Measure Section: Terminology

    Source of Change: Measure Lead

Last Updated: Sep 23, 2024