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Preventive Care and Screening: Influenza Immunization

CMS Measure ID
CMS147v9
Version
9
NQF Number
0041e
Measure Description

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

Initial Population

All patients aged 6 months and older seen for a visit during the measurement period

Denominator Statement

Equals Initial Population and seen for a visit between October 1 and March 31

Denominator Exclusions

None

Numerator Statement

Patients who received an influenza immunization OR who reported previous receipt of an influenza immunization

Numerator Exclusions

Not Applicable

Denominator Exceptions

Documentation of medical reason(s) for not receiving influenza immunization (e.g., patient allergy, other medical reasons).

Documentation of patient reason(s) for not receiving influenza immunization (e.g., patient declined, other patient reasons).

Documentation of system reason(s) for not receiving influenza immunization (e.g., vaccine not available, other system reasons).

Previous Version
Measure Scoring
Measure Type
Improvement Notation

Higher score indicates better quality

Guidance

The timeframe for the visit during the "Encounter, Performed": "Encounter-Influenza" or "Procedure, Performed": "Peritoneal Dialysis" or "Procedure, Performed": "Hemodialysis" in the Population Criteria-Denominator, refers to the influenza season defined by the measure: October through March (October 1 for the year prior to the start of the reporting period through March 31 during the reporting period). The "Encounter-Influenza" Grouping OID detailed in the data criteria section below is comprised of several individual OIDs of different encounter types. The individual OIDs are included in the value set and should be reviewed to determine that an applicable visit occurred during the timeframe for "Encounter, Performed": "Encounter-Influenza" as specified in the denominator.

To enable reporting of this measure at the close of the reporting period, this measure will only assess the influenza season that ends in March of the reporting period. The subsequent influenza season (ending March of the following year) will be measured and reported in the following year.

As a result of updated CDC/ACIP guidelines which include the interim recommendation that live attenuated influenza vaccine (LAIV) should not be used due to low effectiveness against influenza A(H1N1)pdm09 in the United States during the 2013-14 and 2015-16 seasons, the measure specifications have been updated and no longer include LAIV or intranasal flu vaccine as an option for numerator eligibility.

Quality ID
110
Meaningful Measure

Specifications

Attachment Size
CMS147v9.html 69.39 KB
CMS147v9.zip 69.73 KB
CMS147v9-TRN.xlsx 21.86 KB

Release Notes

 

Header

  • Updated eCQM version number.

    Measure Section: eCQM Version number

    Source of Change: Measure Lead

  • Added 'e' to NQF number.

    Measure Section: NQF Number

    Source of Change: Standards Update

  • Updated copyright.

    Measure Section: Copyright

    Source of Change: Annual Update

  • Updated disclaimer.

    Measure Section: Disclaimer

    Source of Change: Measure Lead

  • Updated clinical recommendation statement to align with current guideline.

    Measure Section: Clinical Recommendation Statement

    Source of Change: Measure Lead

  • Updated references to align with American Psychological Association (APA) style.

    Measure Section: Reference

    Source of Change: Measure Lead

  • Updated references.

    Measure Section: Reference

    Source of Change: Measure Lead

  • Updated guidance statement to remove reference to leap years for alignment with other changes in measure.

    Measure Section: Guidance

    Source of Change: Measure Lead

  • Updated parenthetical citations to align with American Psychological Association (APA) style.

    Measure Section: Multiple Sections

    Source of Change: Measure Lead

 

Logic

  • Replaced Quality Data Model (QDM) category ‘Communication’ with ‘Assessment’ to better reflect how the clinical workflow assesses whether a patient previously received the influenza immunization.

    Measure Section: Numerator

    Source of Change: Standards Update

  • Added ‘Influenza Vaccination Declined’ value set (2.16.840.1.113883.3.526.3.1255) as a negation rationale attribute in ‘Medical Patient or System Reason for Not Administering Influenza Vaccine’ and ‘Medical Patient or System Reason for Not Performing Influenza Vaccination’ definitions for consistency in capturing a patient reason denominator exception.

    Measure Section: Denominator Exceptions

    Source of Change: Standards Update

  • Removed ‘Patient Declined Influenza Vaccination’ definition due to a change in how the value set is applied to the denominator exception.

    Measure Section: Definitions

    Source of Change: Standards Update

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

    Measure Section: Definitions and Functions

    Source of Change: Standards Update

  • Modified logic to better account for leap years and improve alignment with measure intent.

    Measure Section: Multiple Sections

    Source of Change: Measure Lead

  • Updated Clinical Quality Language (CQL) expression to conform with the HL7 Standard: Clinical Quality Language Specification, Release 1 STU 3 (CQL 1.3).

    Measure Section: Multiple Sections

    Source of Change: Standards Update

  • Updated definitions and functions in the Measure Authoring Tool (MAT) Global Common Functions Library to align with standards changes, Clinical Quality Language (CQL) Style Guide, and to include two new functions related to calculating hospital stays.

    Measure Section: Multiple Sections

    Source of Change: Standards Update

  • Updated version number of the Measure Authoring Tool (MAT) Global Common Functions Library (MATGlobalCommonFunctions-4.0.000).

    Measure Section: Multiple Sections

    Source of Change: Standards 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.

  • Value set Patient Provider Interaction (2.16.840.1.113883.3.526.3.1012): Deleted 6 SNOMED CT codes (12843005, 18170008, 19681004, 4525004, 439708006, 207195004).

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Annual Wellness Visit (2.16.840.1.113883.3.526.3.1240): Added SNOMED CT extensional value set (2.16.840.1.113883.3.526.2.1772) including 2 codes.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Influenza Vaccination (2.16.840.1.113883.3.526.3.402): Added 1 CPT code (90689).

    Measure Section: Terminology

    Source of Change: Annual Update

  • Direct reference code for Birth date (LOINC Code (21112-8)) now displayed in Human Readable.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Standardized purpose statement language in value sets across eCQMs. Value set purpose statements are visible in the Value Set Authority Center (VSAC) as well as the downloadable eCQM value set files.

    Measure Section: Terminology

    Source of Change: Measure Lead

Last Updated: Oct 10, 2019