--- http_interactions: - request: method: post uri: https://vsac.nlm.nih.gov/vsac/ws/Ticket body: encoding: UTF-8 string: username=&password= headers: Accept: - "*/*; q=0.5, application/xml" Accept-Encoding: - gzip, deflate Content-Length: - '38' Content-Type: - application/x-www-form-urlencoded User-Agent: - Ruby response: status: code: 200 message: '' headers: Cache-Control: - no-cache, no-store, max-age=0, must-revalidate Pragma: - no-cache Expires: - '0' X-Xss-Protection: - 1; mode=block X-Frame-Options: - SAMEORIGIN X-Content-Type-Options: - nosniff Content-Type: - text/plain;charset=utf-8 Content-Length: - '65' Date: - Mon, 02 Apr 2018 12:56:48 GMT Set-Cookie: - BIGipServervsacweb_p=!taOnb8a9RzxFN//m9OGvBt4MxRMcjpj6ja3i1S+9dJYbJNYCH8F7pRkSEc5H/97EpahgDgzlvkPzMfE=; expires=Mon, 02-Apr-2018 14:56:48 GMT; path=/; Httponly; Secure X-Vip-Info: - 130.14.16.40:443 X-Pool-Info: - "/Common/vsacweb_p 10.1.5.114 8080" Strict-Transport-Security: - max-age=31536000; includeSubDomains; preload body: encoding: UTF-8 string: TGT-144060-nm1EB2qAq40W3KpL9KEypMlZ31etb7xEsV14CuUYreknOR6KLb-cas http_version: recorded_at: Mon, 02 Apr 2018 12:56:48 GMT - request: method: post uri: https://vsac.nlm.nih.gov/vsac/ws/Ticket/TGT-144060-nm1EB2qAq40W3KpL9KEypMlZ31etb7xEsV14CuUYreknOR6KLb-cas body: encoding: UTF-8 string: service=http%3A%2F%2Fumlsks.nlm.nih.gov headers: Accept: - "*/*; q=0.5, application/xml" Accept-Encoding: - gzip, deflate Content-Length: - '39' Content-Type: - application/x-www-form-urlencoded User-Agent: - Ruby response: status: code: 200 message: '' headers: Cache-Control: - no-cache, no-store, max-age=0, must-revalidate Pragma: - no-cache Expires: - '0' X-Xss-Protection: - 1; mode=block X-Frame-Options: - SAMEORIGIN X-Content-Type-Options: - nosniff Content-Type: - text/plain;charset=utf-8 Content-Length: - '35' Date: - Mon, 02 Apr 2018 12:56:48 GMT Set-Cookie: - BIGipServervsacweb_p=!tNGDd3DC336B0UzNtNHn4GsLooFbU3RP7aWWR32RzTXFs3/D6KM9D7fbYK32vxx/62cPGXAKXwHNrtM=; expires=Mon, 02-Apr-2018 14:56:49 GMT; path=/; Httponly; Secure X-Vip-Info: - 130.14.16.40:443 X-Pool-Info: - "/Common/vsacweb_p 10.1.5.114 8080" Strict-Transport-Security: - max-age=31536000; includeSubDomains; preload body: encoding: UTF-8 string: ST-1324701-eNPSATGjAqkNOnaV4Pcd-cas http_version: recorded_at: Mon, 02 Apr 2018 12:56:49 GMT - request: method: get uri: https://vsac.nlm.nih.gov/vsac/svs/RetrieveMultipleValueSets?id=2.16.840.1.113883.3.600.1.1502&release=eCQM%20Update%202018%20EP-EC%20and%20EH&ticket=ST-1324701-eNPSATGjAqkNOnaV4Pcd-cas body: encoding: US-ASCII string: '' headers: Accept: - "*/*; q=0.5, application/xml" Accept-Encoding: - gzip, deflate User-Agent: - Ruby response: status: code: 200 message: '' headers: Cache-Control: - no-cache, no-store, max-age=0, must-revalidate Pragma: - no-cache Expires: - '0' X-Xss-Protection: - 1; mode=block X-Frame-Options: - SAMEORIGIN X-Content-Type-Options: - nosniff Set-Cookie: - BIGipServervsacweb_p=!SpdwYN/PgSAonlrNtNHn4GsLooFbU9wE+Y6xF/3bLFGFhn9TyPQJpZliCrKuMRk1VRpnQ95gh/lHEhI=; expires=Mon, 02-Apr-2018 14:56:49 GMT; path=/; Httponly; Secure - JSESSIONID=122DB8A6AB6EECB984DA118F8AB290E7;path=/vsac;HttpOnly;Secure Content-Type: - text/xml;charset=utf-8 Content-Length: - '17239' Date: - Mon, 02 Apr 2018 12:56:48 GMT X-Vip-Info: - 130.14.16.40:443 X-Pool-Info: - "/Common/vsacweb_p 10.1.5.114 8080" Strict-Transport-Security: - max-age=31536000; includeSubDomains; preload body: encoding: UTF-8 string: "\n\n \ \n \n \ \n \n \n \ \n \n Quality Insights of Pennsylvania\n (Clinical Focus: The intent of this value set is to specify a situation or finding was not done by indicating a medical reason a procedure or treatment is contraindicated, not tolerated, or not indicated.),(Data Element Scope: ),(Inclusion Criteria: ),(Exclusion Criteria: )\n Extensional\n \ Dynamic\n Active\n \ 2017-05-04\n \n 2\n \n \ \n Preventive Care and Screening: Screening for Depression and Follow-Up Plan\n \ \n \n COMPLETED\n \ \n \n 9a031e24-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS2v7\n \ \n \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights, Inc. disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007-2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2016-09] International Health Terminology Standards Development Organization. All Rights Reserved.\n\nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].\n \ \n \n Assessment\n \ \n \n 0418\n \ \n \n Quality Insights\n \n \n 7.1.000\n \n \ \n 22\n \ \n \n Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented\n \ \n \n COMPLETED\n \ \n \n 9a033a94-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older seen during the reporting period who were screened for high blood pressure AND a recommended follow-up plan is documented based on the current blood pressure (BP) reading as indicated\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS22v6\n \ \n \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights, Inc. disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007-2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2016-09] International Health Terminology Standards Development Organization. All Rights Reserved.\n\nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].\n \ \n \n Physical Exam\n \n \n Not Applicable\n \n \n \ Quality Insights\n \n \ \n 6.0.000\n \ \n \n 68\n \ \n \n Documentation of Current Medications in the Medical Record\n \n \ \n COMPLETED\n \ \n \n 9a032d9c-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration.\n \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS68v7\n \n \ \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights, Inc. disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007-2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2016-09] International Health Terminology Standards Development Organization. All Rights Reserved.\n\nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].\n \ \n \n Procedure\n \ \n \n 0419\n \ \n \n Quality Insights\n \n \n 7.1.000\n \n \ \n 69\n \ \n \n Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan\n \ \n \n COMPLETED\n \ \n \n 9a031bb8-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter \n\nNormal Parameters: Age 18 years and older BMI => 18.5 and < 25 kg/m2\n \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS69v6\n \n \ \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights, Inc. disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007-2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2016-09] International Health Terminology Standards Development Organization. All Rights Reserved.\n\nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].\n \ \n \n Intervention\n \ Medication\n \n \ \n 0421\n \ \n \n Quality Insights\n \n \n 6.1.000\n \n \ \n\n" http_version: recorded_at: Mon, 02 Apr 2018 12:56:49 GMT - request: method: post uri: https://vsac.nlm.nih.gov/vsac/ws/Ticket/TGT-144060-nm1EB2qAq40W3KpL9KEypMlZ31etb7xEsV14CuUYreknOR6KLb-cas body: encoding: UTF-8 string: service=http%3A%2F%2Fumlsks.nlm.nih.gov headers: Accept: - "*/*; q=0.5, application/xml" Accept-Encoding: - gzip, deflate Content-Length: - '39' Content-Type: - application/x-www-form-urlencoded User-Agent: - Ruby response: status: code: 200 message: '' headers: Cache-Control: - no-cache, no-store, max-age=0, must-revalidate Pragma: - no-cache Expires: - '0' X-Xss-Protection: - 1; mode=block X-Frame-Options: - SAMEORIGIN X-Content-Type-Options: - nosniff Content-Type: - text/plain;charset=utf-8 Content-Length: - '35' Date: - Mon, 02 Apr 2018 12:56:49 GMT Set-Cookie: - BIGipServervsacweb_p=!m8KDh0jNa8EyiaXm9OGvBt4MxRMcjiydwV8sWLl9/Q2ahXXJ0UqCPj+OJhcrX+c0ZG0NoHm+xS4jhls=; expires=Mon, 02-Apr-2018 14:56:49 GMT; path=/; Httponly; Secure X-Vip-Info: - 130.14.16.40:443 X-Pool-Info: - "/Common/vsacweb_p 10.1.5.114 8080" Strict-Transport-Security: - max-age=31536000; includeSubDomains; preload body: encoding: UTF-8 string: ST-1324702-0YRBAIulIWCfRtyUe0bH-cas http_version: recorded_at: Mon, 02 Apr 2018 12:56:49 GMT - request: method: get uri: https://vsac.nlm.nih.gov/vsac/svs/RetrieveMultipleValueSets?id=2.16.840.1.113883.3.600.1.1834&release=eCQM%20Update%202018%20EP-EC%20and%20EH&ticket=ST-1324702-0YRBAIulIWCfRtyUe0bH-cas body: encoding: US-ASCII string: '' headers: Accept: - "*/*; q=0.5, application/xml" Accept-Encoding: - gzip, deflate User-Agent: - Ruby response: status: code: 200 message: '' headers: Cache-Control: - no-cache, no-store, max-age=0, must-revalidate Pragma: - no-cache Expires: - '0' X-Xss-Protection: - 1; mode=block X-Frame-Options: - SAMEORIGIN X-Content-Type-Options: - nosniff Set-Cookie: - BIGipServervsacweb_p=!ch4GTpibsOj+luPNtNHn4GsLooFbUzdjQQg9c6FjB1T30sVwDhTSsaTKVQ+xIU2PlWIxdGbtcHIJ854=; expires=Mon, 02-Apr-2018 14:56:50 GMT; path=/; Httponly; Secure - JSESSIONID=F7F03CD8A5EBA309C2CB6F1B17532C4E;path=/vsac;HttpOnly;Secure Content-Type: - text/xml;charset=utf-8 Content-Length: - '67500' Date: - Mon, 02 Apr 2018 12:56:49 GMT X-Vip-Info: - 130.14.16.40:443 X-Pool-Info: - "/Common/vsacweb_p 10.1.5.114 8080" Strict-Transport-Security: - max-age=31536000; includeSubDomains; preload body: encoding: UTF-8 string: "\n\n \ \n \n \ \n \n \ \n \n \n \n \ \n \ \n \n \ \n \n \n \ \n \n \n \n \ \n \n \n \ \n \n \n \n \n \ \n \n \n \n \ \n \n \n \n \n \n \ \n \n \n \ \n \n \n \n \n \n \ \n \n \n \n \ \n \n \ \n \n \n \n \n \ \n \n \n \n \n \n \n \ \n \n \ \n \n \ \n \n \n \n \n \n \ \n \ \n \n \n \n \n \n \n \ \n \ \n \n \n \ \n \ \n \n \n \n \n \n \n \n \n \n \ \n \n \n \n \n \ \n \ \n \n \n \n \n \n \n \n \n \n \n \ \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \ \n \n \n \n \n \n \n \n \ \n \n \n \n \n \n \n \n \n \ \n \n \n \n \n \n \n \n \n \n \n \n \n \n \ \n \n \n \n \n Quality Insights of Pennsylvania\n (Clinical Focus: This set of values contains encounters where a medication list would be reviewed, updated, or transcribed as a current medication list.),(Data Element Scope: ),(Inclusion Criteria: Included are specific encounters from multiple specialty physicians, primary care physicians, as well as therapist and nutritionists; this value set also includes assessments and tasks that would prompt documentation of current medications.),(Exclusion Criteria: )\n (2.16.840.1.113883.3.464.1003.101.11.1115:Preventive Care Services-Initial Office Visit, 18 and Up),(2.16.840.1.113883.3.464.1003.101.11.1125:Preventive Care Services - Established Office Visit, 18 and Up),(2.16.840.1.113883.3.600.1.1608:Encounters Meds HCPCS),(2.16.840.1.113883.3.600.1.1609:Encounter Medications CPT),(2.16.840.1.113883.3.600.1.1917:Medication SNOMED Encounter Codes)\n Grouping\n \ Dynamic\n Active\n \ 2017-05-04\n \n 68\n \n \ \n Documentation of Current Medications in the Medical Record\n \n \ \n COMPLETED\n \ \n \n 9a032d9c-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration.\n \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS68v7\n \n \ \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights, Inc. disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007-2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2016-09] International Health Terminology Standards Development Organization. All Rights Reserved.\n\nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].\n \ \n \n Encounter\n \ \n \n 0419\n \ \n \n Quality Insights\n \n \n 7.1.000\n \n \ \n\n" http_version: recorded_at: Mon, 02 Apr 2018 12:56:50 GMT - request: method: post uri: https://vsac.nlm.nih.gov/vsac/ws/Ticket/TGT-144060-nm1EB2qAq40W3KpL9KEypMlZ31etb7xEsV14CuUYreknOR6KLb-cas body: encoding: UTF-8 string: service=http%3A%2F%2Fumlsks.nlm.nih.gov headers: Accept: - "*/*; q=0.5, application/xml" Accept-Encoding: - gzip, deflate Content-Length: - '39' Content-Type: - application/x-www-form-urlencoded User-Agent: - Ruby response: status: code: 200 message: '' headers: Cache-Control: - no-cache, no-store, max-age=0, must-revalidate Pragma: - no-cache Expires: - '0' X-Xss-Protection: - 1; mode=block X-Frame-Options: - SAMEORIGIN X-Content-Type-Options: - nosniff Content-Type: - text/plain;charset=utf-8 Content-Length: - '35' Date: - Mon, 02 Apr 2018 12:56:49 GMT Set-Cookie: - BIGipServervsacweb_p=!/38GwYzyltx67uPm9OGvBt4MxRMcjug08bgYLAerF03rN+JDLrs6tCmKY27dkWTPXLIMp9+UIo98MWU=; expires=Mon, 02-Apr-2018 14:56:50 GMT; path=/; Httponly; Secure X-Vip-Info: - 130.14.16.40:443 X-Pool-Info: - "/Common/vsacweb_p 10.1.5.114 8080" Strict-Transport-Security: - max-age=31536000; includeSubDomains; preload body: encoding: UTF-8 string: ST-1324703-7WQKZOfKLMD3YSwz3JI3-cas http_version: recorded_at: Mon, 02 Apr 2018 12:56:50 GMT - request: method: get uri: https://vsac.nlm.nih.gov/vsac/svs/RetrieveMultipleValueSets?id=2.16.840.1.114222.4.11.836&release=eCQM%20Update%202018%20EP-EC%20and%20EH&ticket=ST-1324703-7WQKZOfKLMD3YSwz3JI3-cas body: encoding: US-ASCII string: '' headers: Accept: - "*/*; q=0.5, application/xml" Accept-Encoding: - gzip, deflate User-Agent: - Ruby response: status: code: 200 message: '' headers: Cache-Control: - no-cache, no-store, max-age=0, must-revalidate Pragma: - no-cache Expires: - '0' X-Xss-Protection: - 1; mode=block X-Frame-Options: - SAMEORIGIN X-Content-Type-Options: - nosniff Set-Cookie: - BIGipServervsacweb_p=!yPIe8aNY2O5DfVbNtNHn4GsLooFbUzIfpIrMuW8qXLq2yCvTXt4KqqQcl861s0gbJZNlXM74HL0Ro/I=; expires=Mon, 02-Apr-2018 14:56:52 GMT; path=/; Httponly; Secure - JSESSIONID=56DFD34F750085E5CDDA9110DF6986A2;path=/vsac;HttpOnly;Secure Content-Type: - text/xml;charset=utf-8 Content-Length: - '292453' Date: - Mon, 02 Apr 2018 12:56:52 GMT X-Vip-Info: - 130.14.16.40:443 X-Pool-Info: - "/Common/vsacweb_p 10.1.5.114 8080" Strict-Transport-Security: - max-age=31536000; includeSubDomains; preload body: encoding: UTF-8 string: "\n\n \ \n \n \n \ \n \ \n \n \n \ \n \ \n Centers for Disease Control National Center for Health Statistics\n (Clinical Focus: ),(Data Element Scope: ),(Inclusion Criteria: ),(Exclusion Criteria: )\n Extensional\n Dynamic\n \ Active\n 2012-10-25\n \ \n 102\n \ \n \n Assessed for Rehabilitation\n \n \n COMPLETED\n \n \ \n 7dc26160-e615-4cc2-879c-75985189ec1a\n \ \n \n Eligible Hospitals\n \n \n \ Ischemic or hemorrhagic stroke patients who were assessed for rehabilitation services\n \n \ \n The Joint Commission\n \ \n \n PROCESS\n \ \n \n CMS102v6\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT(C)) copyright 2004 - 2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ The Joint Commission\n \n \ \n 6.2.000\n \ \n \n 104\n \ \n \n Discharged on Antithrombotic Therapy\n \n \n COMPLETED\n \n \ \n 42bf391f-38a3-4c0f-9ece-dcd47e9609d9\n \ \n \n Eligible Hospitals\n \n \n \ Ischemic stroke patients prescribed or continuing to take antithrombotic therapy at hospital discharge\n \n \ \n The Joint Commission\n \ \n \n PROCESS\n \ \n \n CMS104v6\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT(C)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ The Joint Commission\n \n \ \n 6.1.000\n \ \n \n 105\n \ \n \n Discharged on Statin Medication\n \n \n COMPLETED\n \n \ \n 1f503318-bb8d-4b91-af63-223ae0a2328e\n \ \n \n Eligible Hospitals\n \n \n \ Ischemic stroke patients who are prescribed or continuing to take statin medication at hospital discharge\n \n \ \n The Joint Commission\n \ \n \n PROCESS\n \ \n \n CMS105v6\n \ \n \n Measure specifications are in the Public Domain.\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT[C]) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ The Joint Commission\n \n \ \n 6.1.000\n \ \n \n 107\n \ \n \n Stroke Education\n \n \n \ COMPLETED\n \n \n \ 217fdf0d-3d64-4720-9116-d5e5afa27f2c\n \ \n \n Eligible Hospitals\n \n \n \ Ischemic or hemorrhagic stroke patients or their caregivers who were given educational materials during the hospital stay addressing all of the following: activation of emergency medical system, need for follow-up after discharge, medications prescribed at discharge, risk factors for stroke, and warning signs and symptoms of stroke\n \n \ \n The Joint Commission\n \ \n \n PROCESS\n \ \n \n CMS107v6\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT[C]) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ The Joint Commission\n \n \ \n 6.1.000\n \ \n \n 108\n \ \n \n Venous Thromboembolism Prophylaxis\n \n \n COMPLETED\n \n \ \n 38b0b5ec-0f63-466f-8fe3-2cd20ddd1622\n \ \n \n Eligible Hospitals\n \n \n \ This measure assesses the number of patients who received VTE prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after hospital admission or surgery end date for surgeries that start the day of or the day after hospital admission\n \ \n \n The Joint Commission\n \n \n \ National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS108v6\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT[C]) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n 0371\n \ \n \n The Joint Commission\n \n \n 6.1.000\n \n \ \n 111\n \ \n \n Median Admit Decision Time to ED Departure Time for Admitted Patients\n \ \n \n COMPLETED\n \ \n \n 979f21bd-3f93-4cdd-8273-b23dfe9c0513\n \ \n \n Eligible Hospitals\n \n \n \ Median time (in minutes) from admit decision time to time of departure from the emergency department for emergency department patients admitted to inpatient status.\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS111v6\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms(R) (SNOMED CT[C]) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n 0497\n \ \n \n Oklahoma Foundation for Medical Quality\n \n \n 6.1.000\n \n \ \n 113\n \ \n \n Elective Delivery\n \n \n \ COMPLETED\n \n \n \ fd7ca18d-b56d-4bca-af35-71ce36b15246\n \ \n \n Eligible Hospitals\n \n \n \ Patients with elective vaginal deliveries or elective cesarean births at >= 37 and < 39 weeks of gestation completed\n \ \n \n The Joint Commission\n \n \n \ National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS113v6\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT(c)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n 0469\n \ \n \n The Joint Commission\n \n \n 6.1.000\n \n \ \n 117\n \ \n \n Childhood Immunization Status\n \n \n COMPLETED\n \n \ \n b2802b7a-3580-4be8-9458-921aea62b78c\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of children 2 years of age who had four diphtheria, tetanus and acellular pertussis (DTaP); three polio (IPV), one measles, mumps and rubella (MMR); three H influenza type B (HiB); three hepatitis B (Hep B); one chicken pox (VZV); four pneumococcal conjugate (PCV); one hepatitis A (Hep A); two or three rotavirus (RV); and two influenza (flu) vaccines by their second birthday\n \n \ \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS117v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0038\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 122\n \ \n \n Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%)\n \n \ \n COMPLETED\n \ \n \n f2986519-5a4e-4149-a8f2-af0a1dc7f6bc\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period\n \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n OUTCOME\n \ \n \n CMS122v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0059\n \ \n \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 123\n \ \n \n Diabetes: Foot Exam\n \n \n \ COMPLETED\n \n \n \ c0d72444-7c26-4863-9b51-8080f8928a85\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year\n \n \n \ National Committee for Quality Assurance\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS123v6\n \n \ \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \n \ Individual Characteristic\n \n \ \n 0056\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 124\n \ \n \n Cervical Cancer Screening\n \n \n \ COMPLETED\n \n \n \ 42e7e489-790f-427a-a1a6-d6e807f65a6d\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria:\n* \ Women age 21-64 who had cervical cytology performed every 3 years\n* Women age 30-64 who had cervical cytology/human papillomavirus (HPV) co-testing performed every 5 years\n \n \n National Committee for Quality Assurance\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS124v6\n \n \ \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \n \ Individual Characteristic\n \n \ \n 0032\n \ \n \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 125\n \ \n \n Breast Cancer Screening\n \n \n \ COMPLETED\n \n \n \ 19783c1b-4fd1-46c1-8a96-a2f192b97ee0\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer\n \n \ \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS125v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 2372\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 127\n \ \n \n Pneumococcal Vaccination Status for Older Adults\n \n \ \n COMPLETED\n \ \n \n 59657b9b-01bf-4979-a090-8534da1d0516\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine\n \ \n \n National Committee for Quality Assurance\n \n \n PROCESS\n \n \ \n CMS127v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ National Committee for Quality Assurance\n \ \n \n 6.1.000\n \ \n \n 128\n \ \n \n Anti-depressant Medication Management\n \n \n COMPLETED\n \n \ \n 8924f2b3-ec06-4650-b634-d70a53dee577\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18 years of age and older who were treated with antidepressant medication, had a diagnosis of major depression, and who remained on an antidepressant medication treatment. Two rates are reported. \na. Percentage of patients who remained on an antidepressant medication for at least 84 days (12 weeks). \nb. Percentage of patients who remained on an antidepressant medication for at least 180 days (6 months).\n \ \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS128v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0105\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 129\n \ \n \n Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients\n \n \n \ COMPLETED\n \n \n \ 1635c14d-e612-4fa6-96cd-285361aa7f7b\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients, regardless of age, with a diagnosis of prostate cancer at low (or very low) risk of recurrence receiving interstitial prostate brachytherapy, OR external beam radiotherapy to the prostate, OR radical prostatectomy, OR cryotherapy who did not have a bone scan performed at any time since diagnosis of prostate cancer\n \ \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS129v7\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0389\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 7.0.000\n \ \n \n 130\n \ \n \n Colorectal Cancer Screening\n \n \n \ COMPLETED\n \n \n \ aa2a4bbc-864f-45ee-b17a-7ebcc62e6aac\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer\n \ \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS130v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0034\n \ \n \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 131\n \ \n \n Diabetes: Eye Exam\n \n \n \ COMPLETED\n \n \n \ d90bdab4-b9d2-4329-9993-5c34e2c0dc66\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period\n \ \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS131v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0055\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 132\n \ \n \n Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures\n \n \n COMPLETED\n \n \ \n 9a0339c2-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery and had any of a specified list of surgical procedures in the 30 days following cataract surgery which would indicate the occurrence of any of the following major complications: retained nuclear fragments, endophthalmitis, dislocated or wrong power IOL, retinal detachment, or wound dehiscence\n \ \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n OUTCOME\n \ \n \n CMS132v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0564\n \n \n PCPI(R) Foundation (PCPI[R])\n \ American Medical Association (AMA)\n \ \n \n 6.1.000\n \ \n \n 133\n \ \n \n Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery\n \ \n \n COMPLETED\n \ \n \n 39e0424a-1727-4629-89e2-c46c2fbb3f5f\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery and no significant ocular conditions impacting the visual outcome of surgery and had best-corrected visual acuity of 20/40 or better (distance or near) achieved within 90 days following the cataract surgery\n \n \ \n PCPI(R) Foundation (PCPI[R])\n \n \n \ National Quality Forum\n \n \ \n OUTCOME\n \ \n \n CMS133v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0565\n \n \n PCPI(R) Foundation (PCPI[R])\n \ American Medical Association (AMA)\n \ \n \n 6.0.000\n \ \n \n 134\n \ \n \n Diabetes: Medical Attention for Nephropathy\n \n \n COMPLETED\n \n \ \n 7b2a9277-43da-4d99-9bee-6ac271a07747\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period\n \n \ \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS134v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0062\n \ \n \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 135\n \ \n \n Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)\n \ \n \n COMPLETED\n \ \n \n 430ffc53-4122-4421-88cc-2edd8117bb3c\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of heart failure (HF) with a current or prior left ventricular ejection fraction (LVEF) < 40% who were prescribed ACE inhibitor or ARB therapy either within a 12 month period when seen in the outpatient setting OR at each hospital discharge\n \n \ \n PCPI(R) Foundation (PCPI[R])\n \n \n \ National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS135v6\n \ \n \n Copyright 2017 American College of Cardiology, American Heart Association and American Medical Association. All Rights Reserved.\n \n \ \n Individual Characteristic\n \ \n \n 0081\n \ \n \n PCPI(R) Foundation (PCPI[R])\n American Medical Association (AMA)\n \n \n 6.0.000\n \n \ \n 136\n \ \n \n Follow-Up Care for Children Prescribed ADHD Medication (ADD)\n \n \ \n COMPLETED\n \ \n \n 703cc49b-b653-4885-80e8-245a057f5ae9\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of children 6-12 years of age and newly dispensed a medication for attention-deficit/hyperactivity disorder (ADHD) who had appropriate follow-up care. Two rates are reported. \ \na. Percentage of children who had one follow-up visit with a practitioner with prescribing authority during the 30-Day Initiation Phase.\nb. Percentage of children who remained on ADHD medication for at least 210 days and who, in addition to the visit in the Initiation Phase, had at least two additional follow-up visits with a practitioner within 270 days (9 months) after the Initiation Phase ended.