CMS 127 - Pneumococcal Vaccination Status for Older Adults

Overview

CMS127v8 (2020)
CMS127v9 (2021)
CMS127v10 (2022)

Identifiers

CMS eCQM IDNQF eCQM IDNQFMIPS Quality ID
CMS127v10111
*MIE only supports data collection and reporting using eCQM specifications

Definitions

DescriptionPercentage of patients 66 years of age and older who have ever received a pneumococcal vaccine
Initial Patient PopulationPatients 66 years of age and older with a visit during the measurement period
DenominatorEquals Initial Population
Denominator ExclusionsExclude patients who are in hospice care for any part of the measurement period.
NumeratorPatients who received a pneumococcal vaccination on or after their 60th birthday and before the end of the measurement period; or ever had an adverse reaction to the vaccine before the end of the measurement period
Numerator Exclusions
Denominator Exceptions

Additional Information

Measure TypeProcess measure
Measure ScoringProportion measure
GranularityPatient
Improvement NotationHigher score indicates better quality
DomainCommunity/Population Health

Clinical Instructions

New UI Visit Encounter (valid RC202109+)

Original Visit Encounter

Clinical Instructions

Ensure all patients that are 65 years of age or older have received a pneumococcal vaccine or report having received a vaccine. Recording the receipt of the immunization or the administration of the vaccine can be done within or outside of the encounter:

  1. Option 1: Record the Receipt of Pneumococcal Vaccination (Historical)
    1. Within Encounter
      1. Open the Immunizations/Injections section of the encounter
      2. Using the Description autocomplete, begin typing the name of the immunization
      3. Add the Date and any Reactions/Comments
      4. Click the Add button
      5. Click the Next button, or close the section
      6. Continue documenting the encounter as needed
      7. When completed, Close and Archive the encounter
    2. Outside Encounter
      1. While in the chart, navigate to MAR/Injections from the Medical Record chart tab
      2. Click the Quick Add link in the upper-right of the page
      3. Record any historical injections
      4. Click the Submit button
  2. Option 2: Document the Administration of Pneumococcal Vaccination
    1. Within Encounter
      1. Open the Tests and Procedures section of the encounter
      2. Using the autocomplete, begin typing the name of the vaccination being administered
      3. Click the Add to Exam button
      4. After adding the new section, open the section, fill in all required fields, record the findings, and set to Result.
      5. Click the Next button, or close the section
      6. Continue documenting the encounter as needed
      7. When completed, Close and Archive the encounter
    2. Outside Encounter
      1. While in the chart, navigate to MAR/Injections from the Medical Record chart tab
      2. Click the Add Imm/Inj link in the upper-right of the page
      3. Fill in all required fields
      4. Click the Submit button

Evidence

Initial Patient Population

NameValue Set
Encounter, Performed: Annual Wellness Visit2.16.840.1.113883.3.526.3.1240
Encounter, Performed: Home Healthcare Services2.16.840.1.113883.3.464.1003.101.12.1016
Encounter, Performed: Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal.CPT Code 99211
Encounter, Performed: Office Visit2.16.840.1.113883.3.464.1003.101.12.1001
Encounter, Performed: Online Assessments2.16.840.1.113883.3.464.1003.101.12.1089
Encounter, Performed: Preventive Care Services - Established Office Visit, 18 and Up2.16.840.1.113883.3.464.1003.101.12.1025
Encounter, Performed: Preventive Care Services-Initial Office Visit, 18 and Up2.16.840.1.113883.3.464.1003.101.12.1023
Encounter, Performed: Telephone Visits2.16.840.1.113883.3.464.1003.101.12.1080

Denominator Exclusions

NameValue Set
Encounter, Performed: Care Services in Long-Term Residential Facility2.16.840.1.113883.3.464.1003.101.12.1014
Encounter, Performed: Discharge Services - Nursing Facility2.16.840.1.113883.3.464.1003.101.11.1065
Encounter, Performed: Encounter Inpatient2.16.840.1.113883.3.666.5.307
Encounter, Performed: Nursing Facility Visit2.16.840.1.113883.3.464.1003.101.12.1012
Intervention, Order: Hospice care ambulatory2.16.840.1.113762.1.4.1108.15
Intervention, Performed: Hospice care ambulatory2.16.840.1.113762.1.4.1108.15

Numerator

NameValue Set
Diagnosis: Adverse reaction to vaccine product containing Streptococcus pneumoniae antigen (disorder)SNOMEDCT Code 293116002
Immunization, Administered: Pneumococcal Polysaccharide 23 Vaccine2.16.840.1.113883.3.464.1003.110.12.1089
rocedure, Performed: Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular useCPT Code 90732

Source(s)

eCQI CMS127


WebChart Documentation

Page Created:
Last Updated:
Last Build: Mon, 14 Nov 2022 01:22:36 EST
WikiGDrive Version: 64fa77a2dd4586094b6074a78ed6769886b60894