Quality Measure Implementation Guide (STU3 Ballot)
2.1.0 - ballot

Quality Measure Implementation Guide (STU3 Ballot), published by Clinical Quality Information WG. This is not an authorized publication; it is the continuous build for version 2.1.0). This version is based on the current content of https://github.com/HL7/cqf-measures/ and changes regularly. See the Directory of published versions

Examples

Examples

Screening Measures

These examples illustrate patient-based screening measures

Hospital Measures

Composite Measures

This section provides examples of all four composite measure scoring methods described by this implementation guide. Each composite is constructed using the same five component measures:

For each of these measures, the population criteria are summarized as:

Population BCS CCS HBP PVS TSC
Initial Population female, 51-74, with Qualifying Encounters 50-75, with Qualifying Encounters >= 18, Encounters in Encounter to Screen for Blood Pressure >= 65, with Qualifying Encounters or Nursing/Long-term Facility encounters >= 18 with Qualifying Encounters or Other/Counseling encounters or 2 or more Office visits
Denominator Initial Population Initial Population Initial Population Initial Population Initial Population
Denominator Exclusions Hospice or Mastectomy or AIFLTC Hospice or Cancer or Colectomy or AIFLTC Hypertension Diagnosis Hospice None
Denominator Exceptions None None Medical or Patient Reason None Medical Reason or Limited Life Expectancy
Numerator Mammography Colonoscopy or FOBT or Flex Sig or FIT DNA or CT Colonography Normal BP or High BP with followup Pneumococcal Vaccine Screened for Tobacco Use

All-or-nothing scoring

Interpretation: For each Eligible Clinician, the percentage of patients who received all preventive services for which they were eligible

Preventive Care and Wellness (All-or-nothing)

Opportunity scoring

Interpretation: For each Eligible Clinician (EC), the percentage of opportunities to provide preventive services that were completed.

Preventive Care and Wellness (Opportunity)

Patient-level linear

Interpretation: For each Eligible Clinician (EC), the percentage of completed preventive services, which gives EC partial numerator credit for meeting the criteria for some but not all components of the measure.

Preventive Care and Wellness (Patient-level linear)

Component-level weighted

Interpretation: For each Eligible Clinician (EC), percentage of patients who received preventive services, which gives EC partial numerator credit for meeting the criteria for some but not all components of the measure.

Preventive Care and Wellness (Component-level weighted)

Quality Programs

This section provides examples of all three ways to represent a Quality Program

  • eCQM Quality Program Example an overall quality program that contains multiple version manifests and releases over time
  • eCQM Version Manifest (Expansion Profile), 2020 a version manifest (or expansion profile) that is a draft of a quality program release used to provide expansion rules while the artifacts for a program are being authored
  • eCQM Release, 2020-05-07 a program release that is an active instance of a quality program release used to provide stable extensions for the released artifacts in a quality program