CMS 147 - Preventive Care and Screening: Influenza Immunization

Overview

CMS147v9 (2020)
CMS147v10 (2021)
CMS147v11 (2022)

Identifiers

CMS eCQM ID	NQF eCQM ID	NQF	MIPS Quality ID
CMS147v11	0041e	0041	110

*MIE only supports data collection and reporting using eCQM specifications

Definitions

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
Denominator Exclusions	–
Numerator	Patients who received an influenza immunization OR who reported previous receipt of an influenza immunization
Numerator Exclusions	–
Denominator Exceptions	Documentation of medical reason(s) for not receiving influenza immunization (e.g., patient allergy, other medical reasons). Documentation of patient reason(s) for not receiving influenza immunization (e.g., patient declined, other patient reasons). Documentation of system reason(s) for not receiving influenza immunization (e.g., vaccine not available, other system reasons).

Additional Information

Measure Type	Process measure
Measure Scoring	Proportion measure
Granularity	Patient
Improvement Notation	Higher score indicates better quality
Domain	Community/Population Health

Clinical Instructions

New UI Visit Encounter (valid RC202109+)

Original Visit Encounter

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:

1. Option 1: Record the Receipt of Flu Immunization (Historical)
   • 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
   • 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 Flu Vaccine
   • 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 and fill in all required fields
     5. Click the Next button, or close the section
     6. Continue documenting the encounter as needed
     7. When completed, Close and Archive the encounter
   • 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

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 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 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: 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
Encounter, Performed: Telephone Visits	2.16.840.1.113883.3.464.1003.101.12.1080
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

Numerator

Name	Value Set
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 Exceptions

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
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

Source(s)

eCQI CMS147