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HIV Annual Retention in Care

Measure Information 2025 Performance Period
Title HIV Annual Retention in Care
CMS eCQM ID CMS1157v1
CBE ID* Not Applicable
MIPS Quality ID 340
Measure Steward Health Resources & Services Administration
Description

Percentage of patients, regardless of age, with a diagnosis of Human Immunodeficiency Virus (HIV) during the first 240 days of the measurement period or before the measurement period who had at least two eligible encounters or at least one eligible encounter and one HIV viral load test...

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Measure Scoring Proportion measure
Measure Type Process
Stratification

None

Risk Adjustment

None

Rationale

The HIV "continuum of care" is the process of HIV testing, linkage to HIV care, initiation of antiretroviral therapy (ART), adherence to treatment, retention in care, and virologic suppression (Gardner et al 2011). Poor retention in care is associated with lower rates of ART use...

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Clinical Recommendation Statement

"Retention in care should be routinely monitored. There are various ways to measure retention, including measures based on attended visits over a defined period of time (constancy measures) and measures based on missed visits. Both approaches are valid and independently predict survival....

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Improvement Notation

Higher score equals better quality

Definition

To maintain consistency from year to year, this measure defines one month as equal to 30 days, three months as equal to 90 days and eight months as equal to 240 days.

Only patients with an eligible encounter in the first eight months are included in this measure to allow for sufficient...

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Guidance

A patient would be included in the measure numerator if they have either two eligible encounters or one eligible encounter and one viral load test at least 90 days apart from each other. The encounter or encounters that cause a patient to be included in the numerator do not need to...

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Initial Population

All patients, regardless of age, with a diagnosis of HIV during the first 240 days of the measurement period or before the measurement period who had at least one eligible encounter during the first 240 days of the measurement period

Denominator

Equals Initial Population

Denominator Exclusions

None

Numerator

Number of patients who had at least one eligible encounter and one HIV viral load test at least 90 days apart during the measurement period, or who had at least two eligible encounters at least 90 days apart during the measurement period

Numerator Exclusions

Not Applicable

Denominator Exceptions

None

Telehealth Eligible Yes
Next Version No Version Available
Previous Version No Version Available

Additional Resources for CMS1157v1

Last Updated: Nov 04, 2024