eCQM Title | Follow-Up Care for Children Prescribed ADHD Medication (ADD) |
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eCQM Identifier (Measure Authoring Tool) | 136 | eCQM Version number | 8.3.000 |
NQF Number | 0108 | GUID | 703cc49b-b653-4885-80e8-245a057f5ae9 |
Measurement Period | January 1, 20XX through December 31, 20XX | ||
Measure Steward | National Committee for Quality Assurance | ||
Measure Developer | National Committee for Quality Assurance | ||
Endorsed By | National Quality Forum | ||
Description | |||
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Measure Scoring | Proportion | ||
Measure Type | Process | ||
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Definition | |||
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Transmission Format | |||
Initial Population | |||
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Supplemental Data Elements |
exists ["Patient Characteristic Birthdate"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")in Interval[6, 12 ) and exists ( "Qualifying Encounter" ) and "First ADHD Medication Dispensed" is not null
"Initial Population 1"
Hospice."Has Hospice" or exists ( "Narcolepsy Exclusion" ) or exists ( "Inpatient Stay with Qualifying Diagnosis within 30 Days of Initial ADHD Dispense" ) or exists ( "Previously On ADHD Medication Exclusion" )
exists ( "Encounter 30 Days After Initial ADHD Medication" )
exists ["Patient Characteristic Birthdate"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")in Interval[6, 12 ) and exists ( "Qualifying Encounter" ) and "Has ADHD Cumulative Medication Duration Greater Than or Equal to 210 Days" and "First ADHD Medication Dispensed" is not null
"Initial Population 2"
Hospice."Has Hospice" or exists ( "Narcolepsy Exclusion" ) or exists ( "Inpatient Stay with Qualifying Diagnosis within 300 Days of Initial ADHD Dispense" ) or exists ( "Previously On ADHD Medication Exclusion" )
exists ( "Encounter 30 Days After Initial ADHD Medication" ) and ( ( "Two or More Followup Encounters" ) or ( exists ( "Encounters 300 Days After Initial ADHD Medication" ) and exists ( "Telehealth Services or Telephone Management" ) ) )
["Medication, Active": "ADHD Medications"] ActiveADHDMedications with "First ADHD Medication Dispensed" InitialADHDMedication such that ActiveADHDMedications.relevantPeriod starts 300 days or less on or after day of InitialADHDMedication.authorDatetime
"Initial Population 1"
"Initial Population 2"
Hospice."Has Hospice" or exists ( "Narcolepsy Exclusion" ) or exists ( "Inpatient Stay with Qualifying Diagnosis within 30 Days of Initial ADHD Dispense" ) or exists ( "Previously On ADHD Medication Exclusion" )
Hospice."Has Hospice" or exists ( "Narcolepsy Exclusion" ) or exists ( "Inpatient Stay with Qualifying Diagnosis within 300 Days of Initial ADHD Dispense" ) or exists ( "Previously On ADHD Medication Exclusion" )
( "Qualifying Numerator Encounter" ValidNumeratorEncounter with "First ADHD Medication Dispensed" InitialADHDMedication such that ValidNumeratorEncounter.relevantPeriod starts 30 days or less on or after InitialADHDMedication.authorDatetime )
"Qualifying Numerator Encounter" ValidNumeratorEncounter with "First ADHD Medication Dispensed" InitialADHDMedication such that ValidNumeratorEncounter.relevantPeriod starts 31 days or more after day of InitialADHDMedication.authorDatetime and ValidNumeratorEncounter.relevantPeriod starts 300 days or less after day of InitialADHDMedication.authorDatetime
First(["Medication, Dispensed": "ADHD Medications"] FirstADHDMedication where FirstADHDMedication.authorDatetime 60 days or less after start "Measurement Period" or FirstADHDMedication.authorDatetime 90 days or less on or before start "Measurement Period" sort by authorDatetime )
"Cumulative Medication Duration"("ADHD Medications Taken Within 300 Days After First ADHD Medication Dispensed")>= 210
exists ( ["Encounter, Performed": "Encounter Inpatient"] DischargeHospice where ( DischargeHospice.dischargeDisposition as Code ~ "Discharge to home for hospice care (procedure)" or DischargeHospice.dischargeDisposition as Code ~ "Discharge to healthcare facility for hospice care (procedure)" ) and DischargeHospice.relevantPeriod ends during "Measurement Period" ) or exists ( ["Intervention, Order": "Hospice care ambulatory"] HospiceOrder where HospiceOrder.authorDatetime during "Measurement Period" ) or exists ( ["Intervention, Performed": "Hospice care ambulatory"] HospicePerformed where HospicePerformed.relevantPeriod overlaps "Measurement Period" )
