Hepatitis C: Counseling Regarding Risk of Alcohol Consumption (NQF 0401)

EMeasure Name Hepatitis C: Counseling Regarding Risk of Alcohol Consumption EMeasure Id 1D988856-B085-4DD0-8BA3-625F17DE9812
Version number 1 Set Id 0BD07A5B-A530-4B47-A700-2127336F66C5
Available Date No information Measurement Period January 1, 20xx through December 31, 20xx
Measure Steward American Medical Association - Physician Consortium for Performance Improvement
Endorsed by National Quality Forum
Description Percentage of patients aged 18 years and older with a diagnosis of hepatitis C who were counseled regarding the risks of alcohol consumption at least once within the 12 month reporting period
Copyright
© 2010 American Medical Association. All Rights Reserved
Measure scoring Proportion
Measure type Process
Stratification
None
Risk Adjustment
None
Data Aggregation
Rationale
Minimize progression of liver disease. Higher levels of alcohol promote the development of progressive liver disease, with strong evidence for the detrimental effects of 30 g/day in men (~ equivalent to 2 beers, 2 glasses of wine, or 2 mixed drinks) and 20 g/day in women. Lower amounts of alcohol also may increase the risk of liver damage associated with HCV.(NIH, 2002).
Clinical Recommendation Statement
Higher levels of alcohol use play an important role in promoting the development of progressive liver disease, with strong evidence for the detrimental effects of 30 g/day in men (~ equivalent to 2 beers, 2 glasses of wine, or 2 mixed drinks) and 20 g/day in women. Lower amounts of alcohol may also increase the risk of liver damage associated with HCV. (NIH, 2002). Abstinence should be recommended before and during antiviral treatment in alcoholic persons, and treatment of alcohol abuse should be linked with efforts to treat hepatitis C in alcoholic patients. A safe level of alcohol consumption in patients with hepatitis C has not been established (AGA, 2006).
Improvement notation
Higher score indicates better quality
Measurement duration
12 month(s)
Reference
National Institutes of Health (NIH). Management of hepatitis C: 2002. Rockville (MD): National Institutes of Health (NIH); 2002 Aug 26.
Reference
Dienstag JL, McHutchinson JG. American Gastroenterological Association (AGA) medical position statement on the management of hepatitis C. Gastroenterology. 2006 Jan; 130 (1): 225-30.
Definition
Counseling:  May include documentation of a discussion regarding the risks of alcohol, or notation to decrease or abstain from alcohol intake.
Guidance

Table of Contents


Population criteria

Data criteria (QDS Data Elements)

Summary Calculation

Calculation is generic to all measures:



Measure set CLINICAL QUALITY MEASURE SET 2011-2012