Influenza Measurement Season begins for ACO Partners

influenza measurement

ACO Partners,

The influenza measurement season is upon us, which means all flu shots that are given now through the end of March will be measured in our quality review of February of 2019.

With the flu measurement period not coinciding with the calendar year, we do not often have the opportunity to address the quality measure in a timely fashion. That being said, we would like to aggressively target our ACO beneficiaries for influenza vaccinations as early in the measurement period as possible.

We highly encourage all of our partners to provide each patient the opportunity for a flu vaccination at every visit from now until the end of March. This is also a good opportunity to make sure they received their pneumo vaccine as well. I am respectfully asking all of you to ensure your providers are also aware of this measure.

Here are some measurement details:

  • The patient must have either two visits or one preventive visit during the measurement period (8/1/17-3/31/18)
  • If they received the vaccination elsewhere, note that information in their chart within the EMR. In most cases, we will be able to see the claim from the other facility. (G8482)
  • If you do not have any vaccine available, the patient declines the vaccine, or the patient has an allergy to the vaccine, please code G8483 and note the reason for this code within their chart.
    • This will not give you “credit” for the vaccination, however it will remove the patient from the denominator pool, thereby not impacting the overall percentage.

Please note: We only scored 39% in our influenza quality measure in 2016 (8/1/15-3/31/16) and in that year, our ACO spent over $1.4M on influenza admissions, ER visits, and flu symptom care with primary care providers.

For more information, please contact Erin Shustack, ACO Project Coordinator by emailing eshustack@northcountryinitiative.org. Thank you!