<?xml version="1.0"?>
<response><item key="0"><views_conditional_field>2024 Performance Period</views_conditional_field><field_cms_id>CMS74v13</field_cms_id><field_short_name></field_short_name><field_nqf>Not Applicable</field_nqf><field_quality_id>379</field_quality_id><body><![CDATA[<p>Percentage of children, 1 - 20 years of age, who received two fluoride varnish applications during the measurement period as determined by a dentist</p>
]]></body><field_definition><![CDATA[<div class="photoswipe-gallery"><p>None</p></div>]]></field_definition><field_initial_patient_population><![CDATA[<div class="photoswipe-gallery"><p>Children, 1 - 20 years of age at the start of the measurement period, with a clinical oral evaluation by a dentist during the measurement period</p></div>]]></field_initial_patient_population><field_measurepopulationexclusion></field_measurepopulationexclusion><field_numerator_state><![CDATA[<div class="photoswipe-gallery"><p>Children who receive two fluoride varnish applications on different days during the measurement period</p></div>]]></field_numerator_state><field_numerator_exclusions><![CDATA[<div class="photoswipe-gallery"><p>Not Applicable</p></div>]]></field_numerator_exclusions><field_denominator_statement><![CDATA[<div class="photoswipe-gallery"><p>Equals Initial Population</p></div>]]></field_denominator_statement><field_denominator_exclusions><![CDATA[<div class="photoswipe-gallery"><p>Exclude patients who are in hospice care for any part of the measurement period</p></div>]]></field_denominator_exclusions><field_denominator_exceptions><![CDATA[<div class="photoswipe-gallery"><p>None</p></div>]]></field_denominator_exceptions><field_measure_steward><![CDATA[<a href="/measure-stewards/centers-medicare-medicaid-services-cms" hreflang="en">Centers for Medicare &amp; Medicaid Services (CMS)</a>]]></field_measure_steward><field_measuredeveloper></field_measuredeveloper><field_measure_score><![CDATA[<a href="/ecqm-measure-scoring/proportion" hreflang="en">Proportion</a>]]></field_measure_score><field_score_type><![CDATA[<a href="/ecqm-type/process" hreflang="en">Process</a>]]></field_score_type><field_improvement_notation><![CDATA[<div class="photoswipe-gallery"><p>A higher score indicates better quality</p></div>]]></field_improvement_notation><field_guidance>This eCQM is a patient-based measure.Telehealth encounters are not eligible for this measure because the measure does not contain telehealth-eligible codes and requires a clinical action that cannot be conducted via telehealth.This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM.</field_guidance><field_telehealth_eligible>No</field_telehealth_eligible><field_rationale><![CDATA[<div class="photoswipe-gallery"><p>The literature reflects that fluoride varnish, when applied to the teeth of high-risk children, reduces, in conjunction with anticipatory guidance provided to the caregiver, the risk of the child developing caries (Weyant et al., 2013). Evidence in the literature also specifically supports the effectiveness of professionally applied fluoride varnish at preventing caries in higher risk children (Chou et al., 2014).</p></div>]]></field_rationale><field_stratification><![CDATA[<div class="photoswipe-gallery"><p>Population 1: Patients age 1-5 years at the start of the Measurement Period</p><p>Population 2: Patients age 6-12 years at the start of the Measurement Period</p><p>Population 3: Patients age 13-20 years at the start of the Measurement Period</p></div>]]></field_stratification><field_riskadjustment><![CDATA[<div class="photoswipe-gallery"><p>None</p></div>]]></field_riskadjustment><field_clinicalrecommendationstat><![CDATA[<div class="photoswipe-gallery"><p>The 2013 American Dental Association (ADA) clinical recommendations for use of professionally applied or prescription-strength, home-use topical fluorides for caries prevention in patients at elevated risk of developing caries:</p><p>- Younger Than 6 Years - 2.26 percent fluoride varnish at least every three to six months</p><p>- 6-18 Years - 2.26 percent fluoride varnish at least every three to six months OR 1.23 percent fluoride (APF*) gel for four minutes at least every three to six months</p><p>- Older Than 18 Years - 2.26 percent fluoride varnish at least every three to six months OR 1.23 percent fluoride (APF) gel for four minutes at least every three to six months (Weyant et al., 2013)</p><p>The United States Preventive Services Taskforce (USPSTF) recommends the use of professionally applied fluoride varnish for the prevention of dental caries in high risk children under 5 years of age (Chou et al., 2014).