Meaningful Use (MU) Quality Measure Specifications v.1.0
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- Aubrey Griffith
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1 Meaningful Use (MU) Quality Measure Specificatins v Ryal Little Drive Prvidence, RI Cpyright Ingenix. All rights reserved. Disclaimer: This dcument is prepared as a guide nly. A prvider can achieve Meaningful Use by using the functinality in the Ingenix CareTracker sftware. Prviders are respnsible fr their actins and ffice practices, and Ingenix cannt guarantee that thse actins r practices will be sufficient t meet Meaningful Use. If yu have questins n achieving meaningful use, see
2 Cntents 1 Overview NQF Hypertensin Bld Pressure Measurement Overview Ppulatin Criteria NQF Cntrlling High Bld Pressure Overview Ppulatin Criteria NQF Weight Assessment and Cunseling fr Children and Adlescents Overview Ppulatin Criteria Ppulatin Criteria Ppulatin Criteria NQF 0028A - Tbacc Use Assessment Overview Ppulatin Criteria B - Tbacc Cessatin Interventin Overview Ppulatin Criteria NQF Breast Cancer Screening Overview Ppulatin Criteria NQF Cervical Cancer Screening Ppulatin Criteria NQF Chlamydia Screening fr Wmen Overview Ppulatin Criteria Ppulatin Criteria Ppulatin Criteria NQF Clrectal Cancer Screening Ppulatin Criteria NQF Childhd Immunizatin Status Overview Ppulatin Criteria Ppulatin Criteria Ppulatin Criteria Ppulatin Criteria Ppulatin Criteria Ppulatin Criteria Ppulatin Criteria Ppulatin Criteria Ppulatin Criteria Ppulatin Criteria Ppulatin Criteria Ppulatin Criteria NQF Preventive Care and Screening Influenza Overview Ppulatin Criteria...53 MU Quality Measure Specificatins v1.0 ii f 60
3 Cntents 13 NQF Pneumnia Vaccinatin Status fr Older Adults Overview Ppulatin Criteria NQF Adult Weight Screening and Fllw Up Overview Ppulatin Criteria Ppulatin Criteria MU Quality Measure Specificatins v1.0 iii f 60
4 1 Overview Overview This dcument prvides infrmatin yu need fr understanding and calculating data fr the meaningful use Quality Measures. Each measure listed in the dcument cnsists f tw main sectins that include an verview and infrmatin n the ppulatin criteria. Overview This sectin prvides the Natinal Quality Frum (NQF) ID used fr identifying the measure and a descriptin abut the measure. Ppulatin Criteria This sectin includes fur main cmpnents that include initial ppulatin, denminatr, numeratr, and exclusins fr the measurement perid. The measurement perid is defined as the year t date time. Each f these cmpnents als includes infrmatin n hw t use CareTracker t satisfy each criterin. Additinally, each cmpnent cntains measure elements that are jined tgether with OR, and AND statements. The graphic displayed belw describes each cmpnent and prvides guidance n hw t read the infrmatin prvided. Figure 1 Ppulatin Criteria Overview Imprtant: The Clinical Quality Measures (CQMs) in CareTracker are develped frm the draft Natinal Quality Frum (NQF) e-measure specificatins, which were published in Nvember The NQF is cmmissined by CMS t develp all 44 e-measures fr Stage 1 Meaningful Use and an additinal 69 fr Stage 2. NQF finalized all 113 measures in February 2011, and CareTracker is reviewing the new specificatins and making the apprpriate edits t the 12 CQMs, which are released. The next 24 CQMs t be released in 2011 will fllw the final NQF e-measure specificatins frm the beginning. The CQM specificatins are subject t change when CareTracker is given updated specificatins by NQF and will be cmmunicated via release ntes. MU Quality Measure Specificatins v1.0 4 f 60
5 2 NQF Hypertensin Bld Pressure Measurement NQF Hypertensin Bld Pressure Measurement 2.1 Overview Measure ID NQF 0013 The percentage f patient visits fr patients aged 18 years and lder with a diagnsis f hypertensin wh have been seen fr at least tw ffice visits, with Bld Pressure (BP) recrded. 2.2 Ppulatin Criteria Initial Ppulatin All patients 18 years r lder during the measurement perid; Denminatr AND: Tw r mre visit encunters during the measurement perid; Medical Recrds Mdule > Encunters. Nte: The encunter must be a visit type encunter r a custm encunter flagged as an ffice visit via the Custm Encunters applicatin in the Administratin mdule. AND: Active diagnsis: Hypertensin; Medical Recrds mdule > Prblem List, OR A submitted claim/encunter cntains any ne f the fllwing ICD-9 cdes identifying hypertensin. Table 1 Cdes t Identify Hypertensin ICD-9-CM Diagnsis Hypertensin 401.0, 401.1, r Numeratr AND: Physical exam finding: Bld pressure; Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Bld Pressure field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > PE tab > Bld Pressure field, OR MU Quality Measure Specificatins v1.0 5 f 60
6 NQF Hypertensin Bld Pressure Measurement Medical Recrds Mdule > Vital Signs > Bld Pressure field. Exclusins Nne. Figure 2 Bld Pressure Field MU Quality Measure Specificatins v1.0 6 f 60
7 3 NQF Cntrlling High Bld Pressure NQF Cntrlling High Bld Pressure 3.1 Overview Measure ID NQF 0018 The percentage f patients years f age wh had a diagnsis f hypertensin and Bld Pressure (BP) was adequately cntrlled during the measurement year. 3.2 Ppulatin Criteria Initial Ppulatin All patients 18 t 85 years f age during the measurement perid; Denminatr AND: One r mre visit encunters during the measurement perid; Medical Recrds Mdule > Encunters. Nte: The encunter must be a visit type encunter r a custm encunter flagged as an ffice visit via the Custm Encunters applicatin in the Administratin mdule. AND: Active diagnsis: Hypertensin; Medical Recrds mdule > Prblem List, OR A submitted claim/encunter cntains any ne f the fllwing ICD-9 cdes listed. Table 2 Cdes t Identify Hypertensin ICD-9-CM Diagnsis Hypertensin 401.0, 401.1, r AND: Physical exam finding: Bld pressure; Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Bld Pressure field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > PE tab > Bld Pressure field, OR Medical Recrds Mdule > Vital Signs > Bld Pressure field. MU Quality Measure Specificatins v1.0 7 f 60
