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Disease-Modifying Anti-Rheumatic Drug Therapy for Rheumatoid Arthritis (ART)

CBE ID
0054
1.5 Project
Primary Care and Chronic Illness
Endorsement Status
Endorsement Removed
1.0 New or Maintenance
Maintenance
1.1 Measure Structure
Single Measure
Previous Endorsement Cycle
Fall 2019
Is Under Review
No
1.6 Measure Description

The percentage of patients 18 years of age and older who were diagnosed with rheumatoid arthritis and who were dispensed at least one ambulatory prescription for a disease-modifying anti-rheumatic drug (DMARD).

Measure Specs
General Information
1.7 Measure Type
Process
1.3 Electronic Clinical Quality Measure (eCQM)
No
1.8 Level of Analysis
Health Plan
Integrated Delivery System
1.9 Care Setting
Outpatient Services
1.20 Types of Data Sources
Claims Data
Electronic Health Data
Electronic Health Records: Electronic Health Records
1.14 Numerator

Patients who were dispensed at least one ambulatory prescription for a disease-modifying anti-rheumatic drug (DMARD) during the measurement year.

1.15 Denominator

All patients, ages 18 years and older by December 31 of the measurement year, who had two of the following with different dates of service on or between January 1 and November 30 of the measurement year:

- Outpatient visit, with any diagnosis of rheumatoid arthritis
- Nonacute inpatient discharge, with any diagnosis of rheumatoid arthritis

Visit type need not be the same for the two visits.

Exclusions

Exclude patients who use hospice services or elect to use a hospice benefit any time during the measurement year, regardless of when the services began.

Exclude patients who have a diagnosis of HIV. Look for evidence of HIV diagnosis as far back as possible in the patient’s history through the end of the measurement year.

Exclude patients who have a diagnosis of pregnancy any time during the measurement year.

Most Recent Endorsement Activity
Measure Retired and Endorsement Removed Primary Care and Chronic Illness Fall Cycle 2019
Initial Endorsement
Last Updated
Removal Date
Steward Organization
National Committee for Quality Assurance
Steward POC email
measureendorsement@ncqa.org
Steward Organization Copyright

© 2005 by the National Committee for Quality Assurance
1100 13th Street, NW, Suite 1000
Washington, DC 20005

Risk Adjustment
No risk adjustment or risk stratification
Use
Use In Federal Program
Medicare Physician Quality Reporting System (PQRS)
Physician Feedback/Quality and Resource Use Reports (QRUR)
Physician Value-Based Payment Modifier (VBM)
Public Comments