NQF 0032 (Additional): Cervical Cancer Screening

Measure: NQF 0032 (Additional Measure)

Measure Title: Cervical Cancer Screening

Measure Description: Percentage of women 21-64 years of age, whom received one or more Pap tests to screen for cervical cancer.

*REQUIRED FOR MEANINGFUL USE (MU) ADDITIONAL QM MEASURE: Click here to view Meaningful Use Criteria.

Quality Measure Documentation Workflow

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 21 and 64 at the start of the reporting period AND have at least one face-to-face encounter with the provider during the reporting period and received one or more PAP tests to screen for cervical cancer within the reporting period.
  2. Patient must have documentation that a PAP test has been performed. Inserting the shortcut code, “CerCanQM” in the SOAPnote Plan field will insert the pick list hearder, “Cervical Cancer Screening QM:”  
  3. Clicking on the header will display a list of items in SMARText Quick Access that meet the criteria. The encounter Plan field or the summary Interventions field must contain one of the following CPT codes: 88141, 88142, 88143, 88147, 88148, 88150, 88152, 88153, 88154, 88155, 88164, 88165, 88166, 88167, 88174, 88175.

 

Measurement Calculation Details

Numerator Calculation:

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

1. The number of patients in the denominator that have a face-to-face encounter within the reporting period that has the appropriate CPT item in the SOAPnote Plan field: 88141, 88142, 88143, 88147, 88148, 88150, 88152, 88153, 88154, 88155, 88164, 88165, 88166, 88167, 88174, 88175.

Denominator Calculation:

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

1. The number of female patients ages 21-64 and have at least one face-to-face encounter with the provider during the reporting period.

 

Report Clinical Quality Measures to CMS/States

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