CMS 147 - Preventive Care and Screening: Influenza Immunization

CMS147v6 (2017)

CMS147v7 (2018)

CMS147v8 (2019)

Description:  Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

Initial Patient Population:  All patients aged 6 months and older seen for a visit during the measurement period.

Denominator:  Equals Initial Population and seen for a visit between October 1 and March 31

Numerator: Patients who received an influenza immunization OR who reported previous receipt of an influenza immunization.

Inverse Measure:  No

Clinical Instructions

Ensure all patients that are 6 months old or older have received a flu vaccination or reports having received a flu vaccine. Recording the receipt of the flu immunization or the administration of the vaccine can be done within or outside of the encounter:

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

Evidence

Initial Patient Population

Name Value Set
Encounter, Performed: Annual Wellness Visit 2.16.840.1.113883.3.526.3.1240
Encounter, Performed: Care Services in Long-Term Residential Facility 2.16.840.1.113883.3.464.1003.101.12.1014
Encounter, Performed: Discharge Services - Nursing Facility 2.16.840.1.113883.3.464.1003.101.12.1013
Encounter, Performed: Encounter-Influenza 2.16.840.1.113883.3.526.3.1252
Encounter, Performed: Home Healthcare Services 2.16.840.1.113883.3.464.1003.101.12.1016
Encounter, Performed: Nursing Facility Visit 2.16.840.1.113883.3.464.1003.101.12.1012
Encounter, Performed: Office Visit 2.16.840.1.113883.3.464.1003.101.12.1001
Encounter, Performed: Outpatient Consultation 2.16.840.1.113883.3.464.1003.101.12.1008
Encounter, Performed: Patient Provider Interaction 2.16.840.1.113883.3.526.3.1012
Encounter, Performed: Preventive Care Services - Established Office Visit, 18 and Up 2.16.840.1.113883.3.464.1003.101.12.1025
Encounter, Performed: Preventive Care Services - Group Counseling 2.16.840.1.113883.3.464.1003.101.12.1027
Encounter, Performed: Preventive Care Services - Other 2.16.840.1.113883.3.464.1003.101.12.1030
Encounter, Performed: Preventive Care Services, Initial Office Visit, 0 to 17 2.16.840.1.113883.3.464.1003.101.12.1022
Encounter, Performed: Preventive Care Services-Individual Counseling 2.16.840.1.113883.3.464.1003.101.12.1026
Encounter, Performed: Preventive Care Services-Initial Office Visit, 18 and Up 2.16.840.1.113883.3.464.1003.101.12.1023
Encounter, Performed: Preventive Care, Established Office Visit, 0 to 17 2.16.840.1.113883.3.464.1003.101.12.1024
Procedure, Performed: Hemodialysis 2.16.840.1.113883.3.526.3.1083
Procedure, Performed: Peritoneal Dialysis 2.16.840.1.113883.3.526.3.1084

Denominator

Equal to Initial Patient Population

Numerator

Name Value Set
Communication: From Patient To Provider: Previous Receipt of Influenza Vaccine 2.16.840.1.113883.3.526.3.1185
Immunization, Administered: Influenza Vaccine 2.16.840.1.113883.3.526.3.1254
Procedure, Performed: Influenza Vaccination 2.16.840.1.113883.3.526.3.402

Denominator Exception

Name Value Set
Allergy/Intolerance: Egg Substance 2.16.840.1.113883.3.526.3.1537
Allergy/Intolerance: Influenza Vaccination 2.16.840.1.113883.3.526.3.402
Allergy/Intolerance: Influenza Vaccine 2.16.840.1.113883.3.526.3.1254
Communication: From Patient To Provider: Influenza Vaccination Declined 2.16.840.1.113883.3.526.3.1255
Diagnosis: Allergy to Eggs 2.16.840.1.113883.3.526.3.1253
Diagnosis: Allergy to Influenza Vaccine 2.16.840.1.113883.3.526.3.1256
Diagnosis: Intolerance to Influenza Vaccine 2.16.840.1.113883.3.526.3.1257
Immunization, Not Administered: Influenza Vaccine 2.16.840.1.113883.3.526.3.1254

2.16.840.1.113883.3.526.3.1008

2.16.840.1.113883.3.526.3.1009

Procedure, Not Performed: Influenza Vaccination 2.16.840.1.113883.3.526.3.402

2.16.840.1.113883.3.526.3.1008

2.16.840.1.113883.3.526.3.1009

Source(s)

Medical Codify

WebChart Documentation
Last Build: Wed, 08 Sep 2021 00:25:58 EDT Legacy Documentation