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Indian Health Service The Federal Health Program for American Indians and Alaska Natives

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Clinical Reporting System (CRS)  

CRS 2015 (v15.0 and v15.1)

CRS VERSION 15.1

CRS Version 15.1 is scheduled to be released in May 2015. Key enhancements included in CRS Version 15.1 are shown below.
  • Logic Changes to National GPRA/GPRAMA Report Measures
    • GPRA Developmental Measures:
      • Added the following new GPRA Developmental measures:
      • Influenza (Ages 6 months through 17 years and age 18 and older)
      • Adult Immunizations (Added combination measures that do not include influenza and a new pneumococcal measure that includes pneumococcal conjugate)
      • Removed Cancer Screening: Mammogram Rates topic.
      • Changed Alcohol Screening denominator to Active Clinical patients age 14 through 46, and updated numerator to include patient education.
      • Changed Intimate Partner (Domestic) Violence Screening denominator to Active Clinical patients age 14 through 46, and updated numerator to include patient education.
      • Updated codes in the following measures: Adult Immunizations; Childhood Immunizations; Colorectal Cancer Screening (Revised Logic #2-USPSTF); Comprehensive Cancer Screening; Depression Screening; HIV Screening; Hepatitis C Screening; Visit Statistics.
    • Diabetes: Glycemic Control: Created new measure with User Population denominator.
    • Diabetes: Blood Pressure Control: Created new measure with User Population denominator.
    • Diabetes: LDL Assessment: (1) Added POV code V77.91 to LDL definition. (2) Created new measure with User Population denominator.
    • Diabetes: Nephropathy Assessment: (1) Created new measure with User Population denominator. (2) Added LOINC code 24362-6 to BGP ESTIMATED GFR LOINC.
    • Diabetic Retinopathy: (1) Changed "JVN" to "validated teleretinal". (2) Created new measure with User Population denominator.
    • Dental Sealants: (1) Added new age breakdown of 2 through 5. (2) Added ADA code 1353 and CPT code D1353 to Dental Sealant definition. (3) Updated logic for the count measure to only count one dental sealant repair per tooth.
    • Influenza: (1) Updated age range from less than 18 to 6 months through 17 years. (2) Added new age range for ages 18 and older. (3) Added CVX code 166 to Influenza and NMI definitions. (4) Added CPT code 90630 to Influenza and NMI definitions. (5) Created new measure with User Population denominator.
    • Adult Immunizations: (1) Added combination measures that do not include influenza. (2) Added CVX code 166 to Influenza and NMI definitions. (3) Added CPT code 90630 to Influenza and NMI definitions. (4) Changed "pneumovax" to "pneumococcal vaccine". (5) Created new measure with User Population denominator.
    • Childhood Immunizations: (1) Added CVX code 166 to Influenza and NMI definitions. (2) Added CPT code 90630 to Influenza and NMI definitions. (3) Created new measure with User Population denominator.
    • Cancer Screening: Pap Smear Rates: (1) Removed POV codes V67.01 and V76.47 from Hysterectomy definition. (2) Added Women's Health procedure called HPV Screen to HPV definition. (3) Added Women's Health procedure called Pap Smear where HPV field equals Yes to HPV definition.(4) Added CPT codes 87623 through 87625 to HPV definition. (5) Created new measure with User Population denominator.
    • Cancer Screening: Mammogram Rates: (1) Removed measures with age range of 52 through 74. (2) Created new measure with User Population denominator.
    • Colorectal Cancer Screening: (1) Created new measure with User Population denominator. (2) Added LOINC codes 42912-6, 42913-4 to BGP FOBT LOINC CODES.
    • Tobacco Use and Exposure Assessment: Added ICD-10 code Z72.0 to Tobacco Screening and Tobacco User definitions.
    • Tobacco Cessation: (1) Added ICD-10 code Z72.0 to Tobacco User definition. (2) Created new measure with User Population denominator.
    • Alcohol Screening (FAS Prevention): (1) Added BHS Problem Codes 10, 12.1, 14.2, 17.1, 18.1, 20.1, and 22.1 to Alcohol-related Diagnosis or Procedure definition. (2) Created new measure with User Population denominator.
    • Intimate Partner (Domestic) Violence Screening: Created new measure with User Population denominator.
    • Depression Screening: (1) Added new measure and corresponding logic for patients screened in a Behavioral Health clinic. (2) Added CPT codes 3725F and G0444 to Depression Screening definition. (3) Created new measure with User Population denominator.
    • Childhood Weight Control: Created new measure with User Population denominator.
    • Comprehensive CVD-Related Assessment: (1) Added ICD-10 code Z72.0 to Tobacco Screening definition. (2) Added POV code V77.91 to LDL definition. (3) Added CPT codes 3725F and G0444 to Depression Screening definition. (4) Created new measure with User Population denominator.
    • HIV Screening: Created new measure with User Population denominator.
    • Breastfeeding Rates: Created new measure with User Population denominator.
  • Removed the MFI field.