8 NQF Cntrlling High Bld Pressure Figure 3 Bld Pressure Field AND NOT: One f the fllwing criteria (OR statements) met; OR: Encunter: Active pregnancy; A submitted claim/encunter cntains any ne f the fllwing ICD-9 cdes identifying an active pregnancy. Table 3 Cdes t Identify Pregnancy Pregnancy ICD-9-CM Diagnsis V V22.2, V23.0 V23.3, V23.41, V23.49, V23.5, V23.7, V23.9, V23.81-V23.86, r V23.89 OR: Active diagnsis: Pregnancy; Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Pregnancy Test field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Pregnancy Test field, OR Medical Recrds Mdule > Histry > Pregnancy Test field, OR Figure 4 Pregnancy Test Field *Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Other Active Pregnancy fields. *Nte: The name, availability, and lcatin f ther fields that identify active pregnancy are based n the template yu are using. OR: Active diagnsis: End Stage Renal Disease (ESRD); *Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > A&P tab > End Stage Renal Disease, OR Figure 5 End Stage Renal Disease Field *Nte: The availability f this field is based n the template yu are using. A submitted claim/encunter cntains any ne f the fllwing ICD-9 cdes identifying an ESRD. Table 4 Cdes t Identify ESRD ICD-9-CM Diagnsis Evidence f ESRD MU Quality Measure Specificatins v1.0 8 f 60
9 NQF Cntrlling High Bld Pressure Numeratr AND: Physical exam finding: Bld pressure under cntrl (<140/90 mmhg); Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Bld Pressure field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > PE tab > Bld Pressure field, OR Medical Recrds Mdule > Vital Signs > Bld Pressure field. Exclusins Nne. Figure 6 Bld Pressure Field MU Quality Measure Specificatins v1.0 9 f 60
10 NQF Weight Assessment and Cunseling fr Children and Adlescents 4 NQF Weight Assessment and Cunseling fr Children and Adlescents 4.1 Overview Measure ID NQF 0024 The percentage f patients 2-17 years f age wh had an utpatient visit with a Primary Care Physician (PCP) r an Obstetrician/Gyneclgist (OB/GYN) and wh had evidence f BMI percentile dcumentatin, cunseling fr nutritin and cunseling fr physical activity during the measurement year. 4.2 Ppulatin Criteria 1 Initial Ppulatin All patients 2 t 17 years f age during the measurement perid; Denminatr AND: One r mre visit encunter with a Primary Care Physician (PCP) r an Obstetrician/Gyneclgist (OB/GYN) during the measurement perid; Medical Recrds Mdule > Encunters. Nte: The encunter must be a visit type encunter r a custm encunter flagged as an ffice visit via the Custm Encunters applicatin in the Administratin mdule. AND NOT: One f the fllwing criteria (OR statements) met; OR: Encunter: Active pregnancy; A submitted claim/encunter cntains any ne f the fllwing ICD-9 cdes identifying an active pregnancy. Table 5 Cdes t Identify Pregnancy Pregnancy ICD-9-CM Diagnsis V V22.2, V23.0 V23.3, V23.41, V23.49, V23.5, V23.7, V23.9, V23.81-V23.86, r V23.89 OR: Active diagnsis: Pregnancy; MU Quality Measure Specificatins v f 60
11 NQF Weight Assessment and Cunseling fr Children and Adlescents Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Pregnancy Test field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Pregnancy Test field, OR Medical Recrds Mdule > Histry > Pregnancy Test field, OR Figure 7 Pregnancy Test Field *Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Other Active Pregnancy fields. *Nte: The name, availability, and lcatin f ther fields that identify active pregnancy are based n the template yu are using. Numeratr AND: Physical exam finding: Bdy Mass Index (BMI); Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Bdy Mass Index field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > PE tab > Bdy Mass Index field, OR Medical Recrds Mdule > Vital Signs > Bdy Mass Index field. Figure 8 Bdy Mass Index Field Nte: Yu must enter the height and weight t calculate and display the BMI in the field. AND: One f the fllwing criteria (OR statements) met; OR: Cmmunicatin t patient: Cunseling fr nutritin; Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Nutritinal Cunseling field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > A&P tab > Nutritinal Cunseling field. Figure 9 Nutritinal Cunseling Field OR: Cmmunicatin t patient: Cunseling fr physical activity; Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Physical Activity Cunseling field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > A&P tab > Physical Activity Cunseling field. MU Quality Measure Specificatins v f 60
12 NQF Weight Assessment and Cunseling fr Children and Adlescents Exclusins Nne. Figure 10 Physical Activity Cunseling Field 4.3 Ppulatin Criteria 2 Initial Ppulatin All patients 2 t 11 years f age during the measurement perid;; Denminatr AND: One r mre visit encunter with a Primary Care Physician (PCP) r an Obstetrician/Gyneclgist (OB/GYN) during the measurement perid; Medical Recrds Mdule > Encunters. Nte: The encunter must be a visit type encunter r a custm encunter flagged as an ffice visit via the Custm Encunters applicatin in the Administratin mdule. AND NOT: One f the fllwing criteria (OR statements) met; OR: Encunter: Active pregnancy; A submitted claim/encunter cntains any ne f the fllwing ICD-9 cdes identifying an active pregnancy. Table 6 Cdes t Identify Pregnancy Pregnancy ICD-9-CM Diagnsis V V22.2, V23.0 V23.3, V23.41, V23.49, V23.5, V23.7, V23.9, V V23.86, r V23.89 OR: Active diagnsis: Pregnancy; MU Quality Measure Specificatins v f 60
