General eCQM Information
CMS Measure ID | CMS349v2 |
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NQF Number | Not Applicable |
Measure Description |
Percentage of patients aged 15-65 at the start of the measurement period who were between 15-65 years old when tested for HIV |
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 measurement period |
Denominator Statement |
Equals Initial Population |
Denominator Exclusions |
Patients diagnosed with HIV prior to the start of the measurement period |
Numerator Statement |
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 |
None |
Measure Steward | Centers for Disease Control and Prevention (CDC) |
Domain | Community/Population Health |
Measure Scoring | Proportion measure |
Measure Type | Process measure |
Improvement Notation |
Higher score indicates better quality |
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 provider must have documentation of the administration of the laboratory test present in the patient's medical record. In cases where the HIV test was performed elsewhere, providers cannot rely on patient attestation or self-report to meet the measure requirements, as previous research has shown that patient self-report is an unreliable indicator of previous HIV testing history. Rather, providers must request documentation of those test results. If such documentation is not available, the patient should be considered still eligible for HIV screening. If such documentation is available, but cannot be provided in a standardized, structured format (such that the lab test and results can be readily incorporated as structured data within the EHR), providers should enter the information into their EHR as a laboratory test in a manner consistent with the EHR in use. If the specific Human Immunodeficiency Virus (HIV) Laboratory Test LOINC code of the test is not known, the entry should use the more generic code LOINC panel code [75622-1]. |
Quality ID | 475 |
Meaningful Measure | Preventive Care |
Telehealth Eligible | Yes |
Next Version | |
Previous Version |
Data Element Repository
Header
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Updated eCQM version number.
Measure Section: eCQM Version number
Source of Change: Measure Lead
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Updated the description statement to clarify age criteria for HIV testing and during measurement period.
Measure Section: Description
Source of Change: Measure Lead
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Updated copyright.
Measure Section: Copyright
Source of Change: Annual Update
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Updated references to align with American Psychological Association (APA) style.
Measure Section: Reference
Source of Change: Measure Lead
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Updated references.
Measure Section: Reference
Source of Change: Measure Lead
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Updated the guidance statement to clarify that the LOINC code (75622-1) is used to document external HIV test results, and not a value set.
Measure Section: Guidance
Source of Change: ONC Project Tracking System (JIRA): CQM-3402
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Updated the guidance statement for clarity and to align with measure intent.
Measure Section: Guidance
Source of Change: Measure Lead
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Updated the initial population statement for clarity and to align with measure intent.
Measure Section: Initial Population
Source of Change: Measure Lead
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Updated the numerator statement for clarity and to align with measure intent.
Measure Section: Numerator
Source of Change: Measure Lead
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Updated parenthetical citations to align with American Psychological Association (APA) style.
Measure Section: Multiple Sections
Source of Change: Measure Lead
Logic
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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
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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
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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
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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.
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Value set Conditions Due To Human Immunodeficiency Virus (HIV) (2.16.840.1.113762.1.4.1056.54): Deleted 1 ICD-9-CM code (042-042.99). Deleted 3 ICD-10-CM codes (B20-B20, O98.7, O98.71). Added 12 SNOMED CT codes and deleted 61 SNOMED CT codes.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Human Immunodeficiency Virus (HIV) Laboratory Test Codes (Ab and Ag) (2.16.840.1.113762.1.4.1056.50): Added 15 LOINC codes and deleted 3 LOINC codes (6429-5, 6430-3, 6431-1).
Measure Section: Terminology
Source of Change: Annual Update
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Direct reference code for Birth date (LOINC Code (21112-8)) now displayed in Human Readable.
Measure Section: Terminology
Source of Change: Annual Update
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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
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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