Measure: CMS50
Closing the Referral Loop: Receipt of Specialist Report
Measure Versions
| eMeasure Code |
Measure Year |
Full Version Number |
Title |
| CMS50v12 |
2024 |
12.0.000 |
Closing the Referral Loop: Receipt of Specialist Report |
| CMS50v11 |
2023 |
11 |
Closing the Referral Loop: Receipt of Specialist Report |
| CMS50v10 |
2022 |
10.0.000 |
Closing the Referral Loop: Receipt of Specialist Report |
| CMS50v9 |
2021 |
9.2.000 |
Closing the Referral Loop: Receipt of Specialist Report |
| CMS50v8 |
2020 |
8.0.000 |
Closing the Referral Loop: Receipt of Specialist Report |
| CMS50v7 |
2019 |
7.1.000 |
Closing the Referral Loop: Receipt of Specialist Report |
| CMS50v6 |
2018 |
6.0.000 |
Closing the Referral Loop: Receipt of Specialist Report |
| CMS50v5 |
2017 |
5.0.000 |
Closing the Referral Loop: Receipt of Specialist Report |
Description
Percentage of patients with referrals, regardless of age, for which the referring clinician receives a report from the clinician to whom the patient was referred.
Guidance
Patient Group Definitions
| Group |
Description |
Instructions Links |
| Initial Population | Number of patients, regardless of age, who had an encounter during the measurement period and were referred by one clinician to another clinician on or before October 31 | Webchart Instructions |
| Denominator | Equals Initial Population | Webchart Instructions |
| Denominator Exclusions | None | |
| Numerator | Number of patients with a referral on or before October 31, for which the referring clinician received a report from the clinician to whom the patient was referred | Webchart Instructions |
| Numerator Exclusions | Not Applicable | Webchart Instructions |
| Denominator Exceptions | None | |
Details
| Full eMeasure Code |
eMeasure Identifier |
Measure Year |
Version |
NQF # |
GUID |
| CMS50v11 |
50 |
2023 |
11 |
N/A |
f58fc0d6-edf5-416a-8d29-79afbfd24dea |
| Steward |
Developer |
Endorsed By |
| Centers for Medicare & Medicaid Services (CMS) |
Mathematica |
None |
| Scoring Method |
Measure Type |
Stratification |
Risk Adjustment |
| Proportion |
Process |
None |
None |
Rate Aggregation
None
Improvement Notation
Higher score indicates better quality
Rationale
Clinical Recommendation Statement
Definition
Transmission Format
Applicable Value Sets
| Category |
Value Set |
OID |
| Communication, Performed |
Consultant Report |
2.16.840.1.113883.3.464.1003.121.12.1006 |
| Encounter, Performed |
Office Visit |
2.16.840.1.113883.3.464.1003.101.12.1001 |
| Encounter, Performed |
Ophthalmological Services |
2.16.840.1.113883.3.526.3.1285 |
| 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 |
| Intervention, Order |
Referral |
2.16.840.1.113883.3.464.1003.101.12.1046 |
| Intervention, Performed |
Referral |
2.16.840.1.113883.3.464.1003.101.12.1046 |
| 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 |
ONC Administrative Sex |
2.16.840.1.113762.1.4.1 |
References
Disclaimer
Copyright
Source:
https://ecqi.healthit.gov/ecqm/measures/cms50v1