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 CMS349v2 Version 2 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 Previous Version CMS349v1 Measure Scoring Proportion Measure Type Process 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 Specifications Attachment Size CMS349v2.html 48.75 KB CMS349v2.zip 53.86 KB CMS349v2-TRN.xlsx 21.87 KB Release Notes 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 Data Elements contained within CMS349v2 External Resources United States Health Information Knowledgebase NLM Value Set Authority Center (VSAC)