HIV/AIDS: RNA Control for Patients with HIV

Last updated: May 4, 2017

CMS Measure ID: CMS77v4
Version: 4
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:

Not Applicable

Numerator Statement:

Patients whose most recent HIV RNA level is <200 copies/mL.

Numerator Exclusions:

Not Applicable

Denominator Exceptions:

None

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

A higher score indicates better quality

Guidance:

None

Specifications

Release Notes

Header

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

Logic

  • Changed data type of 'result' or 'finding' to 'performed'.
  • 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.
  • Replaced 'Patient Characteristic Birthdate' with 'Age at' operator.
  • Replaced 'starts before or during' (SBOD) with 'starts before end of' (SBE).

Value Sets

  • Value set HIV (OID 2.16.840.1.113883.3.464.1003.120.12.1003): Added 2 SNOMED codes (405631006, 91948008).

External Resources