NQF 0012 (Additional): Prenatal Care - Screening for Human Immunodeficiency Virus (HIV)

Measure:  NQF 0012 (Additional Measure)

Measure Title:  Prenatal Care:  Screening for Human Immunodeficiency Virus (HIV)

Measure Description:  Percentage of patients, regardless of age, who gave birth during a 12-month period who were screened for HIV infection during the first or second prenatal visit.

Quality Measure Documentation Workflow

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 have at least one face to face encounter with the provider during the reporting period.

2.  Patient must have given birth during a 12 month period and must have been screened for HIV infection during the first or second prenatal visit.  To document this, use the shortcut code "PQRIpreHIV" in the encounter Plan field.  This will insert the pick list header, "Prenatal screening for HIV QM", which will provide a list of criteria from which to document.  The custom code 0012b must display in the encounter Plan field.

Note: Custom codes 0012a will not increase the numerator or denominator for this measure.  Custom code 0012c will increase the denominator, but will not increase the numerator.

*  If the above is documented appropriately, this should increase the numerator and denominator for this measure to indicate that the patient gave birth during a 12-month period and was screened for HIV infection during the first or second prenatal visit.

Measure Calculation Details

Numerator Calculation:

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

1.  The number of patients in the denominator who also have the appropriate custom code entered in the encounter Plan field: 0012b.

Note: Custom codes 0012a and 0012c will not increase the numerator.

Denominator Calculation:

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

1.  The number of patients with at least one face to face encounter during the reporting period (regarless of age);

2.   And have a custom code entered in the encounter Plan field of either 0012b or 0012c.

Note: Custom code 0012a will not increase the denominator.

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.