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Asthma: Pharmacologic Therapy for Persistent Asthma

CBE ID
0047
Endorsed
New or Maintenance
Endorsement and Maintenance (E&M) Cycle
Is Under Review
No
Measure Description

Percentage of patients aged 5 years and older with a diagnosis of persistent asthma who were prescribed long-term control medication

Three rates are reported for this measure:
1. Patients prescribed inhaled corticosteroids (ICS) as their long term control medication
2. Patients prescribed other alternative long term control medications (non-ICS)
3. Total patients prescribed long-term control medication

  • Measure Type
    Electronic Clinical Quality Measure (eCQM)
    Care Setting
    Numerator

    Patients who were prescribed long-term control medication

    Denominator

    All patients aged 5 years and older with a diagnosis of persistent asthma

    Exclusions

    Denominator Exceptions:
    Documentation of patient reason(s) for not prescribing inhaled corticosteroids or alternative long-term control medication (eg, patient declined, other patient reason)

    The AAAAI follows PCPI exception methodology and PCPI distinguishes between measure exceptions and measure exclusions. Exclusions arise when patients who are included in the initial patient or eligible population for a measure do not meet the denominator criteria specific to the intervention required by the numerator. Exclusions are absolute and apply to all patients and therefore are not part of clinical judgment within a measure.

    For this measure, exceptions may include patient reason(s) (eg, patient declined). Although this methodology does not require the external reporting of more detailed exception data, the AAAAI recommends that physicians document the specific reasons for exception in patients’ medical records for purposes of optimal patient management and audit-readiness. In further accordance with PCPI exception methodology, the AAAAI advocates the systematic review and analysis of each physician’s exceptions data to identify practice patterns and opportunities for quality improvement.

  • Most Recent Endorsement Activity
    Measure Retired and Endorsement Removed Pulmonary and Critical Care Project 2015-2016
    Initial Endorsement
    Endorsement Status
    Last Updated
    Removal Date
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    Steward Organization Copyright

    This Measure is not clinical guideline, does not establish a standard of medical care, and has not been tested for all potential applications.

    This Measure, while copyrighted, can be reproduced and distributed, without modification, for noncommercial purposes, e.g., use by health care providers in connection with their practices. Commercial use is defined as the sale, license, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain.

    Commercial uses of the Measure requires a license agreement between the user and the PCPI® Foundation (PCPI®) or American Academy of Allergy, Asthma and Immunology (AAAAI). Neither AAAAI, nor the American Medical Association (AMA), nor the AMA-convened Physician Consortium for Performance Improvement® (AMA-PCPI), now known as the PCPI, nor their members shall be responsible for any use of the Measure.

    The AMA’s, AMA-PCPI’s and National Committee for Quality Assurance’s significant past efforts and contributions to the development and updating of the Measures is acknowledged. AAAAI is solely responsible for the review and enhancement (“Maintenance”) of the Measure as of November 23, 2015.

    AAAAI encourages use of the Measure by other health care professionals, where appropriate.

    THIS MEASURE AND SPECIFICATIONS ARE PROVIDED “AS IS” WITHOUT WARRANTY OF ANY KIND.

    © November 25, 2015 PCPI® Foundation and American Academy of Allergy, Asthma and Immunology. All Rights Reserved.

    Limited proprietary coding is contained in the Measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. AAAAI, the AMA, the PCPI and its members and former members of the AMA-PCPI disclaim all liability for use or accuracy of any Current Procedural Terminology (CPT®) or other coding contained in the specifications.

    CPT® contained in the Measure specifications is copyright 2004-2015 American Medical Association. LOINC® copyright 2004-2015 Regenstrief Institute, Inc. SNOMED CLINICAL TERMS (SNOMED CT®) copyright 2004-2015 The International Health Terminology Standards Development Organisation (IHTSDO). ICD-10 is copyright 2015 World Health Organization. All Rights Reserved.