\n \n \n National Committee for Quality Assurance\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS136v7\n \n \ \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \n \ Individual Characteristic\n \n \ \n 0108\n \ \n \n National Committee for Quality Assurance\n \n \n 7.1.000\n \n \ \n 137\n \ \n \n Initiation and Engagement of Alcohol and Other Drug Dependence Treatment\n \ \n \n COMPLETED\n \ \n \n c3657d72-21b4-4675-820a-86c7fe293bf5\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 13 years of age and older with a new episode of alcohol and other drug (AOD) dependence who received the following. Two rates are reported.\na. Percentage of patients who initiated treatment within 14 days of the diagnosis.\nb. Percentage of patients who initiated treatment and who had two or more additional services with an AOD diagnosis within 30 days of the initiation visit.\n \ \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS137v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0004\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 138\n \ \n \n Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention\n \ \n \n COMPLETED\n \ \n \n e35791df-5b25-41bb-b260-673337bc44a8\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user\n\nThree rates are reported: \na. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months \nb. Percentage of patients aged 18 years and older who were screened for tobacco use and identified as a tobacco user who received tobacco cessation intervention \nc. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user\n \ \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS138v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0028\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 6.1.000\n \ \n \n 139\n \ \n \n Falls: Screening for Future Fall Risk\n \n \n COMPLETED\n \n \ \n bc5b4a57-b964-4399-9d40-667c896f31ea\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period\n \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS139v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications have been developed by the PCPI(R) Foundation (PCPI[R]) and the National Committee for Quality Assurance (NCQA). This Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. The Measure, while copyrighted, can be reproduced and distributed, without modification, for noncommercial purposes, eg, use by health care providers in connection with their practices. Commercial use is defined as the sale, license, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. Commercial uses of the Measure require a license agreement between the user and the PCPI(R) or NCQA. Neither the American Medical Association (AMA), nor the former AMA-convened Physician Consortium for Performance Improvement(R), PCPI, NCQA nor its members shall be responsible for any use of the Measure. (C) 2017 National Committee for Quality Assurance and PCPI (R) Foundation. All Rights Reserved.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ 0101\n \n \n National Committee for Quality Assurance\n \ PCPI(R) Foundation (PCPI[R])\n American Medical Association (AMA)\n \n \n 6.1.000\n \n \ \n 142\n \ \n \n Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care\n \ \n \n COMPLETED\n \ \n \n 53d6d7c3-43fb-4d24-8099-17e74c022c05\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus regarding the findings of the macular or fundus exam at least once within 12 months\n \ \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS142v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0089\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 6.0.000\n \ \n \n 143\n \ \n \n Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation\n \n \ \n COMPLETED\n \ \n \n db9d9f09-6b6a-4749-a8b2-8c1fdb018823\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months\n \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS143v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0086\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 6.0.000\n \ \n \n 144\n \ \n \n Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)\n \n \n COMPLETED\n \ \n \n 8439f671-2932-4d4c-88ca-ea5faeacc89a\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of heart failure (HF) with a current or prior left ventricular ejection fraction (LVEF) < 40% who were prescribed beta-blocker therapy either within a 12 month period when seen in the outpatient setting OR at each hospital discharge\n \n \n PCPI(R) Foundation (PCPI[R])\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS144v6\n \n \ \n Copyright 2017 American College of Cardiology, American Heart Association and American Medical Association. All Rights Reserved.\n \n \n \ Individual Characteristic\n \n \ \n 0083\n \ \n \n American Medical Association (AMA)\n PCPI(R) Foundation (PCPI[R])\n \n \n 6.0.000\n \n \ \n 145\n \ \n \n Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <40%)\n \n \ \n COMPLETED\n \ \n \n 80744ae2-de81-4b16-a71d-69522eb865c5\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease seen within a 12 month period who also have a prior MI or a current or prior LVEF <40% who were prescribed beta-blocker therapy\n \n \n PCPI(R) Foundation (PCPI[R])\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS145v6\n \n \ \n Copyright 2017 American College of Cardiology, American Heart Association and American Medical Association. All Rights Reserved.\n \n \n \ Individual Characteristic\n \n \ \n 0070\n \ \n \n American Medical Association (AMA)\n PCPI(R) Foundation (PCPI[R])\n \n \n 6.0.000\n \n \ \n 146\n \ \n \n Appropriate Testing for Children with Pharyngitis\n \n \ \n COMPLETED\n \ \n \n beb1c33c-2549-4e7f-9567-05ed38448464\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of children 3-18 years of age who were diagnosed with pharyngitis, ordered an antibiotic and received a group A streptococcus (strep) test for the episode\n \n \ \n National Committee for Quality Assurance\n \n \n PROCESS\n \n \ \n CMS146v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ National Committee for Quality Assurance\n \ \n \n 6.1.000\n \ \n \n 147\n \ \n \n Preventive Care and Screening: Influenza Immunization\n \n \ \n COMPLETED\n \ \n \n a244aa29-7d11-4616-888a-86e376bfcc6f\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n 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\n \ \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS147v7\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0041\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 7.2.000\n \ \n \n 149\n \ \n \n Dementia: Cognitive Assessment\n \n \n COMPLETED\n \n \ \n 7c443b9b-1ad1-4467-b527-defc445701ff\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients, regardless of age, with a diagnosis of dementia for whom an assessment of cognition is performed and the results reviewed at least once within a 12 month period\n \ \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS149v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 2872\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 6.0.000\n \ \n \n 153\n \ \n \n Chlamydia Screening for Women\n \n \n COMPLETED\n \n \ \n c9930664-be3d-4ffe-ae4a-5cf4933ecb89\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n 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\n \n \ \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS153v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0033\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 154\n \ \n \n Appropriate Treatment for Children with Upper Respiratory Infection (URI)\n \ \n \n COMPLETED\n \ \n \n e455fac0-f2cb-4074-a351-1e68a90fb7cf\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of children 3 months-18 years of age who were diagnosed with upper respiratory infection (URI) and were not dispensed an antibiotic prescription on or three days after the episode\n \ \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS154v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0069\n \ \n \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 155\n \ \n \n Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents\n \n \n \ COMPLETED\n \n \n \ 0b63f730-25d6-4248-b11f-8c09c66a04eb\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.\n\n - Percentage of patients with height, weight, and body mass index (BMI) percentile documentation\n - Percentage of patients with counseling for nutrition\n - Percentage of patients with counseling for physical activity\n \n \ \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS155v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0024\n \ \n \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 156\n \ \n \n Use of High-Risk Medications in the Elderly\n \n \ \n COMPLETED\n \ \n \n a3837ff8-1abc-4ba9-800e-fd4e7953adbd\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are reported.\na. Percentage of patients who were ordered at least one high-risk medication. \nb. Percentage of patients who were ordered at least two of the same high-risk medications.\n \n \n \ National Committee for Quality Assurance\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS156v6\n \n \ \n This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSM-500-2011-00079C) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \n \ Individual Characteristic\n \n \ \n 0022\n \ \n \n National Committee for Quality Assurance\n \n \n 6.4.000\n \n \ \n 157\n \ \n \n Oncology: Medical and Radiation - Pain Intensity Quantified\n \n \ \n COMPLETED\n \ \n \n 9a0330d0-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified\n \ \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS157v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0384\n \n \n PCPI(R) Foundation (PCPI[R])\n \ American Medical Association (AMA)\n \ \n \n 6.0.000\n \ \n \n 158\n \ \n \n Pregnant women that had HBsAg testing\n \n \n COMPLETED\n \n \ \n 3bbfc929-50c8-44b8-8d34-82be75c08a70\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n This measure identifies pregnant women who had a HBsAg (hepatitis B) test during their pregnancy\n \ \n \n Optum\n \ \n \n PROCESS\n \ \n \n CMS158v6\n \ \n \n This measure is copyrighted by Optum, Inc. All rights reserved.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n Optum\n \ \n \n 6.0.000\n \ \n \n 159\n \ \n \n Depression Remission at Twelve Months\n \n \n COMPLETED\n \n \ \n 8455cd3e-dbb9-4e0c-8084-3ece4068fe94\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n The percentage of patients 18 years of age or older with major depression or dysthymia who reached remission 12 months (+/- 30 days) after an index visit.\n \n \ \n MN Community Measurement\n \ \n \n National Quality Forum\n \n \n \ OUTCOME\n \n \n CMS159v6\n \n \ \n Copyright MN Community Measurement, 2017. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n 0710\n \ \n \n MN Community Measurement\n \n \n 6.2.000\n \n \ \n 160\n \ \n \n Depression Utilization of the PHQ-9 Tool\n \n \n COMPLETED\n \n \ \n a4b9763c-847e-4e02-bb7e-acc596e90e2c\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit\n \n \n MN Community Measurement\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS160v6\n \ \n \n Copyright MN Community Measurement, 2017. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n 0712\n \ \n \n MN Community Measurement\n \n \n 6.1.000\n \n \ \n 161\n \ \n \n Adult Major Depressive Disorder (MDD): Suicide Risk Assessment\n \n \ \n COMPLETED\n \ \n \n 60176fbf-bfdc-4892-9c9e-604f206553c8\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of major depressive disorder (MDD) with a suicide risk assessment completed during the visit in which a new diagnosis or recurrent episode was identified\n \n \n PCPI(R) Foundation (PCPI[R])\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS161v6\n \n \ \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0104\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 6.0.000\n \ \n \n 164\n \ \n \n Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet\n \ \n \n COMPLETED\n \ \n \n 0713ea8f-0e5b-4099-8c7c-dd677280398f\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18 years of age and older who were diagnosed with acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) in the 12 months prior to the measurement period, or who had an active diagnosis of ischemic vascular disease (IVD) during the measurement period, and who had documentation of use of aspirin or another antiplatelet during the measurement period\n \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS164v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0068\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 165\n \ \n \n Controlling High Blood Pressure\n \n \n COMPLETED\n \n \ \n abdc37cc-bac6-4156-9b91-d1be2c8b7268\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18-85 years of age who had a diagnosis of hypertension and whose blood pressure was adequately controlled (<140/90mmHg) during the measurement period\n \ \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS165v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0018\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 166\n \ \n \n Use of Imaging Studies for Low Back Pain\n \n \ \n COMPLETED\n \ \n \n b6016b47-b65d-4be0-866f-1d397886ca89\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18-50 years of age with a diagnosis of low back pain who did not have an imaging study (plain X-ray, MRI, CT scan) within 28 days of the diagnosis\n \ \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS166v7\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0052\n \ \n \n National Committee for Quality Assurance\n \n \n 7.1.000\n \n \ \n 167\n \ \n \n Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy\n \n \n COMPLETED\n \n \ \n 50164228-9d64-4efc-af67-da0547ff61f1\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during one or more office visits within 12 months\n \n \ \n PCPI(R) Foundation (PCPI[R])\n \n \n \ National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS167v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0088\n \n \n PCPI(R) Foundation (PCPI[R])\n \ American Medical Association (AMA)\n \ \n \n 6.0.000\n \ \n \n 169\n \ \n \n Bipolar Disorder and Major Depression: Appraisal for alcohol or chemical substance use\n \n \n COMPLETED\n \ \n \n b99aaef6-7889-4aba-85fc-5a2b739dd098\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients with depression or bipolar disorder with evidence of an initial assessment that includes an appraisal for alcohol or chemical substance use\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS169v6\n \ \n \n This measure is copyrighted by CQAIMH. It may be used for research, teaching, and quality measurement / improvement activities - provided the following:\n* The materials are not sold, distributed or licensed for commercial purposes\n* CQAIMH's copyright is acknowledged in reproductions of these materials\n* Modifications to the materials are not made without CQAIMH's permission\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n Center for Quality Assessment & Improvement in Mental Health (CQAIMH)\n \n \ \n 6.0.000\n \ \n \n 177\n \ \n \n Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment\n \ \n \n COMPLETED\n \ \n \n 848d09de-7e6b-43c4-bedd-5a2957ccffe3\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patient visits for those patients aged 6 through 17 years with a\ndiagnosis of major depressive disorder with an assessment for suicide risk\n \n \ \n PCPI(R) Foundation (PCPI[R])\n \n \n \ National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS177v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 1365\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 6.0.000\n \ \n \n 190\n \ \n \n Intensive Care Unit Venous Thromboembolism Prophylaxis\n \n \ \n COMPLETED\n \ \n \n fa91ba68-1e66-4a23-8eb2-baa8e6df2f2f\n \ \n \n Eligible Hospitals\n \n \n \ This measure assesses the number of patients who received VTE prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after the initial admission (or transfer) to the Intensive Care Unit (ICU) or surgery end date for surgeries that start the day of or the day after ICU admission (or transfer)\n \n \ \n The Joint Commission\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS190v6\n \n \ \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute. \n\nThis material contains SNOMED Clinical Terms(R) (SNOMED CT[C]) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \n \ Individual Characteristic\n \n \ \n 0372\n \ \n \n The Joint Commission\n \n \n 6.1.000\n \n \ \n 2\n \ \n \n Preventive Care and Screening: Screening for Depression and Follow-Up Plan\n \ \n \n COMPLETED\n \ \n \n 9a031e24-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS2v7\n \ \n \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights, Inc. disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007-2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2016-09] International Health Terminology Standards Development Organization. All Rights Reserved.\n\nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].\n \ \n \n Individual Characteristic\n \n \n \ 0418\n \n \n Quality Insights\n \n \ \n 7.1.000\n \ \n \n 22\n \ \n \n Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented\n \ \n \n COMPLETED\n \ \n \n 9a033a94-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older seen during the reporting period who were screened for high blood pressure AND a recommended follow-up plan is documented based on the current blood pressure (BP) reading as indicated\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS22v6\n \ \n \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights, Inc. disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007-2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2016-09] International Health Terminology Standards Development Organization. All Rights Reserved.\n\nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n Quality Insights\n \ \n \n 6.0.000\n \ \n \n 26\n \ \n \n Home Management Plan of Care (HMPC) Document Given to Patient/Caregiver\n \ \n \n COMPLETED\n \ \n \n e1cb05e0-97d5-40fc-b456-15c5dbf44309\n \ \n \n Eligible Hospitals\n \n \n \ An assessment that there is documentation in the medical record that a Home Management Plan of Care (HMPC) document was given to the pediatric asthma patient/caregiver\n \n \ \n The Joint Commission\n \ \n \n PROCESS\n \ \n \n CMS26v5\n \ \n \n LOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT(C)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n The Joint Commission\n \ \n \n 5.1.000\n \ \n \n 31\n \ \n \n Hearing Screening Prior To Hospital Discharge\n \n \ \n COMPLETED\n \ \n \n 0924fbae-3fdb-4d0a-aab7-9f354e699fde\n \ \n \n Eligible Hospitals\n \n \n \ This measure assesses the proportion of births that have been screened for hearing loss before hospital discharge\n \ \n \n CDC National Center on Birth Defects and Developmental Disabilities\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS31v6\n \n \ \n None\n \ \n \n Individual Characteristic\n \n \n \ 1354\n \n \n CDC Early Hearing Detection and Intervention Program\n \n \n 6.1.000\n \n \ \n 32\n \ \n \n Median Time from ED Arrival to ED Departure for Discharged ED Patients\n \ \n \n COMPLETED\n \ \n \n 3fd13096-2c8f-40b5-9297-b714e8de9133\n \ \n \n Eligible Hospitals\n \n \n \ Median elapsed time from emergency department arrival to emergency room departure for patients discharged from the emergency department\n \ \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \ \n National Quality Forum\n \ \n \n PROCESS\n \ \n \n CMS32v7\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms(R) (SNOMED CT(C)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n 0496\n \ \n \n Oklahoma Foundation for Medical Quality\n \n \n 7.2.000\n \n \ \n 347\n \ \n \n Statin Therapy for the Prevention and Treatment of Cardiovascular Disease\n \ \n \n COMPLETED\n \ \n \n 5375d6a9-203b-4fff-b851-afa9b68d2ac2\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: \n*Adults aged >= 21 years who were previously diagnosed with or currently have an active diagnosis of clinical atherosclerotic cardiovascular disease (ASCVD); OR \n*Adults aged >= 21 years who have ever had a fasting or direct low-density lipoprotein cholesterol (LDL-C) level >= 190 mg/dL or were previously diagnosed with or currently have an active diagnosis of familial or pure hypercholesterolemia; OR \n*Adults aged 40-75 years with a diagnosis of diabetes with a fasting or direct LDL-C level of 70-189 mg/dL\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS347v1\n \ \n \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights, Inc. disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007-2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2016-09] International Health Terminology Standards Development Organization. All Rights Reserved.\n\nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n Quality Insights\n \ \n \n 1.8.000\n \ \n \n 50\n \ \n \n Closing the Referral Loop: Receipt of Specialist Report\n \n \ \n COMPLETED\n \ \n \n f58fc0d6-edf5-416a-8d29-79afbfd24dea\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS50v6\n \ \n \n Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications. \n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) is copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ National Committee for Quality Assurance\n \ \n \n 6.0.000\n \ \n \n 52\n \ \n \n HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis\n \n \ \n COMPLETED\n \ \n \n 1cdd20de-5de9-4759-8a93-31f1f8baaaa2\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 6 weeks and older with a diagnosis of HIV/AIDS who were prescribed Pneumocystis jiroveci pneumonia (PCP) prophylaxis\n \n \n National Committee for Quality Assurance\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS52v6\n \n \ \n This Physician Performance Measure (Measure) and related data specifications have been developed by the PCPI(R) Foundation (PCPI[R])and the National Committee for Quality Assurance (NCQA). This Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. The Measure, while copyrighted, can be reproduced and distributed, without modification, for noncommercial purposes, eg, use by health care providers in connection with their practices. Commercial use is defined as the sale, license, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. Commercial uses of the Measure require a license agreement between the user and the PCPI(R) or NCQA. Neither the American Medical Association (AMA), nor the former AMA-convened Physician Consortium for Performance Improvement(R), PCPI, NCQA nor its members shall be responsible for any use of the Measure. (C) 2017 National Committee for Quality Assurance and PCPI(R) Foundation. All Rights Reserved.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \n \ Individual Characteristic\n \n \ \n 0405\n \ \n \n National Committee for Quality Assurance\n American Medical Association-convened Physician Consortium for Performance Improvement(R) (AMA-PCPI)\n \n \n 6.2.000\n \n \ \n 53\n \ \n \n Primary PCI Received Within 90 Minutes of Hospital Arrival\n \n \ \n COMPLETED\n \ \n \n 84b9d0b5-0caf-4e41-b345-3492a23c2e9f\n \ \n \n Eligible Hospitals\n \n \n \ Acute myocardial infarction (AMI) patients with ST-segment elevation on the ECG closest to arrival time receiving primary PCI during the hospital stay with a time from hospital arrival to PCI of 90 minutes or less\n \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \ \n PROCESS\n \ \n \n CMS53v6\n \ \n \n Measure specifications are in the Public Domain.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT(C)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n\nLOINC (R) is a registered trademark of the Regenstrief Institute.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n Oklahoma Foundation for Medical Quality\n \n \n 6.1.000\n \n \ \n 55\n \ \n \n Median Time from ED Arrival to ED Departure for Admitted ED Patients\n \ \n \n COMPLETED\n \ \n \n 9a033274-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Hospitals\n \n \n \ Median time from emergency department arrival to time of departure from the emergency room for patients admitted to the facility from the emergency department\n \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS55v6\n \n \ \n Measure specifications are in the Public Domain.\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms(R) (SNOMED CT(C)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \n \ Individual Characteristic\n \n \ \n 0495\n \ \n \n Oklahoma Foundation for Medical Quality\n \n \n 6.1.000\n \n \ \n 56\n \ \n \n Functional Status Assessment for Total Hip Replacement\n \n \ \n COMPLETED\n \ \n \n 2f291003-3f2f-48af-bef9-e5aacb95ac3e\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18 years of age and older who received an elective primary total hip arthroplasty (THA) and completed a functional status assessment within 90 days prior to the surgery and in the 270-365 days after the surgery\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS56v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSP23320095627WC; HHSP23337008T) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 645\n \ \n \n Bone density evaluation for patients with prostate cancer and receiving androgen deprivation therapy\n \n \n COMPLETED\n \n \ \n 977b302e-cdf3-4ba2-8020-5e099d93ad18\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Patients determined as having prostate cancer who are currently starting or undergoing androgen deprivation therapy (ADT), for an anticipated period of 12 months or greater and who receive an initial bone density evaluation. The bone density evaluation must be prior to the start of ADT or within 3 months of the start of ADT.\n \ \n \n Oregon Urology\n \n \n \ PROCESS\n \n \n CMS645v1\n \n \ \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Oregon Urology Institute (OUI) and Large Urology Group Practice Association (LUGPA) disclaim all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007- 2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2015-09] International Health Terminology Standards Development Organization. All Rights Reserved. ICD-10 is copyright 2016 World Health Organization. