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Key Clinical Interventions and Documentation Summary for Preventive Care


The successful documentation and completion of clinical quality measurement requirements requires many interventions to take place within a practice. The following resource provides a summation of the key clinical interventions that can be used for preventive care quality improvement and includes the general data elements needed for measure calculation. This resource is intended for educational purposes only. Practices should work with their vendor to determine which CQMs their EHR system are certified to report on, and any specific workflow changes needed to ensure CQMs calculate properly in their specific EHR system

The following information is presented in a series of tables:

For more information on the specific data elements required for clinical quality measures, visit the Meaningful Use portal in USHIK.

For further information on CQMs and Meaningful Use, please visit: EHR Incentive Programs - Centers for Medicare & Medicaid Services

Meaningful Use Preventive Care Measures


This table lists most of the Meaningful Use Measures applicable for preventive care, with the associated National Quality Forum (NQF) and CMS numbers noted parenthetically.

Meaningful Use Preventive Care Measures
Cervical Cancer Screening (NQF# Not Applicable; CMS124v9)
Breast Cancer Screening (NQF# Not Applicable; CMS125v9)
Colorectal Cancer Screening (NQF# Not Applicable; CMS130v9)
Pneumonia Vaccination for Older Adults (NQF# Not Applicable; CMS127v9)
Chlamydia Screening for Women (NQF# Not Applicable; CMS153v9)
Childhood Immunization Status (NQF# Not Applicable; CMS117v9)
Adult Weight Screening and Follow-up (NQF# Not Applicable; CMS69v9)
Weight Assessment and Counseling for Children and Adolescents (NQF# Not Applicable; CMS155v9)
Preventive Care and Screening: Influenza Immunization for Patients 50 Years Old or Older (NQF# 0041e; CMS147v9)
Preventive Care and Screening Measure Pair: a) Tobacco Use Assessment (NQF# 0028e; CMS138v9)
Preventive Care and Screening Measure Pair: b) Tobacco Cessation Intervention (NQF# 0028e; CMS138v9)
Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan (NQF# 0418e; CMS2v9)
Documentation of Current Medications in the Medical Record (NQF# 0419e; CMS68v9)
Preventive Care and Screening: Cholesterol-Fasting Low Density Lipoprotein (LDL-C) Test Performed (NQF# Not Applicable; CMS61v6)
Preventive Care and Screening: Risk-Stratified Cholesterol-Fasting Low Density Lipoprotein (LDL-C) Test Performed (NQF# Not Applicable; CMS64v6)
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented (NQF# Not Applicable; CMS22v9)

Key Clinical Interventions


This table lists key interventions to be completed during a patient’s visit. Documentation of these interventions in the electronic health record will help ensure all of the necessary information needed to calculate Meaningful Use preventive care measures is available. For interventions that correlate to a specific preventive care measure, the applicable NQF number is noted parenthetically. Practices may find assigning responsibility for each of these interventions to specific staff members helpful in integrating each activity into the practice workflow. Technical information regarding specific diagnoses and procedures associated with preventive care measures can be found in the Meaningful Use portal of USHIK.

Key Clinical Interventions

Numerator Elements


This table specifies the information that needs to be documented in the electronic health record to appropriately calculate the numerator. The specific measure to which the element applies in noted by the NQF number in parentheses. Technical information related to the measure numerators can be found in the Meaningful Use portal of USHIK.

Elements Needed for the Numerator

Denominator Elements


This table specifies the information that needs to be documented in the electronic health record to appropriately calculate the denominator. These elements apply to all Meaningful Use preventive care measures. Technical information related to the measure denominators can be found in the Meaningful Use portal of USHIK.

Elements Needed for the Denominator

Exclusion/Exception Elements


This table specifies the information that needs to be documented in the electronic health record to appropriately determine measure exclusions. These elements apply to all Meaningful Use preventive care measures. Technical information related to the measure exclusions/exceptions can be found in the Meaningful Useportal of USHIK.

Elements Needed for Exclusions/Exceptions
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