• Numerator: Patients with one or more screenings for colorectal cancer. Appropriate screenings are defined by any one of the following criteria below:

• Fecal occult blood test (FOBT) during the measurement period.

• Flexible sigmoidoscopy during the measurement period or the four years prior to the measurement period.

• Colonoscopy during the measurement period or the nine years prior to the measurement period.

• Denominator: Patients 50-75 years of age with an eligible visit (defined as a chart note with one of the following encounter types: Office Visit, Home Visit, Nurse Visit, Nursing Home Visit) during the measurement period.

• Denominator Exclusions: Patients with a diagnosis or past history of total colectomy or colorectal cancer.

• Denominator Exceptions: None

eCQM Patient Reports

eCQM Patient Reports can help you identify patient care gaps and improve the performance of your quality measures. Click on the blue result numbers in the eCQM Dashboard to see the patient report for this measure.

The eCQM Patient Reports list the individual patients included in the measure’s population, which measure cohorts the patient is in, and contact information for the patient to streamline any downstream communication that may be needed to fulfill the measure requirements. You can choose to print the patient list for a measure or export it as a CSV.

The measure cohorts included in the eCQM Patient Report for CMS 130v5 Colorectal Cancer Screening are:

• Initial patient population
  
• Denominator
  
• Numerator
  
• Exclusion
  

Practice Fusion Suggested Workflow
Practice Fusion suggests the following workflow to help ensure that you are able to meet the requirements of this measure within the Practice Fusion EHR.

1. Determine that the patient falls within the denominator eligible age range for the measure (50-75 years of age).

2. Complete one of the following:

1. Receive or record structured lab results for a Fecal Occult Blood Test in the Practice Fusion EHR using the suggested workflow in Table 1.

2. Perform and/or document a flexible sigmoidoscopy using the Practice Fusion suggested workflow in Table 1.

3. Perform and/or document a colonoscopy using the Practice Fusion suggested workflow in Table 1.

Table 1. Numerator Suggested Workflows for CMS 130v5

Additional Measure Information

• This 2016 measure version has been updated from the previous 2015 version specifications, incorporating the following change:

• Removed the word “below” from the measure description because it is redundant.

• To be recognized for the denominator exclusion, the patient must have a Total Colectomy procedure or diagnosis of Malignant Neoplasm of Colon recorded in his or her chart. The suggested workflow detailed in Table 2 below can be used to record the appropriate data for the patient.

• To access a complete list of qualifying procedures and test codes, visit the United States Health Information Knowledgebase (USHIK). This site is produced by the Agency for Healthcare Research and Quality (AHRQ) in partnership with CMS and the National Library of Medicine (NLM). A free Unified Medical Language System® (UMLS) license, available from NLM, is required to access USHIK.

Table 2. Suggested Workflow for CMS130v5 Denominator Exclusions

More Information