This page is part of the Quality Measure Implementation Guide (v1.0.0-ballot: STU1 (v1.0.0) Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions
These examples illustrate patient-based screening 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 |
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)
Interpretation: For each Eligible Clinician (EC), the percentage of opportunities to provide preventive services that were completed.
Preventive Care and Wellness (Opportunity)
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)
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)
Manifests are used to communicate sets of measures together with all the information about their use. See the Manifest topic for more information on these examples:
The sections provide examples of test cases