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... Show more > |
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... Show more > |
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.... Show more > |
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...Show more > |
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... Show more > |
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 |