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Measure 110


Preventive Care and Screening: Influenza Immunization

Description: The percentage of patients 6 months or older who received an influenza immunization or who reported previous receipt of an influenza immunization.

Measure ID: 110

Type: Process

CMS Derm Specialty Set: No

Priority: No

Topped out: No

Reporting methods: Registry/QCDR, EHR, or Claims

Maximum points: 10

Measure purpose: This measure encourages influenza vaccination for all patients who are 6 months or older. 

Calculation

The numerator: Patients aged 6 months or older seen for a visit during the reporting period who received an influenza immunization, or who reported previous receipt of an influenza immunization

÷

The denominator: All patients aged 6 months or older seen for a visit during the reporting period.

Measure calculation example

Dr. Tremblay saw 272 patients aged 6 months or older during the reporting period. This is the denominator.

Dr. Tremblay provided influenza vaccination, or the patient reported previously being immunized, for 219 patients. This is the numerator.

Quality of patient care = 219/272. Dr. Tremblay has a score of 80.5% for this measure. This translates to 7.0 to 7.9 points when reporting by registry.

Important note

Because of how this measure is structured, physicians score 3 points even if they report on only one patient. Physicians receive no additional score for reporting scores that fall below 29.85%. For example, if Dr. Tremblay reported on one patient encounter, she would earn 3 points.


Click on the image to download PDF.

Quality measure score benchmark

CMS will award points based on a comparison of your performance rate to CMS benchmarks listed below. Reach the performance rate listed to achieve the corresponding points per measure. Points achieved for the Quality category will account for 45% of the overall MIPS score.

Benchmarks for registry submissions

The table below shows CMS benchmarks for registry submissions. 

Below 3 
Decile 3
Decile 4
Decile 5
Decile 6
Decile 7Decile 8
Decile 9
Decile 10
Performance rate  1 patient  29.85-  41.42
 41.43 - 53.84 53.85 - 
66.02
66.03 - 
76.93
76.94 - 
87.80 
 87.81- 
96.40
96.41 - 99.99
100.00
Points  3 points  3 - 3.9  4 - 4.9 5 - 5.9 6 - 6.9 7 - 7.9 8 - 8.9 9 - 9.9 10
Benchmarks for EHR submissions

The table below shows CMS benchmarks for EHR submissions. 

Below 3
Decile 3Decile 4
Decile 5
Decile 6
Decile 7Decile 8Decile 9Decile 10
Performance rate  1 patient  15.50 - 
23.63
 23.64 - 31.20 31.21 - 
38.65
38.66 - 
46.76
46.77 - 
56.01
 56.02- 
67.49
67.50 - 
84.98
>= 84.99 
Points  3 points  3 - 3.9  4 - 4.9 5 - 5.9 6 - 6.9 7 - 7.9 8 - 8.9 9 - 9.9 10
Benchmarks for claims submissions

The table below shows CMS benchmarks for claims submissions. 

Below 3 
Decile 3Decile 4Decile 5Decile 6Decile 7Decile 8Decile 9Decile 10
Performance rate  1 patient  29.52 - 
41.41
 41.42- 
56.31
56.32 - 
71.18
71.19 - 
82.88
82.89 - 
94.14 
 94.15- 
99.41
99.42 - 99.99  100.00 
Points  3 points  3 - 3.9  4 - 4.9 5 - 5.9 6 - 6.9 7 - 7.9 8 - 8.9 9 - 9.9 10

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