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Measure 205


HIV/AIDS: Sexually Transmitted Disease Screening for Chlamydia, Gonorrhea, and Syphilis

Description: The percentage of patients aged 13 years and older with a diagnosis of HIV/AIDS who are screened for chlamydia, gonorrhea, and syphilis at least once since the diagnosis of HIV infection.

Measure ID: 205

Type: Process

CMS Derm Specialty Set: No

High priority: No

Topped out: No

Reporting methods: Registry/QCDR

Maximum points: 3

Measure purpose: This measure encourages screening for other sexually transmitted diseases (STDs) when patients are infected by HIV/AIDS. Research shows that a patient who tests positive for infection by one kind of STD is likelier to test positive for another STD. There are two main reasons. One is that the same behaviors that put a patient at risk for infection by one STD, such as engaging in unprotected sex, also puts them at risk for infection by other STDs. Another reason is that the action of the pathogen itself can increase the risk of infection. For example, ulcers on the genitals caused by syphilis can provide a route of entry into the body for HIV. Early detection of STDs can reduce their spread and improve patient outcomes.

Calculation

The numerator: Patients with chlamydia, gonorrhea, and syphilis screenings performed at least once since the diagnosis of HIV infection.

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The denominator: Patients aged 13 and older with a diagnosis of HIV/AIDS who had at least two medical visits during the measurement year, with at least 90 days between each visit.

Measure calculation example

During the reporting period, Dr. Awan saw 17 patients who have been diagnosed with HIV/AIDS infection. This is the denominator.

Three patients are excluded from the denominator because they received hospice services during the measurement period.

Dr. Awan screened 12 of the remaining 14 patients for infection by chlamydia, gonorrhea, and syphilis. This is the numerator.

Quality of patient care = 12/14. Dr. Awan has a score of 85.7% for this measure. This translates to 3 points.

Important note

Because CMS has not set benchmarks for this measure, physicians earn 3 points for the measure regardless of how many patients they report on or how they perform. In other words, a physician who reports on only one patient encounter earns 3 points. A physician who reports on 100 patient encounters with a performance score of 1% earns 3 points. And a physician who reports on 100 patient encounters with a performance score of 100% still earns only 3 points.

Note: CMS did not provide benchmarks for this measure. Accurately completing this measure will earn you three points toward your Quality score. Points achieved for the Quality category will account for 45% of the overall MIPS score.

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