13 NQF Weight Assessment and Cunseling fr Children and Adlescents Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Pregnancy Test field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Pregnancy Test field, OR Medical Recrds Mdule > Histry > Pregnancy Test field, OR Figure 11 Pregnancy Test Field *Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Other Active Pregnancy fields. *Nte: The name, availability, and lcatin f ther fields that identify active pregnancy are based n the template yu are using. Numeratr AND: Physical exam finding: Bdy Mass Index (BMI); Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Bdy Mass Index field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > PE tab > Bdy Mass Index field, OR Medical Recrds Mdule > Vital Signs > Bdy Mass Index field. Figure 12 Bdy Mass Index Field Nte: Yu must enter the height and weight t calculate and display the BMI in the field. AND: One f the fllwing criteria (OR statements) met; OR: Cmmunicatin t patient: Cunseling fr nutritin; Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Nutritinal Cunseling field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > A&P tab > Nutritinal Cunseling field. Figure 13 Nutritinal Cunseling Field OR: Cmmunicatin t patient: Cunseling fr physical activity; MU Quality Measure Specificatins v f 60
14 NQF Weight Assessment and Cunseling fr Children and Adlescents Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Physical Activity Cunseling field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > A&P tab > Physical Activity Cunseling field. Exclusins Nne. Figure 14 Physical Activity Cunseling Field 4.4 Ppulatin Criteria 3 Initial Ppulatin All patients 12 t 17 years f age during the measurement perid; Denminatr AND: One r mre visit encunter with a Primary Care Physician (PCP) r an Obstetrician/Gyneclgist (OB/GYN) during the measurement perid; Medical Recrds Mdule > Encunters. Nte: The encunter must be a visit type encunter r a custm encunter flagged as an ffice visit via the Custm Encunters applicatin in the Administratin mdule. AND NOT: One f the fllwing criteria (OR statements) met; OR: Encunter: Active pregnancy; A submitted claim/encunter cntains any ne f the fllwing ICD-9 cdes identifying an active pregnancy. Table 7 Cdes t Identify Pregnancy Pregnancy ICD-9-CM Diagnsis V V22.2, V23.0 V23.3, V23.41, V23.49, V23.5, V23.7, V23.9, V23.81-V23.86, r V23.89 OR: Active diagnsis: Pregnancy; MU Quality Measure Specificatins v f 60
15 NQF Weight Assessment and Cunseling fr Children and Adlescents Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Pregnancy Test field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Pregnancy Test field, OR Medical Recrds Mdule > Histry > Pregnancy Test field, OR Figure 15 Pregnancy Test Field *Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Other Active Pregnancy fields. *Nte: The name, availability, and lcatin f ther fields that identify active pregnancy are based n the template yu are using. Numeratr AND: Physical exam finding: Bdy Mass Index (BMI); Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Bdy Mass Index field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > PE tab > Bdy Mass Index field, OR Medical Recrds Mdule > Vital Signs > Bdy Mass Index field. Figure 16 Bdy Mass Index Field Nte: Yu must enter the height and weight t calculate and display the BMI in the field. AND: One f the fllwing criteria (OR statements) met; OR: Cmmunicatin t patient: Cunseling fr nutritin; Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Nutritinal Cunseling field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > A&P tab > Nutritinal Cunseling field. Figure 17 Nutritinal Cunseling Field OR: Cmmunicatin t patient: Cunseling fr physical activity; MU Quality Measure Specificatins v f 60
16 NQF Weight Assessment and Cunseling fr Children and Adlescents Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Physical Activity Cunseling field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > A&P tab > Physical Activity Cunseling field. Exclusins Nne. Figure 18 Physical Activity Cunseling Field MU Quality Measure Specificatins v f 60
17 5 NQF 0028A - Tbacc Use Assessment NQF 0028A - Tbacc Use Assessment 5.1 Overview Measure ID NQF 0028A The percentage f patients aged 18 years r lder wh have been seen fr at least tw ffice visits, wh were queried abut tbacc use ne r mre times within 24 mnths. 5.2 Ppulatin Criteria Initial Ppulatin All patients 18 years r lder during the measurement perid; Denminatr AND: Tw r mre visit encunters during the past 24 mnths; Medical Recrds Mdule > Encunters. Nte: The encunter must be a visit type encunter r a custm encunter flagged as an ffice visit via the Custm Encunters applicatin in the Administratin mdule. Numeratr AND: Patient queried fr tbacc use within 24 mnths; Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Tbacc Use field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Tbacc Use field, OR Medical Recrds Mdule > Histry > Tbacc Use field. Exclusins Nne. Figure 19 Tbacc Use Field MU Quality Measure Specificatins v f 60
18 6 0028B - Tbacc Cessatin Interventin 0028B - Tbacc Cessatin Interventin 6.1 Overview Measure ID NQF 0028B The percentage f patients aged 18 years r lder wh have been seen fr at least tw ffice visits, wh were queried abut tbacc use ne r mre times within 24 mnths. 6.2 Ppulatin Criteria Initial Ppulatin All patients 18 years r lder during the measurement perid; Denminatr AND: Tw r mre visit encunters during the past 24 mnths; Medical Recrds Mdule > Encunters. Nte: The encunter must be a visit type encunter r a custm encunter flagged as an ffice visit via the Custm Encunters applicatin in the Administratin mdule. AND: Patient characteristic: Active tbacc user; Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Tbacc Use field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Tbacc Use field, OR Medical Recrds Mdule>Histry> Tbacc Use field. Numeratr Figure 20 Tbacc Use Field AND: Prcedure perfrmed: Tbacc use cessatin cunseling; MU Quality Measure Specificatins v f 60
