This measure reports the percentage of long-stay residents, 180 days of age and older, who were in a nursing facility for at least one day during the most recently completed influenza vaccination season (IVS), and who were assessed and appropriately given the seasonal influenza vaccine . The IVS is defined as beginning on October 1 and ends on March 31 of the following year. The measure is the aggregate of three separately calculated submeasures to reflect the process by which a resident is assessed and appropriately given the influenza vaccination during the current or most recent influenza season.
The three submeasures are as follows:
• resident received the influenza vaccine during the current or most recent influenza season, either in the facility or outside the facility (NQF #0681a);
• resident was offered and declined the seasonal influenza vaccine (NQF #0681b); and
• resident was ineligible to receive the seasonal influenza vaccine due to contraindication(s) (e.g., anaphylactic hypersensitivity to eggs or other components of the vaccine, see http://www.cdc.gov/flu/professionals/vaccination/vax-summary.htm) (NQF #0681c).
The denominator consists of long-stay residents 180 days of age or older on the target date of assessment who were in the facility for at least one day during the most recently-completed influenza vaccination season (IVS). This measure is based on data from the Minimum Data Set (MDS 3.0) OBRA, PPS, and/or discharge assessments during the selected influenza season. Long-stay residents are identified as those who have had 101 or more cumulative days of nursing facility care.
A separate measure (NQF #0680, Percent of Residents or Patients Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine (short stay)) is to be used for residents who have had 100 or fewer cumulative days of nursing facility care.
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1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.8 Level Of Analysis1.9 Care Setting1.20 Testing Data Sources
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1.14 Numerator
The numerator is the number of long-stay residents with a target assessment (OBRA admission, quarterly, annual or significant change/correction assessments; PPS 5-,14-, 30-, 60-, 90-day, or readmission/return assessments; or discharge assessment with or without return anticipated) who were in the denominator sample, AND who meet any of the following criteria for the selected influenza season: (1) they received the influenza vaccine during the most recent influenza season, either in the facility or outside the facility (NQF #0681a), (2) they were offered and declined the influenza vaccine (NQF #0681b), or (3) they were ineligible due to medical contraindication(s) (NQF #0681c) . The influenza season is defined as July 1 of the current year to June 30 of the following year. The IVS begins on October 1 and ends on March 31 of the following year.
Each of the three submeasure numerators described above will be computed and reported separately, alongside the overall numerator calculated as the aggregate of the three submeasure numerators.
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1.15 Denominator
The denominator is the total number of long-stay residents 180 days of age or older on the target date of the assessment who were in the nursing facility who were in a nursing facility for at least one day during the most recently completed IVS that have an OBRA, PPS, or discharge assessment and who did not meet the exclusion criteria.
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Exclusions
Residents whose age is 179 days or less on target date of selected influenza vaccination assessment are excluded.
If the facility sample includes fewer than 30 residents after all other resident-level exclusions are applied, then the facility is excluded from public reporting.
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Most Recent Endorsement ActivityMeasure Retired and Endorsement Removed Prevention and Population Health Spring Cycle 2022Initial EndorsementLast UpdatedRemoval Date
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StewardCenters for Medicare & Medicaid ServicesSteward Organization POC Email
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Risk Adjustment
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6.1.2 Current or Planned Use(s)
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