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HIV Screening

Compare Versions of: "HIV Screening"

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 2025 version to

Table Options
Measure Information 2025 Performance Period
Title HIV Screening
CMS eCQM ID CMS349v7
CBE ID* Not Applicable
MIPS Quality ID 475
Measure Steward Centers for Disease Control and Prevention (CDC)
Description

Percentage of patients aged 15-65 at the start of the measurement period who were between 15-65 years old when tested for human immunodeficiency virus (HIV).

Measure Scoring Proportion measure
Measure Type Process
Stratification

None

Risk Adjustment

None

Rationale

HIV is a communicable infection that leads to a progressive disease with a long asymptomatic period. There were an estimated 32,100 new HIV infections in the United States in 2021 (Centers for Disease Control and Prevention, 2023a). Without treatment, most persons develop acquired...

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Clinical Recommendation Statement

The US Preventive Services Task Force recommends that clinicians screen for HIV infection in adolescents and adults aged 15 to 65 years. Younger adolescents and older adults who are at increased risk should also be screened (A Recommendation) (Owens et al., 2019).

Since 2006, the CDC has...

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Improvement Notation

Higher score indicates better quality

Definition

None

Guidance

This measure evaluates the proportion of patients aged 15 to 65 at the start of the measurement period who have documentation of having received an HIV test at least once on or after their 15th birthday and before their 66th birthday. In order to satisfy the measure, the reporting...

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Initial Population

Patients 15 to 65 years of age at the start of the measurement period AND who had at least one outpatient visit during the day of the measurement period

Denominator

Equals Initial Population

Denominator Exclusions

Patients diagnosed with HIV prior to the day of the start of the measurement period

Numerator

Patients with documentation of an HIV test performed on or after their 15th birthday and before their 66th birthday

Numerator Exclusions

Not Applicable

Denominator Exceptions

Patients who die on or before the end of the day of the measurement period

Telehealth Eligible Yes
Next Version No Version Available
Previous Version

Header

  • Updated the eCQM version number.

    Measure Section:

    eCQM Version Number

    Source of Change:

    Annual Update

  • Changed all references from NQF to CBE to identify the consensus-based entity role.

    Measure Section:

    CBE Number

    Source of Change:

    Annual Update

  • Updated copyright.

    Measure Section:

    Copyright

    Source of Change:

    Annual Update

  • Inserted 'day of' to align Denominator Exception language with related change to the logic of the Denominator Exception.

    Measure Section:

    Denominator Exceptions

    Source of Change:

    ONC Project Tracking System (JIRA): CQM-6686

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

    Measure Section:

    Multiple Sections

    Source of Change:

    Annual Update

  • Updated references and measure header to reflect current evidence and new or updated literature.

    Measure Section:

    Multiple Sections

    Source of Change:

    Measure Lead

Logic

  • Inserted 'day of' to clarify the Denominator Exception and ensure the logic accounts for all patients who die on or before the end of the last day of the measurement period.

    Measure Section:

    Denominator Exceptions

    Source of Change:

    ONC Project Tracking System (JIRA): CQM-6686

  • Updated the version number of the Measure Authoring Tool (MAT) Global Common Functions Library to v8.0.000 and the library name from 'MATGlobalCommonFunctions' to 'MATGlobalCommonFunctionsQDM.'

    Measure Section:

    Definitions

    Source of Change:

    Annual Update

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

    Measure Section:

    Definitions

    Source of Change:

    Standards/Technical Update

  • Inserted 'day of' to clarify the Denominator Exception and ensure the logic accounts for all patients who die on or before the end of the last day of the measurement period.

    Measure Section:

    Definitions

    Source of Change:

    ONC Project Tracking System (JIRA): CQM-6686

  • Added 'not null' to the 'Has HIV Test Performed' logic definition to ensure lab results are properly completed and null results are not included in Numerator criteria.

    Measure Section:

    Definitions

    Source of Change:

    Measure Lead

  • Renamed value set to 'Payer Type' to more accurately reflect the contents and intent of the value set.

    Measure Section:

    Definitions

    Source of Change:

    Standards/Technical Update

  • Updated the version number of the Measure Authoring Tool (MAT) Global Common Functions Library to v8.0.000 and the library name from 'MATGlobalCommonFunctions' to 'MATGlobalCommonFunctionsQDM.'

    Measure Section:

    Functions

    Source of Change:

    Annual 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 ICD-9 extensional value sets from select grouping value sets, leaving codes from active terminologies (ICD-10 and SNOMED), to reduce implementer burden.

    Measure Section:

    Terminology

    Source of Change:

    Standards/Technical Update

  • Value set HIV (2.16.840.1.113883.3.464.1003.120.12.1003): Added 2 SNOMED CT codes (1187000005, 1260096003) based on review by technical experts, SMEs, and/or public feedback. Deleted 1 SNOMED CT code (420687005) based on review by technical experts, SMEs, and/or public feedback. Deleted 3 ICD-9-CM codes (042, 079.53, V08) based on applicability of value set and/or OID.

    Measure Section:

    Terminology

    Source of Change:

    Measure Lead

  • Value set HIV Lab Tests (2.16.840.1.113762.1.4.1056.50): Deleted 1 LOINC code (51866-2) based on review by technical experts, SMEs, and/or public feedback.

    Measure Section:

    Terminology

    Source of Change:

    Measure Lead

  • Value set Office Visit (2.16.840.1.113883.3.464.1003.101.12.1001): Deleted 2 SNOMED CT codes (30346009, 37894004) based on review by technical experts, SMEs, and/or public feedback. Deleted 1 CPT code (99201) based on review by technical experts, SMEs, and/or public feedback.

    Measure Section:

    Terminology

    Source of Change:

    Measure Lead

  • Value set (2.16.840.1.114222.4.11.3591): Renamed to Payer Type based on recommended value set naming conventions.

    Measure Section:

    Terminology

    Source of Change:

    Annual Update

Last Updated: Aug 01, 2024