exists ["Patient Characteristic Birthdate"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")in Interval[6, 12 ) and exists ( "Qualifying Encounter" ) and "First ADHD Medication Dispensed" is not null
exists ["Patient Characteristic Birthdate"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")in Interval[6, 12 ) and exists ( "Qualifying Encounter" ) and "Has ADHD Cumulative Medication Duration Greater Than or Equal to 210 Days" and "First ADHD Medication Dispensed" is not null
["Encounter, Performed": "Inpatient Encounter"] InpatientStay with "First ADHD Medication Dispensed" InitialADHDMedication such that InpatientStay.relevantPeriod starts 30 days or less on or after InitialADHDMedication.authorDatetime where ( InpatientStay.principalDiagnosis in "Mental Health Diagnoses" or InpatientStay.principalDiagnosis in "Substance Abuse" )
["Encounter, Performed": "Inpatient Encounter"] InpatientStay with "First ADHD Medication Dispensed" InitialADHDMedication such that InpatientStay.relevantPeriod starts 300 days or less on or after day of InitialADHDMedication.authorDatetime where ( InpatientStay.principalDiagnosis in "Mental Health Diagnoses" or InpatientStay.principalDiagnosis in "Substance Abuse" )
["Diagnosis": "Narcolepsy"] Narcolepsy where Narcolepsy.prevalencePeriod starts before end "Measurement Period"
exists ( "Encounter 30 Days After Initial ADHD Medication" )
exists ( "Encounter 30 Days After Initial ADHD Medication" ) and ( ( "Two or More Followup Encounters" ) or ( exists ( "Encounters 300 Days After Initial ADHD Medication" ) and exists ( "Telehealth Services or Telephone Management" ) ) )
["Medication, Active": "ADHD Medications"] ActiveADHDMedication with "First ADHD Medication Dispensed" InitialADHDMedication such that ActiveADHDMedication.relevantPeriod starts 120 days or less before InitialADHDMedication.authorDatetime
( ["Encounter, Performed": "Office Visit"] union ["Encounter, Performed": "Home Healthcare Services"] union ["Encounter, Performed": "Preventive Care, Established Office Visit, 0 to 17"] union ["Encounter, Performed": "Preventive Care Services, Initial Office Visit, 0 to 17"] ) ValidEncounter where ValidEncounter.relevantPeriod during "Measurement Period"
( ["Encounter, Performed": "Office Visit"] union ["Encounter, Performed": "Hospital Observation Care - Initial"] union ["Encounter, Performed": "Preventive Care Services - Group Counseling"] union ["Encounter, Performed": "Behavioral Health Follow-up Visit"] union ["Encounter, Performed": "Preventive Care Services-Individual Counseling"] union ( ["Encounter, Performed": "Psychotherapy and Pharmacologic Management"] PsychPharmMgmt where exists ( PsychPharmMgmt.facilityLocations Location where Location.code in "Ambulatory" ) ) union ["Encounter, Performed": "Discharge Services- Observation Care"] union ["Encounter, Performed": "Outpatient Consultation"] union ["Encounter, Performed": "Home Healthcare Services"] union ["Encounter, Performed": "Preventive Care Services, Initial Office Visit, 0 to 17"] union ["Encounter, Performed": "Preventive Care, Established Office Visit, 0 to 17"] union ["Encounter, Performed": "Psych Visit - Diagnostic Evaluation"] union ["Encounter, Performed": "Psych Visit - Psychotherapy"] )
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
( ["Encounter, Performed": "Telehealth Services"] union ["Encounter, Performed": "Telephone Management"] ) TelehealthEncounter with "First ADHD Medication Dispensed" InitialADHDMedication such that TelehealthEncounter.relevantPeriod starts 31 days or more after day of InitialADHDMedication.authorDatetime and TelehealthEncounter.relevantPeriod starts 300 days or less after day of InitialADHDMedication.authorDatetime
Count("Encounters 300 Days After Initial ADHD Medication")>= 2
Sum((collapse(Medication.relevantPeriod))MedicationPeriod return all duration in days of MedicationPeriod )
years between ToDate(BirthDateTime)and ToDate(AsOf)
DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezone from Value)
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
Measure Set |