Cms-10434 #26 Cqm2018-ima-ch

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

Medicaid and CHIP Program (MACPro)
CQM 2018 - Immunizations for Adolescents (IMACH) Core Measure PRA Document
Version 1.0
07/01/2018

Document Number: 414-CQM 2018-IMA-CH-PRA-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

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Table of Contents

Table of Contents
1. Immunizations for Adolescents (IMA-CH) Screenshots ....................................... 1
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8
1.9
1.10
1.11
1.12

Measurement Specifications – Path 1 ............................................................. 1
Measurement Specifications – Path 2 ............................................................. 1
Data Source .................................................................................................... 2
Date Range ..................................................................................................... 2
Definition of Population Included in the Measure ............................................ 3
Performance Measure – Path 1 – Screenshot 1 ............................................. 4
Performance Measure – Path 1 – Screenshot 2 ............................................. 5
Deviations from Measure Specifications ......................................................... 5
Combined Rate(s) from Multiple Reporting Units ............................................ 6
Additional Notes/Comments on Measure (Optional) ....................................... 7
Optional Measure Stratification – Screenshot 1 .............................................. 7
Optional Measure Stratification – Screenshot 2 .............................................. 8

Appendix A: Acronyms ................................................................................................. 9

List of Figures
Figure 1: Measurement Specifications – Path 1 .............................................................. 1
Figure 2: Measurement Specifications – Path 2 .............................................................. 1
Figure 3: Data Source ..................................................................................................... 2
Figure 4: Date Range ...................................................................................................... 2
Figure 5: Definition of Population Included in the Measure ............................................. 3
Figure 6: Performance Measure – Screenshot 1 ............................................................. 4
Figure 7: Performance Measure – Screenshot 2 ............................................................. 5
Figure 8: Deviations from Measure Specifications .......................................................... 6
Figure 9: Combined Rate(s) from Multiple Reporting Units ............................................. 6
Figure 10: Additional Notes/Comments on Measure (Optional) ...................................... 7
Figure 11: Optional Measure Stratification – Screenshot 1 ............................................. 7
Figure 12: Optional Measure Stratification – Screenshot 2 ............................................. 8

CQM 2018 - Immunizations for Adolescents (IMA-CH) Core Measure PRA Document Version
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List of Tables

List of Tables
No table of figures entries found.

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Measurement Specifications – Path 1

1. Immunizations for Adolescents (IMA-CH) Screenshots
1.1

Measurement Specifications – Path 1

Figure 1: Measurement Specifications – Path 1

1.2

Measurement Specifications – Path 2

Figure 2: Measurement Specifications – Path 2

CQM 2018 - Immunizations for Adolescents (IMA-CH) Core Measure PRA Document Version
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1.3

Data Source

Data Source

Figure 3: Data Source

1.4

Date Range

Figure 4: Date Range

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1.5

Definition of Population Included in the Measure

Definition of Population Included in the Measure

Figure 5: Definition of Population Included in the Measure

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1.6

Performance Measure – Path 1 – Screenshot 1

Performance Measure – Path 1 – Screenshot 1

Figure 6: Performance Measure – Screenshot 1

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1.7

Performance Measure – Path 1 – Screenshot 2

Performance Measure – Path 1 – Screenshot 2

Figure 7: Performance Measure – Screenshot 2

1.8

Deviations from Measure Specifications

Note: Same N/D/R sets are displayed under each of the deviation categories

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Combined Rate(s) from Multiple Reporting Units

Figure 8: Deviations from Measure Specifications

1.9

Combined Rate(s) from Multiple Reporting Units

Figure 9: Combined Rate(s) from Multiple Reporting Units
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Additional Notes/Comments on Measure (Optional)

1.10 Additional Notes/Comments on Measure (Optional)

Figure 10: Additional Notes/Comments on Measure (Optional)

1.11 Optional Measure Stratification – Screenshot 1
Note: Same N/D/R sets are displayed under each of the stratification categories

Figure 11: Optional Measure Stratification – Screenshot 1

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Optional Measure Stratification – Screenshot 2

1.12 Optional Measure Stratification – Screenshot 2
Note: Same N/D/R sets are displayed under each of the stratification categories

Figure 12: Optional Measure Stratification – Screenshot 2

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Optional Measure Stratification – Screenshot 2

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

CQM

Child Quality Measures

PRA

Paperwork Reduction Act of 1995

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