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U.S. Department of Health and Human Services
Clinical Reporting System (CRS)

CRS 2016 (v16.0 and v16.1)

CRS VERSION 16.1

CRS Version 16.1 was released on March 31, 2016.

Key enhancements included in CRS Version 16.1 are shown below.

  • Logic Changes to National GPRA/GPRAMA Report Measures
    • GPRA Developmental Measures:
      • Added the following new GPRA Developmental measures:
        • Adult Immunizations (Tdap and Influenza for pregnant patients)
        • Hepatitis C Screening: (New measures for Ab test result, patients with Ab result, patients with Hep C diagnosis, ever cured and currently cured)
      • Removed topics:
        • Controlling High Blood Pressure
      • Removed the following GPRA Developmental measures:
        • HIV Screening age breakdown measures.
        • Hepatitis C Screening gender breakdown and no result measures.
        • Visit Statistic measure for Female Active Clinical patients ages 15 through 44.
      • Updated codes and/or logic in the following measures: Diabetes: Blood Pressure Control; Access to Dental Service; Adult Immunizations; Comprehensive Cancer Screening; Statin Therapy for the Prevention and Treatment of Cardiovascular Disease; Hepatitis C Screening.
  • Diabetes: Blood Pressure Control: Updated blood pressure logic to include patients who only have one blood pressure documented.
  • Statin Therapy to Reduce Cardiovascular Disease Risk in Patients with Diabetes: (1) Added POV codes I23.* and I25.2 to AMI definition. (2) Added HCPCS codes C9600, C9602, C9604, C9606, C9607 to PCI definition. (3) Added Other Revascularization CPT codes to CVD definition. (4) Added cirrhosis of the liver as a denominator exclusion. (5) Added logic to count patients as pregnant who have the Currently Pregnant field in the Reproductive Factors file set to "Yes" during the Report Period.
  • Diabetic Retinopathy: Updated logic for Other Eye Exam to require visits to specific clinics to also be with specific providers and to exclude Service Categories C and T.
  • Cancer Screening: Mammogram Rates: (1) Removed Procedure codes 07T70ZZ, 0KTH0ZZ, 0KTJ0ZZ from unilateral mastectomy definition. (2) Added Procedure codes 0HBT0ZZ, 0HBU0ZZ, 0HCT0ZZ, 0HCU0ZZ to unilateral mastectomy definition. (3) Added Procedure codes 0HBV0ZZ, 0HCV0ZZ to bilateral mastectomy definition. (4) Added POV code Z90.13 to bilateral mastectomy definition. (5) Added POV codes Z90.11 and Z90.12 to unilateral mastectomy definition. (6) Rewrote unilateral mastectomy logic to look for right and left side codes, if applicable.
  • Tobacco Cessation: Updated logic to look in both TOBACCO (SMOKING) and TOBACCO (SMOKELESS - CHEWING/DIP) categories prior to the Report Period (Step 3) to see if a patient is a tobacco user.
  • Controlling High Blood Pressure - Million Hearts: (1) Added age breakdown measures to GPRA report. (2) Added logic to count patients as pregnant who have the Currently Pregnant field in the Reproductive Factors file set to "Yes" during the Report Period.
  • Comprehensive Cardiovascular disease (CVD)-Related Assessment: Added HCPCS codes C9600, C9602, C9604, C9606, C9607 to PCI definition.
  • HIV Screening: Added logic to count patients as pregnant who have the Currently Pregnant field in the Reproductive Factors file set to "Yes" during the Report Period.

CRS VERSION 16.0

CRS Version 16.0 was released on November 24, 2015.

Key enhancements included in CRS Version 16.0 are shown below.

  • Logic Changes to National GPRA/GPRAMA Report Measures
    • GPRA Developmental Measures:
      • Added new topics: Screening, Brief Intervention, and Referral to Treatment (SBIRT), Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
      • Removed topics from report: Influenza, Intimate Partner (Domestic) Violence Screening
      • Adult Immunizations: Added measures for pneumococcal conjugate only and Tdap and Influenza for pregnant patients
      • Hepatitis C Screening: Added new age groups for patients with confirmation test and result
      • Removed Alcohol Screening FAS measures and HIV Screen Ever and refusal measures
      • Updated codes in the following measures: Access to Dental Service; Comprehensive Cancer Screening; Alcohol Screening; Hepatitis C Screening
    • Diabetes: Good Glycemic Control: Added patient list for those that do not have Good Glycemic Control.
    • Diabetes: LDL Assessment: Removed topic.
    • Statin Therapy to Reduce Cardiovascular Disease Risk in Patients with Diabetes: New topic to replace Diabetes: LDL Assessment. Includes new GPRA measure.
    • Topical Fluoride: Added CPT code 99188 to topical fluoride definition.
    • Influenza: Changed GPRA measure from age 65+ to 6 months-17 years and 18+.
    • Tobacco Use and Exposure Assessment: Added SNOMED codes to Patient Education for tobacco screening.
    • Tobacco Cessation: Added SNOMED codes to Patient Education for tobacco cessation counseling.
    • Alcohol Screening (FAS Prevention): (1) Changed age range (including GPRA measure) to 14-46. (2) Added measure for those screened with a positive result. (3) Added SNOMED codes to Patient Education for alcohol-related patient education.
    • Intimate Partner (Domestic) Violence Screening: (1) Changed age range (including GPRA measure) to 14-46. (2) Added SNOMED codes to Patient Education for IPV/DV patient education.
    • Controlling High Blood Pressure - Million Hearts: (1) Removed POV codes 674.*3, 675.*3, and 676.*3 from pregnancy definition. (2) Added POV codes V24.* and V27.* to pregnancy definition. (3) Added Procedure codes 72.*, 73.*, and 74.* to pregnancy definition. (4) Added CPT codes 59000-59076, 59300, 59320, 59400-59426, 59510, 59514, 59610, 59612, 59618, 59620, and 76801-76828 to pregnancy definition.
    • Comprehensive CVD-Related Assessment: (1) Removed LDL measure from topic and comprehensive measure. (2) Added ICD-10 POV code Z95.5 to CHD definition. (3) Added CPT codes 33530, 33572, 35500, and 35600 to CABG definition. (4) Added SNOMED codes to Patient Education for related exercise and nutrition education. (5) Added SNOMED codes to Patient Education for tobacco screening.
    • HIV Screening: (1) Changed GPRA measure to those with HIV Screening Ever. (2) Removed POV codes 674.*3, 675.*3, and 676.*3 from pregnancy definition. (3) Added POV codes V24.* and V27.* to pregnancy definition. (4) Added Procedure codes 72.*, 73.*, and 74.* to pregnancy definition. (5) Added CPT codes 59000-59076, 59300, 59320, 59400-59426, 59510, 59514, 59610, 59612, 59618, 59620, and 76801-76828 to pregnancy definition.

CRS 2016 DOCUMENTATION