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HIV Screening

Last updated: May 9, 2019

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 Populationinfo-icon

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:
Measure Scoring: Proportion
Measure Type: Process
Improvement Notation:

Higher score indicates better quality

Guidance:

This measure evaluates the proportioninfo-icon 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 EHRinfo-icon), 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

Release Notes

Header

  • Updated eCQMinfo-icon 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 setinfo-icon.

    Measure Section: Guidance

    Source of Change: ONC Project Tracking System (JIRA)info-icon: CQMinfo-icon-3402

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

    Measure Section: Guidance

    Source of Change: Measure Lead

  • Updated the initial populationinfo-icon statement for clarity and to align with measure intent.

    Measure Section: Initial Population

    Source of Change: Measure Lead

  • Updated the numeratorinfo-icon 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)info-icon definitions, functions, and/or aliases for clarification and to align with CQL Style Guideinfo-icon.

    Measure Section: Definitions and Functions

    Source of Change: Standards Update

  • Updated Clinical Quality Language (CQL) expression to conform with the HL7info-icon Standard: Clinical Quality Language Specificationinfo-icon, Release 1 STUinfo-icon 3 (CQL 1.3).

    Measure Section: Multiple Sections

    Source of Change: Standards Update

  • Updated definitions and functions in the Measure Authoring Tool (MATinfo-icon) 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 VSACinfo-icon is the source of truth for the value set content, please visit the VSAC for downloads of current value setsinfo-icon.

  • 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 systeminfo-icon versions from direct reference codes. Please refer to Appendix A of the Electronic Clinical Quality Measureinfo-icon Logic and Implementation Guidance document for a list of code system versions used in the eCQM specificationsinfo-icon for 2020 reporting/performance.

    Measure Section: Terminology

    Source of Change: Standards Update

  • Standardized purpose statement language in value sets across eCQMsinfo-icon. 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

External Resources