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HIV Screening

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eCQMs for 2020 Performance Period

CMS2v9
CMS22v8
CMS50v8
CMS56v8
CMS66v8
CMS68v9
CMS69v8
CMS74v9
CMS75v8
CMS90v9
CMS117v8
CMS122v8
CMS124v8
CMS125v8
CMS127v8
CMS128v8
CMS129v9
CMS130v8
CMS131v8
CMS133v8
CMS134v8
CMS135v8
CMS136v9
CMS137v8
CMS138v8
CMS139v8
CMS142v8
CMS143v8
CMS144v8
CMS145v8
CMS146v8
CMS147v9
CMS149v8
CMS153v8
CMS154v8
CMS155v8
CMS156v8
CMS157v8
CMS159v8
CMS161v8
CMS165v8
CMS177v8
CMS249v2
CMS347v3
CMS349v2
CMS645v3
CMS771v1

General eCQM Information

CMS Measure ID CMS349v2
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
CMS349v3
Previous Version
CMS349v1
Specifications
Attachment Size
CMS349v2.html 48.75 KB
CMS349v2.zip 53.86 KB
CMS349v2-TRN.xlsx 21.87 KB

Data Element Repository

Release Notes

CMS349v2-TRN.xlsx

Header

  • Updated eCQM version number.

    Measure Section: eCQM Version number

    Source of Change: Measure Lead

  • Updated the description statement to clarify age criteria for HIV testing and during measurement period.

    Measure Section: Description

    Source of Change: Measure Lead

  • 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 references.

    Measure Section: Reference

    Source of Change: Measure Lead

  • 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

  • Updated the guidance statement for clarity and to align with measure intent.

    Measure Section: Guidance

    Source of Change: Measure Lead

  • Updated the initial population statement for clarity and to align with measure intent.

    Measure Section: Initial Population

    Source of Change: Measure Lead

  • Updated the numerator statement for clarity and to align with measure intent.

    Measure Section: Numerator

    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

  • 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

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 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

  • 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

  • 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

Last Updated: Dec 18, 2020