</p></div>]]></field_clinicalrecommendationstat><field_addendum_notes></field_addendum_notes></item><item key="1"><views_conditional_field>2025 Performance Period</views_conditional_field><field_cms_id>CMS74v14</field_cms_id><field_short_name></field_short_name><field_nqf>Not Applicable</field_nqf><field_quality_id>379</field_quality_id><body><![CDATA[<p>Percentage of children, 1-20 years of age, who received two fluoride varnish applications during the measurement period as determined by a dentist</p>]]></body><field_definition><![CDATA[<p>None</p>]]></field_definition><field_initial_patient_population><![CDATA[<p>Children, 1-20 years of age at the start of the measurement period, with a clinical oral evaluation by a dentist during the measurement period</p>]]></field_initial_patient_population><field_measurepopulationexclusion></field_measurepopulationexclusion><field_numerator_state><![CDATA[<p>Children who receive two fluoride varnish applications on different days during the measurement period</p>]]></field_numerator_state><field_numerator_exclusions><![CDATA[<p>Not Applicable</p>]]></field_numerator_exclusions><field_denominator_statement><![CDATA[<p>Equals Initial Population</p>]]></field_denominator_statement><field_denominator_exclusions><![CDATA[<p>Exclude patients who are in hospice care for any part of the measurement period</p>]]></field_denominator_exclusions><field_denominator_exceptions><![CDATA[<p>None</p>]]></field_denominator_exceptions><field_measure_steward><![CDATA[<a href="/measure-stewards/centers-medicare-medicaid-services-cms" hreflang="en">Centers for Medicare &amp; Medicaid Services (CMS)</a>]]></field_measure_steward><field_measuredeveloper></field_measuredeveloper><field_measure_score><![CDATA[<a href="/ecqm-measure-scoring/proportion" hreflang="en">Proportion</a>]]></field_measure_score><field_score_type><![CDATA[<a href="/ecqm-type/process" hreflang="en">Process</a>]]></field_score_type><field_improvement_notation><![CDATA[<p>A higher score indicates better quality</p>]]></field_improvement_notation><field_guidance>This eCQM is a patient-based measure.Telehealth encounters are not eligible for this measure because the measure does not contain telehealth-eligible codes and requires a clinical action that cannot be conducted via telehealth.This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM.</field_guidance><field_telehealth_eligible>No</field_telehealth_eligible><field_rationale><![CDATA[<p>The literature reflects that fluoride varnish, when applied to the teeth of high-risk children, reduces, in conjunction with anticipatory guidance provided to the caregiver, the risk of the child developing caries (Weyant et al., 2013). Evidence in the literature also specifically supports the effectiveness of professionally applied fluoride varnish at preventing caries in higher risk children (Chou et al., 2014).</p>]]></field_rationale><field_stratification><![CDATA[<p>Population 1: Patients age 1-5 years at the start of the Measurement Period</p><p>Population 2: Patients age 6-12 years at the start of the Measurement Period</p><p>Population 3: Patients age 13-20 years at the start of the Measurement Period</p>]]></field_stratification><field_riskadjustment><![CDATA[<p>None</p>]]></field_riskadjustment><field_clinicalrecommendationstat><![CDATA[<p>The 2013 American Dental Association (ADA) clinical recommendations for use of professionally applied or prescription-strength, home-use topical fluorides for caries prevention in patients at elevated risk of developing caries:</p><p>- Younger Than 6 Years - 2.26 percent fluoride varnish at least every three to six months.</p><p>- 6-18 Years - 2.26 percent fluoride varnish at least every three to six months OR 1.23 percent fluoride (APF*) gel for four minutes at least every three to six months.</p><p>- Older Than 18 Years - 2.26 percent fluoride varnish at least every three to six months OR 1.23 percent fluoride (APF) gel for four minutes at least every three to six months (Weyant et al., 2013).</p><p>The United States Preventive Services Taskforce (USPSTF) recommends the use of professionally applied fluoride varnish for the prevention of dental caries in high risk children under 5 years of age (Chou et al., 2014).