Pregnant women that had HBsAg testing

Last updated: July 12, 2017

CMS Measure ID: CMS158v4
Version: 4
NQF Number: None
Measure Description:

This measure identifies pregnant women who had a HBsAg (hepatitis B) test during their pregnancy.

Initial Patient Population:

All female patients aged 12 and older who had a live birth or delivery during the measurement period.

Denominator Statement:

Equals Initial Population.

Denominator Exclusions:

None

Numerator Statement:

Patients who were tested for Hepatitis B surface antigen (HBsAg) during pregnancy within 280 days prior to delivery.

Numerator Exclusions:

Not Applicable

Denominator Exceptions:

Patients with current or past Hepatitis B infection.

Measure Steward: OptumInsight
Domain: Effective Clinical Care
Next Version: Pregnant women that had HBsAg testing
Previous Version: Pregnant women that had HBsAg testing
Measure Score: Proportion
Improvement Notation:

Higher score indicates better quality

Guidance:

None

Specifications

Release Notes

Header

  • eMeasure version number incremented.
  • Copyright updated.
  • Disclaimer updated.
  • Reference updated.

Logic

  • Replaced 'Patient Characteristic Birthdate' with 'Age at' operator.
  • Introduced function 'satisfies all' to specify that qualifying events must meet all conditions from a set of conditions or 'satisfies any' to specify that qualifying events must meet at least one condition from a set of conditions to streamline expression logic.
  • Introduced variable $Delivery_Proc_Dx to allow re-use of logical expressions and reduce redundancy/complexity.
  • Introduced the new timing operator Overlaps to replace two lines of logic (AND/AND NOT) or to enforce when an event or set of events occur to meet the measure intent.
  • The top level logical operator for the Numerator Exclusions, Denominator Exclusions, Denominator Exceptions, and Measure Population Exclusions defaults to 'OR'.
  • Replaced 'ORs' with 'Union of' operator.

Value Sets

  • Value set Delivery - Procedure (OID 2.16.840.1.113762.1.4.1078.5): Added 4 ICD10PCS codes (10D17ZZ, 10D18ZZ, 10D27ZZ, 10D28ZZ) and deleted 2 ICD10PCS codes (10A07ZZ, 10A08ZZ).
  • Value set HBsAg (OID 2.16.840.1.113883.3.67.1.101.1.279): Deleted 7 codes (10674-0, 10675-7, 24313-9, 24363-4, 24364-2, 42191-7, 72061-5).
  • Replaced child OID 2.16.840.1.113883.3.464.1003.111.11.1027 with child OID 2.16.840.1.113883.3.67.1.101.1.275 in grouping OID 2.16.840.1.113883.3.67.1.101.1.278 (Delivery - Diagnosis).

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