eCQMs for 2020 Performance Period CMS2v9 CMS22v8 CMS50v8 CMS52v8 CMS56v8 CMS66v8 CMS68v9 CMS69v8 CMS74v9 CMS75v8 CMS82v7 CMS90v9 CMS117v8 CMS122v8 CMS124v8 CMS125v8 CMS127v8 CMS128v8 CMS129v9 CMS130v8 CMS131v8 CMS132v8 CMS133v8 CMS134v8 CMS135v8 CMS136v9 CMS137v8 CMS138v8 CMS139v8 CMS142v8 CMS143v8 CMS144v8 CMS145v8 CMS146v8 CMS147v9 CMS149v8 CMS153v8 CMS154v8 CMS155v8 CMS156v8 CMS157v8 CMS159v8 CMS160v8 CMS161v8 CMS165v8 CMS177v8 CMS249v2 CMS347v3 CMS349v2 CMS645v3 CMS771v1 CMS Measure ID CMS154v8 Version 8 NQF Number Not Applicable Measure Description Percentage of children 3 months-18 years of age who were diagnosed with upper respiratory infection (URI) and were not dispensed an antibiotic prescription on or three days after the episode Initial Population Children age 3 months to 18 years who had an outpatient visit with a diagnosis of URI during the measurement period Denominator Statement Equals Initial Population Denominator Exclusions Exclude children who are taking antibiotics in the 30 days prior to the encounter during which the diagnosis was established. Exclude children who had an encounter with a competing diagnosis within three days after the initial diagnosis of URI. Exclude patients whose hospice care overlaps the measurement period. Numerator Statement Children without a prescription for antibiotic medication on or 3 days after the outpatient or ED visit for an upper respiratory infection Numerator Exclusions Not Applicable Denominator Exceptions None Measure Steward National Committee for Quality Assurance Domain Efficiency and Cost Reduction Previous Version CMS154v7 Measure Scoring Proportion Measure Type Process Improvement Notation Higher scores indicates better quality Guidance This is an episode of care measure that examines all eligible episodes for the patient during the measurement period. If the patient has more than one episode, include all episodes in the measure. Quality ID 65 Meaningful Measure Appropriate Use of Healthcare Specifications Attachment Size CMS154v8.html 51.56 KB CMS154v8.zip 62.48 KB CMS154v8-TRN.xlsx 21.94 KB Release Notes Header Updated eCQM version number. Measure Section: eCQM Version number Source of Change: Measure Lead Updated NQF number to 'Not Applicable.' Measure Section: NQF Number Source of Change: Standards Update Updated endorsed by field to 'None.' Measure Section: Endorsed By Source of Change: Standards Update Updated copyright. Measure Section: Copyright Source of Change: Annual Update Updated references to align with American Psychological Association (APA) style. Measure Section: Reference Source of Change: Measure Lead Updated denominator exclusions statement to 'Exclude children who are taking antibiotics in the 30 days prior to the encounter during which the diagnosis was established' to be succinct. Measure Section: Denominator Exclusions Source of Change: ONC Project Tracking System (JIRA): CQM-3497 Updated parenthetical citations to align with American Psychological Association (APA) style. Measure Section: Multiple Sections Source of Change: Measure Lead Logic 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 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 Updated version number of the Hospice Library (Hospice-2.0.000). 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 Upper Respiratory Infection (2.16.840.1.113883.3.464.1003.102.12.1022): Added 1 SNOMED CT code (43692000) and deleted 3 SNOMED CT codes (195708003, 281794004, 55355000). Measure Section: Terminology Source of Change: Annual Update Value set Antibiotic Medications for Pharyngitis (2.16.840.1.113883.3.464.1003.196.12.1001): Deleted 3 RxNorm codes (1801142, 310156, 877486). Measure Section: Terminology Source of Change: Annual Update Value set Competing Conditions for Respiratory Conditions (2.16.840.1.113883.3.464.1003.102.12.1017): Added 206 SNOMED CT codes and deleted 15 SNOMED CT codes. 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 Removed code system versions from direct reference codes. Please refer to Appendix A of the Electronic Clinical Quality Measure Logic and Implementation Guidance document for a list of code system versions used in the eCQM specifications for 2020 reporting/performance. Measure Section: Terminology Source of Change: Standards 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 Data Elements contained within CMS154v8 External Resources United States Health Information Knowledgebase NLM Value Set Authority Center (VSAC)