Percentage of patients, regardless of age, with a current diagnosis of Stage 0 through IIC melanoma or a history of melanoma of any stage, without signs or symptoms suggesting systemic spread, seen for an office visit during the one-year measurement period, for whom no diagnostic imaging studies were ordered
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1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.8 Level Of Analysis1.9 Care Setting
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1.14 Numerator
Patients for whom no diagnostic imaging studies were ordered
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1.15 Denominator
All patients, regardless of age, with a current diagnosis of Stage 0 through IIC melanoma or a history of melanoma of any stage, without signs or symptoms suggesting systemic spread, seen for an office visit during the one-year measurement period
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Exclusions
The PCPI exception methodology uses three categories of exception reasons for which a patient may be removed from the denominator of an individual measure. These measure exception categories are not uniformly relevant across all measures; for each measure, there must be a clear rationale to permit an exception for a medical, patient, or system reason. Examples are provided in the measure exception language of instances that may constitute an exception and are intended to serve as a guide to clinicians. For this measure, exceptions may include medical reason(s) (eg, patient has co-morbid condition that warrants imaging, other medical reasons) or system reason(s) for ordering diagnostic imaging studies (eg, requirement for clinical trial enrollment, ordered by another provider, other system reasons). Where examples of exceptions are included in the measure language, value sets for these examples are developed and are included in the eSpecifications. Although this methodology does not require the external reporting of more detailed exception data, the PCPI recommends that physicians document the specific reasons for exception in patients’ medical records for purposes of optimal patient management and audit-readiness. The PCPI also advocates the systematic review and analysis of each physician’s exceptions data to identify practice patterns and opportunities for quality improvement.
Documentation of medical reason(s) for ordering diagnostic imaging studies (eg, patient has co-morbid condition that warrants imaging, other medical reasons)
Documentation of system reason(s) for ordering diagnostic imaging studies (eg, requirement for clinical trial enrollment, ordered by another provider, other system reasons)
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Most Recent Endorsement ActivityMeasure Retired and Endorsement Removed Cancer Project 2015-2016Initial EndorsementLast UpdatedRemoval Date
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StewardSteward Organization EmailSteward Organization Copyright
Physician Performance Measures (Measures) and related data specifications have been developed by the American
Medical Association (AMA) convened Physician Consortium for Performance Improvement® (PCPI™) and the National
Committee for Quality Assurance (NCQA).
These performance Measures are not clinical guidelines and do not establish a standard of medical care, and have not
been tested for all potential applications.
The Measures, 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 Measures for commercial gain, or incorporation of the Measures into a product or service that is sold,
licensed or distributed for commercial gain. Commercial uses of the Measures require a license agreement between the
user and the AMA, (on behalf of the PCPI) or NCQA. Neither the AMA, NCQA, PCPI nor its members shall be responsible
for any use of the Measures.
THE MEASURES AND SPECIFICATIONS ARE PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND
© 2007-2011 American Medical Association and the National Committee for Quality Assurance. 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. The AMA, NCQA, the PCPI and its members
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 2007- 2011 American Medical Association.
LOINC® copyright 2004-2010 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms® (SNOMED CT®)
copyright 2004-2010 International Health Terminology Standards Development Organisation. All Rights Reserved.
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Risk Adjustment
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6.1.2 Current or Planned Use(s)
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Planned Use
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