Measure: CMS153
Chlamydia Screening for Women
Measure Versions
eMeasure Code |
Measure Year |
Full Version Number |
Title |
CMS153v12 |
2024 |
12.0.000 |
Chlamydia Screening in Women |
CMS153v11 |
2023 |
11 |
Chlamydia Screening for Women |
CMS153v10 |
2022 |
10.0.000 |
Chlamydia Screening for Women |
CMS153v9 |
2021 |
9.2.000 |
Chlamydia Screening for Women |
CMS153v8 |
2020 |
8.1.000 |
Chlamydia Screening for Women |
CMS153v7 |
2019 |
7.4.000 |
Chlamydia Screening for Women |
CMS153v6 |
2018 |
6.2.000 |
Chlamydia Screening for Women |
CMS153v5 |
2017 |
5.0.000 |
Chlamydia Screening for Women |
Description
Percentage of women 16-24 years of age who were identified as sexually active and who had at least one test for chlamydia during the measurement period
Guidance
Codes to identify sexually active women include codes for: pregnancy, sexually transmitted infections, contraceptives or contraceptive devices, and infertility treatments.
The denominator exclusion does not apply to patients who qualify for the initial population (IP) based on services other than the pregnancy test alone. These other services include services for sexually transmitted infections, contraceptives or contraceptive devices and infertility treatments. For example, a patient who has both a pregnancy test and a chlamydia diagnosis, either of which would qualify them for the IP, would not be eligible for this denominator exclusion.
Patient self-report for procedures as well as diagnostic studies should be recorded in 'Procedure, Performed' template or 'Diagnostic Study, Performed' template in QRDA-1. Patient self-report is not allowed for laboratory tests.
This eCQM is a patient-based measure.
This version of the eCQM uses QDM version 5.5. Please refer to the eCQI resource center (https://ecqi.healthit.gov/qdm) for more information on the QDM.
Patient Group Definitions
Group |
Description |
Instructions Links |
Initial Population | Women 16 to 24 years of age who are sexually active and who had a visit in the measurement period | Webchart Instructions |
Denominator | Equals Initial Population | Webchart Instructions |
Denominator Exclusions | Women who are only eligible for the initial population due to a pregnancy test and who had an order for an x-ray or for a specified medication within 7 days of the pregnancy test.
Exclude patients who are in hospice care for any part of the measurement period. | Webchart Instructions |
Numerator | Women with at least one chlamydia test during the measurement period | Webchart Instructions |
Numerator Exclusions | Not Applicable | Webchart Instructions |
Denominator Exceptions | None | |
Details
Full eMeasure Code |
eMeasure Identifier |
Measure Year |
Version |
NQF # |
GUID |
CMS153v10 |
153 |
2022 |
10.0.000 |
Not Applicable |
c9930664-be3d-4ffe-ae4a-5cf4933ecb89 |
Steward |
Developer |
Endorsed By |
National Committee for Quality Assurance |
National Committee for Quality Assurance |
|
Scoring Method |
Measure Type |
Stratification |
Risk Adjustment |
Proportion |
PROCESS |
Report a total score, and each of the following strata:
Stratum 1: Patients age 16-20
Stratum 2: Patients age 21-24 |
None |
Rate Aggregation
None
Improvement Notation
Higher score indicates better quality
Rationale
Chlamydia trachomatis is the most common sexually transmitted bacterial infection in the U.S., resulting in roughly 1.7 million cases (Centers for Disease Control and Prevention, 2019). Chlamydia infections are often asymptomatic, but, if left untreated, can lead to serious and irreversible complications (U.S. Preventive Services Task Force, 2014; Centers for Disease Control and Prevention, 2019).
Women are particularly vulnerable when infected with chlamydia. Left untreated, chlamydia can cause pelvic inflammatory disease (PID), which can lead to chronic pelvic pain or infertility. Pregnant women may also transmit the infection to their infant, potentially resulting in neonatal pneumonia (Centers for Disease Control and Prevention, 2019).
