Quality Measure Implementation Guide (STU5)
5.0.0-draft - ballot United States of America flag

Quality Measure Implementation Guide (STU5), published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 5.0.0-draft built by the FHIR (HL7® FHIR® Standard) CI Build. 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

Additional Supplemental Data Elements Measures

Multiple-Rate 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)

Test Case examples

The sections provide examples of test cases

  • Simple Test Case - Example test case illustrating expected input parameters and expected output results given those input parameters.
  • Bundled Test Case - Example test case in a bundle illustrating expected input parameters and expected output results given those input parameters along with evaluatedResources.