HIV/AIDS: Medical Visit

Last updated: July 12, 2017

CMS Measure ID: CMS62v5
Version: 5
NQF Number: None
Measure Description:

Percentage of patients, regardless of age, with a diagnosis of HIV/AIDS with at least two medical visits during the measurement year with a minimum of 90 days between each visit

Initial Patient Population:

All patients, regardless of age, with a diagnosis of HIV/AIDS seen during the measurement period

Denominator Statement:

Equals Initial Population

Denominator Exclusions:

None

Numerator Statement:

Patients with at least two medical visits during the measurement period with a minimum of 90 days between each visit

Numerator Exclusions:

Not Applicable

Denominator Exceptions:

None

Measure Steward: National Committee for Quality Assurance
Domain: Effective Clinical Care
Previous Version: HIV/AIDS: Medical Visit
Improvement Notation:

A higher score indicates better quality

Guidance:

A medical visit is any visit with a health care professional who provides routine primary care for the patient with HIV/AIDS (may be but is not limited to a primary care clinician, ob/gyn, pediatrician, infectious disease specialist)

Addendum Notes: Removed from Quality Payment Program

Specifications

Release Notes

Header

  • ​Updated Copyright.

    Section: Copyright

    Source: Annual Update

  • Updated Disclaimer.

    Section: Disclaimer

    Source: Measure Lead

  • Incremented eMeasure Version number.

    Section: eMeasure Version number

    Source: Annual Update

  • Changed the phrase'12 month period to 'measurement period' to match the logic and the language in other parts of the measure.

    Section: Initial Population

    Source: Measure Lead

  • Changed the word 'year' to 'period' to match the language in other parts of the measure.

    Section: Numerator

    Source: Measure Lead

Logic

  • Moved HIV Visit from grouping value set to variable name to increase the visibility of which visits qualify for the measure.

    Section: Initial Population

    Source: Measure Lead

  • Replaced datatypes 'Diagnosis, Active; Diagnosis, Inactive; Diagnosis, Resolved' with the re-specified 'Diagnosis' datatype to conform to QDM 4.2 changes.

    Section: Initial Population

    Source: QDM Standards

  • Value set HIV (2.16.840.1.113883.3.464.1003.120.12.1003): Removed HIV.

    Section: Initial Population

    Source: None

  • Value set HIV 1 (2.16.840.1.113883.3.464.1003.120.12.1004 ): Added HIV 1.

    Section: Initial Population

    Source: None

  • Moved HIV Visit from grouping value set to variable name to increase the visibility of which visits qualify for the measure.

    Section: Numerator

    Source: Measure Lead

  • Replaced datatypes 'Diagnosis, Active; Diagnosis, Inactive; Diagnosis, Resolved' with the re-specified 'Diagnosis' datatype to conform to QDM 4.2 changes.

    Section: QDM Data Elements

    Source: QDM Standards

  • Value set Face-to-Face Interaction (2.16.840.1.113883.3.464.1003.101.12.1048): Added Face-to-Face Interaction.

    Section: QDM Data Elements

    Source: None

  • Value set HIV (2.16.840.1.113883.3.464.1003.120.12.1003): Removed HIV.

    Section: QDM Data Elements

    Source: None

  • Value set HIV 1 (2.16.840.1.113883.3.464.1003.120.12.1004 ): Added HIV 1.

    Section: QDM Data Elements

    Source: None

  • Value set HIV Visit (2.16.840.1.113883.3.464.1003.101.12.1047): Removed HIV Visit.

    Section: QDM Data Elements

    Source: None

  • Value set Office Visit (2.16.840.1.113883.3.464.1003.101.12.1001): Added Office Visit.

    Section: QDM Data Elements

    Source: None

  • Value set Outpatient Consultation (2.16.840.1.113883.3.464.1003.101.12.1008): Added Outpatient Consultation.

    Section: QDM Data Elements

    Source: None

  • Value set Preventive Care - Established Office Visit, 0 to 17 (2.16.840.1.113883.3.464.1003.101.12.1024): Added Preventive Care - Established Office Visit, 0 to 17.

    Section: QDM Data Elements

    Source: None

  • Value set Preventive Care- Initial Office Visit, 0 to 17 (2.16.840.1.113883.3.464.1003.101.12.1022): Added Preventive Care- Initial Office Visit, 0 to 17.

