Performance Measure: Influenza Immunization

National Quality Forum #: 0041 / 0041e

Description: Percentage of patients aged 6 months and older seen for a visit between October 1^st and March 31^st who received an influenza immunization or who reported previous receipt* of an influenza immunization¹

Numerator: Patients who received an influenza immunization or who reported previous receipt* of influenza immunization during the current season

*Previous receipt can include previous receipt of the current season's influenza immunization from another provider or from the same provider prior to the visit to which the measure is applied (typically, prior vaccination would include influenza vaccine given August 1^st).

Denominator: All patients aged 6 months and older seen for a visit between October 1^st and March 31^st

Patient Exclusions:

1. Documentation of medical reason(s) for not receiving influenza immunization (e.g., patient allergy, other medical reasons)
2. Documentation of patient reason(s) for not receiving influenza immunization (e.g., patient declined, other patient reasons)
3. Documentation of system reason(s) for not receiving influenza immunization (e.g., vaccine not available, other system reasons)

Data Elements:

1. Did the patient, aged six months and older, have at least one medical visit between October 1st and March 31st? (Y/N)
   
   1. Did the patient receive an influenza vaccination or report previous receipt of an influenza vaccination? (Y/N)

***Greater measure specification detail, including data elements for each value set, is available on the eCQI Resource Center (funded by the Centers for Medicare and Medicaid Services or CMS) eCQM Resources website. (Measure CMS 147v11)

National goals, targets, or benchmarks for comparison

This HIV/AIDS Bureau measure aligns with the Healthy People 2030 Objective IID-09: Increase the proportion of persons who are vaccinated annually against seasonal influenza. Most recent data 49.2% (2017-2018); target 70%.

The HIV Quality Measures (HIVQM) Module is a tool within the Ryan White HIV/AIDS Services Report portal. It allows recipients to enter aggregate data specific to HRSA HAB Performance Measures. The HIVQM Module allows recipients to conduct point-in-time benchmarking across Ryan White HIV/AIDS Programs that use the module.

Department of Health and Human Services Clinical Practice Guidelines

"Routine annual influenza vaccination of all persons aged ≥6 months without contraindications continues to be recommended."

"Inactivated or recombinant influenza vaccine should be administered annually during influenza season to all individuals with HIV (AII). This recommendation is pertinent to prevention of bacterial pneumonia, which can occur as a complication of influenza."²

Use in other federal programs

• CMS, Medicare and Medicaid EHR Incentive Program for Eligible Professionals, eCQM Library, Measure CMS147v11.
• This measure is linked to an exact or similar indicator(s) within Healthy People 2030.

References/notes

¹ The HIV/AIDS Bureau did not develop this measure. This measure was developed by the American Medical Association-convened Physician Consortium for Performance Improvement. More details are available at: eCQM Library.

² Panel on Opportunistic Infections in HIV-Infected Adults and Adolescents. Guidelines for the Prevention and Treatment of Opportunistic Infections in Adults and Adolescents with HIV (PDF - 6 MB): Recommendations from the Centers for Disease Control and Prevention, the National Institutes of Health, and the HIV Medicine Association of the Infectious Diseases Society of Available Online. Accessed August 2022. G-5.