19 0028B - Tbacc Cessatin Interventin Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Cunseling n tbacc cessatin field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > A&P tab > Cunseling n tbacc cessatin field, OR Figure 21 Cunseling n Tbacc Cessatin Field Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Rx therapy fr tbacc cessatin field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > A&P tab > Rx therapy fr tbacc cessatin field, OR Figure 22 Rx Therapy fr Tbacc Cessatin Field Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Discussing Smking and Tbacc Use Cessatin Strategies field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > A&P tab > Discussing Smking and Tbacc Use Cessatin Strategies field. Exclusins Nne. Figure 23 Discussing Smking and Tbacc Use Cessatin Strategies Field MU Quality Measure Specificatins v f 60
20 7 NQF Breast Cancer Screening NQF Breast Cancer Screening 7.1 Overview Measure ID NQF 0031 The percentage f wmen years f age wh had a mammgram t screen fr breast cancer. 7.2 Ppulatin Criteria Initial Ppulatin All female patients 40 t 69 years f age during the measurement perid; Denminatr AND: One r mre visit encunters during the measurement perid; Medical Recrds Mdule > Encunters. Nte: The encunter must be a visit type encunter r a custm encunter flagged as an ffice visit via the Custm Encunters applicatin in the Administratin mdule. AND NOT: Prcedure perfrmed: Mastectmy (unilateral r bilateral); Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > PE tab > Mastectmy field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Mastectmy field, OR Medical Recrds Mdule > Histry > Mastectmy field, OR Figure 24 Mastectmy Field A submitted claim/encunter cntains any ne f the fllwing CPT cdes identifying mastectmy. Table 8 Cdes t Identify Mastectmy CPT Bilateral Mastectmy with Mdifier.50 ( ) Unilateral Mastectmy MU Quality Measure Specificatins v f 60
21 NQF Breast Cancer Screening Numeratr AND: Diagnstic perfrmed: Breast cancer screening identified with ne f the fllwing sub elements (OR statements); OR: Prcedure perfrmed: Mammgraphy; Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > PE tab > Mammgraphy field, OR Figure 25 Mammgraphy Field Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Mammgraphy field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > A&P tab > Mammgraphy field, OR Medical Recrds Mdule > Histry > Mammgraphy field, OR Figure 26 Mammgraphy Field *Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Other Mammgraphy fields. *Nte: The name, availability, and lcatin f ther fields that identify mammgraphy are based n the template yu are using. OR: Imaging result: Mammgraphy; Medical Recrds Mdule > Results. OR: Encunter: Mammgraphy; A submitted claim/encunter cntains any ne f the fllwing CPT and ICD-9 cdes identifying mammgraphy. Table 9 Cdes t Identify a Mammgram CPT ICD-9-CM Diagnsis Mammgram , V76.11, r V76.12 Exclusins Nne. MU Quality Measure Specificatins v f 60
22 8 NQF Cervical Cancer Screening NQF Cervical Cancer Screening 8.1 Measure ID NQF 0032 The percentage f wmen years f age wh received ne r mre pap tests t screen fr cervical cancer. 8.2 Ppulatin Criteria Initial Ppulatin All female patients 21 t 64 years f age during the measurement perid; Denminatr AND: One r mre visit encunters during the measurement perid; Medical Recrds Mdule > Encunters. Nte: The encunter must be a visit type encunter r a custm encunter flagged as an ffice visit via the Custm Encunters applicatin in the Administratin mdule. AND NOT: Prcedure perfrmed: Hysterectmy; Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Hysterectmy field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Hysterectmy field, OR Medical Recrds Mdule > Histry > Hysterectmy field, OR Figure 27 Hysterectmy Field * Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Other Hysterectmy fields, OR *Nte: The name, availability, and lcatin f ther fields that identify hysterectmy are based n the template yu are using. A submitted claim/encunter cntains any ne f the fllwing CPT cdes identifying hysterectmy. MU Quality Measure Specificatins v f 60
23 NQF Cervical Cancer Screening Table 10 Cdes t Identify a Hysterectmy CPT Numeratr Hysterectmy 58150, 58152, 58200, 58210, 58240, 58260, 58262, 58263, 58267, 58270, 58275, 58280, 58285, , , 58548, 58550, AND: Diagnstic perfrmed: Cervical cancer screening identified with ne f the fllwing sub elements (OR statements); OR: Prcedure perfrmed: Pap smear; Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Pap Smear field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Pap Smear field, OR Medical Recrds Mdule > Histry > Pap Smear field. Figure 28 Pap Smear Field OR: Labratry test result: Pap smear; Medical Recrds Mdule > Results. OR: Encunter: Cervical cancer screening; A submitted claim/encunter cntains any ne f the fllwing CPT cdes identifying cervical cancer screening. Table 11 Cdes t Identify Cervical Cancer Screening CPT Cervical Cancer Screening , 88147, 88148, 88150, , , 88174, r Exclusins Nne. MU Quality Measure Specificatins v f 60
24 9 NQF Chlamydia Screening fr Wmen NQF Chlamydia Screening fr Wmen 9.1 Overview Measure ID NQF 0033 The percentage f wmen years f age wh were identified as sexually active and wh had at least ne test fr chlamydia during the measurement year. 9.2 Ppulatin Criteria 1 Initial Ppulatin All female patients wh will reach the ages f 15 thrugh 24 years during the measurement perid; Denminatr AND: One r mre visit encunters during the measurement perid; Medical Recrds Mdule > Encunters. Nte: The encunter must be a visit type encunter r a custm encunter flagged as an ffice visit via the Custm Encunters applicatin in the Administratin mdule. AND: One f the fllwing criteria (OR statements) met; OR: Identified as sexually active; Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Sexually Active field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Sexually Active field, OR Medical Recrds Mdule > Histry > Sexually Active field. Figure 29 Sexually Active Field OR: Labratry test rdered: Pregnancy test; MU Quality Measure Specificatins v f 60