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ Not applicable\n \n \ \n Oregon Urology\n \ \n \n 1.1.000\n \ \n \n 65\n \ \n \n Hypertension: Improvement in Blood Pressure\n \n \n COMPLETED\n \n \ \n 1d8363ce-a529-490b-8c98-9b54aa75da06\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18-85 years of age with a diagnosis of hypertension whose blood pressure improved during the measurement period\n \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \n OUTCOME\n \ \n \n CMS65v7\n \ \n \n This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSP23320095627WC; HHSP23337008T) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n National Committee for Quality Assurance\n \n \n 7.1.000\n \n \ \n 66\n \ \n \n Functional Status Assessment for Total Knee Replacement\n \n \ \n COMPLETED\n \ \n \n be8d9655-1194-46ef-b43e-4b1d0c36ab71\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18 years of age and older who received an elective primary total knee arthroplasty (TKA) and completed a functional status assessment within 90 days prior to the surgery and in the 270-365 days after the surgery\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS66v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSP23320095627WC; HHSP23337008T) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 68\n \ \n \n Documentation of Current Medications in the Medical Record\n \n \ \n COMPLETED\n \ \n \n 9a032d9c-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration.\n \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS68v7\n \n \ \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights, Inc. disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007-2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2016-09] International Health Terminology Standards Development Organization. All Rights Reserved.\n\nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].\n \ \n \n Individual Characteristic\n \n \n \ 0419\n \n \n Quality Insights\n \n \ \n 7.1.000\n \ \n \n 69\n \ \n \n Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan\n \ \n \n COMPLETED\n \ \n \n 9a031bb8-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter \n\nNormal Parameters: Age 18 years and older BMI => 18.5 and < 25 kg/m2\n \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS69v6\n \n \ \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights, Inc. disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007-2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2016-09] International Health Terminology Standards Development Organization. All Rights Reserved.\n\nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].\n \ \n \n Individual Characteristic\n \n \n \ 0421\n \n \n Quality Insights\n \n \ \n 6.1.000\n \ \n \n 71\n \ \n \n Anticoagulation Therapy for Atrial Fibrillation/Flutter\n \n \ \n COMPLETED\n \ \n \n 03876d69-085b-415c-ae9d-9924171040c2\n \ \n \n Eligible Hospitals\n \n \n \ Ischemic stroke patients with atrial fibrillation/flutter who are prescribed or continuing to take anticoagulation therapy at hospital discharge\n \n \n \ The Joint Commission\n \n \ \n PROCESS\n \ \n \n CMS71v7\n \ \n \n Measure specifications are in the Public Domain.\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms(R) (SNOMED CT(C)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ The Joint Commission\n \n \ \n 7.1.000\n \ \n \n 72\n \ \n \n Antithrombotic Therapy By End of Hospital Day 2\n \n \n COMPLETED\n \n \ \n 93f3479f-75d8-4731-9a3f-b7749d8bcd37\n \ \n \n Eligible Hospitals\n \n \n \ Ischemic stroke patients administered antithrombotic therapy by the end of hospital day 2\n \n \ \n The Joint Commission\n \ \n \n PROCESS\n \ \n \n CMS72v6\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms(R) (SNOMED CT(C)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ The Joint Commission\n \n \ \n 6.1.000\n \ \n \n 74\n \ \n \n Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists\n \n \n \ COMPLETED\n \n \n \ 0b81b6ba-3b30-41bf-a2f3-95bdc9f558f2\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of children, age 0-20 years, who received a fluoride varnish application during the measurement period\n \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \ \n PROCESS\n \ \n \n CMS74v7\n \ \n \n This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSP23320095627WC; HHSP23337008T) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n National Committee for Quality Assurance\n \n \n 7.1.000\n \n \ \n 75\n \ \n \n Children Who Have Dental Decay or Cavities\n \n \n COMPLETED\n \n \ \n 61947125-4376-4a7b-ab7a-ac2be9bd9138\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of children, age 0-20 years, who have had tooth decay or cavities during the measurement period\n \ \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \ \n OUTCOME\n \ \n \n CMS75v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSP23320095627WC; HHSP23337008T) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 82\n \ \n \n Maternal Depression Screening\n \n \n COMPLETED\n \n \ \n 8e6c8479-99fd-4949-b0ad-24fa60fe4201\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n The percentage of children who turned 6 months of age during the measurement year, who had a face-to-face visit between the clinician and the child during child's first 6 months, and who had a maternal depression screening for the mother at least once between 0 and 6 months of life\n \n \n National Committee for Quality Assurance\n \ \n \n PROCESS\n \ \n \n CMS82v5\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA) with support from The Commonwealth Fund, a national, private foundation based in New York City that supports independent research on health care issues and makes grants to improve health care practice and policy. The views presented here are those of the author and not necessarily those of The Commonwealth Fund, its directors. officers, or staff. The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2009-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n National Committee for Quality Assurance\n \n \n 5.1.000\n \n \ \n 9\n \ \n \n Exclusive Breast Milk Feeding\n \n \n COMPLETED\n \n \ \n 7d374c6a-3821-4333-a1bc-4531005d77b8\n \ \n \n Eligible Hospitals\n \n \n \ PC-05 Exclusive breast milk feeding during the newborn's entire hospitalization\n \n \n The Joint Commission\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS9v6\n \n \ \n LOINC(R) is a registered trademark of the Regenstrief Institute.\n \nThis material contains SNOMED Clinical Terms (R) (SNOMED CT[C]) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0480\n \n \n The Joint Commission\n \ \n \n 6.1.000\n \ \n \n 90\n \ \n \n Functional Status Assessments for Congestive Heart Failure\n \n \ \n COMPLETED\n \ \n \n bb9b8ef7-0354-40e0-bec7-d6891b7df519\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18 years of age and older with congestive heart failure who completed initial and follow-up patient-reported functional status assessments\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS90v7\n \ \n \n This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSP23320095627WC; HHSP23337008T) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n National Committee for Quality Assurance\n \n \n 7.1.000\n \n \ \n\n" http_version: recorded_at: Mon, 02 Apr 2018 12:56:52 GMT - request: method: post uri: https://vsac.nlm.nih.gov/vsac/ws/Ticket/TGT-144060-nm1EB2qAq40W3KpL9KEypMlZ31etb7xEsV14CuUYreknOR6KLb-cas body: encoding: UTF-8 string: service=http%3A%2F%2Fumlsks.nlm.nih.gov headers: Accept: - "*/*; q=0.5, application/xml" Accept-Encoding: - gzip, deflate Content-Length: - '39' Content-Type: - application/x-www-form-urlencoded User-Agent: - Ruby response: status: code: 200 message: '' headers: Cache-Control: - no-cache, no-store, max-age=0, must-revalidate Pragma: - no-cache Expires: - '0' X-Xss-Protection: - 1; mode=block X-Frame-Options: - SAMEORIGIN X-Content-Type-Options: - nosniff Content-Type: - text/plain;charset=utf-8 Content-Length: - '35' Date: - Mon, 02 Apr 2018 12:56:52 GMT Set-Cookie: - BIGipServervsacweb_p=!OR7LC1tMkxQ/TZvNtNHn4GsLooFbU0AQkIg6P/Ar83/dHrR1Vghy1dtwr0QTSIbCVC5REAL4guxyMtg=; expires=Mon, 02-Apr-2018 14:56:53 GMT; path=/; Httponly; Secure X-Vip-Info: - 130.14.16.40:443 X-Pool-Info: - "/Common/vsacweb_p 10.1.5.114 8080" Strict-Transport-Security: - max-age=31536000; includeSubDomains; preload body: encoding: UTF-8 string: ST-1324704-eItHbFiVqTwYFXA7IOAx-cas http_version: recorded_at: Mon, 02 Apr 2018 12:56:53 GMT - request: method: get uri: https://vsac.nlm.nih.gov/vsac/svs/RetrieveMultipleValueSets?id=2.16.840.1.113762.1.4.1&release=eCQM%20Update%202018%20EP-EC%20and%20EH&ticket=ST-1324704-eItHbFiVqTwYFXA7IOAx-cas body: encoding: US-ASCII string: '' headers: Accept: - "*/*; q=0.5, application/xml" Accept-Encoding: - gzip, deflate User-Agent: - Ruby response: status: code: 200 message: '' headers: Cache-Control: - no-cache, no-store, max-age=0, must-revalidate Pragma: - no-cache Expires: - '0' X-Xss-Protection: - 1; mode=block X-Frame-Options: - SAMEORIGIN X-Content-Type-Options: - nosniff Set-Cookie: - BIGipServervsacweb_p=!ZIuzTdKUyyegAIvm9OGvBt4MxRMcjn1y5z0vP2m8gU1HmawVV99d1Cs7gDpRTMOSyE/uQ6OUdIBRYDw=; expires=Mon, 02-Apr-2018 14:56:55 GMT; path=/; Httponly; Secure - JSESSIONID=621D38FD9226D6ACF011C73292CF34B7;path=/vsac;HttpOnly;Secure Content-Type: - text/xml;charset=utf-8 Content-Length: - '292044' Date: - Mon, 02 Apr 2018 12:56:55 GMT X-Vip-Info: - 130.14.16.40:443 X-Pool-Info: - "/Common/vsacweb_p 10.1.5.114 8080" Strict-Transport-Security: - max-age=31536000; includeSubDomains; preload body: encoding: UTF-8 string: "\n\n \ \n \n \ \n \n \n \ Office of the National Coordinator for Health Information Technology\n (Clinical Focus: Gender identity restricted to only Male and Female used in administrative situations requiring a restriction to these two categories.),(Data Element Scope: Gender),(Inclusion Criteria: Male and Female only.),(Exclusion Criteria: Any gender identity that is not male or female.)\n Extensional\n \ Dynamic\n Active\n \ 2015-03-31\n \n 102\n \n \ \n Assessed for Rehabilitation\n \ \n \n COMPLETED\n \ \n \n 7dc26160-e615-4cc2-879c-75985189ec1a\n \ \n \n Eligible Hospitals\n \n \n \ Ischemic or hemorrhagic stroke patients who were assessed for rehabilitation services\n \n \ \n The Joint Commission\n \ \n \n PROCESS\n \ \n \n CMS102v6\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT(C)) copyright 2004 - 2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ The Joint Commission\n \n \ \n 6.2.000\n \ \n \n 104\n \ \n \n Discharged on Antithrombotic Therapy\n \n \n COMPLETED\n \n \ \n 42bf391f-38a3-4c0f-9ece-dcd47e9609d9\n \ \n \n Eligible Hospitals\n \n \n \ Ischemic stroke patients prescribed or continuing to take antithrombotic therapy at hospital discharge\n \n \ \n The Joint Commission\n \ \n \n PROCESS\n \ \n \n CMS104v6\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT(C)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ The Joint Commission\n \n \ \n 6.1.000\n \ \n \n 105\n \ \n \n Discharged on Statin Medication\n \n \n COMPLETED\n \n \ \n 1f503318-bb8d-4b91-af63-223ae0a2328e\n \ \n \n Eligible Hospitals\n \n \n \ Ischemic stroke patients who are prescribed or continuing to take statin medication at hospital discharge\n \n \ \n The Joint Commission\n \ \n \n PROCESS\n \ \n \n CMS105v6\n \ \n \n Measure specifications are in the Public Domain.\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT[C]) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ The Joint Commission\n \n \ \n 6.1.000\n \ \n \n 107\n \ \n \n Stroke Education\n \n \n \ COMPLETED\n \n \n \ 217fdf0d-3d64-4720-9116-d5e5afa27f2c\n \ \n \n Eligible Hospitals\n \n \n \ Ischemic or hemorrhagic stroke patients or their caregivers who were given educational materials during the hospital stay addressing all of the following: activation of emergency medical system, need for follow-up after discharge, medications prescribed at discharge, risk factors for stroke, and warning signs and symptoms of stroke\n \n \ \n The Joint Commission\n \ \n \n PROCESS\n \ \n \n CMS107v6\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT[C]) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ The Joint Commission\n \n \ \n 6.1.000\n \ \n \n 108\n \ \n \n Venous Thromboembolism Prophylaxis\n \n \n COMPLETED\n \n \ \n 38b0b5ec-0f63-466f-8fe3-2cd20ddd1622\n \ \n \n Eligible Hospitals\n \n \n \ This measure assesses the number of patients who received VTE prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after hospital admission or surgery end date for surgeries that start the day of or the day after hospital admission\n \ \n \n The Joint Commission\n \n \n \ National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS108v6\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT[C]) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n 0371\n \ \n \n The Joint Commission\n \n \n 6.1.000\n \n \ \n 111\n \ \n \n Median Admit Decision Time to ED Departure Time for Admitted Patients\n \ \n \n COMPLETED\n \ \n \n 979f21bd-3f93-4cdd-8273-b23dfe9c0513\n \ \n \n Eligible Hospitals\n \n \n \ Median time (in minutes) from admit decision time to time of departure from the emergency department for emergency department patients admitted to inpatient status.\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS111v6\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms(R) (SNOMED CT[C]) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n 0497\n \ \n \n Oklahoma Foundation for Medical Quality\n \n \n 6.1.000\n \n \ \n 113\n \ \n \n Elective Delivery\n \n \n \ COMPLETED\n \n \n \ fd7ca18d-b56d-4bca-af35-71ce36b15246\n \ \n \n Eligible Hospitals\n \n \n \ Patients with elective vaginal deliveries or elective cesarean births at >= 37 and < 39 weeks of gestation completed\n \ \n \n The Joint Commission\n \n \n \ National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS113v6\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT(c)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n 0469\n \ \n \n The Joint Commission\n \n \n 6.1.000\n \n \ \n 117\n \ \n \n Childhood Immunization Status\n \n \n COMPLETED\n \n \ \n b2802b7a-3580-4be8-9458-921aea62b78c\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of children 2 years of age who had four diphtheria, tetanus and acellular pertussis (DTaP); three polio (IPV), one measles, mumps and rubella (MMR); three H influenza type B (HiB); three hepatitis B (Hep B); one chicken pox (VZV); four pneumococcal conjugate (PCV); one hepatitis A (Hep A); two or three rotavirus (RV); and two influenza (flu) vaccines by their second birthday\n \n \ \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS117v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0038\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 122\n \ \n \n Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%)\n \n \ \n COMPLETED\n \ \n \n f2986519-5a4e-4149-a8f2-af0a1dc7f6bc\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period\n \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n OUTCOME\n \ \n \n CMS122v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0059\n \ \n \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 123\n \ \n \n Diabetes: Foot Exam\n \n \n \ COMPLETED\n \n \n \ c0d72444-7c26-4863-9b51-8080f8928a85\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year\n \n \n \ National Committee for Quality Assurance\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS123v6\n \n \ \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \n \ Individual Characteristic\n \n \ \n 0056\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 124\n \ \n \n Cervical Cancer Screening\n \n \n \ COMPLETED\n \n \n \ 42e7e489-790f-427a-a1a6-d6e807f65a6d\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria:\n* \ Women age 21-64 who had cervical cytology performed every 3 years\n* Women age 30-64 who had cervical cytology/human papillomavirus (HPV) co-testing performed every 5 years\n \n \n National Committee for Quality Assurance\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS124v6\n \n \ \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \n \ Individual Characteristic\n \n \ \n 0032\n \ \n \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 125\n \ \n \n Breast Cancer Screening\n \n \n \ COMPLETED\n \n \n \ 19783c1b-4fd1-46c1-8a96-a2f192b97ee0\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer\n \n \ \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS125v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 2372\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 127\n \ \n \n Pneumococcal Vaccination Status for Older Adults\n \n \ \n COMPLETED\n \ \n \n 59657b9b-01bf-4979-a090-8534da1d0516\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine\n \ \n \n National Committee for Quality Assurance\n \n \n PROCESS\n \n \ \n CMS127v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ National Committee for Quality Assurance\n \ \n \n 6.1.000\n \ \n \n 128\n \ \n \n Anti-depressant Medication Management\n \n \n COMPLETED\n \n \ \n 8924f2b3-ec06-4650-b634-d70a53dee577\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18 years of age and older who were treated with antidepressant medication, had a diagnosis of major depression, and who remained on an antidepressant medication treatment. Two rates are reported. \na. Percentage of patients who remained on an antidepressant medication for at least 84 days (12 weeks). \nb. Percentage of patients who remained on an antidepressant medication for at least 180 days (6 months).\n \ \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS128v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0105\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 129\n \ \n \n Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients\n \n \n \ COMPLETED\n \n \n \ 1635c14d-e612-4fa6-96cd-285361aa7f7b\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients, regardless of age, with a diagnosis of prostate cancer at low (or very low) risk of recurrence receiving interstitial prostate brachytherapy, OR external beam radiotherapy to the prostate, OR radical prostatectomy, OR cryotherapy who did not have a bone scan performed at any time since diagnosis of prostate cancer\n \ \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS129v7\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0389\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 7.0.000\n \ \n \n 130\n \ \n \n Colorectal Cancer Screening\n \n \n \ COMPLETED\n \n \n \ aa2a4bbc-864f-45ee-b17a-7ebcc62e6aac\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer\n \ \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS130v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0034\n \ \n \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 131\n \ \n \n Diabetes: Eye Exam\n \n \n \ COMPLETED\n \n \n \ d90bdab4-b9d2-4329-9993-5c34e2c0dc66\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period\n \ \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS131v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0055\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 132\n \ \n \n Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures\n \n \n COMPLETED\n \n \ \n 9a0339c2-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery and had any of a specified list of surgical procedures in the 30 days following cataract surgery which would indicate the occurrence of any of the following major complications: retained nuclear fragments, endophthalmitis, dislocated or wrong power IOL, retinal detachment, or wound dehiscence\n \ \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n OUTCOME\n \ \n \n CMS132v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0564\n \n \n PCPI(R) Foundation (PCPI[R])\n \ American Medical Association (AMA)\n \ \n \n 6.1.000\n \ \n \n 133\n \ \n \n Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery\n \ \n \n COMPLETED\n \ \n \n 39e0424a-1727-4629-89e2-c46c2fbb3f5f\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery and no significant ocular conditions impacting the visual outcome of surgery and had best-corrected visual acuity of 20/40 or better (distance or near) achieved within 90 days following the cataract surgery\n \n \ \n PCPI(R) Foundation (PCPI[R])\n \n \n \ National Quality Forum\n \n \ \n OUTCOME\n \ \n \n CMS133v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0565\n \n \n PCPI(R) Foundation (PCPI[R])\n \ American Medical Association (AMA)\n \ \n \n 6.0.000\n \ \n \n 134\n \ \n \n Diabetes: Medical Attention for Nephropathy\n \n \n COMPLETED\n \n \ \n 7b2a9277-43da-4d99-9bee-6ac271a07747\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period\n \n \ \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS134v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0062\n \ \n \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 135\n \ \n \n Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)\n \ \n \n COMPLETED\n \ \n \n 430ffc53-4122-4421-88cc-2edd8117bb3c\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of heart failure (HF) with a current or prior left ventricular ejection fraction (LVEF) < 40% who were prescribed ACE inhibitor or ARB therapy either within a 12 month period when seen in the outpatient setting OR at each hospital discharge\n \n \ \n PCPI(R) Foundation (PCPI[R])\n \n \n \ National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS135v6\n \ \n \n Copyright 2017 American College of Cardiology, American Heart Association and American Medical Association. All Rights Reserved.\n \n \ \n Individual Characteristic\n \ \n \n 0081\n \ \n \n PCPI(R) Foundation (PCPI[R])\n American Medical Association (AMA)\n \n \n 6.0.000\n \n \ \n 136\n \ \n \n Follow-Up Care for Children Prescribed ADHD Medication (ADD)\n \n \ \n COMPLETED\n \ \n \n 703cc49b-b653-4885-80e8-245a057f5ae9\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of children 6-12 years of age and newly dispensed a medication for attention-deficit/hyperactivity disorder (ADHD) who had appropriate follow-up care. Two rates are reported. \ \na. Percentage of children who had one follow-up visit with a practitioner with prescribing authority during the 30-Day Initiation Phase.\nb. Percentage of children who remained on ADHD medication for at least 210 days and who, in addition to the visit in the Initiation Phase, had at least two additional follow-up visits with a practitioner within 270 days (9 months) after the Initiation Phase ended.\n \n \n National Committee for Quality Assurance\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS136v7\n \n \ \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \n \ Individual Characteristic\n \n \ \n 0108\n \ \n \n National Committee for Quality Assurance\n \n \n 7.1.000\n \n \ \n 137\n \ \n \n Initiation and Engagement of Alcohol and Other Drug Dependence Treatment\n \ \n \n COMPLETED\n \ \n \n c3657d72-21b4-4675-820a-86c7fe293bf5\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 13 years of age and older with a new episode of alcohol and other drug (AOD) dependence who received the following. Two rates are reported.\na. Percentage of patients who initiated treatment within 14 days of the diagnosis.\nb. Percentage of patients who initiated treatment and who had two or more additional services with an AOD diagnosis within 30 days of the initiation visit.\n \ \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS137v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0004\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 138\n \ \n \n Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention\n \ \n \n COMPLETED\n \ \n \n e35791df-5b25-41bb-b260-673337bc44a8\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user\n\nThree rates are reported: \na. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months \nb. Percentage of patients aged 18 years and older who were screened for tobacco use and identified as a tobacco user who received tobacco cessation intervention \nc. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user\n \ \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS138v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0028\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 6.1.000\n \ \n \n 139\n \ \n \n Falls: Screening for Future Fall Risk\n \n \n COMPLETED\n \n \ \n bc5b4a57-b964-4399-9d40-667c896f31ea\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period\n \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS139v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications have been developed by the PCPI(R) Foundation (PCPI[R]) and the National Committee for Quality Assurance (NCQA). This Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. The Measure, while copyrighted, can be reproduced and distributed, without modification, for noncommercial purposes, eg, use by health care providers in connection with their practices. Commercial use is defined as the sale, license, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. Commercial uses of the Measure require a license agreement between the user and the PCPI(R) or NCQA. Neither the American Medical Association (AMA), nor the former AMA-convened Physician Consortium for Performance Improvement(R), PCPI, NCQA nor its members shall be responsible for any use of the Measure. (C) 2017 National Committee for Quality Assurance and PCPI (R) Foundation. All Rights Reserved.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ 0101\n \n \n National Committee for Quality Assurance\n \ PCPI(R) Foundation (PCPI[R])\n American Medical Association (AMA)\n \n \n 6.1.000\n \n \ \n 142\n \ \n \n Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care\n \ \n \n COMPLETED\n \ \n \n 53d6d7c3-43fb-4d24-8099-17e74c022c05\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus regarding the findings of the macular or fundus exam at least once within 12 months\n \ \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS142v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0089\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 6.0.000\n \ \n \n 143\n \ \n \n Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation\n \n \ \n COMPLETED\n \ \n \n db9d9f09-6b6a-4749-a8b2-8c1fdb018823\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months\n \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS143v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0086\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 6.0.000\n \ \n \n 144\n \ \n \n Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)\n \n \n COMPLETED\n \ \n \n 8439f671-2932-4d4c-88ca-ea5faeacc89a\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of heart failure (HF) with a current or prior left ventricular ejection fraction (LVEF) < 40% who were prescribed beta-blocker therapy either within a 12 month period when seen in the outpatient setting OR at each hospital discharge\n \n \n PCPI(R) Foundation (PCPI[R])\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS144v6\n \n \ \n Copyright 2017 American College of Cardiology, American Heart Association and American Medical Association. All Rights Reserved.