</p>]]></field_clinicalrecommendationstat><field_addendum_notes></field_addendum_notes></item><item key="2"><views_conditional_field>2026 Performance Period</views_conditional_field><field_cms_id>CMS74v15</field_cms_id><field_short_name></field_short_name><field_nqf>Not Applicable</field_nqf><field_quality_id>379</field_quality_id><body><![CDATA[<p>Percentage of children, 1-20 years of age, who received two fluoride varnish applications during the measurement period as determined by a dentist</p>]]></body><field_definition><![CDATA[<p>None</p>]]></field_definition><field_initial_patient_population><![CDATA[<p>Children, 1-20 years of age at the start of the measurement period, with a clinical oral evaluation by a dentist during the measurement period</p>]]></field_initial_patient_population><field_measurepopulationexclusion></field_measurepopulationexclusion><field_numerator_state><![CDATA[<p>Children who receive two fluoride varnish applications on different days during the measurement period</p>]]></field_numerator_state><field_numerator_exclusions><![CDATA[<p>None</p>]]></field_numerator_exclusions><field_denominator_statement><![CDATA[<p>Equals Initial Population</p>]]></field_denominator_statement><field_denominator_exclusions><![CDATA[<p>Exclude patients who are in hospice care or have a hospice care order documented during any part of the measurement period</p>]]></field_denominator_exclusions><field_denominator_exceptions><![CDATA[<p>None</p>]]></field_denominator_exceptions><field_measure_steward><![CDATA[<a href="/measure-stewards/centers-medicare-medicaid-services-cms" hreflang="en">Centers for Medicare &amp; Medicaid Services (CMS)</a>]]></field_measure_steward><field_measuredeveloper></field_measuredeveloper><field_measure_score><![CDATA[<a href="/ecqm-measure-scoring/proportion" hreflang="en">Proportion</a>]]></field_measure_score><field_score_type><![CDATA[<a href="/ecqm-type/process" hreflang="en">Process</a>]]></field_score_type><field_improvement_notation><![CDATA[<p>A higher score indicates better quality</p>]]></field_improvement_notation><field_guidance>This eCQM is a patient-based measure.Telehealth encounters are not eligible for this measure because the measure does not contain telehealth-eligible codes and requires a clinical action that cannot be conducted via telehealth.This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM.</field_guidance><field_telehealth_eligible>No</field_telehealth_eligible><field_rationale><![CDATA[<p>The literature reflects that fluoride varnish, when applied to the teeth of high-risk children, reduces, in conjunction with anticipatory guidance provided to the caregiver, the risk of the child developing caries (Weyant et al., 2013). Evidence in the literature also specifically supports the effectiveness of professionally applied fluoride varnish at preventing caries in higher risk children (Chou et al., 2014).</p>]]></field_rationale><field_stratification><![CDATA[<p>Population 1: Patients age 1-5 years at the start of the Measurement Period</p><p>Population 2: Patients age 6-12 years at the start of the Measurement Period</p><p>Population 3: Patients age 13-20 years at the start of the Measurement Period</p>]]></field_stratification><field_riskadjustment><![CDATA[<p>None</p>]]></field_riskadjustment><field_clinicalrecommendationstat><![CDATA[<p>The 2013 American Dental Association (ADA) clinical recommendations for use of professionally applied or prescription-strength, home-use topical fluorides for caries prevention in patients at elevated risk of developing caries:</p><p>- Younger Than 6 Years - 2.26 percent fluoride varnish at least every three to six months.</p><p>- 6-18 Years - 2.26 percent fluoride varnish at least every three to six months OR 1.23 percent fluoride (APF*) gel for four minutes at least every three to six months.</p><p>- Older Than 18 Years - 2.26 percent fluoride varnish at least every three to six months OR 1.23 percent fluoride (APF) gel for four minutes at least every three to six months (Weyant et al., 2013).</p><p>The United States Preventive Services Taskforce (USPSTF) recommends the use of professionally applied fluoride varnish for the prevention of dental caries in high risk children under 5 years of age (Chou et al., 2014).</p><p>The American Academy of Pediatric Dentistry (AAPD) recommends the application of topical fluoride treatments at least twice per year to reduce the incidence of dental caries, with precise timing based upon the unique needs, risks, and benefits inherent to the individual patient (AAPD, 2023).</p>]]></field_clinicalrecommendationstat><field_addendum_notes></field_addendum_notes></item></response>