25 NQF Chlamydia Screening fr Wmen Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Pregnancy Test field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Pregnancy Test field, OR Medical Recrds Mdule > Histry > Pregnancy Test field. Figure 30 Pregnancy Test Field OR: Labratry test perfrmed: Pregnancy test; A submitted claim/encunter cntains any ne f the fllwing CPT cdes identifying a pregnancy test perfrmed. Table 12 Cdes t Identify a Pregnancy Test CPT cdes Pregnancy Test , r OR: Labratry test result: Pregnancy test; Medical Recrds Mdule > Results. OR: IUD used; Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry tab > Birth Cntrl Device insertin date field, OR Figure 31 Birth Cntrl Device Insertin Date Field A submitted claim/encunter cntains any ne f the fllwing CPT cdes identifying an IUD inserted r used. Table 13 Cdes t Identify IUD Use CPT IUD Use OR: Active medicatin: Cntraceptives (Example: Junel); Medical Recrds Mdule > Medicatins. OR: Encunter: Active pregnancy; MU Quality Measure Specificatins v f 60
26 NQF Chlamydia Screening fr Wmen A submitted claim/encunter cntains any ne f the fllwing ICD-9 cdes identifying an active pregnancy. Table 14 Cdes t Identify Pregnancy Pregnancy ICD-9-CM Diagnsis V V22.2, V23.0 V23.3, V23.41, V23.49, V23.5, V23.7, V23.9, V V23.86, r V23.89 OR: Active diagnsis: Pregnancy; *Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Other Active Pregnancy fields. *Nte: The name, availability, and lcatin f ther fields that identify active pregnancy are based n the template yu are using. Numeratr OR: Labratry test perfrmed: Chlamydia screening; Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Test tab > Chlamydia Screening field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Chlamydia Screening field, OR Medical Recrds Mdule > Histry > Chlamydia Screening field, OR Figure 32 Chlamydia Screening Field A submitted claim/encunter cntains any ne f the fllwing CPT cdes identifying chlamydia screening. Table 15 Cdes t Identify Chlamydia Screening CPT Chlamydia Screening 86631, 87110, 87270, 87320, OR: Labratry test result: Chlamydia screening; Medical Recrds Mdule > Results. Exclusins OR: Active medicatin: Retinid; MU Quality Measure Specificatins v f 60
27 NQF Chlamydia Screening fr Wmen Medical Recrds Mdule > Medicatins. OR: Labratry test perfrmed: Pregnancy test; Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Pregnancy Test field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Pregnancy Test field, OR Figure 33 Pregnancy Test Field A submitted claim/encunter cntains any ne f the fllwing CPT cdes identifying a pregnancy test perfrmed. Table 16 Cdes t Identify a Pregnancy Test CPT cdes Pregnancy Test , r OR: Labratry test result: Pregnancy test; Medical Recrds Mdule > Results. 9.3 Ppulatin Criteria 2 Initial Ppulatin All female patients wh will reach the ages f 15 thrugh 20 years during the measurement perid; Denminatr AND: One r mre visit encunters during the measurement perid; Medical Recrds Mdule > Encunters. Nte: The encunter must be a visit type encunter r a custm encunter flagged as an ffice visit via the Custm Encunters applicatin in the Administratin mdule. AND: One f the fllwing criteria (OR statements) met; OR: Identified as sexually active; MU Quality Measure Specificatins v f 60
28 NQF Chlamydia Screening fr Wmen Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Sexually Active field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Sexually Active field, OR Medical Recrds Mdule > Histry > Sexually Active field. Figure 34 Sexually Active Field OR: Labratry test rdered: Pregnancy test; Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Pregnancy Test field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Pregnancy Test field, OR Medical Recrds Mdule > Histry > Pregnancy Test field. Figure 35 Pregnancy Test Field OR: Labratry test perfrmed: Pregnancy test; Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Pregnancy Test field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Pregnancy Test field, OR Figure 36 Pregnancy Test Field A submitted claim/encunter cntains any ne f the fllwing CPT cdes identifying a pregnancy test perfrmed. Table 17 Cdes t Identify a Pregnancy Test CPT cdes Pregnancy Test , r OR: Labratry test result: Pregnancy test; Medical Recrds Mdule > Results. OR: IUD used; MU Quality Measure Specificatins v f 60
29 NQF Chlamydia Screening fr Wmen Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry tab > Birth Cntrl Device insertin date field, OR Figure 37 Birth Cntrl Device Insertin Date Field A submitted claim/encunter cntains any ne f the fllwing CPT cdes identifying an IUD inserted r used. Table 18 Cdes t Identify IUD Use CPT IUD Use OR: Active medicatin: Cntraceptives ((Example: Junel);; Medical Recrds Mdule > Medicatins. OR: Encunter: Active pregnancy; A submitted claim/encunter cntains any ne f the fllwing ICD-9 cdes identifying an active pregnancy. Table 19 Cdes t Identify Pregnancy Pregnancy ICD-9-CM Diagnsis V V22.2, V23.0 V23.3, V23.41, V23.49, V23.5, V23.7, V23.9, V23.81-V23.86, r V23.89 OR: Active diagnsis: Pregnancy; *Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Other Active Pregnancy fields. *Nte: The name, availability, and lcatin f ther fields that identify active pregnancy are based n the template yu are using. Numeratr OR: Labratry test perfrmed: Chlamydia screening; MU Quality Measure Specificatins v f 60
