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High Risk for Pneumococcal Disease - Pneumococcal Vaccination

CBE ID
0617
Endorsed
Endorsement Status
1.1 New or Maintenance
E&M Cycle
Is Under Review
No
1.3 Measure Description

The percentage of patients aged 2 through 64 with a high risk condition, or aged 65 years and older who either received a pneumococcal vaccine (reported separately) or had a contraindication to pneumococcal vaccine (reported separately).

        • 1.14 Numerator

          Two separate numerators:
          1. Patients who received a pneumococcal vaccine
          2. Patients who have a contraindication to pneumococcal vaccine

        • 1.15 Denominator

          Patients aged 2 through 64 years with a high risk condition (e.g., diabetes, heart failure, COPD, end-stage kidney disease, nephrotic syndrome, chronic kidney disease, chronic dialysis, asplenia, malignancy, solid organ transplant, on immunosuppressive medications, HIV) or patients aged 65 years and older.

        • Exclusions

          (Words written in all capitals are element names. Please refer to the code set for full description)

          Specific Exclusions:
          1. Exclusions associated with Validation Rules (see below)
          a. Diabetes adult validation is confirmed (see below)
          b. Pediatric type 1 diabetes validation is confirmed (see below)
          c. Pediatric type 2 diabetes validation is confirmed (see below)
          d. Dialysis Chronic Validation is confirmed (see below)
          e. CHF Any Stage validation is confirmed (see below)
          f. COPD validation is confirmed (see below)
          2. Allergy or anaphylactic reaction to the pneumococcal vaccine

          General exclusions:
          1. Patients who are terminally ill or in Hospice

        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed Health and Well Being Endorsement Maintenance Project 2014
          Initial Endorsement
          Last Updated
          Removal Date
        • Steward Organization Email
          Steward Organization Copyright

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