Clinical Recommendation Statement
U.S. Preventive Services Task Force (2014) recommends screening for chlamydia in sexually active females aged 24 years or younger and in older women who are at increased risk for infection (B recommendation)
Definition
None
Transmission Format
TBD
Applicable Value Sets
Category |
Value Set |
OID |
Assessment, Performed |
Sexually Active |
2.16.840.1.113883.3.464.1003.121.12.1040 |
Diagnosis |
Complications of Pregnancy, Childbirth and the Puerperium |
2.16.840.1.113883.3.464.1003.111.12.1012 |
Diagnosis |
Diagnoses Used to Indicate Sexual Activity |
2.16.840.1.113883.3.464.1003.111.12.1018 |
Diagnosis |
HIV |
2.16.840.1.113883.3.464.1003.120.12.1003 |
Diagnostic Study, Order |
Diagnostic Studies During Pregnancy |
2.16.840.1.113883.3.464.1003.111.12.1008 |
Diagnostic Study, Order |
X-Ray Study (all inclusive) |
2.16.840.1.113883.3.464.1003.198.12.1034 |
Encounter, Performed |
Encounter Inpatient |
2.16.840.1.113883.3.666.5.307 |
Encounter, Performed |
Home Healthcare Services |
2.16.840.1.113883.3.464.1003.101.12.1016 |
Encounter, Performed |
Office Visit |
2.16.840.1.113883.3.464.1003.101.12.1001 |
Encounter, Performed |
Online Assessments |
2.16.840.1.113883.3.464.1003.101.12.1089 |
Encounter, Performed |
Preventive Care - Established Office Visit, 0 to 17 |
2.16.840.1.113883.3.464.1003.101.12.1024 |
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-Initial Office Visit, 18 and Up |
2.16.840.1.113883.3.464.1003.101.12.1023 |
Encounter, Performed |
Preventive Care- Initial Office Visit, 0 to 17 |
2.16.840.1.113883.3.464.1003.101.12.1022 |
Encounter, Performed |
Telephone Visits |
2.16.840.1.113883.3.464.1003.101.12.1080 |
Intervention, Order |
Hospice care ambulatory |
2.16.840.1.113762.1.4.1108.15 |
Intervention, Performed |
Hospice care ambulatory |
2.16.840.1.113762.1.4.1108.15 |
Laboratory Test, Order |
Lab Tests During Pregnancy |
2.16.840.1.113883.3.464.1003.111.12.1007 |
Laboratory Test, Order |
Lab Tests for Sexually Transmitted Infections |
2.16.840.1.113883.3.464.1003.110.12.1051 |
Laboratory Test, Order |
Pap Test |
2.16.840.1.113883.3.464.1003.108.12.1017 |
Laboratory Test, Order |
Pregnancy Test |
2.16.840.1.113883.3.464.1003.111.12.1011 |
Laboratory Test, Performed |
Chlamydia Screening |
2.16.840.1.113883.3.464.1003.110.12.1052 |
Medication, Active |
Contraceptive Medications |
2.16.840.1.113883.3.464.1003.196.12.1080 |
Medication, Order |
Contraceptive Medications |
2.16.840.1.113883.3.464.1003.196.12.1080 |
Medication, Order |
Isotretinoin |
2.16.840.1.113883.3.464.1003.196.12.1143 |
Patient Characteristic Ethnicity |
Ethnicity |
2.16.840.1.114222.4.11.837 |
Patient Characteristic Payer |
Payer |
2.16.840.1.114222.4.11.3591 |
Patient Characteristic Race |
Race |
2.16.840.1.114222.4.11.836 |
Patient Characteristic Sex |
Female |
2.16.840.1.113883.3.560.100.2 |
Patient Characteristic Sex |
ONC Administrative Sex |
2.16.840.1.113762.1.4.1 |
Procedure, Performed |
Procedures Used to Indicate Sexual Activity |
2.16.840.1.113883.3.464.1003.111.12.1017 |
References
CITATIONCenters for Disease Control and Prevention (CDC). (2019). Sexually Transmitted Disease Surveillance 2018. Atlanta: U.S. Department of Health and Human Services.
CITATIONLeFevre, M. L., & U.S. Preventive Services Task Force. (2014). Screening for Chlamydia and gonorrhea: U.S. Preventive Services Task Force recommendation statement. Annals of Internal Medicine, 161(12), 902–910. https://doi.org/10.7326/M14-1981
Disclaimer
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Source:
https://ecqi.healthit.gov/ecqm/measures/cms153v1