\n \n \n \ Individual Characteristic\n \n \ \n 0083\n \ \n \n American Medical Association (AMA)\n PCPI(R) Foundation (PCPI[R])\n \n \n 6.0.000\n \n \ \n 145\n \ \n \n Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <40%)\n \n \ \n COMPLETED\n \ \n \n 80744ae2-de81-4b16-a71d-69522eb865c5\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease seen within a 12 month period who also have a prior MI or a current or prior LVEF <40% who were prescribed beta-blocker therapy\n \n \n PCPI(R) Foundation (PCPI[R])\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS145v6\n \n \ \n Copyright 2017 American College of Cardiology, American Heart Association and American Medical Association. All Rights Reserved.\n \n \n \ Individual Characteristic\n \n \ \n 0070\n \ \n \n American Medical Association (AMA)\n PCPI(R) Foundation (PCPI[R])\n \n \n 6.0.000\n \n \ \n 146\n \ \n \n Appropriate Testing for Children with Pharyngitis\n \n \ \n COMPLETED\n \ \n \n beb1c33c-2549-4e7f-9567-05ed38448464\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of children 3-18 years of age who were diagnosed with pharyngitis, ordered an antibiotic and received a group A streptococcus (strep) test for the episode\n \n \ \n National Committee for Quality Assurance\n \n \n PROCESS\n \n \ \n CMS146v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ National Committee for Quality Assurance\n \ \n \n 6.1.000\n \ \n \n 147\n \ \n \n Preventive Care and Screening: Influenza Immunization\n \n \ \n COMPLETED\n \ \n \n a244aa29-7d11-4616-888a-86e376bfcc6f\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n 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\n \ \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS147v7\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0041\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 7.2.000\n \ \n \n 149\n \ \n \n Dementia: Cognitive Assessment\n \n \n COMPLETED\n \n \ \n 7c443b9b-1ad1-4467-b527-defc445701ff\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients, regardless of age, with a diagnosis of dementia for whom an assessment of cognition is performed and the results reviewed at least once within a 12 month period\n \ \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS149v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 2872\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 6.0.000\n \ \n \n 153\n \ \n \n Chlamydia Screening for Women\n \n \n COMPLETED\n \n \ \n c9930664-be3d-4ffe-ae4a-5cf4933ecb89\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n 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\n \n \ \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS153v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0033\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 154\n \ \n \n Appropriate Treatment for Children with Upper Respiratory Infection (URI)\n \ \n \n COMPLETED\n \ \n \n e455fac0-f2cb-4074-a351-1e68a90fb7cf\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of children 3 months-18 years of age who were diagnosed with upper respiratory infection (URI) and were not dispensed an antibiotic prescription on or three days after the episode\n \ \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS154v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0069\n \ \n \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 155\n \ \n \n Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents\n \n \n \ COMPLETED\n \n \n \ 0b63f730-25d6-4248-b11f-8c09c66a04eb\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.\n\n - Percentage of patients with height, weight, and body mass index (BMI) percentile documentation\n - Percentage of patients with counseling for nutrition\n - Percentage of patients with counseling for physical activity\n \n \ \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS155v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0024\n \ \n \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 156\n \ \n \n Use of High-Risk Medications in the Elderly\n \n \ \n COMPLETED\n \ \n \n a3837ff8-1abc-4ba9-800e-fd4e7953adbd\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are reported.\na. Percentage of patients who were ordered at least one high-risk medication. \nb. Percentage of patients who were ordered at least two of the same high-risk medications.\n \n \n \ National Committee for Quality Assurance\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS156v6\n \n \ \n This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSM-500-2011-00079C) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \n \ Individual Characteristic\n \n \ \n 0022\n \ \n \n National Committee for Quality Assurance\n \n \n 6.4.000\n \n \ \n 157\n \ \n \n Oncology: Medical and Radiation - Pain Intensity Quantified\n \n \ \n COMPLETED\n \ \n \n 9a0330d0-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified\n \ \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS157v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0384\n \n \n PCPI(R) Foundation (PCPI[R])\n \ American Medical Association (AMA)\n \ \n \n 6.0.000\n \ \n \n 158\n \ \n \n Pregnant women that had HBsAg testing\n \n \n COMPLETED\n \n \ \n 3bbfc929-50c8-44b8-8d34-82be75c08a70\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n This measure identifies pregnant women who had a HBsAg (hepatitis B) test during their pregnancy\n \ \n \n Optum\n \ \n \n PROCESS\n \ \n \n CMS158v6\n \ \n \n This measure is copyrighted by Optum, Inc. All rights reserved.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n Optum\n \ \n \n 6.0.000\n \ \n \n 159\n \ \n \n Depression Remission at Twelve Months\n \n \n COMPLETED\n \n \ \n 8455cd3e-dbb9-4e0c-8084-3ece4068fe94\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n The percentage of patients 18 years of age or older with major depression or dysthymia who reached remission 12 months (+/- 30 days) after an index visit.\n \n \ \n MN Community Measurement\n \ \n \n National Quality Forum\n \n \n \ OUTCOME\n \n \n CMS159v6\n \n \ \n Copyright MN Community Measurement, 2017. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n 0710\n \ \n \n MN Community Measurement\n \n \n 6.2.000\n \n \ \n 160\n \ \n \n Depression Utilization of the PHQ-9 Tool\n \n \n COMPLETED\n \n \ \n a4b9763c-847e-4e02-bb7e-acc596e90e2c\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit\n \n \n MN Community Measurement\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS160v6\n \ \n \n Copyright MN Community Measurement, 2017. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n 0712\n \ \n \n MN Community Measurement\n \n \n 6.1.000\n \n \ \n 161\n \ \n \n Adult Major Depressive Disorder (MDD): Suicide Risk Assessment\n \n \ \n COMPLETED\n \ \n \n 60176fbf-bfdc-4892-9c9e-604f206553c8\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of major depressive disorder (MDD) with a suicide risk assessment completed during the visit in which a new diagnosis or recurrent episode was identified\n \n \n PCPI(R) Foundation (PCPI[R])\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS161v6\n \n \ \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0104\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 6.0.000\n \ \n \n 164\n \ \n \n Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet\n \ \n \n COMPLETED\n \ \n \n 0713ea8f-0e5b-4099-8c7c-dd677280398f\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18 years of age and older who were diagnosed with acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) in the 12 months prior to the measurement period, or who had an active diagnosis of ischemic vascular disease (IVD) during the measurement period, and who had documentation of use of aspirin or another antiplatelet during the measurement period\n \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS164v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0068\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 165\n \ \n \n Controlling High Blood Pressure\n \n \n COMPLETED\n \n \ \n abdc37cc-bac6-4156-9b91-d1be2c8b7268\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18-85 years of age who had a diagnosis of hypertension and whose blood pressure was adequately controlled (<140/90mmHg) during the measurement period\n \ \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS165v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0018\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 166\n \ \n \n Use of Imaging Studies for Low Back Pain\n \n \ \n COMPLETED\n \ \n \n b6016b47-b65d-4be0-866f-1d397886ca89\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18-50 years of age with a diagnosis of low back pain who did not have an imaging study (plain X-ray, MRI, CT scan) within 28 days of the diagnosis\n \ \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS166v7\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0052\n \ \n \n National Committee for Quality Assurance\n \n \n 7.1.000\n \n \ \n 167\n \ \n \n Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy\n \n \n COMPLETED\n \n \ \n 50164228-9d64-4efc-af67-da0547ff61f1\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during one or more office visits within 12 months\n \n \ \n PCPI(R) Foundation (PCPI[R])\n \n \n \ National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS167v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0088\n \n \n PCPI(R) Foundation (PCPI[R])\n \ American Medical Association (AMA)\n \ \n \n 6.0.000\n \ \n \n 169\n \ \n \n Bipolar Disorder and Major Depression: Appraisal for alcohol or chemical substance use\n \n \n COMPLETED\n \ \n \n b99aaef6-7889-4aba-85fc-5a2b739dd098\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients with depression or bipolar disorder with evidence of an initial assessment that includes an appraisal for alcohol or chemical substance use\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS169v6\n \ \n \n This measure is copyrighted by CQAIMH. It may be used for research, teaching, and quality measurement / improvement activities - provided the following:\n* The materials are not sold, distributed or licensed for commercial purposes\n* CQAIMH's copyright is acknowledged in reproductions of these materials\n* Modifications to the materials are not made without CQAIMH's permission\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n Center for Quality Assessment & Improvement in Mental Health (CQAIMH)\n \n \ \n 6.0.000\n \ \n \n 177\n \ \n \n Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment\n \ \n \n COMPLETED\n \ \n \n 848d09de-7e6b-43c4-bedd-5a2957ccffe3\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patient visits for those patients aged 6 through 17 years with a\ndiagnosis of major depressive disorder with an assessment for suicide risk\n \n \ \n PCPI(R) Foundation (PCPI[R])\n \n \n \ National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS177v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 1365\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 6.0.000\n \ \n \n 190\n \ \n \n Intensive Care Unit Venous Thromboembolism Prophylaxis\n \n \ \n COMPLETED\n \ \n \n fa91ba68-1e66-4a23-8eb2-baa8e6df2f2f\n \ \n \n Eligible Hospitals\n \n \n \ This measure assesses the number of patients who received VTE prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after the initial admission (or transfer) to the Intensive Care Unit (ICU) or surgery end date for surgeries that start the day of or the day after ICU admission (or transfer)\n \n \ \n The Joint Commission\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS190v6\n \n \ \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute. \n\nThis material contains SNOMED Clinical Terms(R) (SNOMED CT[C]) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \n \ Individual Characteristic\n \n \ \n 0372\n \ \n \n The Joint Commission\n \n \n 6.1.000\n \n \ \n 2\n \ \n \n Preventive Care and Screening: Screening for Depression and Follow-Up Plan\n \ \n \n COMPLETED\n \ \n \n 9a031e24-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS2v7\n \ \n \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights, Inc. disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007-2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2016-09] International Health Terminology Standards Development Organization. All Rights Reserved.\n\nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].\n \ \n \n Individual Characteristic\n \n \n \ 0418\n \n \n Quality Insights\n \n \ \n 7.1.000\n \ \n \n 22\n \ \n \n Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented\n \ \n \n COMPLETED\n \ \n \n 9a033a94-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older seen during the reporting period who were screened for high blood pressure AND a recommended follow-up plan is documented based on the current blood pressure (BP) reading as indicated\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS22v6\n \ \n \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights, Inc. disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007-2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2016-09] International Health Terminology Standards Development Organization. All Rights Reserved.\n\nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n Quality Insights\n \ \n \n 6.0.000\n \ \n \n 26\n \ \n \n Home Management Plan of Care (HMPC) Document Given to Patient/Caregiver\n \ \n \n COMPLETED\n \ \n \n e1cb05e0-97d5-40fc-b456-15c5dbf44309\n \ \n \n Eligible Hospitals\n \n \n \ An assessment that there is documentation in the medical record that a Home Management Plan of Care (HMPC) document was given to the pediatric asthma patient/caregiver\n \n \ \n The Joint Commission\n \ \n \n PROCESS\n \ \n \n CMS26v5\n \ \n \n LOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT(C)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n The Joint Commission\n \ \n \n 5.1.000\n \ \n \n 31\n \ \n \n Hearing Screening Prior To Hospital Discharge\n \n \ \n COMPLETED\n \ \n \n 0924fbae-3fdb-4d0a-aab7-9f354e699fde\n \ \n \n Eligible Hospitals\n \n \n \ This measure assesses the proportion of births that have been screened for hearing loss before hospital discharge\n \ \n \n CDC National Center on Birth Defects and Developmental Disabilities\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS31v6\n \n \ \n None\n \ \n \n Individual Characteristic\n \n \n \ 1354\n \n \n CDC Early Hearing Detection and Intervention Program\n \n \n 6.1.000\n \n \ \n 32\n \ \n \n Median Time from ED Arrival to ED Departure for Discharged ED Patients\n \ \n \n COMPLETED\n \ \n \n 3fd13096-2c8f-40b5-9297-b714e8de9133\n \ \n \n Eligible Hospitals\n \n \n \ Median elapsed time from emergency department arrival to emergency room departure for patients discharged from the emergency department\n \ \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \ \n National Quality Forum\n \ \n \n PROCESS\n \ \n \n CMS32v7\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms(R) (SNOMED CT(C)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n 0496\n \ \n \n Oklahoma Foundation for Medical Quality\n \n \n 7.2.000\n \n \ \n 347\n \ \n \n Statin Therapy for the Prevention and Treatment of Cardiovascular Disease\n \ \n \n COMPLETED\n \ \n \n 5375d6a9-203b-4fff-b851-afa9b68d2ac2\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: \n*Adults aged >= 21 years who were previously diagnosed with or currently have an active diagnosis of clinical atherosclerotic cardiovascular disease (ASCVD); OR \n*Adults aged >= 21 years who have ever had a fasting or direct low-density lipoprotein cholesterol (LDL-C) level >= 190 mg/dL or were previously diagnosed with or currently have an active diagnosis of familial or pure hypercholesterolemia; OR \n*Adults aged 40-75 years with a diagnosis of diabetes with a fasting or direct LDL-C level of 70-189 mg/dL\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS347v1\n \ \n \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights, Inc. disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007-2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2016-09] International Health Terminology Standards Development Organization. All Rights Reserved.\n\nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n Quality Insights\n \ \n \n 1.8.000\n \ \n \n 50\n \ \n \n Closing the Referral Loop: Receipt of Specialist Report\n \n \ \n COMPLETED\n \ \n \n f58fc0d6-edf5-416a-8d29-79afbfd24dea\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS50v6\n \ \n \n Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications. \n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) is copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ National Committee for Quality Assurance\n \ \n \n 6.0.000\n \ \n \n 52\n \ \n \n HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis\n \n \ \n COMPLETED\n \ \n \n 1cdd20de-5de9-4759-8a93-31f1f8baaaa2\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 6 weeks and older with a diagnosis of HIV/AIDS who were prescribed Pneumocystis jiroveci pneumonia (PCP) prophylaxis\n \n \n National Committee for Quality Assurance\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS52v6\n \n \ \n This Physician Performance Measure (Measure) and related data specifications have been developed by the PCPI(R) Foundation (PCPI[R])and the National Committee for Quality Assurance (NCQA). This Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. The Measure, while copyrighted, can be reproduced and distributed, without modification, for noncommercial purposes, eg, use by health care providers in connection with their practices. Commercial use is defined as the sale, license, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. Commercial uses of the Measure require a license agreement between the user and the PCPI(R) or NCQA. Neither the American Medical Association (AMA), nor the former AMA-convened Physician Consortium for Performance Improvement(R), PCPI, NCQA nor its members shall be responsible for any use of the Measure. (C) 2017 National Committee for Quality Assurance and PCPI(R) Foundation. All Rights Reserved.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \n \ Individual Characteristic\n \n \ \n 0405\n \ \n \n National Committee for Quality Assurance\n American Medical Association-convened Physician Consortium for Performance Improvement(R) (AMA-PCPI)\n \n \n 6.2.000\n \n \ \n 53\n \ \n \n Primary PCI Received Within 90 Minutes of Hospital Arrival\n \n \ \n COMPLETED\n \ \n \n 84b9d0b5-0caf-4e41-b345-3492a23c2e9f\n \ \n \n Eligible Hospitals\n \n \n \ Acute myocardial infarction (AMI) patients with ST-segment elevation on the ECG closest to arrival time receiving primary PCI during the hospital stay with a time from hospital arrival to PCI of 90 minutes or less\n \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \ \n PROCESS\n \ \n \n CMS53v6\n \ \n \n Measure specifications are in the Public Domain.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT(C)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n\nLOINC (R) is a registered trademark of the Regenstrief Institute.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n Oklahoma Foundation for Medical Quality\n \n \n 6.1.000\n \n \ \n 55\n \ \n \n Median Time from ED Arrival to ED Departure for Admitted ED Patients\n \ \n \n COMPLETED\n \ \n \n 9a033274-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Hospitals\n \n \n \ Median time from emergency department arrival to time of departure from the emergency room for patients admitted to the facility from the emergency department\n \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS55v6\n \n \ \n Measure specifications are in the Public Domain.\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms(R) (SNOMED CT(C)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \n \ Individual Characteristic\n \n \ \n 0495\n \ \n \n Oklahoma Foundation for Medical Quality\n \n \n 6.1.000\n \n \ \n 56\n \ \n \n Functional Status Assessment for Total Hip Replacement\n \n \ \n COMPLETED\n \ \n \n 2f291003-3f2f-48af-bef9-e5aacb95ac3e\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18 years of age and older who received an elective primary total hip arthroplasty (THA) and completed a functional status assessment within 90 days prior to the surgery and in the 270-365 days after the surgery\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS56v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSP23320095627WC; HHSP23337008T) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 645\n \ \n \n Bone density evaluation for patients with prostate cancer and receiving androgen deprivation therapy\n \n \n COMPLETED\n \n \ \n 977b302e-cdf3-4ba2-8020-5e099d93ad18\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Patients determined as having prostate cancer who are currently starting or undergoing androgen deprivation therapy (ADT), for an anticipated period of 12 months or greater and who receive an initial bone density evaluation. The bone density evaluation must be prior to the start of ADT or within 3 months of the start of ADT.\n \ \n \n Oregon Urology\n \n \n \ PROCESS\n \n \n CMS645v1\n \n \ \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Oregon Urology Institute (OUI) and Large Urology Group Practice Association (LUGPA) disclaim all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007- 2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2015-09] International Health Terminology Standards Development Organization. All Rights Reserved. ICD-10 is copyright 2016 World Health Organization. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ Not applicable\n \n \ \n Oregon Urology\n \ \n \n 1.1.000\n \ \n \n 65\n \ \n \n Hypertension: Improvement in Blood Pressure\n \n \n COMPLETED\n \n \ \n 1d8363ce-a529-490b-8c98-9b54aa75da06\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18-85 years of age with a diagnosis of hypertension whose blood pressure improved during the measurement period\n \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \n OUTCOME\n \ \n \n CMS65v7\n \ \n \n This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSP23320095627WC; HHSP23337008T) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n National Committee for Quality Assurance\n \n \n 7.1.000\n \n \ \n 66\n \ \n \n Functional Status Assessment for Total Knee Replacement\n \n \ \n COMPLETED\n \ \n \n be8d9655-1194-46ef-b43e-4b1d0c36ab71\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18 years of age and older who received an elective primary total knee arthroplasty (TKA) and completed a functional status assessment within 90 days prior to the surgery and in the 270-365 days after the surgery\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS66v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSP23320095627WC; HHSP23337008T) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 68\n \ \n \n Documentation of Current Medications in the Medical Record\n \n \ \n COMPLETED\n \ \n \n 9a032d9c-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration.\n \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS68v7\n \n \ \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights, Inc. disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007-2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2016-09] International Health Terminology Standards Development Organization. All Rights Reserved.\n\nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].\n \ \n \n Individual Characteristic\n \n \n \ 0419\n \n \n Quality Insights\n \n \ \n 7.1.000\n \ \n \n 69\n \ \n \n Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan\n \ \n \n COMPLETED\n \ \n \n 9a031bb8-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter \n\nNormal Parameters: Age 18 years and older BMI => 18.5 and < 25 kg/m2\n \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS69v6\n \n \ \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights, Inc. disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007-2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2016-09] International Health Terminology Standards Development Organization. All Rights Reserved.\n\nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].\n \ \n \n Individual Characteristic\n \n \n \ 0421\n \n \n Quality Insights\n \n \ \n 6.1.000\n \ \n \n 71\n \ \n \n Anticoagulation Therapy for Atrial Fibrillation/Flutter\n \n \ \n COMPLETED\n \ \n \n 03876d69-085b-415c-ae9d-9924171040c2\n \ \n \n Eligible Hospitals\n \n \n \ Ischemic stroke patients with atrial fibrillation/flutter who are prescribed or continuing to take anticoagulation therapy at hospital discharge\n \n \n \ The Joint Commission\n \n \ \n PROCESS\n \ \n \n CMS71v7\n \ \n \n Measure specifications are in the Public Domain.