CMS130 - Colorectal Cancer Screening

Measure Description: Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

Denominator: Patients 50-75 years of age with a visit during the measurement period

Numerator: Patients with one or more screenings for colorectal cancer. Appropriate screenings are defined by any one of the following criteria:

• Fecal occult blood test (FOBT) during the measurement period
• Flexible sigmoidoscopy during the measurement period or the four years prior to the measurement period
• Colonoscopy during the measurement period or the nine years prior to the measurement period
• FIT-DNA during the measurement period or the two years prior to the measurement period
• CT Colonography during the measurement period or the four years prior to the measurement period

Measure Calculation in ChARM EHR: AUTOMATIC and MANUAL

This measure is calculated based on the colorectal cancer screening performed for the patient.

To satisfy this measure, for patient with Age >= 50 and < 75years either one of the five colorectal cancer screening procedures listed below needs to be performed.

• Fecal occult blood test (FOBT) (Sample loinc code : 12503-9, 27396-1, 56491-4) once during the measurement period.
• FIT-DNA (Sample loinc code : 77353-1, 77354-9) during the measurement period or the two years prior to the measurement period.
• Flexible sigmoidoscopy during the measurement period or the four years prior to the measurement period.
• Colonoscopy during the measurement period or the nine years prior to the measurement period.
• CT Colonography during the measurement period or the four years prior to the measurement period.

FOBT and FIT DNA tests need to recorded under Patient > Lab Records section.

Colonoscopy, Flexible Sigmoidoscopy, CT Colonography procedures need to recorded under 'Encounter > MU' section.

Note: Sample LOINC codes for FOBT test are 12503-9, 27396-1, 56491-4 and FIT-DNA test are 77353-1, 77354-9. Before start recording the result, make sure you have updated correct LOINC codes for FOBT and FIT-DNA test parameters under 'Settings > Labs > Customize Labs'' section. Otherwise the result will not be considered for CQM calculation.

Denominator Exclusion: Patients can be automatically excluded if they are having diagnoses of ‘Malignant Neoplasm of Colon’ (Sample ICD10 code : C18.0, C18.7, C78.5)

In addition, you can manually exclude a patient from denominator, based on other conditions listed below under 'Encounter > MU' section.