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  2. CQM-1405

Extend value set to support capture of previous flu vaccines with relevant CVX codes

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    • Icon: Implementation Problem Implementation Problem
    • Resolution: Answered
    • Icon: Minor Minor
    • Guidance, Measure
    • Barbara Katzenberg
    • 617 783 7964
    • Allscripts
    • Extension of value set for "Previous Receipt of Influenza Vaccine"
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      We understand the concern. However, based on the CMS Blueprint, which includes the standards used for eCQM development, CVX is not a recommended clinical vocabulary standard by the ONC HIT Standards Committee for the QDM category “Communication”. HHS welcomes feedback on the current regulatory standards in anticipation of the next round of regulatory guidance.

      However, if a system internally captures a different code or code system but clinically it is used and coded in the same manner as defined in the measure, then systems can map equivalent codes to the codes in the measure. If audited, it is expected that the site can demonstrate internal codes and their mappings are clinically and technically equivalent.
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      We understand the concern. However, based on the CMS Blueprint, which includes the standards used for eCQM development, CVX is not a recommended clinical vocabulary standard by the ONC HIT Standards Committee for the QDM category “Communication”. HHS welcomes feedback on the current regulatory standards in anticipation of the next round of regulatory guidance. However, if a system internally captures a different code or code system but clinically it is used and coded in the same manner as defined in the measure, then systems can map equivalent codes to the codes in the measure. If audited, it is expected that the site can demonstrate internal codes and their mappings are clinically and technically equivalent.
    • Low numerators for NQF041/CMS147

      The workflow to capture the criterion below is often done in our client facilities by entering that the vaccine information in a module for tracking immunizations, but with a CVX code of 88 for "influenza virus vaccine, unspecified formulation" if it was not actually administered as part of a vist. The current value set for this criterion only allows SNOMED codes, as if this would be captured as part of a note. It would be helpful to allow the CVX code as well so that the standard immunization data capture could be used.

      ■OR: "Communication: From Patient to Provider: Previous Receipt of Influenza Vaccine"

            edave Mathematica EC eCQM Team
            bkatzenberg Barbara Katzenberg (Inactive)
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