Brief Description of Measure:

​CMS124: Cervical Cancer Screening:
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria:

• Women age 21-64 who had cervical cytology performed within the last 3 years
• Women age 30-64 who had cervical human papillomavirus (HPV) testing performed within the last 5 years
  CMS125: Breast Cancer Screening:
  Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer in the 27 months prior to the end of the Measurement Period
  CMS127: Pneumococcal Vaccination Status for Older Adults:
  Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
  CMS130: Colorectal Cancer Screening:
  Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
  CMS147: Preventive Care and Screening: Influenza Immunization:
  Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
  CMS153: Chlamydia Screening for Women
  Percentage of women 16-24 years of age who were identified as sexually active and who had at least one test for chlamydia during the measurement period

Description of Issue:

​Some eCQMs include QRDA-1 reporting guidance in the header. CMS publishes QRDA-1 Implementation Guides (e.g. 2022 CMS Quality Reporting Document Architecture (QRDA) Category I Implementation Guide (IG) (https://ecqi.healthit.gov/sites/default/files/QRDA-HQR-2022-CMS-IG-508.pdf)), which should serve as the primary guidance and source of truth. 
To avoid redundancy, we propose removing QRDA-1 statements from the headers.

Proposed Solution:

​Below are statements that we propose to remove from the measures:

CMS124
"Patient self-report for procedures as well as diagnostic studies should be recorded in 'Procedure, Performed' template or 'Diagnostic Study, Performed' template in QRDA-1."
CMS125
"Patient self-report for procedures as well as diagnostic studies should be recorded in 'Procedure, Performed' template or 'Diagnostic Study, Performed' template in QRDA-1."

CMS127
Patient self-report for procedures as well as immunizations should be recorded in 'Procedure, Performed' template or 'Immunization, Administered' template in QRDA-1.

CMS130
Patient self-report for procedures as well as diagnostic studies should be recorded in "Procedure, Performed" template or "Diagnostic Study, Performed" template in QRDA-1.

CMS147
Patient self-report for procedures as well as immunizations should be recorded in 'Procedure, Performed' template or 'Immunization, Administered' template in QRDA-1.

CMS153
Patient self-report for procedures as well as diagnostic studies should be recorded in 'Procedure, Performed' template or 'Diagnostic Study, Performed' template in QRDA-1. Patient self-report is not allowed for laboratory tests.

Rationale for Change:

This change will remove redundant guidance from measure headers and avoid redundancy with existing guides published to aid implementation. **