CMS 74 - Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists

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Covered by this topic

Overview

CMS74v9 (2020)

CMS74v10 (2021)

CMS74v11 (2022)

Identifiers

CMS eCQM ID NQF eCQM ID NQF MIPS Quality ID
CMS74v11 – – 379

*MIE only supports data collection and reporting using eCQM specifications

Definitions

Description Percentage of children, 6 months - 20 years of age, who received a fluoride varnish application during the measurement period
Initial Patient Population Children, 6 months - 20 years of age, with a visit during the measurement period
Denominator Equals Initial Population
Denominator Exclusions Exclude patients who are in hospice care for any part of the measurement period.
Numerator Children who receive a fluoride varnish application during the measurement period
Numerator Exclusions –
Denominator Exceptions –

Additional Information

Measure Type Process measure
Measure Scoring Proportion measure
Stratification
  • 6 months-5 years
  • 6-12 years
  • 13-20 years
Granularity Patient
Improvement Notation Higher score indicates better quality
Domain Effective Clinical Care

Clinical Instructions

Track reports of dental fluoride application for all patients 6 months to 20 years of age.

Workflow

  1. While documenting the Visit encounter, record the procedure, as appropriate
  2. Open the Preventive Care section
  3. Add Fluoride Application
  4. Enter the nearest completed date and save the order as completed
  5. Continue documenting the encounter, as appropriate
  6. When completed, Close and Archive the encounter

Evidence

Initial Patient Population

Name Value Set
Encounter, Performed: Clinical Oral Evaluation 2.16.840.1.113883.3.464.1003.125.12.1003
Encounter, Performed: Office Visit 2.16.840.1.113883.3.464.1003.101.12.1001
Encounter, Performed: Online Assessments 2.16.840.1.113883.3.464.1003.101.12.1089
Encounter, Performed: Preventive Care - Established Office Visit, 0 to 17 2.16.840.1.113883.3.464.1003.101.12.1024
Encounter, Performed: Preventive Care Services - Established Office Visit, 18 and Up 2.16.840.1.113883.3.464.1003.101.12.1025
Encounter, Performed: Preventive Care Services-Initial Office Visit, 18 and Up 2.16.840.1.113883.3.464.1003.101.12.1023
Encounter, Performed: Preventive Care- Initial Office Visit, 0 to 17 2.16.840.1.113883.3.464.1003.101.12.1022
Encounter, Performed: Telephone Visits 2.16.840.1.113883.3.464.1003.101.12.1080

Denominator Exclusions

Name Value Set
Encounter, Performed: Encounter Inpatient 2.16.840.1.113883.3.666.5.307
Intervention, Order: Hospice care ambulatory 2.16.840.1.113762.1.4.1108.15
Intervention, Performed: Hospice care ambulatory 2.16.840.1.113762.1.4.1108.15

Numerator

Name Value Set
Procedure, Performed: Fluoride Varnish Application for Children 2.16.840.1.113883.3.464.1003.125.12.1002

Source(s)

eCQI CMS74

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