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CMS-1403-FC Measure Title Measure Source Rheumatoid Arthritis: Assessment and Classification of Disease Prognosis AMA-PCPI/NCQA Rheumatoid Arthritis: Glucocorticoid Management AMA-PCPI/NCQA Endoscopy & Polyp Surveillance: Surveillance Colonoscopy Interval in Patients with History of Adenomatous Polyps AMA-PCPI/NCQA Wound Care: Use of Compression System in Patients with Venous Ulcers AMA-PCPI/NCQA HIV/AIDS: CD4+ Cell Count or CD4+ Percentage + AMA-PCPI/NCQA HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis + HIV/AIDS: Adolescent and Adult Patients with HIV/AIDS who are Prescribed Potent Antiretroviral Therapy + HIV/AIDS: HIV RNA Control After 6 Months of Potent Antiretroviral Therapy + Elder Maltreatment Screen and Follow-up Plan AMA-PCPI/NCQA AMA-PCPI/NCQA AMA-PCPI/NCQA QIP/CMS Functional Outcome Assessment in Chiropractic Care QIP/CMS Endarterectomy: Use of Patch During Conventional Endarterectomy SVS + This measure is reportable only via registry-based reporting and is not reportable via claims-based reporting. These measures were selected based on the comments received, whether the measure received NQF endorsement and/or AQA adoption by August 31, 2008, and whether the measure was ready for implementation by October 15, 2008. A measure was considered ready for implementation for the purposes of the 2009 PQRI if by October 15, 2008-- (1) the final, detailed specifications for use of the measure in data collection for PQRI have been completed and are ready for implementation, and (2) all of the CPT II codes required for the measure have been established and will be effective for CMS claims based submission on or before January 1, 2009. 640
CMS-1403-FC These additional measures augment the opportunity for eligible professionals to submit quality data under the PQRI where there were limited measures. These additional measures include the addition of measures for nuclear medicine services, pediatric ESRD services, rheumatoid arthritis services, gastroenterology services, wound care, and chiropractic services. The following proposed measures are not included in the final set of 2009 PQRI quality measures listed in Table 18 because they did not achieve NQF endorsement or AQA adoption as of August 31, 2008: Ulcers ● Chronic Wound Care: Offloading of Diabetic Foot ● Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Arterial Disease – Ankle Brachial Index ● Endarterectomy: Perioperative Stroke or Death in Asymptomatic Patient Undergoing Carotid Endarterectomy (CEA). The following proposed measures are not included in the final set of 2009 PQRI quality measures listed in Table 18 because they were not ready for implementation by October 15, 2008: ● Lipid Screening 641
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<strong>CMS</strong>-1403-FC<br />
These additional measures augment the opportunity for<br />
eligible professionals to submit quality data under the<br />
PQRI where there were limited measures. These additional<br />
measures include the addition of measures for nuclear<br />
medicine services, pediatric ESRD services, rheumatoid<br />
arthritis services, gastroenterology services, wound care,<br />
and chiropractic services.<br />
The following proposed measures are not included in<br />
the final set of 2009 PQRI quality measures listed in<br />
Table 18 because they did not achieve NQF endorsement or<br />
AQA adoption as of August 31, 2008:<br />
Ulcers<br />
● Chronic Wound Care: Offloading of Diabetic Foot<br />
● Diabetes Mellitus: Diabetic Foot and Ankle Care,<br />
Peripheral Arterial Disease – Ankle Brachial Index<br />
● Endarterectomy: Perioperative Stroke or Death in<br />
Asymptomatic Patient Undergoing Carotid Endarterectomy<br />
(CEA).<br />
The following proposed measures are not included in<br />
the final set of 2009 PQRI quality measures listed in<br />
Table 18 because they were not ready for implementation by<br />
October 15, 2008:<br />
● Lipid Screening<br />
641
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