30 NQF Chlamydia Screening fr Wmen Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Test tab > Chylmdia Screening field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Chylmdia Screening field, OR Medical Recrds Mdule > Histry > Chylmdia Screening field. Figure 38 Chylmdia Screening Field OR: Labratry test result: Chlamydia screening; Medical Recrds Mdule > Results. OR: Encunter: Chlymdia screening; A submitted claim/encunter cntains any ne f the fllwing CPT cdes identifying chlamydia screening. Table 20 Cdes t Identify Chlamydia Screening CPT Chlamydia Screening 86631, 87110, 87270, 87320, Exclusins OR: Active medicatin: Retinid; Medical Recrds Mdule > Medicatins. OR: Labratry test perfrmed: Pregnancy test; MU Quality Measure Specificatins v f 60
31 NQF Chlamydia Screening fr Wmen Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Pregnancy Test field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Pregnancy Test field, OR Figure 39 Pregnancy Test Field A submitted claim/encunter cntains any ne f the fllwing CPT cdes identifying a pregnancy test perfrmed. Table 21 Cdes t Identify a Pregnancy Test CPT cdes Pregnancy Test , r OR: Labratry test result: Pregnancy test; Medical Recrds Mdule > Results. 9.4 Ppulatin Criteria 3 Initial Ppulatin All female patients wh will reach the ages f 21 thrugh 24 years during the measurement perid; Denminatr AND: One r mre visit encunters during the measurement perid; Medical Recrds Mdule > Encunters. Nte: The encunter must be a visit type encunter r a custm encunter flagged as an ffice visit via the Custm Encunters applicatin in the Administratin mdule. AND: One f the fllwing criteria (OR statements) met; OR: Identified as sexually active; MU Quality Measure Specificatins v f 60
32 NQF Chlamydia Screening fr Wmen Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Sexually Active field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Sexually Active field, OR Medical Recrds Mdule > Histry > Sexually Active field. Figure 40 Sexually Active Field OR: Labratry test rdered: Pregnancy test; Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Pregnancy Test field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Pregnancy Test field, OR Medical Recrds Mdule > Histry > Pregnancy Test field. Figure 41 Pregnancy Test Field OR: Labratry test perfrmed: Pregnancy test; Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Pregnancy Test field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Pregnancy Test field, OR Figure 42 Pregnancy Test Field A submitted claim/encunter cntains any ne f the fllwing CPT cdes identifying a pregnancy test perfrmed. Table 22 Cdes t Identify a Pregnancy Test CPT cdes Pregnancy Test , r OR: Labratry test result: Pregnancy test; Medical Recrds Mdule > Results. OR: IUD used; MU Quality Measure Specificatins v f 60
33 NQF Chlamydia Screening fr Wmen Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry tab > Birth Cntrl Device insertin date field, OR Figure 43 Birth Cntrl Device Insertin Date Field A submitted claim/encunter cntains any ne f the fllwing CPT cdes identifying an IUD inserted r used. Table 23 Cdes t Identify IUD Use CPT IUD Use OR: Active medicatin: Cntraceptives (Example: Junel); Medical Recrds Mdule > Medicatins. OR: Encunter: Active pregnancy; A submitted claim/encunter cntains any ne f the fllwing ICD-9 cdes identifying an active pregnancy. Table 24 Cdes t Identify Pregnancy Pregnancy ICD-9-CM Diagnsis V V22.2, V23.0 V23.3, V23.41, V23.49, V23.5, V23.7, V23.9, V23.81-V23.86, r V23.89 OR: Active diagnsis: Pregnancy; *Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Other Active Pregnancy fields. *Nte: The name, availability, and lcatin f ther fields that identify active pregnancy are based n the template yu are using. Numeratr OR: Labratry test perfrmed: Chlamydia screening; MU Quality Measure Specificatins v f 60
34 NQF Chlamydia Screening fr Wmen Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Test tab > Chylmdia Screening field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Chylmdia Screening field, OR Medical Recrds Mdule > Histry > Chylmdia Screening field. Figure 44 Chylmdia Screening Field OR: Labratry test result: Chlamydia screening; Medical Recrds Mdule > Results. OR: Encunter: Chlymdia screening; A submitted claim/encunter cntains any ne f the fllwing CPT cdes identifying chlamydia screening. Table 25 Cdes t Identify Chlamydia Screening CPT Chlamydia Screening 86631, 87110, 87270, 87320, Exclusins OR: Active medicatin: Retinid; Medical Recrds Mdule > Medicatins. OR: Labratry test perfrmed: Pregnancy test; MU Quality Measure Specificatins v f 60
35 NQF Chlamydia Screening fr Wmen Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Pregnancy Test field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Pregnancy Test field, OR Figure 45 Pregnancy Test Field A submitted claim/encunter cntains any ne f the fllwing CPT cdes identifying a pregnancy test perfrmed. Table 26 Cdes t Identify a Pregnancy Test CPT cdes Pregnancy Test , r OR: Labratry test result: Pregnancy test; Medical Recrds Mdule > Results. MU Quality Measure Specificatins v f 60
36 10 NQF Clrectal Cancer Screening NQF Clrectal Cancer Screening 10.1 Measure ID NQF 0034 The percentage f adults years f age wh had apprpriate screening fr clrectal cancer Ppulatin Criteria Initial Ppulatin All patients 50 t 75 years f age during the measurement perid; Denminatr AND: One r mre visit encunters during the measurement perid; Medical Recrds Mdule > Encunters. Nte: The encunter must be a visit type encunter r a custm encunter flagged as an ffice visit via the Custm Encunters applicatin in the Administratin mdule. Numeratr AND: One f the fllwing criteria (OR statements) met; OR: Labratry test perfrmed: Fecal Occult Bld Testing (FOBT) during the measurement perid; Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Stl ccult bld field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Stl ccult bld field, OR Medical Recrds Mdule > Histry > Stl ccult bld field. Figure 46 Stl Occult Bld Field * Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Fecal Occult Bld field, OR Figure 47 Fecal Occult Bld Field MU Quality Measure Specificatins v f 60
