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:

• Breast Cancer Screening (BCS) - Patient-based proportion measure
• Colorectal Cancer Screening (CCS) - Patient-based proportion measure
• High Blood Pressure Screening (HBP) - Encounter-based proportion measure
• Pneumococcal Vaccination (PVS) - Patient-based proportion measure
• Tobacco Screening (TSC) - Patient-based proportion measure

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)