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HIV Annual Retention in Care

CBE ID
3752e
Endorsed
New or Maintenance
New
Is Under Review
No
E&M Cycle Comments

Effective March 27, 2023, the National Quality Forum (NQF) is no longer the consensus-based entity (CBE) funded through the Centers for Medicare & Medicaid Services (CMS) National Consensus Development and Strategic Planning for Health Care Quality Measurement Contract. Battelle has been selected to oversee the endorsement & maintenance (E&M) of clinical quality and cost/resource use measures. Since the Spring 2023 cycle launched at NQF, measures submitted to this E&M cycle continued along the prior E&M protocols that were in place at time of the Spring 2023 “Intent to Submit.” Battelle took over the E&M work for the Spring 2023 cycle when developers and/or stewards submitted their full measure information, which for CBE #3752e, the most recent measure specifications can be found here: https://p4qm.org/sites/default/files/2023-06/3752e_-_retention.zip

To close out this E&M cycle, Battelle published the Spring 2023 measures for pre-evaluation public commenting, convened the E&M standing committees for their measure evaluation meetings, launched the Spring 2023 post-comment period, convened the E&M committees for the post-comment meeting, convened the CSAC to render a final endorsement decision, and executed the appeals period.

 

Measure Description

Percentage of patients, regardless of age, with a diagnosis of HIV who had at least two eligible encounters or at least one eligible encounter and one HIV viral load test that were at least 90 days apart within the measurement period.

  • Measure Type
    Process
    Level Of Analysis
    Clinician: Individual
    MAT output not attached
    Attached
    Numerator

    Number of patients who had at least two eligible encounters or at least one eligible encounter and one HIV viral load test at least 90 days apart within a 12-month measurement year.

    Denominator

    All patients, regardless of age, with a diagnosis of HIV during the first 8 months of the measurement period or before the measurement period who had at least one eligible encounter during the first 8 months of the measurement period.

    Exclusions

    Not applicable.

    All information required to stratify the measure results
    Off
    All information required to stratify the measure results
    Off
    Testing Data Sources
    Electronic Health Records
  • Risk Adjustment
    No risk adjustment or risk stratification
    Risk adjustment approach
    Off
    Risk adjustment approach
    Off
    Conceptual model for risk adjustment
    Off
    Conceptual model for risk adjustment
    Off
  • Most Recent Endorsement Activity
    Primary Care and Chronic Illness Spring 2023
    Initial Endorsement
    Next Planned Maintenance Review
    Spring 2028
    Endorsement Status
    Endorsed
  • 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
    If no, attest that all information will be provided in other fields in the submission.
    Off