[CQM-6917] Need clarification on CMS157v10 number of measures to report Created: 04/24/24  Updated: 05/01/24  Resolved: 05/01/24

Status: Closed
Project: eCQM Issue Tracker
Component/s: None

Type: EC eCQMs - Eligible Clinicians Priority: Moderate
Reporter: Beth Copenhaver (Inactive) Assignee: Mathematica EC eCQM Team (Inactive)
Resolution: Answered Votes: 0
Labels: None

Attachments: HTML File Oncology_ Medical and Radiation - Pain Intensity Quantified 10.0.000.html    
Contact Name: Beth Copenhaver
Contact Email: beth.copenhaver@clinigencehealth.com
Contact Phone: 7703292368
Solution: Thank you for your question about CMS157: Oncology: Medical and Radiation—Pain Intensity Quantified v10.

This measure has two populations:

Population 1 looks for visits from patients with a diagnosis of cancer who are currently receiving chemotherapy.

Population 2 looks for visits from patients with a diagnosis of cancer who are currently receiving radiation therapy.

Although the measure has two populations, the measure is designed to have a single (one) reporting rate. Population 1 is for medical oncologists, while population 2 is for radiation oncologists. If a medical oncologist reports this measure, Denominator 2 and Numerator 2 would be zero in the calculation. Similarly, if a radiation oncologist reports this measure Denominator 1 and Numerator 1 would be zero in the calculation. In either case the result is a single reporting rate.
2024 Performance Period EC eCQMs:
CMS0157v12
Impact: Delaying configuration of new version of CMS1577

 Description   

In the measure specification, it states:

"This measure is intended to have one reporting rate, which aggregates the following populations into a single performance rate for reporting purposes: - Population 1: Visits for patients with a diagnosis of cancer who are currently receiving chemotherapy - Population 2: Visits for patients with a diagnosis of cancer who are currently receiving radiation therapy For the purposes of this measure, a single performance rate can be calculated as follows: Performance Rate = (Numerator 1 + Numerator 2)/ (Denominator 1 + Denominator 2)"

I am interpreting this as there is only 1 measure and should report only 1 score.

The confusion comes from the Cypress patient list for CMS157, where they have separated out Pop 1 and Pop 2. 

Can you confirm that CMS157 should have 1 measure rate reported?

Thanks

 Comments   
Comment by Mathematica EC eCQM Team (Inactive) [ 04/25/24 ]

Thank you for submitting your question. We will review your ticket and provide a response as soon as possible.

Generated at Sun Aug 31 08:16:58 UTC 2025 using Jira 10.3.8#10030008-sha1:cdaed80cecc964184c5b19b002388d56f96e274e.