37 NQF Clrectal Cancer Screening *Nte: The availability and lcatin f the FOBT field is based n the template yu are using. FOBT test result in Medical Recrds mdule> Results, OR A submitted claim/encunter cntains any ne f the fllwing CPT r ICD-9 cdes identifying FOBT, OR Table 27 Cdes t Identify a FOBT Test CPT ICD-9-CM Diagnsis FOBT , V76.51 OR: Prcedure perfrmed: Flexible sigmidscpy during the measurement perid r the 4 years prir t the start f the measurement perid; Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Flexible sigmidscpy field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Flexible sigmidscpy field, OR Medical Recrds Mdule > Histry > Flexible sigmidscpy field. Figure 48 Flexible Sigmidscpy Field A submitted claim/encunter cntains any ne f the fllwing CPT cdes identifying flexible sigmidscpy prcedure perfrmed, OR Table 28 Cdes t Flexible Sigmidscpy Prcedure CPT Flexible Sigmidscpy , , r OR: Prcedure perfrmed: Duble-cntrast barium enema during the measurement perid r the 4 years prir t the start f the measurement perid; Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Air cntrast barium enema field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Air cntrast barium enema field, OR Medical Recrds Mdule > Histry > Air cntrast barium enema field. Figure 49 Air Cntrast Barium Enema Field A submitted claim/encunter cntains any ne f the fllwing CPT cdes identifying duble-cntrast barium enema prcedure perfrmed, OR Table 29 Cdes t Identify a Duble-Cntrast Barium Enema CPT Duble-Cntrast Barium Enema r MU Quality Measure Specificatins v f 60
38 NQF Clrectal Cancer Screening OR: Prcedure perfrmed: Clnscpy during the measurement perid r the 9 years prir t the start f the measurement perid; Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Clnscpy field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Clnscpy field, OR Medical Recrds Mdule > Histry > Clnscpy field. Figure 50 Clnscpy Field A submitted claim/encunter cntains any ne f the fllwing CPT cdes identifying clnscpy, OR Table 30 Cdes t Identify Clnscpy CPT Clnscpy , 44397, 45355, , 45391, r Exclusins OR: Prcedure perfrmed: Ttal Clectmy; Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Quality tab > Clectmy field, OR Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Histry (r Hx) tab > Clectmy field, OR Medical Recrds Mdule > Histry > Clectmy field, OR Figure 51 Clectmy Field *Medical Recrds Mdule > Prgress Ntes (Clinical Tlbar) > Other Clectmy fields. *Nte: The name, availability, and lcatin f ther fields that identify clectmy are based n the template yu are using. A submitted claim/encunter cntains any ne f the fllwing CPT cdes identifying ttal clectmy. Table 31 Cdes t Identify a Ttal Clectmy CPT Ttal Clectmy , , r MU Quality Measure Specificatins v f 60
39 11 NQF Childhd Immunizatin Status NQF Childhd Immunizatin Status 11.1 Overview Measure ID NQF 0038 The percentage f children 2 years f age wh had fur diphtheria, tetanus and acellular pertussis (DTaP); three pli (IPV); ne measles, mumps and rubella (MMR); tw H influenza type B (HiB); three hepatitis B (Hep B), ne chicken px (VZV); fur pneumcccal cnjugate (PCV); tw hepatitis A (Hep A); tw r three rtavirus (RV); and tw influenza (flu) vaccines by their secnd birthday. The measure calculates a rate fr each vaccine and tw separate cmbinatin rates Ppulatin Criteria 1 Initial Ppulatin All patients wh reach tw years during the measurement perid; Denminatr AND: One r mre visit encunter with a Primary Care Physician (PCP) r an Obstetrician/Gyneclgist (OB/GYN) during the measurement perid; Medical Recrds Mdule > Encunters. Nte: The encunter must be a visit type encunter r a custm encunter flagged as an ffice visit via the Custm Encunters applicatin in the Administratin mdule. Numeratr AND: Medicatin administered: Fur dses f diphtheria, tetanus, and acellular pertussis (DTaP) vaccinatins; Medical Recrds Mdule > Immunizatins, OR A submitted claim/encunter cntains any ne f the fllwing cdes identifying an administered DTaP vaccinatin. Exclusins Nne. Table 32 Cdes t Identify DTaP Vaccinatin DTaP Vaccinatin 90696/130, 90698/120, 90700/20, 90721/50, r 90723/110 MU Quality Measure Specificatins v f 60
40 11.3 Ppulatin Criteria 2 NQF Childhd Immunizatin Status Initial Ppulatin All patients wh reach tw years during the measurement perid; Denminatr AND: One r mre visit encunter with a Primary Care Physician (PCP) r an Obstetrician/Gyneclgist (OB/GYN) during the measurement perid; Medical Recrds Mdule > Encunters. Nte: The encunter must be a visit type encunter r a custm encunter flagged as an ffice visit via the Custm Encunters applicatin in the Administratin mdule. Numeratr AND: Medicatin administered: Three dses f Injectable Pli Virus (IPV) vaccinatins; Medical Recrds Mdule > Immunizatins, OR A submitted claim/encunter cntains any ne f the fllwing cdes identifying an administered IPV vaccinatin. Table 33 Cdes t Identify IPV Vaccinatin IPV Vaccinatin 90713/10, 90696/130, 90698/120, r 90723/110 Exclusins Nne Ppulatin Criteria 3 Initial Ppulatin All patients wh reach tw years during the measurement perid; Denminatr AND: One r mre visit encunter with a Primary Care Physician (PCP) r an Obstetrician/Gyneclgist (OB/GYN) during the measurement perid; MU Quality Measure Specificatins v f 60
41 NQF Childhd Immunizatin Status Medical Recrds Mdule > Encunters. Nte: The encunter must be a visit type encunter r a custm encunter flagged as an ffice visit via the Custm Encunters applicatin in the Administratin mdule. Numeratr AND: Medicatin administered: One dse f measles, mumps, and rubella (MMR) vaccinatin; Medical Recrds Mdule > Immunizatins, OR A submitted claim/encunter cntains any ne f the fllwing cdes identifying an administered MMR vaccinatin. Exclusins Nne. Table 34 Cdes t Identify MMR Vaccinatin MMR Vaccinatin 90707/3, r 90710/ Ppulatin Criteria 4 Initial Ppulatin All patients wh reach tw years during the measurement perid; Denminatr AND: One r mre visit encunter with a Primary Care Physician (PCP) r an Obstetrician/Gyneclgist (OB/GYN) during the measurement perid; Medical Recrds Mdule > Encunters. Nte: The encunter must be a visit type encunter r a custm encunter flagged as an ffice visit via the Custm Encunters applicatin in the Administratin mdule. Numeratr AND: Medicatin administered: Tw dses f haemphilus influenza type B (HiB) vaccinatins; MU Quality Measure Specificatins v f 60
