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Rheumatoid Arthritis New DMARD Baseline CBC

CBE ID
0591
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
1.3 Measure Description

This measure identifies adult patients with a diagnosis of rheumatoid arthritis who received appropriate baseline complete blood count (CBC) testing within 90 days before to 14 days after the new start of sulfasalazine, methotrexate, leflunomide, azathioprine, D-Penicillamine, intramuscular gold, oral gold, cyclosporine, or cyclophosphamide during the measurement year.

        • 1.14 Numerator

          Patients in the denominator who received CBC testing within 90 days before to 14 days after the new start of sulfasalazine, methotrexate, leflunomide, azathioprine, D-Penicillamine, intramuscular gold, oral gold, cyclosporine, or cyclophosphamide.

        • 1.15 Denominator

          Patients >=18 years old with a history of rheumatoid arthritis and a new start of sulfasalazine, methotrexate, leflunomide, azathioprine, D-Penicillamine, intramuscular gold, oral gold, cyclosporine, or cyclophosphamide anytime from the beginning of the measurement year to 14 days prior to the end of the measurement year. (This list of DMARDs will hereafter be referred to as ´DMARD needing baseline CBC´ )

        • Exclusions

          The measure excludes patients who have had an inpatient hospitalization during the measurement year because UB04 claims do not document individual lab tests ordered during an inpatient stay.

        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed Musculoskeletal Endorsement Maintenance Project
          Initial Endorsement
          Last Updated
          Removal Date
        • Steward
          Resolution Health, Inc.
          Steward Organization POC Email