\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms(R) (SNOMED CT(C)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ The Joint Commission\n \n \ \n 7.1.000\n \ \n \n 72\n \ \n \n Antithrombotic Therapy By End of Hospital Day 2\n \n \n COMPLETED\n \n \ \n 93f3479f-75d8-4731-9a3f-b7749d8bcd37\n \ \n \n Eligible Hospitals\n \n \n \ Ischemic stroke patients administered antithrombotic therapy by the end of hospital day 2\n \n \ \n The Joint Commission\n \ \n \n PROCESS\n \ \n \n CMS72v6\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms(R) (SNOMED CT(C)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ The Joint Commission\n \n \ \n 6.1.000\n \ \n \n 74\n \ \n \n Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists\n \n \n \ COMPLETED\n \n \n \ 0b81b6ba-3b30-41bf-a2f3-95bdc9f558f2\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of children, age 0-20 years, who received a fluoride varnish application during the measurement period\n \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \ \n PROCESS\n \ \n \n CMS74v7\n \ \n \n This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSP23320095627WC; HHSP23337008T) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n National Committee for Quality Assurance\n \n \n 7.1.000\n \n \ \n 75\n \ \n \n Children Who Have Dental Decay or Cavities\n \n \n COMPLETED\n \n \ \n 61947125-4376-4a7b-ab7a-ac2be9bd9138\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of children, age 0-20 years, who have had tooth decay or cavities during the measurement period\n \ \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \ \n OUTCOME\n \ \n \n CMS75v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSP23320095627WC; HHSP23337008T) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 82\n \ \n \n Maternal Depression Screening\n \n \n COMPLETED\n \n \ \n 8e6c8479-99fd-4949-b0ad-24fa60fe4201\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n The percentage of children who turned 6 months of age during the measurement year, who had a face-to-face visit between the clinician and the child during child's first 6 months, and who had a maternal depression screening for the mother at least once between 0 and 6 months of life\n \n \n National Committee for Quality Assurance\n \ \n \n PROCESS\n \ \n \n CMS82v5\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA) with support from The Commonwealth Fund, a national, private foundation based in New York City that supports independent research on health care issues and makes grants to improve health care practice and policy. The views presented here are those of the author and not necessarily those of The Commonwealth Fund, its directors. officers, or staff. The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2009-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n National Committee for Quality Assurance\n \n \n 5.1.000\n \n \ \n 9\n \ \n \n Exclusive Breast Milk Feeding\n \n \n COMPLETED\n \n \ \n 7d374c6a-3821-4333-a1bc-4531005d77b8\n \ \n \n Eligible Hospitals\n \n \n \ PC-05 Exclusive breast milk feeding during the newborn's entire hospitalization\n \n \n The Joint Commission\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS9v6\n \n \ \n LOINC(R) is a registered trademark of the Regenstrief Institute.\n \nThis material contains SNOMED Clinical Terms (R) (SNOMED CT[C]) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0480\n \n \n The Joint Commission\n \ \n \n 6.1.000\n \ \n \n 90\n \ \n \n Functional Status Assessments for Congestive Heart Failure\n \n \ \n COMPLETED\n \ \n \n bb9b8ef7-0354-40e0-bec7-d6891b7df519\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18 years of age and older with congestive heart failure who completed initial and follow-up patient-reported functional status assessments\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS90v7\n \ \n \n This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSP23320095627WC; HHSP23337008T) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n National Committee for Quality Assurance\n \n \n 7.1.000\n \n \ \n\n" http_version: recorded_at: Mon, 02 Apr 2018 12:56:55 GMT - request: method: post uri: https://vsac.nlm.nih.gov/vsac/ws/Ticket/TGT-144060-nm1EB2qAq40W3KpL9KEypMlZ31etb7xEsV14CuUYreknOR6KLb-cas body: encoding: UTF-8 string: service=http%3A%2F%2Fumlsks.nlm.nih.gov headers: Accept: - "*/*; q=0.5, application/xml" Accept-Encoding: - gzip, deflate Content-Length: - '39' Content-Type: - application/x-www-form-urlencoded User-Agent: - Ruby response: status: code: 200 message: '' headers: Cache-Control: - no-cache, no-store, max-age=0, must-revalidate Pragma: - no-cache Expires: - '0' X-Xss-Protection: - 1; mode=block X-Frame-Options: - SAMEORIGIN X-Content-Type-Options: - nosniff Content-Type: - text/plain;charset=utf-8 Content-Length: - '35' Date: - Mon, 02 Apr 2018 12:56:55 GMT Set-Cookie: - BIGipServervsacweb_p=!/StankK1aFiQWeTm9OGvBt4MxRMcjq3JLmuNo6sxqhspW0SmHQtL2o7JgW17F9UnbGAO6XALDxNyN5E=; expires=Mon, 02-Apr-2018 14:56:55 GMT; path=/; Httponly; Secure X-Vip-Info: - 130.14.16.40:443 X-Pool-Info: - "/Common/vsacweb_p 10.1.5.114 8080" Strict-Transport-Security: - max-age=31536000; includeSubDomains; preload body: encoding: UTF-8 string: ST-1324705-YahRwzQLBZfLKnb2UCoW-cas http_version: recorded_at: Mon, 02 Apr 2018 12:56:55 GMT - request: method: get uri: https://vsac.nlm.nih.gov/vsac/svs/RetrieveMultipleValueSets?id=2.16.840.1.114222.4.11.837&release=eCQM%20Update%202018%20EP-EC%20and%20EH&ticket=ST-1324705-YahRwzQLBZfLKnb2UCoW-cas body: encoding: US-ASCII string: '' headers: Accept: - "*/*; q=0.5, application/xml" Accept-Encoding: - gzip, deflate User-Agent: - Ruby response: status: code: 200 message: '' headers: Cache-Control: - no-cache, no-store, max-age=0, must-revalidate Pragma: - no-cache Expires: - '0' X-Xss-Protection: - 1; mode=block X-Frame-Options: - SAMEORIGIN X-Content-Type-Options: - nosniff Set-Cookie: - BIGipServervsacweb_p=!8gKWGBvAPlNo1unNtNHn4GsLooFbU5v0PNTVlaR0ZW1BG65sXHCv8MGj9srUdLp6vU0r56SBUKIO+u8=; expires=Mon, 02-Apr-2018 14:56:57 GMT; path=/; Httponly; Secure - JSESSIONID=A05D663D53E0458DC61948C41A865040;path=/vsac;HttpOnly;Secure Content-Type: - text/xml;charset=utf-8 Content-Length: - '291816' Date: - Mon, 02 Apr 2018 12:56:57 GMT X-Vip-Info: - 130.14.16.40:443 X-Pool-Info: - "/Common/vsacweb_p 10.1.5.114 8080" Strict-Transport-Security: - max-age=31536000; includeSubDomains; preload body: encoding: UTF-8 string: "\n\n \ \n \n \n \n \n \ Centers for Disease Control National Center for Health Statistics\n (Clinical Focus: ),(Data Element Scope: ),(Inclusion Criteria: ),(Exclusion Criteria: )\n Extensional\n \ Dynamic\n Active\n \ 2012-10-25\n \n 102\n \n \ \n Assessed for Rehabilitation\n \ \n \n COMPLETED\n \ \n \n 7dc26160-e615-4cc2-879c-75985189ec1a\n \ \n \n Eligible Hospitals\n \n \n \ Ischemic or hemorrhagic stroke patients who were assessed for rehabilitation services\n \n \ \n The Joint Commission\n \ \n \n PROCESS\n \ \n \n CMS102v6\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT(C)) copyright 2004 - 2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ The Joint Commission\n \n \ \n 6.2.000\n \ \n \n 104\n \ \n \n Discharged on Antithrombotic Therapy\n \n \n COMPLETED\n \n \ \n 42bf391f-38a3-4c0f-9ece-dcd47e9609d9\n \ \n \n Eligible Hospitals\n \n \n \ Ischemic stroke patients prescribed or continuing to take antithrombotic therapy at hospital discharge\n \n \ \n The Joint Commission\n \ \n \n PROCESS\n \ \n \n CMS104v6\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT(C)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ The Joint Commission\n \n \ \n 6.1.000\n \ \n \n 105\n \ \n \n Discharged on Statin Medication\n \n \n COMPLETED\n \n \ \n 1f503318-bb8d-4b91-af63-223ae0a2328e\n \ \n \n Eligible Hospitals\n \n \n \ Ischemic stroke patients who are prescribed or continuing to take statin medication at hospital discharge\n \n \ \n The Joint Commission\n \ \n \n PROCESS\n \ \n \n CMS105v6\n \ \n \n Measure specifications are in the Public Domain.\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT[C]) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ The Joint Commission\n \n \ \n 6.1.000\n \ \n \n 107\n \ \n \n Stroke Education\n \n \n \ COMPLETED\n \n \n \ 217fdf0d-3d64-4720-9116-d5e5afa27f2c\n \ \n \n Eligible Hospitals\n \n \n \ Ischemic or hemorrhagic stroke patients or their caregivers who were given educational materials during the hospital stay addressing all of the following: activation of emergency medical system, need for follow-up after discharge, medications prescribed at discharge, risk factors for stroke, and warning signs and symptoms of stroke\n \n \ \n The Joint Commission\n \ \n \n PROCESS\n \ \n \n CMS107v6\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT[C]) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ The Joint Commission\n \n \ \n 6.1.000\n \ \n \n 108\n \ \n \n Venous Thromboembolism Prophylaxis\n \n \n COMPLETED\n \n \ \n 38b0b5ec-0f63-466f-8fe3-2cd20ddd1622\n \ \n \n Eligible Hospitals\n \n \n \ This measure assesses the number of patients who received VTE prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after hospital admission or surgery end date for surgeries that start the day of or the day after hospital admission\n \ \n \n The Joint Commission\n \n \n \ National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS108v6\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT[C]) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n 0371\n \ \n \n The Joint Commission\n \n \n 6.1.000\n \n \ \n 111\n \ \n \n Median Admit Decision Time to ED Departure Time for Admitted Patients\n \ \n \n COMPLETED\n \ \n \n 979f21bd-3f93-4cdd-8273-b23dfe9c0513\n \ \n \n Eligible Hospitals\n \n \n \ Median time (in minutes) from admit decision time to time of departure from the emergency department for emergency department patients admitted to inpatient status.\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS111v6\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms(R) (SNOMED CT[C]) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n 0497\n \ \n \n Oklahoma Foundation for Medical Quality\n \n \n 6.1.000\n \n \ \n 113\n \ \n \n Elective Delivery\n \n \n \ COMPLETED\n \n \n \ fd7ca18d-b56d-4bca-af35-71ce36b15246\n \ \n \n Eligible Hospitals\n \n \n \ Patients with elective vaginal deliveries or elective cesarean births at >= 37 and < 39 weeks of gestation completed\n \ \n \n The Joint Commission\n \n \n \ National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS113v6\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT(c)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n 0469\n \ \n \n The Joint Commission\n \n \n 6.1.000\n \n \ \n 117\n \ \n \n Childhood Immunization Status\n \n \n COMPLETED\n \n \ \n b2802b7a-3580-4be8-9458-921aea62b78c\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of children 2 years of age who had four diphtheria, tetanus and acellular pertussis (DTaP); three polio (IPV), one measles, mumps and rubella (MMR); three H influenza type B (HiB); three hepatitis B (Hep B); one chicken pox (VZV); four pneumococcal conjugate (PCV); one hepatitis A (Hep A); two or three rotavirus (RV); and two influenza (flu) vaccines by their second birthday\n \n \ \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS117v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0038\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 122\n \ \n \n Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%)\n \n \ \n COMPLETED\n \ \n \n f2986519-5a4e-4149-a8f2-af0a1dc7f6bc\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period\n \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n OUTCOME\n \ \n \n CMS122v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0059\n \ \n \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 123\n \ \n \n Diabetes: Foot Exam\n \n \n \ COMPLETED\n \n \n \ c0d72444-7c26-4863-9b51-8080f8928a85\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year\n \n \n \ National Committee for Quality Assurance\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS123v6\n \n \ \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \n \ Individual Characteristic\n \n \ \n 0056\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 124\n \ \n \n Cervical Cancer Screening\n \n \n \ COMPLETED\n \n \n \ 42e7e489-790f-427a-a1a6-d6e807f65a6d\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria:\n* \ Women age 21-64 who had cervical cytology performed every 3 years\n* Women age 30-64 who had cervical cytology/human papillomavirus (HPV) co-testing performed every 5 years\n \n \n National Committee for Quality Assurance\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS124v6\n \n \ \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \n \ Individual Characteristic\n \n \ \n 0032\n \ \n \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 125\n \ \n \n Breast Cancer Screening\n \n \n \ COMPLETED\n \n \n \ 19783c1b-4fd1-46c1-8a96-a2f192b97ee0\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer\n \n \ \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS125v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 2372\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 127\n \ \n \n Pneumococcal Vaccination Status for Older Adults\n \n \ \n COMPLETED\n \ \n \n 59657b9b-01bf-4979-a090-8534da1d0516\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine\n \ \n \n National Committee for Quality Assurance\n \n \n PROCESS\n \n \ \n CMS127v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ National Committee for Quality Assurance\n \ \n \n 6.1.000\n \ \n \n 128\n \ \n \n Anti-depressant Medication Management\n \n \n COMPLETED\n \n \ \n 8924f2b3-ec06-4650-b634-d70a53dee577\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18 years of age and older who were treated with antidepressant medication, had a diagnosis of major depression, and who remained on an antidepressant medication treatment. Two rates are reported. \na. Percentage of patients who remained on an antidepressant medication for at least 84 days (12 weeks). \nb. Percentage of patients who remained on an antidepressant medication for at least 180 days (6 months).\n \ \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS128v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0105\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 129\n \ \n \n Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients\n \n \n \ COMPLETED\n \n \n \ 1635c14d-e612-4fa6-96cd-285361aa7f7b\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients, regardless of age, with a diagnosis of prostate cancer at low (or very low) risk of recurrence receiving interstitial prostate brachytherapy, OR external beam radiotherapy to the prostate, OR radical prostatectomy, OR cryotherapy who did not have a bone scan performed at any time since diagnosis of prostate cancer\n \ \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS129v7\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0389\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 7.0.000\n \ \n \n 130\n \ \n \n Colorectal Cancer Screening\n \n \n \ COMPLETED\n \n \n \ aa2a4bbc-864f-45ee-b17a-7ebcc62e6aac\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer\n \ \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS130v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0034\n \ \n \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 131\n \ \n \n Diabetes: Eye Exam\n \n \n \ COMPLETED\n \n \n \ d90bdab4-b9d2-4329-9993-5c34e2c0dc66\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period\n \ \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS131v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0055\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 132\n \ \n \n Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures\n \n \n COMPLETED\n \n \ \n 9a0339c2-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery and had any of a specified list of surgical procedures in the 30 days following cataract surgery which would indicate the occurrence of any of the following major complications: retained nuclear fragments, endophthalmitis, dislocated or wrong power IOL, retinal detachment, or wound dehiscence\n \ \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n OUTCOME\n \ \n \n CMS132v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0564\n \n \n PCPI(R) Foundation (PCPI[R])\n \ American Medical Association (AMA)\n \ \n \n 6.1.000\n \ \n \n 133\n \ \n \n Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery\n \ \n \n COMPLETED\n \ \n \n 39e0424a-1727-4629-89e2-c46c2fbb3f5f\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery and no significant ocular conditions impacting the visual outcome of surgery and had best-corrected visual acuity of 20/40 or better (distance or near) achieved within 90 days following the cataract surgery\n \n \ \n PCPI(R) Foundation (PCPI[R])\n \n \n \ National Quality Forum\n \n \ \n OUTCOME\n \ \n \n CMS133v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0565\n \n \n PCPI(R) Foundation (PCPI[R])\n \ American Medical Association (AMA)\n \ \n \n 6.0.000\n \ \n \n 134\n \ \n \n Diabetes: Medical Attention for Nephropathy\n \n \n COMPLETED\n \n \ \n 7b2a9277-43da-4d99-9bee-6ac271a07747\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period\n \n \ \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS134v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0062\n \ \n \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 135\n \ \n \n Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)\n \ \n \n COMPLETED\n \ \n \n 430ffc53-4122-4421-88cc-2edd8117bb3c\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of heart failure (HF) with a current or prior left ventricular ejection fraction (LVEF) < 40% who were prescribed ACE inhibitor or ARB therapy either within a 12 month period when seen in the outpatient setting OR at each hospital discharge\n \n \ \n PCPI(R) Foundation (PCPI[R])\n \n \n \ National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS135v6\n \ \n \n Copyright 2017 American College of Cardiology, American Heart Association and American Medical Association. All Rights Reserved.\n \n \ \n Individual Characteristic\n \ \n \n 0081\n \ \n \n PCPI(R) Foundation (PCPI[R])\n American Medical Association (AMA)\n \n \n 6.0.000\n \n \ \n 136\n \ \n \n Follow-Up Care for Children Prescribed ADHD Medication (ADD)\n \n \ \n COMPLETED\n \ \n \n 703cc49b-b653-4885-80e8-245a057f5ae9\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of children 6-12 years of age and newly dispensed a medication for attention-deficit/hyperactivity disorder (ADHD) who had appropriate follow-up care. Two rates are reported. \ \na. Percentage of children who had one follow-up visit with a practitioner with prescribing authority during the 30-Day Initiation Phase.\nb. Percentage of children who remained on ADHD medication for at least 210 days and who, in addition to the visit in the Initiation Phase, had at least two additional follow-up visits with a practitioner within 270 days (9 months) after the Initiation Phase ended.\n \n \n National Committee for Quality Assurance\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS136v7\n \n \ \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \n \ Individual Characteristic\n \n \ \n 0108\n \ \n \n National Committee for Quality Assurance\n \n \n 7.1.000\n \n \ \n 137\n \ \n \n Initiation and Engagement of Alcohol and Other Drug Dependence Treatment\n \ \n \n COMPLETED\n \ \n \n c3657d72-21b4-4675-820a-86c7fe293bf5\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 13 years of age and older with a new episode of alcohol and other drug (AOD) dependence who received the following. Two rates are reported.\na. Percentage of patients who initiated treatment within 14 days of the diagnosis.\nb. Percentage of patients who initiated treatment and who had two or more additional services with an AOD diagnosis within 30 days of the initiation visit.\n \ \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS137v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0004\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 138\n \ \n \n Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention\n \ \n \n COMPLETED\n \ \n \n e35791df-5b25-41bb-b260-673337bc44a8\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user\n\nThree rates are reported: \na. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months \nb. Percentage of patients aged 18 years and older who were screened for tobacco use and identified as a tobacco user who received tobacco cessation intervention \nc. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user\n \ \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS138v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0028\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 6.1.000\n \ \n \n 139\n \ \n \n Falls: Screening for Future Fall Risk\n \n \n COMPLETED\n \n \ \n bc5b4a57-b964-4399-9d40-667c896f31ea\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period\n \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS139v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications have been developed by the PCPI(R) Foundation (PCPI[R]) and the National Committee for Quality Assurance (NCQA). This Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. The Measure, while copyrighted, can be reproduced and distributed, without modification, for noncommercial purposes, eg, use by health care providers in connection with their practices. Commercial use is defined as the sale, license, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. Commercial uses of the Measure require a license agreement between the user and the PCPI(R) or NCQA. Neither the American Medical Association (AMA), nor the former AMA-convened Physician Consortium for Performance Improvement(R), PCPI, NCQA nor its members shall be responsible for any use of the Measure. (C) 2017 National Committee for Quality Assurance and PCPI (R) Foundation. All Rights Reserved.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ 0101\n \n \n National Committee for Quality Assurance\n \ PCPI(R) Foundation (PCPI[R])\n American Medical Association (AMA)\n \n \n 6.1.000\n \n \ \n 142\n \ \n \n Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care\n \ \n \n COMPLETED\n \ \n \n 53d6d7c3-43fb-4d24-8099-17e74c022c05\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus regarding the findings of the macular or fundus exam at least once within 12 months\n \ \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS142v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0089\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 6.0.000\n \ \n \n 143\n \ \n \n Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation\n \n \ \n COMPLETED\n \ \n \n db9d9f09-6b6a-4749-a8b2-8c1fdb018823\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months\n \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS143v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0086\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 6.0.000\n \ \n \n 144\n \ \n \n Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)\n \n \n COMPLETED\n \ \n \n 8439f671-2932-4d4c-88ca-ea5faeacc89a\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of heart failure (HF) with a current or prior left ventricular ejection fraction (LVEF) < 40% who were prescribed beta-blocker therapy either within a 12 month period when seen in the outpatient setting OR at each hospital discharge\n \n \n PCPI(R) Foundation (PCPI[R])\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS144v6\n \n \ \n Copyright 2017 American College of Cardiology, American Heart Association and American Medical Association. All Rights Reserved.\n \n \n \ Individual Characteristic\n \n \ \n 0083\n \ \n \n American Medical Association (AMA)\n PCPI(R) Foundation (PCPI[R])\n \n \n 6.0.000\n \n \ \n 145\n \ \n \n Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <40%)\n \n \ \n COMPLETED\n \ \n \n 80744ae2-de81-4b16-a71d-69522eb865c5\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease seen within a 12 month period who also have a prior MI or a current or prior LVEF <40% who were prescribed beta-blocker therapy\n \n \n PCPI(R) Foundation (PCPI[R])\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS145v6\n \n \ \n Copyright 2017 American College of Cardiology, American Heart Association and American Medical Association. All Rights Reserved.\n \n \n \ Individual Characteristic\n \n \ \n 0070\n \ \n \n American Medical Association (AMA)\n PCPI(R) Foundation (PCPI[R])\n \n \n 6.0.000\n \n \ \n 146\n \ \n \n Appropriate Testing for Children with Pharyngitis\n \n \ \n COMPLETED\n \ \n \n beb1c33c-2549-4e7f-9567-05ed38448464\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of children 3-18 years of age who were diagnosed with pharyngitis, ordered an antibiotic and received a group A streptococcus (strep) test for the episode\n \n \ \n National Committee for Quality Assurance\n \n \n PROCESS\n \n \ \n CMS146v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ National Committee for Quality Assurance\n \ \n \n 6.1.000\n \ \n \n 147\n \ \n \n Preventive Care and Screening: Influenza Immunization\n \n \ \n COMPLETED\n \ \n \n a244aa29-7d11-4616-888a-86e376bfcc6f\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n 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\n \ \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS147v7\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0041\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 7.2.000\n \ \n \n 149\n \ \n \n Dementia: Cognitive Assessment\n \n \n COMPLETED\n \n \ \n 7c443b9b-1ad1-4467-b527-defc445701ff\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients, regardless of age, with a diagnosis of dementia for whom an assessment of cognition is performed and the results reviewed at least once within a 12 month period\n \ \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS149v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 2872\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 6.0.000\n \ \n \n 153\n \ \n \n Chlamydia Screening for Women\n \n \n COMPLETED\n \n \ \n c9930664-be3d-4ffe-ae4a-5cf4933ecb89\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n 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\n \n \ \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS153v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0033\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 154\n \ \n \n Appropriate Treatment for Children with Upper Respiratory Infection (URI)\n \ \n \n COMPLETED\n \ \n \n e455fac0-f2cb-4074-a351-1e68a90fb7cf\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of children 3 months-18 years of age who were diagnosed with upper respiratory infection (URI) and were not dispensed an antibiotic prescription on or three days after the episode\n \ \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS154v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0069\n \ \n \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 155\n \ \n \n Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents\n \n \n \ COMPLETED\n \n \n \ 0b63f730-25d6-4248-b11f-8c09c66a04eb\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.