Cms-10434 #26 Aqm2017-fva

Centers for Medicare & Medicaid
Services
CMS eXpedited Life Cycle (XLC)

Medicaid and CHIP Program (MACPro)
AQM 2017 – Flu Vaccinations for Adults Ages 18
to 64 (FVA) Core Measure PRA document
Version 1.0
08/30/2017

Document Number: 292-QSSI-MACPro-PRA-AQM017-FVA-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Flu Vaccinations for Adults Ages 18 to 64 (FVA) Core Measure Screenshots ... 1
1.1
1.2
1.3
1.4
1.5
1.6
1.7

Are you reporting on this measure .................................................................. 1
Measurement Specification – Path 1 ............................................................... 1
Measurement Specification – Path 2 ............................................................... 1
Data Source .................................................................................................... 1
Performance Measure ..................................................................................... 2
Deviations from Measurement Specifications ................................................. 2
Optional Measure Stratification ....................................................................... 3

Appendix A: Acronyms ................................................................................................. 4

List of Figures
Figure 1: Are you reporting on this measure ................................................................... 1
Figure 2: Measurement Specification – Path 1................................................................ 1
Figure 3: Measurement Specification – Path 2................................................................ 1
Figure 4: Data Source ..................................................................................................... 1
Figure 5: Performance Measure ...................................................................................... 2
Figure 6: Deviations from Measurement Specifications .................................................. 2
Figure 7: Optional Measure Stratification ........................................................................ 3

List of Tables
Table 1: Acronyms .......................................................................................................... 4

AQM 2017 – Flu Vaccinations for Adults Ages 18 to 64 (FVA) Core Measure PRA document Version
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Flu Vaccinations for Adults Ages 18 to 64 (FVA) Core Measure Screenshots

1. Flu Vaccinations for Adults Ages 18 to 64 (FVA)
Core Measure Screenshots
1.1

Are you reporting on this measure

Figure 1: Are you reporting on this measure

1.2

Measurement Specification – Path 1

Figure 2: Measurement Specification – Path 1

1.3

Measurement Specification – Path 2

Figure 3: Measurement Specification – Path 2

1.4

Data Source

Figure 4: Data Source

AQM 2017 – Flu Vaccinations for Adults Ages 18 to 64 (FVA) Core Measure PRA document Version
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1.5

Flu Vaccinations for Adults Ages 18 to 64 (FVA) Core Measure Screenshots

Performance Measure

Figure 5: Performance Measure

1.6

Deviations from Measurement Specifications

Figure 6: Deviations from Measurement Specifications

AQM 2017 – Flu Vaccinations for Adults Ages 18 to 64 (FVA) Core Measure PRA document Version
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1.7

Flu Vaccinations for Adults Ages 18 to 64 (FVA) Core Measure Screenshots

Optional Measure Stratification

Note: Same N/D/R sets are applicable under each of the stratification

Figure 7: Optional Measure Stratification

AQM 2017 – Flu Vaccinations for Adults Ages 18 to 64 (FVA) Core Measure PRA document Version
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CMS XLC

Flu Vaccinations for Adults Ages 18 to 64 (FVA) Core Measure Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

AQM

Adult Quality Measures

PRA

Paperwork Reduction Act of 1995

AQM 2017 – Flu Vaccinations for Adults Ages 18 to 64 (FVA) Core Measure PRA document Version
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