CMS 130 - Colorectal Cancer Screening
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Updated: 12/09/2021
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CMS 130 / Quality ID #113
Percentage of patients 50 through 75 years of age who had appropriate screening for colorectal cancer.
Denominator: |
Patients 50-75 years of age at the start of the measurement period with a visit during the measurement period.
- Patient’s age is calculated based on the patient’s Date of Birth, which was entered when you created the patient’s account.
- Create a note detailing the patient’s office visit.
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Denominator Exclusions: |
Patients with history of or diagnosed with Malignant Neoplasm of Colon:
- "Malignant Neoplasm of Colon" is documented in the Problem List with a Start Date or "Malignant Neoplasm of Colon" is documented in Hospitalizations/Procedures. These patients will be excluded from the denominator.
If patient has history of Total Colectomy:
If patient was in Hospice during the measurement period:
Exclude patients 66 and older who are living long term in an institution for more than 90 days during the measurement period:
Exclude patients 66 and older with advanced illness and frailty because it is unlikely that patients will benefit from the services being measured:
- Patient’s age is calculated based on the patient’s Date of Birth.
- "Advanced Illness" and "Frailty" is documented under Problems with a Start Date.
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Numerator: |
Patients with one or more screening for colorectal cancer.
- "Fecal Occult Blood Test (FOBT)" is ordered in Labs/Studies during the measurement period.
- "Flexible Sigmoidoscopy" is documented under Hospitalizations/Procedures with a date that is during the measurement period or the four years prior to the measurement period. Or, it can also be documented in the Problem List with a Start Date.
- "Colonoscopy" is documented under Hospitalizations/Procedures with a date that is during the measurement period or within the nine years prior to the measurement period.
- A "FIT-DNA" test order is created in Labs/Studies AND the order is submitted via eLabs.
- A "CT Colonography" is documented under Hospitalizations/Procedures with a date that is during the measurement period or within the nine years prior to the measurement period.
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Office Visit Documentation: |
Once all steps have been completed, the measure will be added to the Quality Measures Report.
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Measure type: |
Process |
High Priority Measure: |
No |
Telehealth Eligible: |
Yes |