    Section: QDM Data Elements

    Source: None

  • Value set Preventive Care Services - Established Office Visit, 18 and Up (2.16.840.1.113883.3.464.1003.101.12.1025): Added Preventive Care Services - Established Office Visit, 18 and Up.

    Section: QDM Data Elements

    Source: None

  • Value set Preventive Care Services-Initial Office Visit, 18 and Up (2.16.840.1.113883.3.464.1003.101.12.1023): Added Preventive Care Services-Initial Office Visit, 18 and Up.

    Section: QDM Data Elements

    Source: None

  • Moved HIV Visit from grouping value set to variable name to increase the visibility of which visits qualify for the measure.

    Section: QDM Variables

    Source: Measure Lead

  • Value set Face-to-Face Interaction (2.16.840.1.113883.3.464.1003.101.12.1048): Added Face-to-Face Interaction.

    Section: QDM Variables

    Source: None

  • Value set Office Visit (2.16.840.1.113883.3.464.1003.101.12.1001): Added Office Visit.

    Section: QDM Variables

    Source: None

  • Value set Outpatient Consultation (2.16.840.1.113883.3.464.1003.101.12.1008): Added Outpatient Consultation.

    Section: QDM Variables

    Source: None

  • Value set Preventive Care - Established Office Visit, 0 to 17 (2.16.840.1.113883.3.464.1003.101.12.1024): Added Preventive Care - Established Office Visit, 0 to 17.

    Section: QDM Variables

    Source: None

  • Value set Preventive Care- Initial Office Visit, 0 to 17 (2.16.840.1.113883.3.464.1003.101.12.1022): Added Preventive Care- Initial Office Visit, 0 to 17.

    Section: QDM Variables

    Source: None

  • Value set Preventive Care Services - Established Office Visit, 18 and Up (2.16.840.1.113883.3.464.1003.101.12.1025): Added Preventive Care Services - Established Office Visit, 18 and Up.

    Section: QDM Variables

    Source: None

  • Value set Preventive Care Services-Initial Office Visit, 18 and Up (2.16.840.1.113883.3.464.1003.101.12.1023): Added Preventive Care Services-Initial Office Visit, 18 and Up.

    Section: QDM Variables

    Source: None

Value Set

  • Value set Face-to-Face Interaction (2.16.840.1.113883.3.464.1003.101.12.1048): Added Face-to-Face Interaction.

    Section: None

    Source: None

  • Value set HIV (2.16.840.1.113883.3.464.1003.120.12.1003): Removed HIV.

    Section: None

    Source: None

  • Value set HIV 1 (2.16.840.1.113883.3.464.1003.120.12.1004 ): Added HIV 1.

    Section: None

    Source: None

  • Value set HIV Visit (2.16.840.1.113883.3.464.1003.101.12.1047): Removed HIV Visit.

    Section: None

    Source: None

  • Value set Office Visit (2.16.840.1.113883.3.464.1003.101.12.1001): Added Office Visit.

    Section: None

    Source: None

  • Value set Outpatient Consultation (2.16.840.1.113883.3.464.1003.101.12.1008): Added Outpatient Consultation.

    Section: None

    Source: None

  • Value set Preventive Care - Established Office Visit, 0 to 17 (2.16.840.1.113883.3.464.1003.101.12.1024): Added Preventive Care - Established Office Visit, 0 to 17.

    Section: None

    Source: None

  • Value set Preventive Care- Initial Office Visit, 0 to 17 (2.16.840.1.113883.3.464.1003.101.12.1022): Added Preventive Care- Initial Office Visit, 0 to 17.

    Section: None

    Source: None

  • Value set Preventive Care Services - Established Office Visit, 18 and Up (2.16.840.1.113883.3.464.1003.101.12.1025): Added Preventive Care Services - Established Office Visit, 18 and Up.

    Section: None

    Source: None

  • Value set Preventive Care Services-Initial Office Visit, 18 and Up (2.16.840.1.113883.3.464.1003.101.12.1023): Added Preventive Care Services-Initial Office Visit, 18 and Up.

    Section: None

    Source: None

External Resources