\n\n - Percentage of patients with height, weight, and body mass index (BMI) percentile documentation\n - Percentage of patients with counseling for nutrition\n - Percentage of patients with counseling for physical activity\n \n \ \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS155v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0024\n \ \n \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 156\n \ \n \n Use of High-Risk Medications in the Elderly\n \n \ \n COMPLETED\n \ \n \n a3837ff8-1abc-4ba9-800e-fd4e7953adbd\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are reported.\na. Percentage of patients who were ordered at least one high-risk medication. \nb. Percentage of patients who were ordered at least two of the same high-risk medications.\n \n \n \ National Committee for Quality Assurance\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS156v6\n \n \ \n This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSM-500-2011-00079C) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \n \ Individual Characteristic\n \n \ \n 0022\n \ \n \n National Committee for Quality Assurance\n \n \n 6.4.000\n \n \ \n 157\n \ \n \n Oncology: Medical and Radiation - Pain Intensity Quantified\n \n \ \n COMPLETED\n \ \n \n 9a0330d0-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified\n \ \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS157v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0384\n \n \n PCPI(R) Foundation (PCPI[R])\n \ American Medical Association (AMA)\n \ \n \n 6.0.000\n \ \n \n 158\n \ \n \n Pregnant women that had HBsAg testing\n \n \n COMPLETED\n \n \ \n 3bbfc929-50c8-44b8-8d34-82be75c08a70\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n This measure identifies pregnant women who had a HBsAg (hepatitis B) test during their pregnancy\n \ \n \n Optum\n \ \n \n PROCESS\n \ \n \n CMS158v6\n \ \n \n This measure is copyrighted by Optum, Inc. All rights reserved.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n Optum\n \ \n \n 6.0.000\n \ \n \n 159\n \ \n \n Depression Remission at Twelve Months\n \n \n COMPLETED\n \n \ \n 8455cd3e-dbb9-4e0c-8084-3ece4068fe94\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n The percentage of patients 18 years of age or older with major depression or dysthymia who reached remission 12 months (+/- 30 days) after an index visit.\n \n \ \n MN Community Measurement\n \ \n \n National Quality Forum\n \n \n \ OUTCOME\n \n \n CMS159v6\n \n \ \n Copyright MN Community Measurement, 2017. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n 0710\n \ \n \n MN Community Measurement\n \n \n 6.2.000\n \n \ \n 160\n \ \n \n Depression Utilization of the PHQ-9 Tool\n \n \n COMPLETED\n \n \ \n a4b9763c-847e-4e02-bb7e-acc596e90e2c\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit\n \n \n MN Community Measurement\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS160v6\n \ \n \n Copyright MN Community Measurement, 2017. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n 0712\n \ \n \n MN Community Measurement\n \n \n 6.1.000\n \n \ \n 161\n \ \n \n Adult Major Depressive Disorder (MDD): Suicide Risk Assessment\n \n \ \n COMPLETED\n \ \n \n 60176fbf-bfdc-4892-9c9e-604f206553c8\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of major depressive disorder (MDD) with a suicide risk assessment completed during the visit in which a new diagnosis or recurrent episode was identified\n \n \n PCPI(R) Foundation (PCPI[R])\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS161v6\n \n \ \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0104\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 6.0.000\n \ \n \n 164\n \ \n \n Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet\n \ \n \n COMPLETED\n \ \n \n 0713ea8f-0e5b-4099-8c7c-dd677280398f\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18 years of age and older who were diagnosed with acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) in the 12 months prior to the measurement period, or who had an active diagnosis of ischemic vascular disease (IVD) during the measurement period, and who had documentation of use of aspirin or another antiplatelet during the measurement period\n \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS164v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0068\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 165\n \ \n \n Controlling High Blood Pressure\n \n \n COMPLETED\n \n \ \n abdc37cc-bac6-4156-9b91-d1be2c8b7268\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18-85 years of age who had a diagnosis of hypertension and whose blood pressure was adequately controlled (<140/90mmHg) during the measurement period\n \ \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS165v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0018\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 166\n \ \n \n Use of Imaging Studies for Low Back Pain\n \n \ \n COMPLETED\n \ \n \n b6016b47-b65d-4be0-866f-1d397886ca89\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18-50 years of age with a diagnosis of low back pain who did not have an imaging study (plain X-ray, MRI, CT scan) within 28 days of the diagnosis\n \ \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS166v7\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0052\n \ \n \n National Committee for Quality Assurance\n \n \n 7.1.000\n \n \ \n 167\n \ \n \n Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy\n \n \n COMPLETED\n \n \ \n 50164228-9d64-4efc-af67-da0547ff61f1\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during one or more office visits within 12 months\n \n \ \n PCPI(R) Foundation (PCPI[R])\n \n \n \ National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS167v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0088\n \n \n PCPI(R) Foundation (PCPI[R])\n \ American Medical Association (AMA)\n \ \n \n 6.0.000\n \ \n \n 169\n \ \n \n Bipolar Disorder and Major Depression: Appraisal for alcohol or chemical substance use\n \n \n COMPLETED\n \ \n \n b99aaef6-7889-4aba-85fc-5a2b739dd098\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients with depression or bipolar disorder with evidence of an initial assessment that includes an appraisal for alcohol or chemical substance use\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS169v6\n \ \n \n This measure is copyrighted by CQAIMH. It may be used for research, teaching, and quality measurement / improvement activities - provided the following:\n* The materials are not sold, distributed or licensed for commercial purposes\n* CQAIMH's copyright is acknowledged in reproductions of these materials\n* Modifications to the materials are not made without CQAIMH's permission\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n Center for Quality Assessment & Improvement in Mental Health (CQAIMH)\n \n \ \n 6.0.000\n \ \n \n 177\n \ \n \n Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment\n \ \n \n COMPLETED\n \ \n \n 848d09de-7e6b-43c4-bedd-5a2957ccffe3\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patient visits for those patients aged 6 through 17 years with a\ndiagnosis of major depressive disorder with an assessment for suicide risk\n \n \ \n PCPI(R) Foundation (PCPI[R])\n \n \n \ National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS177v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 1365\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 6.0.000\n \ \n \n 190\n \ \n \n Intensive Care Unit Venous Thromboembolism Prophylaxis\n \n \ \n COMPLETED\n \ \n \n fa91ba68-1e66-4a23-8eb2-baa8e6df2f2f\n \ \n \n Eligible Hospitals\n \n \n \ This measure assesses the number of patients who received VTE prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after the initial admission (or transfer) to the Intensive Care Unit (ICU) or surgery end date for surgeries that start the day of or the day after ICU admission (or transfer)\n \n \ \n The Joint Commission\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS190v6\n \n \ \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute. \n\nThis material contains SNOMED Clinical Terms(R) (SNOMED CT[C]) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \n \ Individual Characteristic\n \n \ \n 0372\n \ \n \n The Joint Commission\n \n \n 6.1.000\n \n \ \n 2\n \ \n \n Preventive Care and Screening: Screening for Depression and Follow-Up Plan\n \ \n \n COMPLETED\n \ \n \n 9a031e24-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS2v7\n \ \n \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights, Inc. disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007-2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2016-09] International Health Terminology Standards Development Organization. All Rights Reserved.\n\nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].\n \ \n \n Individual Characteristic\n \n \n \ 0418\n \n \n Quality Insights\n \n \ \n 7.1.000\n \ \n \n 22\n \ \n \n Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented\n \ \n \n COMPLETED\n \ \n \n 9a033a94-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older seen during the reporting period who were screened for high blood pressure AND a recommended follow-up plan is documented based on the current blood pressure (BP) reading as indicated\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS22v6\n \ \n \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights, Inc. disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007-2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2016-09] International Health Terminology Standards Development Organization. All Rights Reserved.\n\nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n Quality Insights\n \ \n \n 6.0.000\n \ \n \n 26\n \ \n \n Home Management Plan of Care (HMPC) Document Given to Patient/Caregiver\n \ \n \n COMPLETED\n \ \n \n e1cb05e0-97d5-40fc-b456-15c5dbf44309\n \ \n \n Eligible Hospitals\n \n \n \ An assessment that there is documentation in the medical record that a Home Management Plan of Care (HMPC) document was given to the pediatric asthma patient/caregiver\n \n \ \n The Joint Commission\n \ \n \n PROCESS\n \ \n \n CMS26v5\n \ \n \n LOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT(C)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n The Joint Commission\n \ \n \n 5.1.000\n \ \n \n 31\n \ \n \n Hearing Screening Prior To Hospital Discharge\n \n \ \n COMPLETED\n \ \n \n 0924fbae-3fdb-4d0a-aab7-9f354e699fde\n \ \n \n Eligible Hospitals\n \n \n \ This measure assesses the proportion of births that have been screened for hearing loss before hospital discharge\n \ \n \n CDC National Center on Birth Defects and Developmental Disabilities\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS31v6\n \n \ \n None\n \ \n \n Individual Characteristic\n \n \n \ 1354\n \n \n CDC Early Hearing Detection and Intervention Program\n \n \n 6.1.000\n \n \ \n 32\n \ \n \n Median Time from ED Arrival to ED Departure for Discharged ED Patients\n \ \n \n COMPLETED\n \ \n \n 3fd13096-2c8f-40b5-9297-b714e8de9133\n \ \n \n Eligible Hospitals\n \n \n \ Median elapsed time from emergency department arrival to emergency room departure for patients discharged from the emergency department\n \ \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \ \n National Quality Forum\n \ \n \n PROCESS\n \ \n \n CMS32v7\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms(R) (SNOMED CT(C)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n 0496\n \ \n \n Oklahoma Foundation for Medical Quality\n \n \n 7.2.000\n \n \ \n 347\n \ \n \n Statin Therapy for the Prevention and Treatment of Cardiovascular Disease\n \ \n \n COMPLETED\n \ \n \n 5375d6a9-203b-4fff-b851-afa9b68d2ac2\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: \n*Adults aged >= 21 years who were previously diagnosed with or currently have an active diagnosis of clinical atherosclerotic cardiovascular disease (ASCVD); OR \n*Adults aged >= 21 years who have ever had a fasting or direct low-density lipoprotein cholesterol (LDL-C) level >= 190 mg/dL or were previously diagnosed with or currently have an active diagnosis of familial or pure hypercholesterolemia; OR \n*Adults aged 40-75 years with a diagnosis of diabetes with a fasting or direct LDL-C level of 70-189 mg/dL\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS347v1\n \ \n \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights, Inc. disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007-2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2016-09] International Health Terminology Standards Development Organization. All Rights Reserved.\n\nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n Quality Insights\n \ \n \n 1.8.000\n \ \n \n 50\n \ \n \n Closing the Referral Loop: Receipt of Specialist Report\n \n \ \n COMPLETED\n \ \n \n f58fc0d6-edf5-416a-8d29-79afbfd24dea\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS50v6\n \ \n \n Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications. \n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) is copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ National Committee for Quality Assurance\n \ \n \n 6.0.000\n \ \n \n 52\n \ \n \n HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis\n \n \ \n COMPLETED\n \ \n \n 1cdd20de-5de9-4759-8a93-31f1f8baaaa2\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 6 weeks and older with a diagnosis of HIV/AIDS who were prescribed Pneumocystis jiroveci pneumonia (PCP) prophylaxis\n \n \n National Committee for Quality Assurance\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS52v6\n \n \ \n This Physician Performance Measure (Measure) and related data specifications have been developed by the PCPI(R) Foundation (PCPI[R])and the National Committee for Quality Assurance (NCQA). This Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. The Measure, while copyrighted, can be reproduced and distributed, without modification, for noncommercial purposes, eg, use by health care providers in connection with their practices. Commercial use is defined as the sale, license, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. Commercial uses of the Measure require a license agreement between the user and the PCPI(R) or NCQA. Neither the American Medical Association (AMA), nor the former AMA-convened Physician Consortium for Performance Improvement(R), PCPI, NCQA nor its members shall be responsible for any use of the Measure. (C) 2017 National Committee for Quality Assurance and PCPI(R) Foundation. All Rights Reserved.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \n \ Individual Characteristic\n \n \ \n 0405\n \ \n \n National Committee for Quality Assurance\n American Medical Association-convened Physician Consortium for Performance Improvement(R) (AMA-PCPI)\n \n \n 6.2.000\n \n \ \n 53\n \ \n \n Primary PCI Received Within 90 Minutes of Hospital Arrival\n \n \ \n COMPLETED\n \ \n \n 84b9d0b5-0caf-4e41-b345-3492a23c2e9f\n \ \n \n Eligible Hospitals\n \n \n \ Acute myocardial infarction (AMI) patients with ST-segment elevation on the ECG closest to arrival time receiving primary PCI during the hospital stay with a time from hospital arrival to PCI of 90 minutes or less\n \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \ \n PROCESS\n \ \n \n CMS53v6\n \ \n \n Measure specifications are in the Public Domain.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT(C)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n\nLOINC (R) is a registered trademark of the Regenstrief Institute.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n Oklahoma Foundation for Medical Quality\n \n \n 6.1.000\n \n \ \n 55\n \ \n \n Median Time from ED Arrival to ED Departure for Admitted ED Patients\n \ \n \n COMPLETED\n \ \n \n 9a033274-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Hospitals\n \n \n \ Median time from emergency department arrival to time of departure from the emergency room for patients admitted to the facility from the emergency department\n \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS55v6\n \n \ \n Measure specifications are in the Public Domain.\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms(R) (SNOMED CT(C)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \n \ Individual Characteristic\n \n \ \n 0495\n \ \n \n Oklahoma Foundation for Medical Quality\n \n \n 6.1.000\n \n \ \n 56\n \ \n \n Functional Status Assessment for Total Hip Replacement\n \n \ \n COMPLETED\n \ \n \n 2f291003-3f2f-48af-bef9-e5aacb95ac3e\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18 years of age and older who received an elective primary total hip arthroplasty (THA) and completed a functional status assessment within 90 days prior to the surgery and in the 270-365 days after the surgery\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS56v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSP23320095627WC; HHSP23337008T) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 645\n \ \n \n Bone density evaluation for patients with prostate cancer and receiving androgen deprivation therapy\n \n \n COMPLETED\n \n \ \n 977b302e-cdf3-4ba2-8020-5e099d93ad18\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Patients determined as having prostate cancer who are currently starting or undergoing androgen deprivation therapy (ADT), for an anticipated period of 12 months or greater and who receive an initial bone density evaluation. The bone density evaluation must be prior to the start of ADT or within 3 months of the start of ADT.\n \ \n \n Oregon Urology\n \n \n \ PROCESS\n \n \n CMS645v1\n \n \ \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Oregon Urology Institute (OUI) and Large Urology Group Practice Association (LUGPA) disclaim all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007- 2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2015-09] International Health Terminology Standards Development Organization. All Rights Reserved. ICD-10 is copyright 2016 World Health Organization. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ Not applicable\n \n \ \n Oregon Urology\n \ \n \n 1.1.000\n \ \n \n 65\n \ \n \n Hypertension: Improvement in Blood Pressure\n \n \n COMPLETED\n \n \ \n 1d8363ce-a529-490b-8c98-9b54aa75da06\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18-85 years of age with a diagnosis of hypertension whose blood pressure improved during the measurement period\n \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \n OUTCOME\n \ \n \n CMS65v7\n \ \n \n This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSP23320095627WC; HHSP23337008T) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n National Committee for Quality Assurance\n \n \n 7.1.000\n \n \ \n 66\n \ \n \n Functional Status Assessment for Total Knee Replacement\n \n \ \n COMPLETED\n \ \n \n be8d9655-1194-46ef-b43e-4b1d0c36ab71\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18 years of age and older who received an elective primary total knee arthroplasty (TKA) and completed a functional status assessment within 90 days prior to the surgery and in the 270-365 days after the surgery\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS66v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSP23320095627WC; HHSP23337008T) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 68\n \ \n \n Documentation of Current Medications in the Medical Record\n \n \ \n COMPLETED\n \ \n \n 9a032d9c-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration.\n \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS68v7\n \n \ \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights, Inc. disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007-2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2016-09] International Health Terminology Standards Development Organization. All Rights Reserved.\n\nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].\n \ \n \n Individual Characteristic\n \n \n \ 0419\n \n \n Quality Insights\n \n \ \n 7.1.000\n \ \n \n 69\n \ \n \n Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan\n \ \n \n COMPLETED\n \ \n \n 9a031bb8-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter \n\nNormal Parameters: Age 18 years and older BMI => 18.5 and < 25 kg/m2\n \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS69v6\n \n \ \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights, Inc. disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007-2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2016-09] International Health Terminology Standards Development Organization. All Rights Reserved.\n\nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].\n \ \n \n Individual Characteristic\n \n \n \ 0421\n \n \n Quality Insights\n \n \ \n 6.1.000\n \ \n \n 71\n \ \n \n Anticoagulation Therapy for Atrial Fibrillation/Flutter\n \n \ \n COMPLETED\n \ \n \n 03876d69-085b-415c-ae9d-9924171040c2\n \ \n \n Eligible Hospitals\n \n \n \ Ischemic stroke patients with atrial fibrillation/flutter who are prescribed or continuing to take anticoagulation therapy at hospital discharge\n \n \n \ The Joint Commission\n \n \ \n PROCESS\n \ \n \n CMS71v7\n \ \n \n Measure specifications are in the Public Domain.\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms(R) (SNOMED CT(C)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ The Joint Commission\n \n \ \n 7.1.000\n \ \n \n 72\n \ \n \n Antithrombotic Therapy By End of Hospital Day 2\n \n \n COMPLETED\n \n \ \n 93f3479f-75d8-4731-9a3f-b7749d8bcd37\n \ \n \n Eligible Hospitals\n \n \n \ Ischemic stroke patients administered antithrombotic therapy by the end of hospital day 2\n \n \ \n The Joint Commission\n \ \n \n PROCESS\n \ \n \n CMS72v6\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms(R) (SNOMED CT(C)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ The Joint Commission\n \n \ \n 6.1.000\n \ \n \n 74\n \ \n \n Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists\n \n \n \ COMPLETED\n \n \n \ 0b81b6ba-3b30-41bf-a2f3-95bdc9f558f2\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of children, age 0-20 years, who received a fluoride varnish application during the measurement period\n \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \ \n PROCESS\n \ \n \n CMS74v7\n \ \n \n This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSP23320095627WC; HHSP23337008T) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n National Committee for Quality Assurance\n \n \n 7.1.000\n \n \ \n 75\n \ \n \n Children Who Have Dental Decay or Cavities\n \n \n COMPLETED\n \n \ \n 61947125-4376-4a7b-ab7a-ac2be9bd9138\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of children, age 0-20 years, who have had tooth decay or cavities during the measurement period\n \ \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \ \n OUTCOME\n \ \n \n CMS75v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSP23320095627WC; HHSP23337008T) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 82\n \ \n \n Maternal Depression Screening\n \n \n COMPLETED\n \n \ \n 8e6c8479-99fd-4949-b0ad-24fa60fe4201\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n The percentage of children who turned 6 months of age during the measurement year, who had a face-to-face visit between the clinician and the child during child's first 6 months, and who had a maternal depression screening for the mother at least once between 0 and 6 months of life\n \n \n National Committee for Quality Assurance\n \ \n \n PROCESS\n \ \n \n CMS82v5\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA) with support from The Commonwealth Fund, a national, private foundation based in New York City that supports independent research on health care issues and makes grants to improve health care practice and policy. The views presented here are those of the author and not necessarily those of The Commonwealth Fund, its directors. officers, or staff. The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2009-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n National Committee for Quality Assurance\n \n \n 5.1.000\n \n \ \n 9\n \ \n \n Exclusive Breast Milk Feeding\n \n \n COMPLETED\n \n \ \n 7d374c6a-3821-4333-a1bc-4531005d77b8\n \ \n \n Eligible Hospitals\n \n \n \ PC-05 Exclusive breast milk feeding during the newborn's entire hospitalization\n \n \n The Joint Commission\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS9v6\n \n \ \n LOINC(R) is a registered trademark of the Regenstrief Institute.\n \nThis material contains SNOMED Clinical Terms (R) (SNOMED CT[C]) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0480\n \n \n The Joint Commission\n \ \n \n 6.1.000\n \ \n \n 90\n \ \n \n Functional Status Assessments for Congestive Heart Failure\n \n \ \n COMPLETED\n \ \n \n bb9b8ef7-0354-40e0-bec7-d6891b7df519\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18 years of age and older with congestive heart failure who completed initial and follow-up patient-reported functional status assessments\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS90v7\n \ \n \n This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSP23320095627WC; HHSP23337008T) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n National Committee for Quality Assurance\n \n \n 7.1.000\n \n \ \n\n" http_version: recorded_at: Mon, 02 Apr 2018 12:56:57 GMT - request: method: post uri: https://vsac.nlm.nih.gov/vsac/ws/Ticket/TGT-144060-nm1EB2qAq40W3KpL9KEypMlZ31etb7xEsV14CuUYreknOR6KLb-cas body: encoding: UTF-8 string: service=http%3A%2F%2Fumlsks.nlm.nih.gov headers: Accept: - "*/*; q=0.5, application/xml" Accept-Encoding: - gzip, deflate Content-Length: - '39' Content-Type: - application/x-www-form-urlencoded User-Agent: - Ruby response: status: code: 200 message: '' headers: Cache-Control: - no-cache, no-store, max-age=0, must-revalidate Pragma: - no-cache Expires: - '0' X-Xss-Protection: - 1; mode=block X-Frame-Options: - SAMEORIGIN X-Content-Type-Options: - nosniff Content-Type: - text/plain;charset=utf-8 Content-Length: - '35' Date: - Mon, 02 Apr 2018 12:56:57 GMT Set-Cookie: - BIGipServervsacweb_p=!7hk90wV6k1DMD0Hm9OGvBt4MxRMcjhTuYeh2D588b+pzZY57IZ+vPT7ztKUeli1arWgwKifWPMEwj0M=; expires=Mon, 02-Apr-2018 14:56:57 GMT; path=/; Httponly; Secure X-Vip-Info: - 130.14.16.40:443 X-Pool-Info: - "/Common/vsacweb_p 10.1.5.114 8080" Strict-Transport-Security: - max-age=31536000; includeSubDomains; preload body: encoding: UTF-8 string: ST-1324706-edUuHA77bq1k6wC3yiN1-cas http_version: recorded_at: Mon, 02 Apr 2018 12:56:57 GMT - request: method: get uri: https://vsac.nlm.nih.gov/vsac/svs/RetrieveMultipleValueSets?id=2.16.840.1.113883.3.600.1.462&release=eCQM%20Update%202018%20EP-EC%20and%20EH&ticket=ST-1324706-edUuHA77bq1k6wC3yiN1-cas body: encoding: US-ASCII string: '' headers: Accept: - "*/*; q=0.5, application/xml" Accept-Encoding: - gzip, deflate User-Agent: - Ruby response: status: code: 200 message: '' headers: Cache-Control: - no-cache, no-store, max-age=0, must-revalidate Pragma: - no-cache Expires: - '0' X-Xss-Protection: - 1; mode=block X-Frame-Options: - SAMEORIGIN X-Content-Type-Options: - nosniff Set-Cookie: - BIGipServervsacweb_p=!t8Z12Q2TRzUD7q7m9OGvBt4MxRMcjkjs9SkSAB1HPdMJ6am3hUSG+qaMEJsY5ApVfEoYu3Jc4w+uvZU=; expires=Mon, 02-Apr-2018 14:56:58 GMT; path=/; Httponly; Secure - JSESSIONID=BDCD4AFD61F37980B3F4875C9F05A9B0;path=/vsac;HttpOnly;Secure Content-Type: - text/xml;charset=utf-8 Content-Length: - '5349' Date: - Mon, 02 Apr 2018 12:56:58 GMT X-Vip-Info: - 130.14.16.40:443 X-Pool-Info: - "/Common/vsacweb_p 10.1.5.114 8080" Strict-Transport-Security: - max-age=31536000; includeSubDomains; preload body: encoding: UTF-8 string: "\n\n \ \n \ \n \n \n \ Quality Insights of Pennsylvania\n (Clinical Focus: The general focus of this value set is to capture that the procedure or task of documenting a current medication list in the medical record is accomplished.),(Data Element Scope: ),(Inclusion Criteria: Includes all documentation of current medications in the medical record.),(Exclusion Criteria: Medication lists that have not been reviewed or updated in the medical record.)