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  2. CQM-6224

question on 2023 Preventive Care and Screening: Influenza Immunization

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
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    • Mike Smith
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      ​Thank you for your inquiry about CMS147v12 (2023 Performance Period).

      CMS147v12 is included in the list of EC eCQMs available for 2023 Performance Period use; this document is available on the eCQI Resource Center: https://ecqi.healthit.gov/sites/default/files/EC-MeasuresTable-2022-05-v3.pdf. Further questions about reporting can be submitted to the Quality Payment Program (QPP) helpdesk at https://qpp.cms.gov/resources/help-and-support.

      In terms of the measure specification, CMS147v12 does not include denominator exclusions/exceptions of not receiving influenza immunization due to medical/patient/system reasons. In CMS147v13 (2024 Performance Period), the measure now includes anaphylaxis due to influenza vaccine as a denominator exclusion.
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      ​Thank you for your inquiry about CMS147v12 (2023 Performance Period). CMS147v12 is included in the list of EC eCQMs available for 2023 Performance Period use; this document is available on the eCQI Resource Center: https://ecqi.healthit.gov/sites/default/files/EC-MeasuresTable-2022-05-v3.pdf . Further questions about reporting can be submitted to the Quality Payment Program (QPP) helpdesk at https://qpp.cms.gov/resources/help-and-support . In terms of the measure specification, CMS147v12 does not include denominator exclusions/exceptions of not receiving influenza immunization due to medical/patient/system reasons. In CMS147v13 (2024 Performance Period), the measure now includes anaphylaxis due to influenza vaccine as a denominator exclusion.
    • CMS0147v12
    • denominator exceptions for 2023 for pt declined immunization.

       

      I am reviewing the following eCQM based quality measure:

       

       

      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

       

      Measure Numbers

      CMS eCQM ID: CMS147v11

      NQF eCQM ID: 0041e

      NQF: 0041

      Quality ID: 110

       

      I have 2 questions:

      1. Is this measure ID 110 reportable as a 2023 eCQM?

       

      1. If this measure is reportable as an eCQM for 2023, is there any denominator exceptions available this year to document that the patient declined this immunization for the 2023 reporting period?   Is there any 2023 denominator exclusion available this year to document that the patient is unable to receive this immunization due to allergy or medical reason?  

       

      From the measure specification below it is hard to find the answers to above question 1 and 2.

       

      [Preventive Care and Screening: Influenza Immunization | eCQI Resource Center (healthit.gov)|https://ecqi.healthit.gov/ecqm/ec/2022/cms147v11?sort_order=2022vs2023]

       

      Measure Information 2022 Performance Period 2023 Performance Period
      Title Preventive Care and Screening: Influenza Immunization Preventive Care and Screening: Influenza Immunization
      CMS eCQM ID CMS147v11 CMS147v12
      NQF Number 0041e 0041e
      Description 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 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
      Initial Population All patients aged 6 months and older seen for a visit during the measurement period All patients aged 6 months and older seen for a visit during the measurement period
      Denominator Equals Initial Population and seen for a visit between October 1 and March 31 Equals Initial Population and seen for a visit between October 1 of the year prior to the measurement period and March 31 of the measurement period
      Denominator Exclusions None Exclude patients who are in hospice care for any part of the measurement period
      Numerator Patients who received an influenza immunization OR who reported previous receipt of an influenza immunization Patients who received an influenza immunization OR who reported previous receipt of an influenza immunization between July 1 of the year prior to the measurement period to June 30 of the measurement period
      Numerator Exclusions Not Applicable Not Applicable
      Denominator Exceptions Documentation of medical reason(s) for not receiving influenza immunization (e.g., patient allergy, other medical reasons).
      Documentation of patient reason(s) for not receiving influenza immunization (e.g., patient declined, other patient reasons).
      Documentation of system reason(s) for not receiving influenza immunization (e.g., vaccine not available, other system reasons).      		  
       
      None

       

       

      Thank you

            edave Mathematica EC eCQM Team
            msmith2 Mike Smith (Inactive)
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