| Measure: Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Measure Type | High Priority Measure | Scoring |
| Process | No | A higher percentage indicates better quality |
| Denominator | Patients 65 years of age and older with a visit during the measurement period |
| Numerator | Patients who have ever received a pneumococcal vaccination |
| Denominator Exceptions | None |
| Denominator Exclusions | Exclude patients whose hospice care overlaps the measurement period |
Denominator
Patients who meet the following criteria will be included in the denominator:
Age must be ≥ 65 years at the beginning of the Measurement Period
AND
- Must have at least one encounter during the Measurement Period finalized by the EC/EP
Encounter Codes Eligible for Denominator
CPT: 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99395, 99396, 99397, 99385, 99386, 99387, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99315, 99316
HCPCS: G0438, G0439
Denominator Exclusions
Patients who were in hospice care during the measurement year will be excluded from the measure.
To document hospice care services as a procedure, go to Encounter > Orders/Procedure > Orders/Referrals and click Add to add one of the eligible codes listed below:
SNOMED CT: 385763009, 385765002
Order Status must be marked as Complete.
Note
SNOMED CT codes must be added as a Favorite in Preferences > Form Data > Orders to be accessible from the Orders/Referrals tab.
Numerator
A patient will be counted in the numerator if they receive a pneumococcal immunization before the end of the Measurement Period or if they report previously receiving a pneumococcal immunization.
Pneumococcal Vaccine Administered
Document Vaccine Administered In the Immunizations Tab
- Go to Encounters > Immunizations > Adult tab
- Click the Add button for Pneumococcal
- Complete the fields in the Serum section
- Complete the applicable fields of the Administration section
- Click Save
Document Vaccine Administered as a Procedure
To document the administration of a vaccine as a procedure, go to Encounter > Orders/Procedure > Orders/Referrals and click Add to add the eligible code listed below:
CPT: 90670
Order Status must be marked as Complete in order to count toward the numerator.
Previous Receipt of a Pneumococcal Immunization
Document a Previously Received Pneumococcal Immunization in the Immunizations Tab
- Go to Encounters > Immunizations > Adult tab
- Click the Add button for Pneumococcal
- Select the Historic checkbox
- Document the date the immunization was given in the Date field of the Administration section
- Click Save
Document a Previously Received Pneumococcal Immunization in the Past History Tab
- Go to Encounter > Past History > Structured > Medical History
- Select the hardcoded Pneumococcal vaccine node
- Populate the Date Given for the vaccine
- Click OK to save
eCQI Reference
Return to 2019 eCQMs