\n \ Extensional\n Dynamic\n \ Active\n 2017-05-04\n \ \n 68\n \ \n \n Documentation of Current Medications in the Medical Record\n \n \ \n COMPLETED\n \ \n \n 9a032d9c-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration.\n \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS68v7\n \n \ \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights, Inc. disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007-2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2016-09] International Health Terminology Standards Development Organization. All Rights Reserved.\n\nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].\n \ \n \n Procedure\n \ \n \n 0419\n \ \n \n Quality Insights\n \n \n 7.1.000\n \n \ \n\n" http_version: recorded_at: Mon, 02 Apr 2018 12:56:58 GMT - request: method: post uri: https://vsac.nlm.nih.gov/vsac/ws/Ticket/TGT-144060-nm1EB2qAq40W3KpL9KEypMlZ31etb7xEsV14CuUYreknOR6KLb-cas body: encoding: UTF-8 string: service=http%3A%2F%2Fumlsks.nlm.nih.gov headers: Accept: - "*/*; q=0.5, application/xml" Accept-Encoding: - gzip, deflate Content-Length: - '39' Content-Type: - application/x-www-form-urlencoded User-Agent: - Ruby response: status: code: 200 message: '' headers: Cache-Control: - no-cache, no-store, max-age=0, must-revalidate Pragma: - no-cache Expires: - '0' X-Xss-Protection: - 1; mode=block X-Frame-Options: - SAMEORIGIN X-Content-Type-Options: - nosniff Content-Type: - text/plain;charset=utf-8 Content-Length: - '35' Date: - Mon, 02 Apr 2018 12:56:58 GMT Set-Cookie: - BIGipServervsacweb_p=!UUuMce2GlO/us0Lm9OGvBt4MxRMcjsJ9gVhoZzpkQVbtmTiFFwrB2qgsJ13IbRM8sl2ReptTHwfQA3M=; expires=Mon, 02-Apr-2018 14:56:58 GMT; path=/; Httponly; Secure X-Vip-Info: - 130.14.16.40:443 X-Pool-Info: - "/Common/vsacweb_p 10.1.5.114 8080" Strict-Transport-Security: - max-age=31536000; includeSubDomains; preload body: encoding: UTF-8 string: ST-1324707-7JpOdzDWAKlzOCanFo9t-cas http_version: recorded_at: Mon, 02 Apr 2018 12:56:58 GMT - request: method: get uri: https://vsac.nlm.nih.gov/vsac/svs/RetrieveMultipleValueSets?id=2.16.840.1.114222.4.11.3591&release=eCQM%20Update%202018%20EP-EC%20and%20EH&ticket=ST-1324707-7JpOdzDWAKlzOCanFo9t-cas body: encoding: US-ASCII string: '' headers: Accept: - "*/*; q=0.5, application/xml" Accept-Encoding: - gzip, deflate User-Agent: - Ruby response: status: code: 200 message: '' headers: Cache-Control: - no-cache, no-store, max-age=0, must-revalidate Pragma: - no-cache Expires: - '0' X-Xss-Protection: - 1; mode=block X-Frame-Options: - SAMEORIGIN X-Content-Type-Options: - nosniff Set-Cookie: - BIGipServervsacweb_p=!QX/BB+nwnnnqqxXNtNHn4GsLooFbUzdoIUr8EOdjz2XrDcDK9rOukUR+J3iE2uZuGc2sAos4CU2gwb0=; expires=Mon, 02-Apr-2018 14:57:00 GMT; path=/; Httponly; Secure - JSESSIONID=0BBEE0BD33D8773226320DFAD6A3942C;path=/vsac;HttpOnly;Secure Content-Type: - text/xml;charset=utf-8 Content-Length: - '317199' Date: - Mon, 02 Apr 2018 12:57:00 GMT X-Vip-Info: - 130.14.16.40:443 X-Pool-Info: - "/Common/vsacweb_p 10.1.5.114 8080" Strict-Transport-Security: - max-age=31536000; includeSubDomains; preload body: encoding: UTF-8 string: "\n\n \ \n \n \n \n \n \n \n \n \ \n \n \ \n \n \n \n \ \n \n \ \n \n \ \n \n \ \n \ \n \n \n \n \n \n \n \n \n \ \n \n \n \n \n \n \ \n \n \n \n \n \ \n \ \n \n \n \n \n \n \n \n \n \n \n \n \ \n \n \n \n \n \n \n \n \n \n \n \n \ \n \n \n \n \ \n \ \n \ \n \n \n \n \ \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \ \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \ \n \n \n \n \n \n \n \n \n \ \n \ \n \n \n \n \n \n \n \n \ \n \n \n \ \n \ \n \n \n \n \n \n \ \n \ \n \ \n \n \n \n \n \ \n \n \ \n \ \n \ \n \n \n \ \n \n \n \n \n \n \n \ \n \n \n \ HL7 Terminology\n (Clinical Focus: Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system),(Data Element Scope: @code in CCDA r2.1 template Planned Coverage [act: identifier urn:oid:2.16.840.1.113883.10.20.22.4.129 (open)] DYNAMIC),(Inclusion Criteria: All codes in the code system),(Exclusion Criteria: none)\n Extensional\n \ Dynamic\n Active\n \ 2016-11-08\n \n 102\n \n \ \n Assessed for Rehabilitation\n \ \n \n COMPLETED\n \ \n \n 7dc26160-e615-4cc2-879c-75985189ec1a\n \ \n \n Eligible Hospitals\n \n \n \ Ischemic or hemorrhagic stroke patients who were assessed for rehabilitation services\n \n \ \n The Joint Commission\n \ \n \n PROCESS\n \ \n \n CMS102v6\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT(C)) copyright 2004 - 2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ The Joint Commission\n \n \ \n 6.2.000\n \ \n \n 104\n \ \n \n Discharged on Antithrombotic Therapy\n \n \n COMPLETED\n \n \ \n 42bf391f-38a3-4c0f-9ece-dcd47e9609d9\n \ \n \n Eligible Hospitals\n \n \n \ Ischemic stroke patients prescribed or continuing to take antithrombotic therapy at hospital discharge\n \n \ \n The Joint Commission\n \ \n \n PROCESS\n \ \n \n CMS104v6\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT(C)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ The Joint Commission\n \n \ \n 6.1.000\n \ \n \n 105\n \ \n \n Discharged on Statin Medication\n \n \n COMPLETED\n \n \ \n 1f503318-bb8d-4b91-af63-223ae0a2328e\n \ \n \n Eligible Hospitals\n \n \n \ Ischemic stroke patients who are prescribed or continuing to take statin medication at hospital discharge\n \n \ \n The Joint Commission\n \ \n \n PROCESS\n \ \n \n CMS105v6\n \ \n \n Measure specifications are in the Public Domain.\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT[C]) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ The Joint Commission\n \n \ \n 6.1.000\n \ \n \n 107\n \ \n \n Stroke Education\n \n \n \ COMPLETED\n \n \n \ 217fdf0d-3d64-4720-9116-d5e5afa27f2c\n \ \n \n Eligible Hospitals\n \n \n \ Ischemic or hemorrhagic stroke patients or their caregivers who were given educational materials during the hospital stay addressing all of the following: activation of emergency medical system, need for follow-up after discharge, medications prescribed at discharge, risk factors for stroke, and warning signs and symptoms of stroke\n \n \ \n The Joint Commission\n \ \n \n PROCESS\n \ \n \n CMS107v6\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT[C]) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ The Joint Commission\n \n \ \n 6.1.000\n \ \n \n 108\n \ \n \n Venous Thromboembolism Prophylaxis\n \n \n COMPLETED\n \n \ \n 38b0b5ec-0f63-466f-8fe3-2cd20ddd1622\n \ \n \n Eligible Hospitals\n \n \n \ This measure assesses the number of patients who received VTE prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after hospital admission or surgery end date for surgeries that start the day of or the day after hospital admission\n \ \n \n The Joint Commission\n \n \n \ National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS108v6\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT[C]) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n 0371\n \ \n \n The Joint Commission\n \n \n 6.1.000\n \n \ \n 111\n \ \n \n Median Admit Decision Time to ED Departure Time for Admitted Patients\n \ \n \n COMPLETED\n \ \n \n 979f21bd-3f93-4cdd-8273-b23dfe9c0513\n \ \n \n Eligible Hospitals\n \n \n \ Median time (in minutes) from admit decision time to time of departure from the emergency department for emergency department patients admitted to inpatient status.\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS111v6\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms(R) (SNOMED CT[C]) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n 0497\n \ \n \n Oklahoma Foundation for Medical Quality\n \n \n 6.1.000\n \n \ \n 113\n \ \n \n Elective Delivery\n \n \n \ COMPLETED\n \n \n \ fd7ca18d-b56d-4bca-af35-71ce36b15246\n \ \n \n Eligible Hospitals\n \n \n \ Patients with elective vaginal deliveries or elective cesarean births at >= 37 and < 39 weeks of gestation completed\n \ \n \n The Joint Commission\n \n \n \ National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS113v6\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT(c)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n 0469\n \ \n \n The Joint Commission\n \n \n 6.1.000\n \n \ \n 117\n \ \n \n Childhood Immunization Status\n \n \n COMPLETED\n \n \ \n b2802b7a-3580-4be8-9458-921aea62b78c\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of children 2 years of age who had four diphtheria, tetanus and acellular pertussis (DTaP); three polio (IPV), one measles, mumps and rubella (MMR); three H influenza type B (HiB); three hepatitis B (Hep B); one chicken pox (VZV); four pneumococcal conjugate (PCV); one hepatitis A (Hep A); two or three rotavirus (RV); and two influenza (flu) vaccines by their second birthday\n \n \ \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS117v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0038\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 122\n \ \n \n Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%)\n \n \ \n COMPLETED\n \ \n \n f2986519-5a4e-4149-a8f2-af0a1dc7f6bc\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period\n \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n OUTCOME\n \ \n \n CMS122v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0059\n \ \n \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 123\n \ \n \n Diabetes: Foot Exam\n \n \n \ COMPLETED\n \n \n \ c0d72444-7c26-4863-9b51-8080f8928a85\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year\n \n \n \ National Committee for Quality Assurance\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS123v6\n \n \ \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \n \ Individual Characteristic\n \n \ \n 0056\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 124\n \ \n \n Cervical Cancer Screening\n \n \n \ COMPLETED\n \n \n \ 42e7e489-790f-427a-a1a6-d6e807f65a6d\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria:\n* \ Women age 21-64 who had cervical cytology performed every 3 years\n* Women age 30-64 who had cervical cytology/human papillomavirus (HPV) co-testing performed every 5 years\n \n \n National Committee for Quality Assurance\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS124v6\n \n \ \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \n \ Individual Characteristic\n \n \ \n 0032\n \ \n \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 125\n \ \n \n Breast Cancer Screening\n \n \n \ COMPLETED\n \n \n \ 19783c1b-4fd1-46c1-8a96-a2f192b97ee0\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer\n \n \ \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS125v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 2372\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 127\n \ \n \n Pneumococcal Vaccination Status for Older Adults\n \n \ \n COMPLETED\n \ \n \n 59657b9b-01bf-4979-a090-8534da1d0516\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine\n \ \n \n National Committee for Quality Assurance\n \n \n PROCESS\n \n \ \n CMS127v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ National Committee for Quality Assurance\n \ \n \n 6.1.000\n \ \n \n 128\n \ \n \n Anti-depressant Medication Management\n \n \n COMPLETED\n \n \ \n 8924f2b3-ec06-4650-b634-d70a53dee577\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18 years of age and older who were treated with antidepressant medication, had a diagnosis of major depression, and who remained on an antidepressant medication treatment. Two rates are reported. \na. Percentage of patients who remained on an antidepressant medication for at least 84 days (12 weeks). \nb. Percentage of patients who remained on an antidepressant medication for at least 180 days (6 months).\n \ \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS128v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0105\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 129\n \ \n \n Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients\n \n \n \ COMPLETED\n \n \n \ 1635c14d-e612-4fa6-96cd-285361aa7f7b\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients, regardless of age, with a diagnosis of prostate cancer at low (or very low) risk of recurrence receiving interstitial prostate brachytherapy, OR external beam radiotherapy to the prostate, OR radical prostatectomy, OR cryotherapy who did not have a bone scan performed at any time since diagnosis of prostate cancer\n \ \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS129v7\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0389\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 7.0.000\n \ \n \n 130\n \ \n \n Colorectal Cancer Screening\n \n \n \ COMPLETED\n \n \n \ aa2a4bbc-864f-45ee-b17a-7ebcc62e6aac\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer\n \ \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS130v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0034\n \ \n \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 131\n \ \n \n Diabetes: Eye Exam\n \n \n \ COMPLETED\n \n \n \ d90bdab4-b9d2-4329-9993-5c34e2c0dc66\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period\n \ \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS131v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0055\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 132\n \ \n \n Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures\n \n \n COMPLETED\n \n \ \n 9a0339c2-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery and had any of a specified list of surgical procedures in the 30 days following cataract surgery which would indicate the occurrence of any of the following major complications: retained nuclear fragments, endophthalmitis, dislocated or wrong power IOL, retinal detachment, or wound dehiscence\n \ \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n OUTCOME\n \ \n \n CMS132v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0564\n \n \n PCPI(R) Foundation (PCPI[R])\n \ American Medical Association (AMA)\n \ \n \n 6.1.000\n \ \n \n 133\n \ \n \n Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery\n \ \n \n COMPLETED\n \ \n \n 39e0424a-1727-4629-89e2-c46c2fbb3f5f\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery and no significant ocular conditions impacting the visual outcome of surgery and had best-corrected visual acuity of 20/40 or better (distance or near) achieved within 90 days following the cataract surgery\n \n \ \n PCPI(R) Foundation (PCPI[R])\n \n \n \ National Quality Forum\n \n \ \n OUTCOME\n \ \n \n CMS133v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0565\n \n \n PCPI(R) Foundation (PCPI[R])\n \ American Medical Association (AMA)\n \ \n \n 6.0.000\n \ \n \n 134\n \ \n \n Diabetes: Medical Attention for Nephropathy\n \n \n COMPLETED\n \n \ \n 7b2a9277-43da-4d99-9bee-6ac271a07747\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period\n \n \ \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS134v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0062\n \ \n \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 135\n \ \n \n Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)\n \ \n \n COMPLETED\n \ \n \n 430ffc53-4122-4421-88cc-2edd8117bb3c\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of heart failure (HF) with a current or prior left ventricular ejection fraction (LVEF) < 40% who were prescribed ACE inhibitor or ARB therapy either within a 12 month period when seen in the outpatient setting OR at each hospital discharge\n \n \ \n PCPI(R) Foundation (PCPI[R])\n \n \n \ National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS135v6\n \ \n \n Copyright 2017 American College of Cardiology, American Heart Association and American Medical Association. All Rights Reserved.\n \n \ \n Individual Characteristic\n \ \n \n 0081\n \ \n \n PCPI(R) Foundation (PCPI[R])\n American Medical Association (AMA)\n \n \n 6.0.000\n \n \ \n 136\n \ \n \n Follow-Up Care for Children Prescribed ADHD Medication (ADD)\n \n \ \n COMPLETED\n \ \n \n 703cc49b-b653-4885-80e8-245a057f5ae9\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of children 6-12 years of age and newly dispensed a medication for attention-deficit/hyperactivity disorder (ADHD) who had appropriate follow-up care. Two rates are reported. \ \na. Percentage of children who had one follow-up visit with a practitioner with prescribing authority during the 30-Day Initiation Phase.\nb. Percentage of children who remained on ADHD medication for at least 210 days and who, in addition to the visit in the Initiation Phase, had at least two additional follow-up visits with a practitioner within 270 days (9 months) after the Initiation Phase ended.\n \n \n National Committee for Quality Assurance\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS136v7\n \n \ \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \n \ Individual Characteristic\n \n \ \n 0108\n \ \n \n National Committee for Quality Assurance\n \n \n 7.1.000\n \n \ \n 137\n \ \n \n Initiation and Engagement of Alcohol and Other Drug Dependence Treatment\n \ \n \n COMPLETED\n \ \n \n c3657d72-21b4-4675-820a-86c7fe293bf5\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 13 years of age and older with a new episode of alcohol and other drug (AOD) dependence who received the following. Two rates are reported.\na. Percentage of patients who initiated treatment within 14 days of the diagnosis.\nb. Percentage of patients who initiated treatment and who had two or more additional services with an AOD diagnosis within 30 days of the initiation visit.\n \ \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS137v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0004\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 138\n \ \n \n Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention\n \ \n \n COMPLETED\n \ \n \n e35791df-5b25-41bb-b260-673337bc44a8\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user\n\nThree rates are reported: \na. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months \nb. Percentage of patients aged 18 years and older who were screened for tobacco use and identified as a tobacco user who received tobacco cessation intervention \nc. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user\n \ \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS138v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0028\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 6.1.000\n \ \n \n 139\n \ \n \n Falls: Screening for Future Fall Risk\n \n \n COMPLETED\n \n \ \n bc5b4a57-b964-4399-9d40-667c896f31ea\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period\n \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS139v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications have been developed by the PCPI(R) Foundation (PCPI[R]) and the National Committee for Quality Assurance (NCQA). This Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. The Measure, while copyrighted, can be reproduced and distributed, without modification, for noncommercial purposes, eg, use by health care providers in connection with their practices. Commercial use is defined as the sale, license, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. Commercial uses of the Measure require a license agreement between the user and the PCPI(R) or NCQA. Neither the American Medical Association (AMA), nor the former AMA-convened Physician Consortium for Performance Improvement(R), PCPI, NCQA nor its members shall be responsible for any use of the Measure. (C) 2017 National Committee for Quality Assurance and PCPI (R) Foundation. All Rights Reserved.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ 0101\n \n \n National Committee for Quality Assurance\n \ PCPI(R) Foundation (PCPI[R])\n American Medical Association (AMA)\n \n \n 6.1.000\n \n \ \n 142\n \ \n \n Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care\n \ \n \n COMPLETED\n \ \n \n 53d6d7c3-43fb-4d24-8099-17e74c022c05\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus regarding the findings of the macular or fundus exam at least once within 12 months\n \ \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS142v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0089\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 6.0.000\n \ \n \n 143\n \ \n \n Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation\n \n \ \n COMPLETED\n \ \n \n db9d9f09-6b6a-4749-a8b2-8c1fdb018823\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months\n \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS143v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0086\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 6.0.000\n \ \n \n 144\n \ \n \n Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)\n \n \n COMPLETED\n \ \n \n 8439f671-2932-4d4c-88ca-ea5faeacc89a\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of heart failure (HF) with a current or prior left ventricular ejection fraction (LVEF) < 40% who were prescribed beta-blocker therapy either within a 12 month period when seen in the outpatient setting OR at each hospital discharge\n \n \n PCPI(R) Foundation (PCPI[R])\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS144v6\n \n \ \n Copyright 2017 American College of Cardiology, American Heart Association and American Medical Association. All Rights Reserved.\n \n \n \ Individual Characteristic\n \n \ \n 0083\n \ \n \n American Medical Association (AMA)\n PCPI(R) Foundation (PCPI[R])\n \n \n 6.0.000\n \n \ \n 145\n \ \n \n Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <40%)\n \n \ \n COMPLETED\n \ \n \n 80744ae2-de81-4b16-a71d-69522eb865c5\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease seen within a 12 month period who also have a prior MI or a current or prior LVEF <40% who were prescribed beta-blocker therapy\n \n \n PCPI(R) Foundation (PCPI[R])\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS145v6\n \n \ \n Copyright 2017 American College of Cardiology, American Heart Association and American Medical Association. All Rights Reserved.\n \n \n \ Individual Characteristic\n \n \ \n 0070\n \ \n \n American Medical Association (AMA)\n PCPI(R) Foundation (PCPI[R])\n \n \n 6.0.000\n \n \ \n 146\n \ \n \n Appropriate Testing for Children with Pharyngitis\n \n \ \n COMPLETED\n \ \n \n beb1c33c-2549-4e7f-9567-05ed38448464\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of children 3-18 years of age who were diagnosed with pharyngitis, ordered an antibiotic and received a group A streptococcus (strep) test for the episode\n \n \ \n National Committee for Quality Assurance\n \n \n PROCESS\n \n \ \n CMS146v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ National Committee for Quality Assurance\n \ \n \n 6.1.000\n \ \n \n 147\n \ \n \n Preventive Care and Screening: Influenza Immunization\n \n \ \n COMPLETED\n \ \n \n a244aa29-7d11-4616-888a-86e376bfcc6f\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n 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\n \ \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS147v7\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0041\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 7.2.000\n \ \n \n 149\n \ \n \n Dementia: Cognitive Assessment\n \n \n COMPLETED\n \n \ \n 7c443b9b-1ad1-4467-b527-defc445701ff\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients, regardless of age, with a diagnosis of dementia for whom an assessment of cognition is performed and the results reviewed at least once within a 12 month period\n \ \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS149v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 2872\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 6.0.000\n \ \n \n 153\n \ \n \n Chlamydia Screening for Women\n \n \n COMPLETED\n \n \ \n c9930664-be3d-4ffe-ae4a-5cf4933ecb89\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n 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\n \n \ \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS153v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0033\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 154\n \ \n \n Appropriate Treatment for Children with Upper Respiratory Infection (URI)\n \ \n \n COMPLETED\n \ \n \n e455fac0-f2cb-4074-a351-1e68a90fb7cf\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of children 3 months-18 years of age who were diagnosed with upper respiratory infection (URI) and were not dispensed an antibiotic prescription on or three days after the episode\n \ \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS154v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0069\n \ \n \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 155\n \ \n \n Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents\n \n \n \ COMPLETED\n \n \n \ 0b63f730-25d6-4248-b11f-8c09c66a04eb\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.