42 Exclusins Nne. Medical Recrds Mdule > Immunizatins, OR NQF Childhd Immunizatin Status A submitted claim/encunter cntains any ne f the fllwing cdes identifying an administered HiB vaccinatin. Table 35 Cdes t Identify HiB Vaccinatin HiB Vaccinatin 90645/47, 90646/46, 90647/49, 90648/48, 90720/22, 90748/51, 90698/120, r 90721/ Ppulatin Criteria 5 Initial Ppulatin All patients wh reach tw years during the measurement perid; Denminatr AND: One r mre visit encunter with a Primary Care Physician (PCP) r an Obstetrician/Gyneclgist (OB/GYN) during the measurement perid; Medical Recrds Mdule > Encunters. Nte: The encunter must be a visit type encunter r a custm encunter flagged as an ffice visit via the Custm Encunters applicatin in the Administratin mdule. Numeratr AND: Medicatin administered: Three dses f hepatitis B (HepB) vaccinatins; Medical Recrds Mdule > Immunizatins, OR A submitted claim/encunter cntains any ne f the fllwing cdes identifying an administered HepB vaccinatin. Exclusins Table 36 Cdes t Identify HepB Vaccinatin HepB Vaccinatin 90636/104, 90740/44, 90743/43, 90744/8, 90747/44, 90748/51, r 90723/110 MU Quality Measure Specificatins v f 60
43 NQF Childhd Immunizatin Status Nne Ppulatin Criteria 6 Initial Ppulatin All patients wh reach tw years during the measurement perid; Denminatr AND: One r mre visit encunter with a Primary Care Physician (PCP) r an Obstetrician/Gyneclgist (OB/GYN) during the measurement perid; Medical Recrds Mdule > Encunters. Nte: The encunter must be a visit type encunter r a custm encunter flagged as an ffice visit via the Custm Encunters applicatin in the Administratin mdule. Numeratr AND: Medicatin administered: One dse f chicken px (VZV)vaccinatin; Medical Recrds Mdule > Immunizatins, OR A submitted claim/encunter cntains any ne f the fllwing cdes identifying an administered VZV vaccinatin. Exclusins Nne. Table 37 Cdes t Identify VZV Vaccinatin VZV Vaccinatin 90396/36, 90716/21, r 90710/ Ppulatin Criteria 7 Initial Ppulatin All patients wh reach tw years during the measurement perid; Denminatr AND: One r mre visit encunter with a Primary Care Physician (PCP) r an Obstetrician/Gyneclgist (OB/GYN) during the measurement perid; MU Quality Measure Specificatins v f 60
44 NQF Childhd Immunizatin Status Medical Recrds Mdule > Encunters. Nte: The encunter must be a visit type encunter r a custm encunter flagged as an ffice visit via the Custm Encunters applicatin in the Administratin mdule. Numeratr AND: Medicatin administered: Fur dses f pneumcccal cnjugate (PCV) vaccinatins; Medical Recrds Mdule > Immunizatins, OR A submitted claim/encunter cntains any ne f the fllwing cdes identifying an administered PCV vaccinatin. Exclusins Nne. Table 38 Cdes t Identify PCV Vaccinatin PCV Vaccinatin 90669/100, r 90670/ Ppulatin Criteria 8 Initial Ppulatin All patients wh reach tw years during the measurement perid; Denminatr AND: One r mre visit encunter with a Primary Care Physician (PCP) r an Obstetrician/Gyneclgist (OB/GYN) during the measurement perid; Medical Recrds Mdule > Encunters. Nte: The encunter must be a visit type encunter r a custm encunter flagged as an ffice visit via the Custm Encunters applicatin in the Administratin mdule. Numeratr AND: Medicatin administered: Tw dses f hepatitis A (Hep A) vaccinatins; MU Quality Measure Specificatins v f 60
45 NQF Childhd Immunizatin Status Medical Recrds Mdule > Immunizatins, OR A submitted claim/encunter cntains any ne f the fllwing cdes identifying an administered Hep A vaccinatin. Table 39 Cdes t Identify Hep A Vaccinatin Hep A Vaccinatin 90633/83, 90634/84, r 90636/104 Exclusins Nne Ppulatin Criteria 9 Initial Ppulatin All patients wh reach tw years during the measurement perid; Denminatr AND: One r mre visit encunter with a Primary Care Physician (PCP) r an Obstetrician/Gyneclgist (OB/GYN) during the measurement perid; Medical Recrds Mdule > Encunters. Nte: The encunter must be a visit type encunter r a custm encunter flagged as an ffice visit via the Custm Encunters applicatin in the Administratin mdule. Numeratr AND: Medicatin administered: Tw r three dses f rtavirus (RV) vaccinatins; Medical Recrds Mdule > Immunizatins, OR A submitted claim/encunter cntains any ne f the fllwing cdes identifying an administered RV vaccinatin. Exclusins Table 40 Cdes t Identify RV Vaccinatin RV Vaccinatin 90680/116, 90681/119 MU Quality Measure Specificatins v f 60
46 NQF Childhd Immunizatin Status Nne Ppulatin Criteria 10 Initial Ppulatin All patients wh reach tw years during the measurement perid; Denminatr AND: One r mre visit encunter with a Primary Care Physician (PCP) r an Obstetrician/Gyneclgist (OB/GYN) during the measurement perid; Medical Recrds Mdule > Encunters. Nte: The encunter must be a visit type encunter r a custm encunter flagged as an ffice visit via the Custm Encunters applicatin in the Administratin mdule. Numeratr AND: Medicatin administered: Tw dses f influenza (flu) vaccinatins; Medical Recrds Mdule > Immunizatins, OR A submitted claim/encunter cntains any ne f the fllwing cdes identifying an administered influenza vaccinatin. Exclusins Nne. Table 41 Cdes t Identify Influenza Vaccinatin Influenza Vaccinatin 90470/128, 90655/15, 90657/15, 90660/111, 90662/135, 90663/128, 90664/125, 90666/126, 90668/ Ppulatin Criteria 11 Initial Ppulatin All patients wh reach tw years during the measurement perid; Denminatr MU Quality Measure Specificatins v f 60
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