CRS VERSION 15.0

CRS Version 15.0 was released on November 28, 2014.

Key enhancements included in CRS Version 15.0 are shown below.

  • Logic Changes to National GPRA/GPRAMA Report Measures
    • GPRA Developmental Measures:
      • Hepatitis C Screening (Patients with confirmation test and result (if any)
      • Optometry (NQF 0086) (Optic nerve head evaluation for patients with primary open-angle glaucoma)
      • Changed Childhood Immunizations measure for Hepatitis A to one dose.
      • Changed Cancer Screening: Mammogram Rates denominator to ages 52 through 74.
      • Updated codes in the following measures: Diabetes: Blood Pressure Control; Access to Dental Service; Adult Immunizations; Childhood Immunizations; Colorectal Cancer Screening (Revised Logic #2-USPSTF); Comprehensive Cancer Screening; HIV Screening; Chlamydia Testing; Visit Statistics.
    • Diabetes: Blood Pressure Control: (1) Added HCPCS codes G9273 and G9274 to BP documented definition. (2) Added HCPCS code G9273 to BP controlled definition.
    • Diabetes: LDL Assessment: (1) Added HCPCS codes G9271 and G9272 to LDL definition. (2) Added HCPCS codes G9271 to LDL < 100 definition.
    • Diabetes: Nephropathy Assessment: Added HCPCS code G9231 to ESRD definition.
    • Dental Sealants: Added new age group of 5 through 19.
    • Influenza: (1) Added CPT code 90687 to influenza definition. (2) Added CVX code 161 to influenza definition.
    • Adult Immunizations: Added HCPCS code G9279 to Pneumovax definition.
    • Childhood Immunizations: (1) Added CVX code 102 to Dtap definition. (2) Added HCPCS code G9279 to Pneumovax definition.
    • Colorectal Cancer Screening: Added HCPCS codes G9252 and G9253 to colonoscopy definition.
    • Tobacco Use and Exposure Assessment: (1) Added HCPCS codes G9275 and G9276 to tobacco screening definition. (2) Added HCPCS code G9276 to tobacco user definition.
    • Tobacco Cessation: Added HCPCS code G9276 to tobacco user definition.
    • Controlling High Blood Pressure - Million Hearts: (1) Added HCPCS code G9231 to ESRD definition. (2) Updated ICD-10 abortion codes.
    • Comprehensive CVD-Related Assessment: (1) Added HCPCS codes G9275 and G9276 to tobacco screening definition. (2) Added HCPCS codes G9271 and G9272 to LDL definition. (3) Added HCPCS codes G9273 and G9274 to BP documented definition.
    • HIV Screening: Updated ICD-10 abortion codes.
  • Added Date of Birth to patient list reports.
  • Changed Baseline Year to 2010 from 2000.

CRS 2015 DOCUMENTATION

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