In order for the Clinical Quality Measure report to generate, the following must be documented in the relevant patient's chart:

1. The patient must be between the ages of 5 and 40 and have at least 2 face-to-face SOAPnotes during the reporting period.  

2. A diagnosis of Asthma (recorded by using any of the ICD9 codes listed below) in the Summary Active Problems field:

(493.00, 493.01, 493.02, 493.10, 493.11, 493.12, 493.20, 493.21, 493.22, 493.81, 493.82, 493.90, 493.91, 493.92).

3. Documentation that the patient has been evaluated, during one of the office visits, for the frequency of daytime and nocturnal asthma symptoms.  To do this, use the shortcut code, "PQRIastAss".  This will insert the picklist header, "Asthma assessment QM:  Asthma symptoms evaluation QM", which will provide a list of criteria from which to document the frequency of daytime and nocturnal asthma symptoms.  The CPT code c1005F, must display in the encounter Plan field of at least 1 of the encounters in order to document that the frequency of daytime and nocturnal asthma symptoms has been evaluated.  Note: CPT code 1005F-8P will not increase the numerator as it indicated that asthma symptoms evaluation was NOT performed.

*  If the above is documented appropriately, this should increase the numerator and denominator for this measure to indicate that the patient aged 5 through 40 years who has a diagnosis and has been seen for at least 2 office visits, has been evaluated once within 12 months for the frequency of daytime or nocturnal asthma symptoms.

Numerator Calculation:

The numerator for this measure is calculated based on the following:

1.  The number of patients in the denominator that have the appropriate CPT item in the SOAPnote Plan field: 1005f.

Denominator Calculation:

The denominator for this measure is calculated based on the following:

1.  The number of patients that were between the ages of 5 years to 40 years by the start of the reporting period and have had at least two face-to-face encounters with the provider during the reporting period;

2.  And have a diagnosis in the Summary Active Problems field of Asthma.  This can be accomplished by the documentation of one of the following ICD codes: 493.00, 493.01, 493.02, 493.10, 493.11, 493.12, 493.20, 493.21, 493.22, 493.81, 493.82, 493.90, 493.91, 493.92.

All of the items listed in the above steps need to be documented as structured data (as detailed above) in order to allow the user to capture the numerator, denominator and percentage for this quality measure.  

For information on how to export the numerator, denominator and percentage for each Clinical Quality Measure, click here.

For more information on reporting clinical quality measures, click here.