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Suboptimal Asthma Control (SAC) and Absence of Controller Therapy (ACT)

CBE ID
0548
Endorsed
New or Maintenance
Is Under Review
No
Measure Description

Rate 1 (SAC): The percentage of patients aged 5-50 years as of the last day of the measurement year with persistent asthma who were dispensed more than 3 canisters of a short-acting beta2 agonist inhaler during the same 90-day period.

Rate 2 (ACT): The percentage of patients aged 5-50 years as of the last day of the measurement year with persistent asthma who were dispensed more than 3 canisters of short-acting beta2 agonist inhalers over a 90-day period and who did not receive controller therapy during the same 90-day period.

  • Measure Type
    Electronic Clinical Quality Measure (eCQM)
    Level Of Analysis
    Data dictionary not attached
    No
    Numerator

    Rate 1 (SAC): Patients in the denominator who received more than 3 canisters of short-acting Beta2 Agonist Inhalers within a 90-day period. From the date of each prescription fill, count the total number of canisters of short-acting Beta2 Agonist Inhalers dispensed at that fill and dispensed within 90 days of that fill. If the patient receives more than 3 canisters in at least one 90-day period, then the patient is included in the numerator. (Note: This is a count of canisters dispensed, not prescriptions filled. If a patient received 2 canisters at one fill, it counts as 2 canisters.)

    Rate 2 (ACT): Patients in the denominator who were not dispensed a controller therapy medication during the same 90-day period where they received more than 3 canisters of short-acting Beta2 Agonist inhalers.

    Denominator

    Rate 1 (SAC): Patients aged 5-50 years as of the last day of the measurement year who were dispensed consecutive fills (consecutive fills = the dispensing of two asthma medications on different days within 120 days of one another) for asthma medication during the measurement year, excluding those patients who were dispensed one or more prescriptions for a COPD medication, or one or more prescriptions for a cystic fibrosis medication, or one or more prescriptions for a nasal steroid medication during the measurement year.

    Rate 2 (ACT): Patients aged 5-50 years as of the last day of the measurement year who were dispensed consecutive fills (consecutive fills = the dispensing of two asthma medications on different days within 120 days of one another) for asthma medication during the measurement year, excluding those patients who were dispensed one or more prescriptions for a COPD medication, or one or more prescriptions for a cystic fibrosis medication, or one or more prescriptions for a nasal steroid medication during the measurement year.

    Exclusions

    For rates 1 & 2, exclude any patient who filled:
    • One or more prescriptions for a COPD medication during the measurement year; or
    • One or more prescriptions for a cystic fibrosis medication during the measurement year; or
    • One or more prescriptions for a nasal steroid medication during the measurement year.

    All information required to stratify the measure results
    Off
    All information required to stratify the measure results
    Off
    Testing Data Sources
  • Risk adjustment approach
    Off
    Risk adjustment approach
    Off
    Conceptual model for risk adjustment
    Off
    Conceptual model for risk adjustment
    Off
  • Most Recent Endorsement Activity
    Measure Retired and Endorsement Removed Pulmonary and Critical Care Project 2015-2016
    Initial Endorsement
    Endorsement Status
    Last Updated
    Removal Date
  • Detailed Measure Specifications
    No
    Logic Model
    Off
    Impact and Gap
    No
    Feasibility assessment methodology and results
    No
    Address health equity
    No
    Measure’s use or intended use
    No
    508 Compliance
    Off