\n\n - Percentage of patients with height, weight, and body mass index (BMI) percentile documentation\n - Percentage of patients with counseling for nutrition\n - Percentage of patients with counseling for physical activity\n \n \ \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS155v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0024\n \ \n \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 156\n \ \n \n Use of High-Risk Medications in the Elderly\n \n \ \n COMPLETED\n \ \n \n a3837ff8-1abc-4ba9-800e-fd4e7953adbd\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are reported.\na. Percentage of patients who were ordered at least one high-risk medication. \nb. Percentage of patients who were ordered at least two of the same high-risk medications.\n \n \n \ National Committee for Quality Assurance\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS156v6\n \n \ \n This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSM-500-2011-00079C) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \n \ Individual Characteristic\n \n \ \n 0022\n \ \n \n National Committee for Quality Assurance\n \n \n 6.4.000\n \n \ \n 157\n \ \n \n Oncology: Medical and Radiation - Pain Intensity Quantified\n \n \ \n COMPLETED\n \ \n \n 9a0330d0-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified\n \ \n \n PCPI(R) Foundation (PCPI[R])\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS157v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0384\n \n \n PCPI(R) Foundation (PCPI[R])\n \ American Medical Association (AMA)\n \ \n \n 6.0.000\n \ \n \n 158\n \ \n \n Pregnant women that had HBsAg testing\n \n \n COMPLETED\n \n \ \n 3bbfc929-50c8-44b8-8d34-82be75c08a70\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n This measure identifies pregnant women who had a HBsAg (hepatitis B) test during their pregnancy\n \ \n \n Optum\n \ \n \n PROCESS\n \ \n \n CMS158v6\n \ \n \n This measure is copyrighted by Optum, Inc. All rights reserved.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n Optum\n \ \n \n 6.0.000\n \ \n \n 159\n \ \n \n Depression Remission at Twelve Months\n \n \n COMPLETED\n \n \ \n 8455cd3e-dbb9-4e0c-8084-3ece4068fe94\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n The percentage of patients 18 years of age or older with major depression or dysthymia who reached remission 12 months (+/- 30 days) after an index visit.\n \n \ \n MN Community Measurement\n \ \n \n National Quality Forum\n \n \n \ OUTCOME\n \n \n CMS159v6\n \n \ \n Copyright MN Community Measurement, 2017. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n 0710\n \ \n \n MN Community Measurement\n \n \n 6.2.000\n \n \ \n 160\n \ \n \n Depression Utilization of the PHQ-9 Tool\n \n \n COMPLETED\n \n \ \n a4b9763c-847e-4e02-bb7e-acc596e90e2c\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit\n \n \n MN Community Measurement\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS160v6\n \ \n \n Copyright MN Community Measurement, 2017. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n 0712\n \ \n \n MN Community Measurement\n \n \n 6.1.000\n \n \ \n 161\n \ \n \n Adult Major Depressive Disorder (MDD): Suicide Risk Assessment\n \n \ \n COMPLETED\n \ \n \n 60176fbf-bfdc-4892-9c9e-604f206553c8\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of major depressive disorder (MDD) with a suicide risk assessment completed during the visit in which a new diagnosis or recurrent episode was identified\n \n \n PCPI(R) Foundation (PCPI[R])\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS161v6\n \n \ \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0104\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 6.0.000\n \ \n \n 164\n \ \n \n Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet\n \ \n \n COMPLETED\n \ \n \n 0713ea8f-0e5b-4099-8c7c-dd677280398f\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18 years of age and older who were diagnosed with acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) in the 12 months prior to the measurement period, or who had an active diagnosis of ischemic vascular disease (IVD) during the measurement period, and who had documentation of use of aspirin or another antiplatelet during the measurement period\n \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS164v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0068\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 165\n \ \n \n Controlling High Blood Pressure\n \n \n COMPLETED\n \n \ \n abdc37cc-bac6-4156-9b91-d1be2c8b7268\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18-85 years of age who had a diagnosis of hypertension and whose blood pressure was adequately controlled (<140/90mmHg) during the measurement period\n \ \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS165v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0018\n \ \n \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 166\n \ \n \n Use of Imaging Studies for Low Back Pain\n \n \ \n COMPLETED\n \ \n \n b6016b47-b65d-4be0-866f-1d397886ca89\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18-50 years of age with a diagnosis of low back pain who did not have an imaging study (plain X-ray, MRI, CT scan) within 28 days of the diagnosis\n \ \n \n National Committee for Quality Assurance\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS166v7\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \ \n Individual Characteristic\n \ \n \n 0052\n \ \n \n National Committee for Quality Assurance\n \n \n 7.1.000\n \n \ \n 167\n \ \n \n Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy\n \n \n COMPLETED\n \n \ \n 50164228-9d64-4efc-af67-da0547ff61f1\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during one or more office visits within 12 months\n \n \ \n PCPI(R) Foundation (PCPI[R])\n \n \n \ National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS167v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0088\n \n \n PCPI(R) Foundation (PCPI[R])\n \ American Medical Association (AMA)\n \ \n \n 6.0.000\n \ \n \n 169\n \ \n \n Bipolar Disorder and Major Depression: Appraisal for alcohol or chemical substance use\n \n \n COMPLETED\n \ \n \n b99aaef6-7889-4aba-85fc-5a2b739dd098\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients with depression or bipolar disorder with evidence of an initial assessment that includes an appraisal for alcohol or chemical substance use\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS169v6\n \ \n \n This measure is copyrighted by CQAIMH. It may be used for research, teaching, and quality measurement / improvement activities - provided the following:\n* The materials are not sold, distributed or licensed for commercial purposes\n* CQAIMH's copyright is acknowledged in reproductions of these materials\n* Modifications to the materials are not made without CQAIMH's permission\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n Center for Quality Assessment & Improvement in Mental Health (CQAIMH)\n \n \ \n 6.0.000\n \ \n \n 177\n \ \n \n Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment\n \ \n \n COMPLETED\n \ \n \n 848d09de-7e6b-43c4-bedd-5a2957ccffe3\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patient visits for those patients aged 6 through 17 years with a\ndiagnosis of major depressive disorder with an assessment for suicide risk\n \n \ \n PCPI(R) Foundation (PCPI[R])\n \n \n \ National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS177v6\n \ \n \n Copyright 2017 PCPI(R) Foundation and American Medical Association. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ 1365\n \n \n American Medical Association (AMA)\n \ PCPI(R) Foundation (PCPI[R])\n \n \ \n 6.0.000\n \ \n \n 190\n \ \n \n Intensive Care Unit Venous Thromboembolism Prophylaxis\n \n \ \n COMPLETED\n \ \n \n fa91ba68-1e66-4a23-8eb2-baa8e6df2f2f\n \ \n \n Eligible Hospitals\n \n \n \ This measure assesses the number of patients who received VTE prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after the initial admission (or transfer) to the Intensive Care Unit (ICU) or surgery end date for surgeries that start the day of or the day after ICU admission (or transfer)\n \n \ \n The Joint Commission\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS190v6\n \n \ \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute. \n\nThis material contains SNOMED Clinical Terms(R) (SNOMED CT[C]) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \n \ Individual Characteristic\n \n \ \n 0372\n \ \n \n The Joint Commission\n \n \n 6.1.000\n \n \ \n 2\n \ \n \n Preventive Care and Screening: Screening for Depression and Follow-Up Plan\n \ \n \n COMPLETED\n \ \n \n 9a031e24-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n National Quality Forum\n \n \ \n PROCESS\n \ \n \n CMS2v7\n \ \n \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights, Inc. disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007-2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2016-09] International Health Terminology Standards Development Organization. All Rights Reserved.\n\nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].\n \ \n \n Individual Characteristic\n \n \n \ 0418\n \n \n Quality Insights\n \n \ \n 7.1.000\n \ \n \n 22\n \ \n \n Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented\n \ \n \n COMPLETED\n \ \n \n 9a033a94-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older seen during the reporting period who were screened for high blood pressure AND a recommended follow-up plan is documented based on the current blood pressure (BP) reading as indicated\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS22v6\n \ \n \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights, Inc. disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007-2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2016-09] International Health Terminology Standards Development Organization. All Rights Reserved.\n\nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n Quality Insights\n \ \n \n 6.0.000\n \ \n \n 26\n \ \n \n Home Management Plan of Care (HMPC) Document Given to Patient/Caregiver\n \ \n \n COMPLETED\n \ \n \n e1cb05e0-97d5-40fc-b456-15c5dbf44309\n \ \n \n Eligible Hospitals\n \n \n \ An assessment that there is documentation in the medical record that a Home Management Plan of Care (HMPC) document was given to the pediatric asthma patient/caregiver\n \n \ \n The Joint Commission\n \ \n \n PROCESS\n \ \n \n CMS26v5\n \ \n \n LOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT(C)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n The Joint Commission\n \ \n \n 5.1.000\n \ \n \n 31\n \ \n \n Hearing Screening Prior To Hospital Discharge\n \n \ \n COMPLETED\n \ \n \n 0924fbae-3fdb-4d0a-aab7-9f354e699fde\n \ \n \n Eligible Hospitals\n \n \n \ This measure assesses the proportion of births that have been screened for hearing loss before hospital discharge\n \ \n \n CDC National Center on Birth Defects and Developmental Disabilities\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS31v6\n \n \ \n None\n \ \n \n Individual Characteristic\n \n \n \ 1354\n \n \n CDC Early Hearing Detection and Intervention Program\n \n \n 6.1.000\n \n \ \n 32\n \ \n \n Median Time from ED Arrival to ED Departure for Discharged ED Patients\n \ \n \n COMPLETED\n \ \n \n 3fd13096-2c8f-40b5-9297-b714e8de9133\n \ \n \n Eligible Hospitals\n \n \n \ Median elapsed time from emergency department arrival to emergency room departure for patients discharged from the emergency department\n \ \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \ \n National Quality Forum\n \ \n \n PROCESS\n \ \n \n CMS32v7\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms(R) (SNOMED CT(C)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n 0496\n \ \n \n Oklahoma Foundation for Medical Quality\n \n \n 7.2.000\n \n \ \n 347\n \ \n \n Statin Therapy for the Prevention and Treatment of Cardiovascular Disease\n \ \n \n COMPLETED\n \ \n \n 5375d6a9-203b-4fff-b851-afa9b68d2ac2\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: \n*Adults aged >= 21 years who were previously diagnosed with or currently have an active diagnosis of clinical atherosclerotic cardiovascular disease (ASCVD); OR \n*Adults aged >= 21 years who have ever had a fasting or direct low-density lipoprotein cholesterol (LDL-C) level >= 190 mg/dL or were previously diagnosed with or currently have an active diagnosis of familial or pure hypercholesterolemia; OR \n*Adults aged 40-75 years with a diagnosis of diabetes with a fasting or direct LDL-C level of 70-189 mg/dL\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS347v1\n \ \n \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights, Inc. disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007-2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2016-09] International Health Terminology Standards Development Organization. All Rights Reserved.\n\nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n Quality Insights\n \ \n \n 1.8.000\n \ \n \n 50\n \ \n \n Closing the Referral Loop: Receipt of Specialist Report\n \n \ \n COMPLETED\n \ \n \n f58fc0d6-edf5-416a-8d29-79afbfd24dea\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS50v6\n \ \n \n Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications. \n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) is copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ National Committee for Quality Assurance\n \ \n \n 6.0.000\n \ \n \n 52\n \ \n \n HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis\n \n \ \n COMPLETED\n \ \n \n 1cdd20de-5de9-4759-8a93-31f1f8baaaa2\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 6 weeks and older with a diagnosis of HIV/AIDS who were prescribed Pneumocystis jiroveci pneumonia (PCP) prophylaxis\n \n \n National Committee for Quality Assurance\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS52v6\n \n \ \n This Physician Performance Measure (Measure) and related data specifications have been developed by the PCPI(R) Foundation (PCPI[R])and the National Committee for Quality Assurance (NCQA). This Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. The Measure, while copyrighted, can be reproduced and distributed, without modification, for noncommercial purposes, eg, use by health care providers in connection with their practices. Commercial use is defined as the sale, license, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. Commercial uses of the Measure require a license agreement between the user and the PCPI(R) or NCQA. Neither the American Medical Association (AMA), nor the former AMA-convened Physician Consortium for Performance Improvement(R), PCPI, NCQA nor its members shall be responsible for any use of the Measure. (C) 2017 National Committee for Quality Assurance and PCPI(R) Foundation. All Rights Reserved.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \n \n \ Individual Characteristic\n \n \ \n 0405\n \ \n \n National Committee for Quality Assurance\n American Medical Association-convened Physician Consortium for Performance Improvement(R) (AMA-PCPI)\n \n \n 6.2.000\n \n \ \n 53\n \ \n \n Primary PCI Received Within 90 Minutes of Hospital Arrival\n \n \ \n COMPLETED\n \ \n \n 84b9d0b5-0caf-4e41-b345-3492a23c2e9f\n \ \n \n Eligible Hospitals\n \n \n \ Acute myocardial infarction (AMI) patients with ST-segment elevation on the ECG closest to arrival time receiving primary PCI during the hospital stay with a time from hospital arrival to PCI of 90 minutes or less\n \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \ \n PROCESS\n \ \n \n CMS53v6\n \ \n \n Measure specifications are in the Public Domain.\n\nThis material contains SNOMED Clinical Terms (R) (SNOMED CT(C)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n\nLOINC (R) is a registered trademark of the Regenstrief Institute.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n Oklahoma Foundation for Medical Quality\n \n \n 6.1.000\n \n \ \n 55\n \ \n \n Median Time from ED Arrival to ED Departure for Admitted ED Patients\n \ \n \n COMPLETED\n \ \n \n 9a033274-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Hospitals\n \n \n \ Median time from emergency department arrival to time of departure from the emergency room for patients admitted to the facility from the emergency department\n \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS55v6\n \n \ \n Measure specifications are in the Public Domain.\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms(R) (SNOMED CT(C)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \n \ Individual Characteristic\n \n \ \n 0495\n \ \n \n Oklahoma Foundation for Medical Quality\n \n \n 6.1.000\n \n \ \n 56\n \ \n \n Functional Status Assessment for Total Hip Replacement\n \n \ \n COMPLETED\n \ \n \n 2f291003-3f2f-48af-bef9-e5aacb95ac3e\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18 years of age and older who received an elective primary total hip arthroplasty (THA) and completed a functional status assessment within 90 days prior to the surgery and in the 270-365 days after the surgery\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS56v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSP23320095627WC; HHSP23337008T) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 645\n \ \n \n Bone density evaluation for patients with prostate cancer and receiving androgen deprivation therapy\n \n \n COMPLETED\n \n \ \n 977b302e-cdf3-4ba2-8020-5e099d93ad18\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Patients determined as having prostate cancer who are currently starting or undergoing androgen deprivation therapy (ADT), for an anticipated period of 12 months or greater and who receive an initial bone density evaluation. The bone density evaluation must be prior to the start of ADT or within 3 months of the start of ADT.\n \ \n \n Oregon Urology\n \n \n \ PROCESS\n \n \n CMS645v1\n \n \ \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Oregon Urology Institute (OUI) and Large Urology Group Practice Association (LUGPA) disclaim all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007- 2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2015-09] International Health Terminology Standards Development Organization. All Rights Reserved. ICD-10 is copyright 2016 World Health Organization. All Rights Reserved.\n \ \n \n Individual Characteristic\n \n \n \ Not applicable\n \n \ \n Oregon Urology\n \ \n \n 1.1.000\n \ \n \n 65\n \ \n \n Hypertension: Improvement in Blood Pressure\n \n \n COMPLETED\n \n \ \n 1d8363ce-a529-490b-8c98-9b54aa75da06\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18-85 years of age with a diagnosis of hypertension whose blood pressure improved during the measurement period\n \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \n OUTCOME\n \ \n \n CMS65v7\n \ \n \n This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSP23320095627WC; HHSP23337008T) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n National Committee for Quality Assurance\n \n \n 7.1.000\n \n \ \n 66\n \ \n \n Functional Status Assessment for Total Knee Replacement\n \n \ \n COMPLETED\n \ \n \n be8d9655-1194-46ef-b43e-4b1d0c36ab71\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18 years of age and older who received an elective primary total knee arthroplasty (TKA) and completed a functional status assessment within 90 days prior to the surgery and in the 270-365 days after the surgery\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS66v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSP23320095627WC; HHSP23337008T) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n National Committee for Quality Assurance\n \n \n 6.2.000\n \n \ \n 68\n \ \n \n Documentation of Current Medications in the Medical Record\n \n \ \n COMPLETED\n \ \n \n 9a032d9c-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration.\n \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS68v7\n \n \ \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights, Inc. disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007-2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2016-09] International Health Terminology Standards Development Organization. All Rights Reserved.\n\nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].\n \ \n \n Individual Characteristic\n \n \n \ 0419\n \n \n Quality Insights\n \n \ \n 7.1.000\n \ \n \n 69\n \ \n \n Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan\n \ \n \n COMPLETED\n \ \n \n 9a031bb8-3d9b-11e1-8634-00237d5bf174\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter \n\nNormal Parameters: Age 18 years and older BMI => 18.5 and < 25 kg/m2\n \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS69v6\n \n \ \n Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights, Inc. disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications.\n\nCPT (R) contained in the Measure specifications is copyright 2007-2016 American Medical Association. \n\nLOINC (R) copyright 2004-2016 [2.56] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2016 [2016-09] International Health Terminology Standards Development Organization. All Rights Reserved.\n\nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].\n \ \n \n Individual Characteristic\n \n \n \ 0421\n \n \n Quality Insights\n \n \ \n 6.1.000\n \ \n \n 71\n \ \n \n Anticoagulation Therapy for Atrial Fibrillation/Flutter\n \n \ \n COMPLETED\n \ \n \n 03876d69-085b-415c-ae9d-9924171040c2\n \ \n \n Eligible Hospitals\n \n \n \ Ischemic stroke patients with atrial fibrillation/flutter who are prescribed or continuing to take anticoagulation therapy at hospital discharge\n \n \n \ The Joint Commission\n \n \ \n PROCESS\n \ \n \n CMS71v7\n \ \n \n Measure specifications are in the Public Domain.\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms(R) (SNOMED CT(C)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ The Joint Commission\n \n \ \n 7.1.000\n \ \n \n 72\n \ \n \n Antithrombotic Therapy By End of Hospital Day 2\n \n \n COMPLETED\n \n \ \n 93f3479f-75d8-4731-9a3f-b7749d8bcd37\n \ \n \n Eligible Hospitals\n \n \n \ Ischemic stroke patients administered antithrombotic therapy by the end of hospital day 2\n \n \ \n The Joint Commission\n \ \n \n PROCESS\n \ \n \n CMS72v6\n \ \n \n Measure specifications are in the Public Domain\n\nLOINC(R) is a registered trademark of the Regenstrief Institute.\n\nThis material contains SNOMED Clinical Terms(R) (SNOMED CT(C)) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \n \ \n Individual Characteristic\n \ \n \n Not Applicable\n \n \n \ The Joint Commission\n \n \ \n 6.1.000\n \ \n \n 74\n \ \n \n Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists\n \n \n \ COMPLETED\n \n \n \ 0b81b6ba-3b30-41bf-a2f3-95bdc9f558f2\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of children, age 0-20 years, who received a fluoride varnish application during the measurement period\n \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \ \n PROCESS\n \ \n \n CMS74v7\n \ \n \n This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSP23320095627WC; HHSP23337008T) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n National Committee for Quality Assurance\n \n \n 7.1.000\n \n \ \n 75\n \ \n \n Children Who Have Dental Decay or Cavities\n \n \n COMPLETED\n \n \ \n 61947125-4376-4a7b-ab7a-ac2be9bd9138\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of children, age 0-20 years, who have had tooth decay or cavities during the measurement period\n \ \n \n Centers for Medicare & Medicaid Services (CMS)\n \n \ \n OUTCOME\n \ \n \n CMS75v6\n \ \n \n This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSP23320095627WC; HHSP23337008T) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n National Committee for Quality Assurance\n \n \n 6.1.000\n \n \ \n 82\n \ \n \n Maternal Depression Screening\n \n \n COMPLETED\n \n \ \n 8e6c8479-99fd-4949-b0ad-24fa60fe4201\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n The percentage of children who turned 6 months of age during the measurement year, who had a face-to-face visit between the clinician and the child during child's first 6 months, and who had a maternal depression screening for the mother at least once between 0 and 6 months of life\n \n \n National Committee for Quality Assurance\n \ \n \n PROCESS\n \ \n \n CMS82v5\n \ \n \n This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA) with support from The Commonwealth Fund, a national, private foundation based in New York City that supports independent research on health care issues and makes grants to improve health care practice and policy. The views presented here are those of the author and not necessarily those of The Commonwealth Fund, its directors. officers, or staff. The Measure is copyrighted but can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. (C) 2009-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n National Committee for Quality Assurance\n \n \n 5.1.000\n \n \ \n 9\n \ \n \n Exclusive Breast Milk Feeding\n \n \n COMPLETED\n \n \ \n 7d374c6a-3821-4333-a1bc-4531005d77b8\n \ \n \n Eligible Hospitals\n \n \n \ PC-05 Exclusive breast milk feeding during the newborn's entire hospitalization\n \n \n The Joint Commission\n \ \n \n National Quality Forum\n \n \n \ PROCESS\n \n \n CMS9v6\n \n \ \n LOINC(R) is a registered trademark of the Regenstrief Institute.\n \nThis material contains SNOMED Clinical Terms (R) (SNOMED CT[C]) copyright 2004-2016 International Health Terminology Standards Development Organization. All rights reserved.\n \ \n \n Individual Characteristic\n \n \n \ 0480\n \n \n The Joint Commission\n \ \n \n 6.1.000\n \ \n \n 90\n \ \n \n Functional Status Assessments for Congestive Heart Failure\n \n \ \n COMPLETED\n \ \n \n bb9b8ef7-0354-40e0-bec7-d6891b7df519\n \ \n \n Eligible Professionals/Eligible Clinicians\n \n \n Percentage of patients 18 years of age and older with congestive heart failure who completed initial and follow-up patient-reported functional status assessments\n \n \ \n Centers for Medicare & Medicaid Services (CMS)\n \n \n PROCESS\n \n \ \n CMS90v7\n \ \n \n This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSP23320095627WC; HHSP23337008T) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved.\n\nThe American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n \ \n \n Individual Characteristic\n \n \n \ Not Applicable\n \n \ \n National Committee for Quality Assurance\n \n \n 7.1.000\n \n \ \n\n" http_version: recorded_at: Mon, 02 Apr 2018 12:57:00 GMT recorded_with: VCR 3.0.3