Data Submission Timeline





Links to the data entry forms will be activated on the last day of each reporting period.

  1. BASELINE DATA ENTRY FORM (active now)
    Data between February 1-28, 2020, due Nov. 15

  2. STAGE 1 DATA ENTRY FORM (active 11/30/2020)
    Data between November 1-30, 2020, Due Dec. 15

  3. STAGE 2 DATA ENTRY FORM (active 12/31/2020)
    Data between December 1-31, 2020, Due Jan. 15, 2021

  4. REFLECTION FORM (active 12/30/2020) - Due Jan. 15, 2021

  


Questions? Contact ACOOG at cme@acoog.org or call 817-377-0421.

Download Measures & Codes PDF

MEASURES

This quality improvement project will use the 2019 HEDIS Prenatal Immunization Measures. Download the measures here.

NUMERATORS:

  • The total number of non-excluded deliveries where the patient received an influenza vaccine during the preceding 9 months; and
  • The total number of non-excluded deliveries where the patient received at least one Tdap vaccine during the pregnancy (including on the delivery date); and
  • The total number of non-excluded deliveries where the patient received both an influenza vaccine  AND at least one Tdap vaccine during the pregnancy (including on the delivery date).

DENOMINATOR: 
All deliveries in the measurement period for non-excluded patients.

EXCLUSIONS:

  • Patients with deliveries with a gestational age of less than 37 weeks; or
  • Patients who are in hospice or using hospice services between 1/1/2020 and delivery; or
  • Patients with known medical exclusions to influenza or Tdap vaccine, including known allergy or prior reaction.


COMMON NUMERATOR CODES
There is a large list of NCQA codes used to identify the services included in the measure. Please refer to please refer to the NCQA website at www.ncqa.org for a complete list. Below is a list of the most common codes. 

ADULT INFLUENZA VACCINE PROCEDURE
CPT Codes: 90630; 90653; 90654; 90656; 90658; 90661; 90673; 90674; 90882; 90686; 90688; 90689; 90756

ADULT INFLUENZA IMMUNIZATION
CVX Codes: 88; 140; 141; 144; 150; 153; 155; 158; 166; 168; 171; 185; 186

Tdap VACCINE PROCEDURE: 
CPT Code: 90715

Tdap IMMUNIZATION:
CVX Code: 115