HIV/AIDS: RNA Control for Patients with HIV

Last updated: July 12, 2017

CMS Measure ID: CMS77v5
Version: 5
NQF Number: None
Measure Description:

Percentage of patients aged 13 years and older with a diagnosis of HIV/AIDS, with at least two visits during the measurement year, with at least 90 days between each visit, whose most recent HIV RNA level is <200 copies/mL

Initial Patient Population:

All patients aged 13 years and older with a diagnosis of HIV/AIDS with at least two visits during the measurement year, with at least 90 days between each visit

Denominator Statement:

Equals Initial Population

Denominator Exclusions:

None

Numerator Statement:

Patients whose most recent HIV RNA level is <200 copies/mL during the measurement period

Numerator Exclusions:

Not Applicable

Denominator Exceptions:

None

Measure Steward: Centers for Medicare & Medicaid Services (CMS)
Domain: Effective Clinical Care
Previous Version: HIV/AIDS: RNA Control for Patients with HIV
Improvement Notation:

A higher score indicates better quality

Guidance:

None

Addendum Notes: Removed from Quality Payment Program

Specifications

Release Notes

Header

  • Updated Clinical Recommendation Statement.

    Section: Clinical Recommendation Statement

    Source: Measure Lead

  • ​Updated Copyright.

    Section: Copyright

    Source: Annual Update

  • Updated Denominator Exclusion with the word 'None' as required by the QDM.

    Section: Denominator Exclusions

    Source: Measure Lead

  • Incremented eMeasure Version number.

    Section: eMeasure Version number

    Source: Annual Update

  • Added the timing of during the measurement period to the numerator description to match the logic.

    Section: Numerator

    Source: Measure Lead

  • Updated Rate Aggregation with the word 'None' as required by the QDM.

    Section: Rate Aggregation

    Source: Measure Lead

  • Updated Rationale.

    Section: Rationale

    Source: Measure Lead

  • Updated References.

    Section: Reference

    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

  • 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